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Bikh-e-Sarphoka

Traditionally used for: Nothing is proven in people; traditional use is strongest for liver and spleen complaints. Traditional cough and breathlessness.

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What is Bikh-e-Sarphoka? Bikh-e-Sarphoka is the dried root of the plant Tephrosia purpurea. Unani and Persian doctors use it as a single drug. "Bikh" means root. In English it is often sold as wild indigo root. In Ayurveda, the same plant is called sharapunkha. Unani doctors have used it mostly for problems they linked to the liver and spleen. They also used it for coughs, fevers and urinary trouble. It is most often taken as a decoction (a drink made by boiling the root in water). Dried root powder is the other common form. Here is the honest summary of the evidence. This plant has a long, well-recorded place in traditional practice. But almost all modern research is lab and animal work. Long use tells you that people valued a remedy. It does not prove the remedy works, or that it is safe. Nothing here should be read as a promise of a result. One warning about names. "Wild indigo root" is also used for a quite different plant, Baptisia tinctoria. Check the Latin name Tephrosia purpurea on any label before you buy. How does Bikh-e-Sarphoka work? No one has shown in people how this root works. So what follows is a theory, not a finding. Lab and animal studies point to two groups of plant chemicals: flavonoids and rotenoids. These may lower inflammation (swelling and irritation in tissue). They may also lower oxidative stress (chemical damage inside cells). Animal studies have looked at liver injury. They report less damage when the extract was given first. In Unani theory the drug is hot and dry. It is said to open blockages of the liver and spleen. That is a traditional way to describe the drug, not measured biology. What forms does Bikh-e-Sarphoka come in? Bikh-e-Sarphoka is sold and made up in a few simple ways. Dried cut root, boiled into a decoction (a drink made by simmering the root in water). Dried root powder, sometimes taken with honey or warm water. Compound Unani formulas, where the root is one part among many. Water-and-alcohol (hydro-alcoholic) extracts and capsules from herb sellers. These rarely state a strength. Avoid the seeds and the seed oil. Seeds of Tephrosia plants are used as fish poison in several countries. They are not a food or a medicine. Where it comes from: Tephrosia purpurea is a scrubby legume of dry ground. It grows across South Asia, the Middle East and parts of Africa. It is written up in both classic Unani and classic Ayurvedic texts. That is unusual for a minor herb. Unani sources place it among the drugs for blockages of the liver and spleen. Ayurvedic sources call it sharapunkha and give it much the same role. They also use it for fever and cough. In the same regions, people used the plant as a fish poison. They also grew it as a green manure crop.

Helps

What does Bikh-e-Sarphoka help with? Traditional use for liver complaints: This is the best-known use in Unani practice. The root was given for what doctors called a sluggish or blocked liver. Rat studies of chemical liver injury report less damage with the extract. No published human trial shows that it helps liver disease. Liver disease needs a doctor's diagnosis and blood tests, not a herb. Traditional use for an enlarged spleen: Unani and Ayurvedic texts both list the root for splenomegaly (an enlarged spleen). No human trial backs this up. An enlarged spleen is a sign of a serious problem. The cause may be an infection or a blood disorder. It always needs medical tests. Traditional use for cough and breathlessness: Root decoctions were given for chesty cough and asthma-type breathlessness. The support for this is traditional only. Do you have asthma or COPD (a long-term lung disease)? Keep taking your prescribed inhalers. Do not swap them for a herbal drink. Traditional use for fever: The root turns up in traditional fever mixtures. It is sometimes mixed with other bitter plants. Animal work has looked at how it calms inflammation (swelling and irritation). No human trial has tested it for fever. See a doctor for a fever above 39C. Also see a doctor for any fever that lasts more than three days. Traditional use for urinary complaints and stones: Traditional practice used it as a diuretic (something that makes you pass more urine). It was also used for gravel and stones. The evidence is limited to lab and animal reports on stone forming. Kidney stones and urine infections have good standard treatment. Do not treat them yourself. Traditional use on skin sores and boils: A paste of the leaves or root was put on boils, sores and insect bites. This use is external and traditional. There are no human trials. A skin infection that spreads, or feels hot and painful, needs antibiotics. A poultice (a paste laid on the skin) is not enough.

Bikh-e-Sarphoka

Quick Facts

  • What it is: Bikh-e-Sarphoka is the dried root of Tephrosia purpurea, a single drug of Persian/Unani medicine, also sold as wild indigo root.
  • Main uses: Traditional liver and spleen complaints, Traditional cough and breathlessness, Traditional fever mixtures, Traditional urinary complaints
  • Best for: Nothing is proven in people; traditional use is strongest for liver and spleen complaints
  • Active ingredients: Flavonoids and isoflavonoids (pongamol, lanceolatin), Rotenoids (tephrosin, deguelin, traces of rotenone), Sterols and tannins
  • Forms: Dried root for decoction, Dried root powder, Hydro-alcoholic extract or capsules, External paste for skin
  • Time to effect: Not established; no human study has measured it.
  • Side effects: Usually stomach upset and nausea; rotenoid content means liver, nerve and heart effects are a real concern at higher doses.
  • Pregnancy & breastfeeding: Avoid: traditionally used to stimulate the womb.

