Beruflich Dokumente
Kultur Dokumente
The market for Ayurvedic internal medicines is dominated by Chyawanprash, an herbal honey
comprised of about 3 dozen ingredients, with amla (emblic myrobalans) as the key ingredient.
The leader in this field is Dabur, which had a 69% market share at the end of 2002; followed by
Baidyanath, with nearly 11%, and Zandu and Himani (Emami Group) with about 7.5% each. A
variety of individual herbs, traditional formulations, and proprietary medicines make up the rest
of the health products section involving internal remedies, while the remainder of the market is
taken up by toothpastes and powders, skin creams, massage oils, shampoos, and other topical
preparations. Aside from Chyawanprash, the following are among the major traditional remedies:
Formula
Designation
Ingredients
Main Uses
Triphala
Three Myrobalans
Rejuvenative tonic,
harmonizer,
treatment for
intestinal disorders
Trikatu
Three Pungents
Spicy stimulant to
digestion
Trikulu
Three Fragrants
Gokshuradi
Guggulu
Treatment for
urinary tract
disorders
Sitopaladi churna
longum
respiratory
disorders
Two of the largest companies involved with providing traditional medicine products, such as the
above, are Himalaya Drug Company and Universal Medicaments (in Nagpur). Universal
Medicaments has a joint venture for research and manufacturing of herbal products with Cipla
Ltd. and Lupin Ltd, two leading pharmaceutical companies of India. Universal is engaged in
manufacturing and exports of both pharmaceutical formulations and research-based herbal
medicines.
Exports of Ayurvedic medicines have reached a value of 100 million dollars a year (about 10%
the value of the entire Ayurvedic industry in India). About 60% of this is crude herbs (to be
manufactured into products outside India), about 30% is finished product shipped abroad for
direct sales to consumers, and the remaining 10% is partially prepared products to be finished in
the foreign countries (see Appendix 1 for examples of Ayurvedic distribution from India with
products available worldwide).
regions of India, such as Kerala in the Southwest. Many Ayurvedic practitioners in small villages
are not registered. One of the famous clinics of India is described in Appendix 2 and a new clinic
complex is serving visitors from abroad is mentioned in Appendix 3.
Composition
1.0% vasicine
2.0% total alkaloids
Uses
respiratory support,
cough-cold aid
40% tannins
rejuvenating agent
Andrographis paniculata
Standardized Extract
10% andro-grapholides
liver support
Ashwagandha (Withania
somnifera)
Standardized Extract
1.5% withanolides
1.0% alkaloids
adaptogen
Asparagus Racemosus
Standardized Extract
2.5% shatavarin ii
2.5% shatavarin iv
Adaptogen
memory support
95% piperine
nutrient bioavailability
enhancer
anti-inflammatory,
arthritis support
anti-inflammatory,
arthritis support
laxative action
8% total triterpenes
Coleus Forskohlii
Standardized Extract
Traditional use:
circulation support; new
uses: sports nutrition,
weight management
Curcumin C3 Complex
(Curcuma longa)
Standardized Extract
95% curcuminoids
antioxidant, antiinflammatory
Fenusterols (Trigonella
foenum graecum)
Standardized Extract
sports nutrition
5% gingerols
digestive aid
20% gingerols
digestive aid
Gugulipid (Commiphora
mukul)
Standardized Extract
2.5% or 7.5%
guggulsterones
healthy cholesterol
combination of:
Adhatoda vasica,
Alpinia galanga
Glycyrrhiza glabra,
Piper longum
Inula Racemosa
Standardized Extract
2% alantolactone
Momordicin - (Momordica
charantia)
Standardized Extract
7% bitter principles
0.5% charantin
Mucuna Pruriens
tonic, energy
3% bitter principles
Antiseptic
Phyllanthus Amarus
(Phyllanthus amarus)
Standardized Extract
3% bitter principles
liver support
4% kutkin
8-10% bitter principle
liver support
Piper Longum
Standardized Extract
1.5% piperine
respiratory support,
thermogenic
Rubia Cordifolia
Standardized Extract
skin health
Silbinol (Pterocarpus
marsupium)
Standardized Extract
5% pterostilbene
0.01% (-) epicatechin
min.
Terminalia Arjuna
Standardized Extract
circulation support
Terminalia Belerica
Standardized Extract
40% tannins
rejuvenating agent
Terminalia Chebula
Standardized Extract
40% tannins
rejuvenating agent
Tinofolin (Tinospora
cordifolia)
Standardized Extract
urinary health
support
combination of Piper
longum,
Piper nigrum, Zingiber
officinale
respiratory support,
thermogenic, digestive
aid
40% tannins;
combination of
Terminalia belerica,
Terminalia chebula,
Emblica officinalis
digestive aid
blood sugar
support, rejuvenating
agent
Tylophora (Tylophora
indica/asthmatica)
Standardized Extract
respiratory support
As examples of how traditional Ayurvedic ingredients are converted to modern products, it has
been found that myrrh yields guggulsterones and frankincense yields boswellic acids that are
now in high demand. For both these herbs, the original research and product development
originated in India as part of an ongoing effort to investigate and make more useful the tradition
of Ayurvedic medicine. Much of the guggulsterone and boswellic acid currently used in
manufacturing products today comes from Sabinsa.
Guggulsterones are reputed to lower blood lipids, including cholesterol, a problem recognized
currently, but not an issue of traditional Ayurvedic medicine. The standardized nutriceutical
available for most manufacturing of products is 2.5% guggulsterones; preparations of 7.5% and
of 10% guggulsterones are produced, but the high sterone products are soft and more difficult to
use in manufacturing. The Sabinsa product is trademarked Gugulipid. Boswellic acids are
reputed to have potent anti-inflammatory activity, as demonstrated in laboratory experiments; its
traditional use would indicate an anti-inflammatory action. The standardized boswellic acid
preparations list their content as 50-70% boswellic acids, though it has been suggested that these
are actually total organic acids from frankincense, with boswellic acids as the major component.
