Patala

Traditional tier T2: a long-standing staple of Ayurveda and one of the ten Dashamoola roots. Evidence grade insufficient: we found no human trials of

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What is Patala? Patala is the root and root bark of a tree called Stereospermum suaveolens. The name is also written Stereospermum chelonoides. The tree grows in India and Southeast Asia. In Ayurveda, Patala is used on its own for fever, cough, swelling and poor appetite. It is most often taken as a water decoction of the dried root bark. It is best known as one of the Dashamoola, the classic group of ten roots. Most products you will meet hold Patala as one part in ten, not on its own. Here is the honest verdict on the evidence. The traditional record is long and steady. But we could find no published human trials of Patala by itself. Traditional use tells you what practitioners have done for many centuries. On its own, it does not prove the plant works. That point applies to everything on this page. How does Patala work? The short answer is simple. No one has shown how Patala works in people. The suggested ways it might work come from lab dishes and animal studies. In Ayurveda, Patala is called bitter, astringent and drying. It is said to settle raised Vata and Kapha. That is a label inside a traditional system, not a measured effect in the body. Lab work on Stereospermum extracts reports three things in cells and in rats. The extracts cut swelling, act as antioxidants, and lower blood sugar. These findings are early ones. They do not tell you what a cup of decoction does in a human body. The doses given to animals are often far higher than the doses people take. What forms does Patala come in? Patala reaches you in a few forms: Dried root bark, sold in pieces or shredded, for making a decoction (kwatha) at home. Churna, a fine powder of the dried bark, taken with warm water or honey. Dashamoola kwatha and Dashamoola churna, blends in which Patala is one of ten roots. Dashamoolarishta, a traditional fermented liquid. It holds alcohol made during fermentation, often about 5 to 10 percent. Here is a practical warning. Patala is one of the Ayurvedic roots most often swapped for something else. Bark from other trees is sometimes sold under the same name. Buy from a supplier who names the plant species on the label. Where it comes from: Patala appears in the oldest Ayurvedic texts we still have. The Charaka Samhita and Sushruta Samhita both list it in the Dashamoola group of ten roots. Both were put together in the centuries around the start of the common era. It sits in the Brihat Panchamoola, the five roots taken from trees. The others are Bilva, Agnimantha, Shyonaka and Gambhari. Later Ayurvedic and Siddha writers kept it in the same place. They used it mainly for fever, breathing complaints and swelling. Its standing in the tradition is solid and unbroken. That standing is about practice, not about trial results.

Helps

What does Patala help with? Fever and the thirst that comes with it: This is Patala's oldest traditional use. The classic texts name it for fever directly. It is given as a decoction, usually with the other Dashamoola roots. No human trials have tested Patala against fever. So treat this as tradition only. See a doctor for a fever above 39C (102F). See a doctor for any fever that lasts more than three days. A herb is not the right answer there. Cough and chest congestion: Dashamoola blends with Patala in them are a standard Ayurvedic choice for a wet, rattling cough. Animal studies on Stereospermum extracts report some drop in swelling. That is a long way from showing that a cough gets better in people. Nothing here treats asthma, pneumonia or COPD (a long-term lung disease). Swelling and joint pain: Patala is classed as a Vata-settling drug. It is used in traditional formulas for swelling and sore joints. Rat studies of Stereospermum extracts show less paw swelling. That is a common early screening test. No human trial has tested it for arthritis or any other joint problem. Poor appetite and sluggish digestion: The bitter, astringent taste is the traditional reason for this use. Bitters are used the same way in several food cultures. The evidence stops at that traditional reasoning. See a doctor if your appetite has been low for more than a few weeks. See a doctor if you are losing weight without trying. Recovery after childbirth (as part of Dashamoola): Dashamoola is a classic after-birth preparation in Ayurveda. Patala is one of its ten roots. This is a supervised traditional use, given by a practitioner after delivery. Do not treat yourself with it. Note that the fermented form holds alcohol. That matters if you are breastfeeding. Burning or discomfort on passing urine: Classic sources call Patala cooling and mildly diuretic (it makes you pass more urine). There is no human evidence for this. Burning urine with fever, back pain or blood means a urinary infection or worse. That needs medical treatment.