Educational information, not medical advice — ask your doctor or midwife.

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What is Bikh-e-Sarphoka?

Bikh-e-Sarphoka is the dried root of the plant Tephrosia purpurea. Unani and Persian doctors use it as a single drug. "Bikh" means root.

In English it is often sold as wild indigo root. In Ayurveda, the same plant is called sharapunkha.

Unani doctors have used it mostly for problems they linked to the liver and spleen. They also used it for coughs, fevers and urinary trouble.

It is most often taken as a decoction (a drink made by boiling the root in water). Dried root powder is the other common form.

Here is the honest summary of the evidence. This plant has a long, well-recorded place in traditional practice. But almost all modern research is lab and animal work.

Long use tells you that people valued a remedy. It does not prove the remedy works, or that it is safe. Nothing here should be read as a promise of a result.

One warning about names. "Wild indigo root" is also used for a quite different plant, Baptisia tinctoria. Check the Latin name Tephrosia purpurea on any label before you buy.

How does Bikh-e-Sarphoka work?

No one has shown in people how this root works. So what follows is a theory, not a finding.

Lab and animal studies point to two groups of plant chemicals: flavonoids and rotenoids. These may lower inflammation (swelling and irritation in tissue). They may also lower oxidative stress (chemical damage inside cells).

Animal studies have looked at liver injury. They report less damage when the extract was given first.

In Unani theory the drug is hot and dry. It is said to open blockages of the liver and spleen. That is a traditional way to describe the drug, not measured biology.

What forms does Bikh-e-Sarphoka come in?

Bikh-e-Sarphoka is sold and made up in a few simple ways.

Dried cut root, boiled into a decoction (a drink made by simmering the root in water).

Dried root powder, sometimes taken with honey or warm water.

Compound Unani formulas, where the root is one part among many.

Water-and-alcohol (hydro-alcoholic) extracts and capsules from herb sellers. These rarely state a strength.

Avoid the seeds and the seed oil. Seeds of Tephrosia plants are used as fish poison in several countries. They are not a food or a medicine.

Where it comes from:

Tephrosia purpurea is a scrubby legume of dry ground. It grows across South Asia, the Middle East and parts of Africa.

It is written up in both classic Unani and classic Ayurvedic texts. That is unusual for a minor herb.

Unani sources place it among the drugs for blockages of the liver and spleen. Ayurvedic sources call it sharapunkha and give it much the same role. They also use it for fever and cough.

In the same regions, people used the plant as a fish poison. They also grew it as a green manure crop.

Who should avoid Bikh-e-Sarphoka?

  • Do not use if you are pregnant or trying to become pregnant. Tephrosia species have been used traditionally to bring on periods and animal work suggests effects on fertility.
  • Do not use if you are breastfeeding.
  • Never give it to a child.
  • Do not use if you have any liver disease, hepatitis (liver inflammation) or cirrhosis (scarring of the liver).
  • Do not use if you have kidney disease or reduced kidney function.
  • Do not use if you have Parkinson's disease or another movement disorder of the nervous system.
  • Do not use if you take a blood thinner such as warfarin, apixaban or clopidogrel.
  • Do not use if you take methotrexate, isoniazid or another medicine your doctor monitors with liver blood tests.
  • Do not use if you take insulin or tablets for diabetes, unless your doctor agrees and you check your blood sugar more often.
  • Do not use in the two weeks before any planned surgery.
  • Never eat the seeds or seed oil of this plant; they are used as a fish poison.
  • Do not use a product labelled only 'wild indigo root' unless the label also says Tephrosia purpurea, because that name is also used for a different plant, Baptisia tinctoria.

When should you see a doctor?

Stop taking it and see a doctor the same day if your skin or the whites of your eyes turn yellow, your urine turns dark, or you get pain in the upper right side of your belly. These can be signs of liver injury.

Get urgent medical help if you have a racing or irregular heartbeat, numbness or tingling in your hands or feet, severe vomiting, or you feel faint.

Also see a doctor rather than continuing on your own if a fever lasts more than three days, if your belly is swollen, or if the problem you are treating is not clearly better after two to three weeks.

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

Reviewed by the HealisticMD editorial team How we grade evidence →

The published evidence for Bikh-e-Sarphoka is weak or absent. That usually means no controlled trial has tested it, not that a trial found it ineffective — the two are different, and we grade only what has been published.

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