Belleric myrobalan (Terminalia bellirica), known as "Bibhitaki" in Ayurveda, is traditionally used in various classical Indian medicine systems to support the digestive system, including the spleen. In Ayurveda, the "spleen" is often associated with digestive and metabolic functions, although this does not correspond exactly to the anatomical spleen recognized in Western medicine. Bibhitaki is a component of the renowned Triphala formulation and is historically utilized for its purported abilities to balance the "Kapha" dosha, improve digestion, and aid in detoxification processes. Classical Ayurvedic texts cite its benefits for "spleen enlargement" and related digestive disturbances.

However, modern scientific research specifically investigating Belleric myrobalan's effects on the spleen is limited. Most studies focus on its antioxidant, antimicrobial, and hepatoprotective activities, with little direct evidence regarding spleen health in clinical or preclinical models. The historical use of Bibhitaki for digestive support and its indirect association with the spleen in traditional texts are the primary justifications for its inclusion in formulations targeting this body system. Thus, the evidence is rooted in tradition and historical practice rather than robust scientific validation.