Synopsis

Source of validity: Traditional
Rating (out of 5): 3

Terminalia arjuna (commonly known as Arjuna) has a long history of use in Ayurvedic medicine, primarily for supporting cardiovascular health. Traditional texts such as the Charaka Samhita and Sushruta Samhita describe Arjuna bark as a remedy for heart-related ailments, including angina, hypertension, and heart failure. Its use is based on properties such as cardiotonic, antioxidant, and anti-inflammatory effects as described in these ancient medical systems.

Modern scientific studies on Arjuna are limited but promising. Some small clinical trials and animal studies suggest that Arjuna may have beneficial effects on left ventricular function, reduce angina episodes, improve lipid profiles, and decrease blood pressure. For example, a few randomized controlled trials have shown improvement in symptoms of chronic stable angina and heart failure compared to placebo or conventional therapy. The proposed mechanisms include antioxidant activity, modulation of lipid metabolism, and improvement in endothelial function.

However, the quality and scale of available scientific evidence are modest, with most studies having small sample sizes, short durations, and lacking rigorous controls. As a result, while there is some scientific validation, most of its use for cardiovascular disease is justified by its longstanding traditional application rather than robust clinical evidence. Further well-designed, large-scale studies are needed to fully establish its efficacy and safety in cardiovascular disease.

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