Indian madder (Rubia cordifolia)
Rubia cordifolia
Western, Chinese and Ayurvedic herbalism
Western, Chinese and Ayurvedic herbalism

Indian madder

Rubia cordifolia

Also known as manjistha, common madder (Asian), Madder, Dyer's madder, Manjishtha, Qian Cao, Manjishtha, Vikasa, Samanga.

WarmingDryingCoolingTaste: SweetTaste: BitterTaste: Astringent

Rubia cordifolia is a perennial climbing herb with whorled heart-shaped leaves and a long red root, growing wild through the Himalayan foothills, the northeastern hills and the Western Ghats, and cultivated for its root. In Ayurveda the root is Manjishtha, the foremost herb for the blood, the one that is said to cleanse rakta, cool pitta held in the tissues, and restore color and clarity to the skin. It is also the source of the classical madder dye, and its ability to stain the skin and urine red is a reminder of how readily its pigments reach the tissues.

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Actions

Alterative (blood purifier)Anti-inflammatoryLymphatic decongestantAstringent hemostaticDiureticAntioxidantAntimicrobialImmunomodulatorWound healingSkin tonicAlterativeBlood-cooling and blood-movingLymphaticHemostatic (cools blood to stop bleeding)AntilithicHepatoprotectiveCool and invigorate the bloodStop bleeding from heatMove the lymph and clear the skinDispel blood stasisUnblock menses

Indications what the tradition reached for it in

Specific indications

A young adult with hot, red, cystic acne that flares before the period, an oily complexion and a tendency to constipation, where the skin is speaking for the blood

The pitta patient with recurring hives or heat rashes, burning urination and heavy bright-red periods, who runs hot and irritable

Chronic eczema or psoriasis that is red and inflamed rather than dry and scaly, especially when the lymph nodes are tender and the liver is sluggish

Dull, pigmented skin after acne or sun, treated from within with Manjishtha and from without with a Manjishtha paste or Kumkumadi oil

Safety

Pregnancy: Avoid in pregnancy: no published safety class is known to us, but the tradition treats it as a uterine stimulant, and the anthraquinone content argues for caution.

Breastfeeding: Not recommended in medicinal doses during lactation because the pigments pass into milk and the anthraquinones have not been studied in nursing infants.

The record lists 6 contraindications; open the plate in the library to read them in full.

In practice

Manjishtha is the herb to think of when a disorder announces itself through the skin or the blood: acne, eczema, hives, pigmentation, heavy or hot bleeding, and swellings that are red and warm. The classical anupana is honey or warm water; with Guduchi and Neem it makes a cooling alterative for pitta skin, with Sariva and Chandana it cools and brightens the complexion, and in the Mahamanjishthadi kwatha it joins a long list of bitters for chronic skin disease, gout and vatarakta.

In Ayurveda

Rasa: madhura (sweet), tikta (bitter), kashaya (astringent). Virya: ushna (heating). Vipaka: katu (pungent). Guna: guru (heavy), ruksha (dry). Dosha: pacifies kapha and pitta; the classical texts count it among the best herbs for disorders of rakta (blood) and it is mild enough not to disturb vata in ordinary doses. Prabhava: raktaprasadana (clears and brightens the blood) is named by the tradition as its special virtue. Karma: raktashodhana (purifies the blood); varnya (improves complexion); vishaghna (counters toxins); jvarahara (reduces fever); shothahara (reduces swelling); kushthaghna (treats skin disease); vranaropana (heals wounds); raktastambhana (checks bleeding); mutrala (diuretic); ashmarighna (breaks urinary stones); yonidoshahara (corrects disorders of the female tract); svarya (benefits the voice). Classical indications: kushtha (skin disease); visarpa (spreading skin inflammation); vrana (wounds and ulcers); raktapitta (bleeding disorders); jvara (fever); prameha (urinary disorders including diabetes); ashmari (urinary calculus); mutrakrichra (painful urination); shotha (swelling); yoni roga (disorders of the female genital tract); netraroga (eye disorders); atisara (diarrhea); vyanga (facial hyperpigmentation); bhagna (fracture, as a healing aid). The dried root and lower stem are the drug, given as churna with honey or water, as kwatha, in medicated ghee and oils for the skin, and in fermented asavas. A paste of the root is applied to acne, pigmentation, wounds and swellings, and the root gives the classical red dye. Classical formulations: Manjishthadi kwatha, Mahamanjishthadi kwatha, Manjishthadi taila, Pinda taila, Kumkumadi taila, Aravindasava, Manjishthadi churna. Described in: Charaka Samhita, Sushruta Samhita, Ashtanga Hridaya, Bhavaprakasha Nighantu, Dhanvantari Nighantu, Raja Nighantu, Kaiyadeva Nighantu, Ayurvedic Pharmacopoeia of India.

Dosing as the sources wrote it

PreparationAs writtenMetric
Churna2-4 g powdered root twice daily with honey or warm water2000-4000 mg
Kwatha50-100 mL decoction twice daily50-100 mL
Asava15-30 mL twice daily after food15-30 mL
Kalka, topical5-10 g root paste applied to the face or affected skin for 15-20 minutes5000-10000 mg
Taila, topical5-10 mL medicated oil massaged into affected areas once or twice daily5-10 mL
The dose is 30 grains, 3 or 4 times a day.1944-1944 mg

Doses are reproduced from the sources for practitioners and are not a recommendation for any person.

From the sources

Overview. Rubia cordifolia is a perennial climbing herb with whorled heart-shaped leaves and a long red root, growing wild through the Himalayan foothills, the northeastern hills and the Western Ghats, and cultivated for its root. In Ayurveda the root is Manjishtha, the foremost herb for the blood, the one that is said to cleanse rakta, cool pitta held in the tissues, and restore color and clarity to the skin. It is also the source of the classical madder dye, and its ability to stain the skin and urine red is a reminder of how readily its pigments reach the tissues.

Clinical Notes. Manjishtha is the herb to think of when a disorder announces itself through the skin or the blood: acne, eczema, hives, pigmentation, heavy or hot bleeding, and swellings that are red and warm. The classical anupana is honey or warm water; with Guduchi and Neem it makes a cooling alterative for pitta skin, with Sariva and Chandana it cools and brightens the complexion, and in the Mahamanjishthadi kwatha it joins a long list of bitters for chronic skin disease, gout and vatarakta.

pharmacological-actions. Modern pharmacological studies reveal that R. cordifolia and its derived components have anti-tumor, anti-oxidative, anti-platelet aggregation, and anti-inflammatory effects, though most studies are preclinical.

indications. The roots are proven antioxidant, anti-inflammatory, anticancer, immunomodulator and hepatoprotective, and are extensively used against kidney, blood, urinary and skin diseases.

Drawn from King's American Dispensatory, 18th edition (Felter and Lloyd), and the Bountiful Herbs editorial.

In formulas

Indian madder stands in 57 documented formulas in the library, among them Aravindāsava, Aśvagandhādyariṣṭa, Uśīrāsava, Candanāsava, Daśamūlāriṣṭa, Devadārvāriṣṭa.

Often paired with

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