Patala

Patala

Quick Facts

  • What it is: Patala is the root bark of the tree Stereospermum suaveolens, an Ayurvedic single drug and one of the ten Dashamoola roots, used mainly for fever, cough and swelling.
  • Main uses: Fever, Cough and chest congestion, Swelling and joint pain, Poor appetite
  • Best for: Short traditional courses for fever and cough, under an Ayurvedic practitioner, Use as one part of a Dashamoola preparation
  • Active ingredients: Lapachol and related naphthoquinones, Dinatin and other flavonoids, Beta-sitosterol and plant sterols, Iridoid glycosides, Tannins
  • Forms: Dried root bark for decoction (kwatha), Churna (powder), Dashamoola kwatha and churna blends, Dashamoolarishta (fermented liquid, contains alcohol)
  • Time to effect: Tradition expects change in one to three days for fever or cough, and one to two weeks for digestion; this has not been tested in trials.
  • Side effects: Usually mild stomach upset or dry mouth; possible bleeding risk from its naphthoquinone content, and alcohol effects from fermented forms.

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What is Patala?

Patala is the root and root bark of a tree called Stereospermum suaveolens. The name is also written Stereospermum chelonoides. The tree grows in India and Southeast Asia.

In Ayurveda, Patala is used on its own for fever, cough, swelling and poor appetite. It is most often taken as a water decoction of the dried root bark.

It is best known as one of the Dashamoola, the classic group of ten roots. Most products you will meet hold Patala as one part in ten, not on its own.

Here is the honest verdict on the evidence. The traditional record is long and steady. But we could find no published human trials of Patala by itself.

Traditional use tells you what practitioners have done for many centuries. On its own, it does not prove the plant works. That point applies to everything on this page.

How does Patala work?

The short answer is simple. No one has shown how Patala works in people. The suggested ways it might work come from lab dishes and animal studies.

In Ayurveda, Patala is called bitter, astringent and drying. It is said to settle raised Vata and Kapha. That is a label inside a traditional system, not a measured effect in the body.

Lab work on Stereospermum extracts reports three things in cells and in rats. The extracts cut swelling, act as antioxidants, and lower blood sugar. These findings are early ones.

They do not tell you what a cup of decoction does in a human body. The doses given to animals are often far higher than the doses people take.

What forms does Patala come in?

Patala reaches you in a few forms:

Dried root bark, sold in pieces or shredded, for making a decoction (kwatha) at home.

Churna, a fine powder of the dried bark, taken with warm water or honey.

Dashamoola kwatha and Dashamoola churna, blends in which Patala is one of ten roots.

Dashamoolarishta, a traditional fermented liquid. It holds alcohol made during fermentation, often about 5 to 10 percent.

Here is a practical warning. Patala is one of the Ayurvedic roots most often swapped for something else. Bark from other trees is sometimes sold under the same name.

Buy from a supplier who names the plant species on the label.

Where it comes from:

Patala appears in the oldest Ayurvedic texts we still have. The Charaka Samhita and Sushruta Samhita both list it in the Dashamoola group of ten roots. Both were put together in the centuries around the start of the common era.

It sits in the Brihat Panchamoola, the five roots taken from trees. The others are Bilva, Agnimantha, Shyonaka and Gambhari.

Later Ayurvedic and Siddha writers kept it in the same place. They used it mainly for fever, breathing complaints and swelling.

Its standing in the tradition is solid and unbroken. That standing is about practice, not about trial results.

Who should avoid Patala?

  • Do not use Patala if you take a blood thinner such as warfarin, clopidogrel, aspirin or apixaban, because its naphthoquinone compounds may add to bleeding risk
  • Do not use it in the two weeks before any planned surgery or dental extraction
  • Do not use it if you have a bleeding disorder such as haemophilia (a condition where blood does not clot properly) or a low platelet count
  • Do not self-treat with Patala during pregnancy; Dashamoola is used after childbirth in Ayurveda, but only under a qualified practitioner
  • Do not take fermented preparations such as Dashamoolarishta if you are pregnant, breastfeeding, in recovery from alcohol dependence, or taking disulfiram or metronidazole, because they contain alcohol
  • Do not give Patala to children under 12 unless an Ayurvedic practitioner has prescribed it
  • Do not use it if you have liver disease or kidney disease, since it has never been tested in people with either
  • Do not use it if you have had an allergic reaction to Patala or another Dashamoola herb
  • Never use Patala instead of antibiotics, antimalarials or other prescribed treatment for an infection
  • Avoid any product that does not name the botanical species on the label, because other barks are widely sold as Patala

When should you see a doctor?

See a doctor if a fever goes above 39C (102F), lasts more than three days, or comes with a stiff neck, confusion or a rash.

See a doctor promptly if you cough up blood, get short of breath, or have chest pain.

Stop Patala and get medical advice if you notice unusual bruising, bleeding gums, blood in your urine or stool, or black tarry stools.

Stop and get checked if your skin or the whites of your eyes turn yellow, or if you get persistent vomiting, a spreading rash, or swelling of the face, lips or tongue. Swelling of the face or throat with trouble breathing is an emergency: call emergency services.

Evidence grades and traditional-use labels are explained in our methodology. Nothing here is medical advice.

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