Synopsis

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

Gotu kola (Centella asiatica) is an herb traditionally used for a variety of vascular and skin conditions. Scientific evidence suggests that gotu kola is beneficial in treating venous insufficiency and related conditions, including phlebitis (inflammation of a vein). The main active compounds, known as triterpenoids (particularly asiaticoside and madecassoside), are believed to strengthen blood vessel walls, improve microcirculation, and reduce capillary permeability and inflammation.

Clinical studies, particularly from Europe and Asia, have evaluated standardized extracts of gotu kola (e.g., TTFCA—total triterpenic fraction of Centella asiatica) for chronic venous insufficiency and related symptoms such as swelling, pain, and heaviness in the legs. Some randomized controlled trials have shown that gotu kola can significantly reduce edema and improve subjective symptoms in patients with venous disease, which includes or overlaps with phlebitis. The mechanism is thought to involve improved venous tone and reduced leakage from blood vessels.

While there is moderate-quality evidence supporting its use for chronic venous insufficiency, direct studies on acute phlebitis are limited. However, given the overlap in pathophysiology, its anti-inflammatory and vasoprotective effects are considered potentially beneficial for phlebitis as well. Safety profiles in clinical studies are generally favorable, though long-term use should be monitored. In summary, the use of gotu kola for phlebitis is primarily supported by scientific evidence, though more direct and high-quality studies are warranted.

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