Synopsis

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

Asoka (Saraca asoca) has a long-standing traditional use in Ayurvedic and other Indian medicinal systems for the management of various bleeding disorders, particularly those involving the female reproductive system such as menorrhagia (heavy menstrual bleeding). Its bark and extracts are commonly applied to support hemostasis (the process that stops bleeding), both internally and externally. Classical Ayurvedic texts, such as the Charaka Samhita and Sushruta Samhita, mention Asoka as a remedy for bleeding conditions (rakta-pitta), and it is a component of several traditional formulations aimed at arresting bleeding.

Modern phytochemical analyses indicate that Asoka bark contains compounds such as tannins, flavonoids, and glycosides, which may contribute to its astringent and potential hemostatic effects. Some in vitro and animal studies suggest that extracts of Asoka bark can reduce bleeding time and promote wound healing, although these studies are limited in number and scope. There is a relative lack of rigorous clinical trials in humans directly examining its efficacy for external bleeding, but its traditional use remains widespread, especially in South Asia.

In summary, the use of Asoka for treating external bleeding is primarily justified by tradition, with a moderate degree of supporting evidence from historical usage and some preliminary pharmacological studies, but insufficient high-quality clinical data to fully validate its effectiveness by modern scientific standards.

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