The Sabinsa product is trademarked Boswellin.
This trend towards nutriceutical development has not been adopted by all. Some are still
interested in promoting the ancient tradition and sell the well-known prescriptions or make up
new proprietary formulas. An example of a company that sells complex Ayurvedic compounds is
Surya Herbal in New Delhi. They are the manufacturers and exporters of a wide range of
Ayurvedic generic, branded specialties and other OTC herbal healthcare products. The company
provides 15 formulations, which match, for the most part, the categories of natural therapeutics
in demand worldwide. The products include: Memory-Loss Capsules/Syrup; Mental Stress and
Fatigue Relieving Capsules; General Weakness Tonic for Men & Women; Liver Disorder
Curative Tablets/Syrup; Piles & Varicose Veins Tablets; Throat & Other Minor Infections
Therapy Tablets/Syrup; Menstrual Regulatory Capsules/Syrup; Cough Relief Tablets/Syrup; and
Constipation Regulatory Tablets/Syrup.
Another example is Universal Medicaments Pvt. Ltd., a part of Universal Pharmaceuticals
Group. The company is best recognized for its formulations Karnim (Anti-diabetic supplement),
Herbokam (Anti-stress formula), Chetak (Stimulant), Tonabilin (Iron supplement), Minitone, UGyanetone, and Unicough Syrup. All together, the company has about 15 main proprietary
products. Key elements in both these companies is a gradual move away from traditional
Ayurvedic products to the new formulations ("research-based") and new dosage forms (e.g.,
capsules and syrups to replace, as examples, teas and ghee preparations) that suit the current
demands. The direction today is to deal with broad issues, such as lowering cholesterol and
lipids, lowering blood sugar (in diabetes), and improving cardiovascular health overall. Products
in high demand also include menopause formulas, sexual stimulants, treatments for liver disease,
and detoxifying regimens.
The biggest supplier of Ayurvedic herb products for the U.S. and other Western countries is
Maharishi Ayurveda Products International, Inc., currently located in Colorado. Despite its
dominance in the field, which came about because of the popularity of Maharishi Mahesh Yogi
in his teaching of transcendental meditation, the company still has only a limited market
presence and small staff. The Maharishi had attracted a few medical doctors to his program, and
they have been vocal proponents of the products, which is the reason for their continued use.
There are about two dozen products in their catalog.
In America, Europe, and other countries, it has long been recognized that it is difficult to promote
traditional medicine systems because of their complexity, so individual herbs become the focus
of attention. The main herb of interest from India is ashwaganda. It is not promoted as much
based on its role in Ayurveda, rather, it has been compared, with considerable hyperbole, to
ginseng, which was for many years the biggest selling medicinal herb on the international
market. So, it is called "Indian ginseng" by some (though to do so now in the U.S. is illegal) and
promoted as an "adaptogen," as a sexual tonic, and as an immune enhancer, but usually without
any reference to its characteristics as recognized by Ayurveda. It is included in formulations, but
mostly with non-Ayurvedic ingredients. Previously, the best promoted herb from Ayurveda was
Centella asiatica, one type of Brahmi. This herb became popular almost entirely on the basis of
one product (which contained two other non-Ayurvedic herbs), that was heavily promoted.
Confusion over the source led to substitution of a Chinese herb in most products recently.
However, this Ayurvedic herb is still promoted as an energizer (in Ayurvedic medicine it is a
sedative), and as a tonic for the brain (which is consistent with some Ayurvedic indications for
it).
There are serious problems with traditional Ayurvedic medicine in the West. In a separate article
(Status of Ayurveda in the U.S.), I have described significant barriers that exist to development of
the field here, where Chinese medicine has done fairly well. Visitors to India bring back
distressing stories about the status of Ayurvedic medicine education in India, which indicates that
there are problems arising in the source country.
Other issues influence the potential spread of Ayurvedic medicines. With the popularization of
herbal medicine in recent decades, along with the rapid growth in population, numerous species
used in making traditional formulas are becoming endangered. A good example is Nardostachys
(jatamansi), which is now permitted only in manufactured products and cannot be otherwise
exported; it is mainly obtained in Nepal. According to one estimate, 120 economically useful
plants in India are endangered, 35 of which are said to be important medicinals.
Quality control issues have come to the fore, with worries about contamination of plant products
by heavy metals, pesticides, and other substances, yet few Ayurvedic factories are large enough
and affluent enough to invest in the necessary testing procedures to demonstrate the quality of
the finished materials. The ones mentioned above, Surya and Universal, do have the capabilities
and produce certificates of analysis for their batches of product that reveal test data on
cleanliness and purity of the product.
September 2003
Note: The author would like to thank Lokesh Gupta, in Noida, India, for providing background
information relevant to the development of this article. Any inadvertent errors in representation
of the industry activities or its member companies are the sole responsibility of the current
author.
Left: Some of the 500 Ayurvedic formulas developed by Arya Vaidya Sala; Right: Home of S.
Varier, the organization's founder.
Sri Varier, called the "savior of Ayurveda in the South" died in 1944. He had executed a will prior
to his demise, which converted his proprietary concern into a charitable trust of public nature, to
be run by a trust board consisting of seven members; as per the provisions of its founder's will,
Arya Vaidya Sala functions as a charitable trust.
Dr. P. K. Warrier,
Managing Trustee & Chief Physician
Herbal Pharmacy
Shirodhara
Kati Basti
A special technique aimed at providing relief for back pain using warm medicated oils or herbal
decoctions when bathing the lower back for 20 to 30 minutes.