Dhathryarishtam (Amalakarishtam)

Dhathryarishtam is a popular Ayurvedic medicine used in the management of diseases affecting the liver and heart. It is a liquid medication that contains about 5 to 10% of self-generated alcohol, which along with water, serves as a media for the active constituents in the herbs. This medication is also known as Amalakarishtam. The powerful medicinal herbs used in the preparation of this medicine provide a range of health benefits that protect the vital organs of the body like the liver and the heart and prevent several diseases. These herbs also help to prevent the progress of the existing diseases and allow a person to recover faster while providing relief from the symptoms.


The herbal ingredients present in Dhathryarishtam are mentioned below:

  1. Amalaki (Amla)
  2. Pippali (Long Pepper)
  3. Sharkara or Jaggery

This medicine is in the form of fermented decoction. For the preparation of Dhathryarishtam, juice is extracted from 1000 Amalaki fruits. Then, honey is added to the juice. The amount of honey should be 1/8th of the amount of the Amalaki juice. Then, 96 grams of Pippali or Long Pepper and 2.4 kg of Jaggery or Sharkara is added to the juice. This mixture is then stored in an air-tight container and allowed to stay for the fermentation to occur. Once a sufficient level of fermentation has occurred, the mixture can be strained and stored in a closed container. This unique method of preparation of Dhathryarishtam improves its shelf life considerably. The medicine remains safe and unaltered for several years and has an expiry date that is 10 years from the date of manufacture. The medicinal uses of Dhathryarishtam are described beneath:

Hepatic diseases

Dhathryarishtam can be used in the management of liver disorders like hepatitis, fatty liver disease, and cirrhosis. It acts as a hepato-protective agent and prevents damage to the liver due to the free radicals, toxins in the food such as preservative, and other toxic by-products released during various biochemical processes in the body. It also protects the liver from the damaging effect of alcohol consumption. It maintains the integrity of the hepatic cells and boosts the functions of this organ. It can also be used to treat jaundice that may occur due to hepatobiliary diseases. Acute and chronic infective conditions affecting the liver can also be managed using Dhathryarishtam. It reduces fever, jaundice, anorexia, nausea, vomiting, and anemia caused due to these infections.

Cardiac disorders

Dhathryarishtam is an efficient tonic for the heart. It optimizes the functions of the heart and improves the efficiency with which it pumps the blood. It also regularizes the heartbeats and prevents arrhythmias.

Joint diseases

Dhathryarishtam can be used in the treatment of gout and arthritis. It reduces joint pains and restriction of movements thus improving the quality of patient’s life.

Respiratory diseases

Dhathryarishtam produces a beneficial effect in the patients with asthma and chronic respiratory diseases like COPD. It reduces cough, breathlessness, and chest pain caused by these conditions and improves the lung capacity.

Recommended dosage of Dhathryarishtam

Patients suffering from these conditions should use Dhathryarishtam in a dose of 10 ml, to be taken once or twice a day. They should increase the dose to 20 ml, once or twice a day, if the results with the lower dose are not satisfactory or if the symptoms are severe. The doses can be taken before or after food. However, it is advisable to take the medicine after meals if the patient is suffering from gastritis as it may cause an aggravation of the symptoms.

In addition, patients suffering from anemia should take the medicine on an empty stomach. They should consume the meals about 2 hours after taking the doses to ensure the medicine is absorbed in the body. This helps to improve the effectiveness of Dhathryarishtam.

Patients can take Dhathryarishtam for a period of 1 or 2 months, depending on the condition to be treated.

Side effects of Dhathryarishtam

There are no known side effects of Dhathryarishtam. Since this medicine is prepared from natural herbs, it is completely safe to use. It may cause a slight burning sensation in the stomach, when it is taken in very high doses. Pregnant and lactating women should avoid using this medication, as its effects on the fetus and newborn baby have not been studied. Children should be given Dhathryarishtam only after seeking medical advice. Patients suffering from diabetes should refrain from using Dhathryarishtam as Jaggery or Sharkara added in its preparation can raise their blood sugar levels.

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