Educational information, not medical advice — ask your doctor or midwife.
Gotu kola is a low-growing creeping plant of wet tropical ground — fan-shaped leaves, no showy flowers — that grows across India, Sri Lanka, Southeast Asia, southern China and parts of Africa. Eaten and drunk, it is a classic tonic herb. Applied to skin, it is one of the oldest and most persistent wound plants in Asian medicine, and the source of a small group of triterpene compounds that modern dermatology has taken seriously.
Topically, "gotu kola extract" covers a wide range of things. At one end is a pharmaceutical preparation known as TECA — titrated extract of Centella asiatica, standardised to a fixed ratio of asiaticoside, asiatic acid and madecassic acid — sold in parts of Europe and Asia for decades as a wound and scar ointment. At the other end are the "cica" creams and "tiger grass" balms of the modern skincare aisle, where the extract may be a fraction of a percent and sits alongside a dozen other ingredients.
That difference matters when reading claims. The most repeatable human findings for topical Centella concern scar quality, stretch mark prevention and calming reactive, barrier-damaged skin. Deeper claims — reversing photoageing, clearing cellulite — rest on small studies, combination products, or laboratory work only. It is a reasonable, well-tolerated supportive ingredient rather than a treatment for anything serious.
The triterpenes asiaticoside and madecassoside appear to nudge fibroblasts — the skin's collagen-making cells — toward producing more type I and type III collagen and organising it more tidily, which is the plausible basis for the effects on scars, stretch marks and firmness. Asiatic and madecassic acids reduce inflammatory signalling in laboratory skin models, which fits the visible calming of redness. Centella extracts also improve measures of skin hydration and reduce water loss through the barrier, which is likely why it suits eczema-prone and over-exfoliated skin. Most of this mechanism work is cell-culture and animal data; the human trials measure outcomes, not pathways.
Pharmaceutical TECA ointment or cream (commonly around 1% titrated extract) is the form with the most clinical history and is used for wounds and scars, typically once or twice daily. Cosmetic products are usually built around either a broad Centella asiatica leaf extract (often 0.1–5%) or an isolated triterpene, most often madecassoside at 0.1–1%; isolated madecassoside is the version used in most published cosmetic trials. Serums and ampoules suit oily or acne-prone skin, creams and balms suit dry or eczematous skin, and hydrogel patches are used after procedures. Home-made leaf poultices are traditional but carry a real infection risk on broken skin and are not a good substitute for a clean product.
Gotu kola appears in Ayurveda as mandukaparni — one of several herbs also called brahmi, which is why it is constantly confused with Bacopa monnieri — and in Chinese medicine as ji xue cao, used for heat, swelling and sores. Across Indonesia, Malaysia and Sri Lanka the crushed leaf has been laid on wounds, boils and ulcers for centuries, and it was widely used on the skin lesions of leprosy in colonial-era Madagascar and Indochina. That leprosy use drew French pharmacologists to the plant in the 1940s and 1950s; the standardised extract TECA and the ointment marketed as Madecassol came out of that work and have been prescribed in France and much of Asia since. The current "cica" boom in Korean and Western skincare is a direct commercial descendant of that pharmaceutical product.
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 →
Everyday descriptions of the problems this remedy is recommended for.
Each grade below is for that condition specifically, not for Gotu Kola Extract (Topical) in general.
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