Arjuna

Names and identification

Language	Name
English	Arjuna
Common Names	Arjuna, Arjun tree
Hindi	Arjun
Sanskrit	Arjuna, Dhananjaya, Partha
Latin/Botanical	Terminalia arjuna

Parts Used

• Bark

Dosha Effects

Dosha	Effect
Pitta	Decreases
Kapha	Decreases
Vata	Neutral

Key Phytochemical Constituents

• Arjunolic acid
• Arjunic acid
• Arjungenin
• Arjunetin
• Tannins
• Flavonoids (luteolin)

Therapeutic Actions (Karma)

• Cardiotonic
• Antihypertensive
• Anti-ischemic
• Antioxidant
• Hypolipidemic
• Wound healing

How does it work?

• Arjunolic acid (pentacyclic triterpenoid) is the primary cardioprotective compound, inhibiting thrombin-induced platelet aggregation (IC50: 0.048 mM, more potent than aspirin at 0.088 mM)
• Prevents doxorubicin-induced cardiac apoptosis by blocking JNK-p38 and p53 signaling pathways
• Reverses cardiac fibrosis by inhibiting non-canonical TGF-beta signaling via TAK1 phosphorylation blockade, reducing p38 MAPK and NF-kB p65 activation
• Boosts endogenous antioxidant defense: increases catalase, superoxide dismutase, and glutathione S-transferase activity
• Anti-inflammatory cytokine rebalancing: decreases pro-inflammatory and increases anti-inflammatory cytokines in cardiac tissue
• Cardioprotection via MyD88-dependent TLR4 signaling pathway inhibition (2023 discovery)
• Positive inotropic effect enhancing myocardial contractility without increasing heart rate

How is it used traditionally?

Named after Arjuna of Mahabharata. Vagbhata describes Arjuna Ksheerapaka for Hridroga (heart disease). Charaka classifies it as Udarda Prashamana (anti-urticaria) and wound healer.

Where is it described in the classical texts?

• Charaka Samhita
• Sushruta Samhita
• Ashtanga Hridaya
• Bhavaprakasha Nighantu

What do recent studies show?

• Ramesh P, Palaniappan A 2023. Terminalia arjuna, a Cardioprotective Herbal Medicine-Relevancy in the Modern Era of Pharmaceuticals and Green Nanomedicine-A Review. Pharmaceuticals (Basel, Switzerland). PMID 36678623 · doi:10.3390/ph16010126
  Review examining T. arjuna’s pleiotropic cardiovascular effects including anti-atherogenic, hypotensive, inotropic, anti-inflammatory, anti-thrombotic and antioxidant actions, with exploration of nano-formulation approaches for improved bioavailability.
• Rajaram V, Namasivayam A, Shanmugam R and others 2024. Terminalia arjuna: An overview of its magical properties. Bioinformation. PMID 40230946 · doi:10.6026/9732063002002080
  Comprehensive overview documenting cardiovascular properties attributed to flavonoids, polyphenols, triterpenoids, tannins, glycosides, and minerals. Highlighted need for more rigorous clinical trials.
• Hasan MM, Madhavan P, Ahmad Noruddin NA and others 2023. Cardioprotective effects of arjunolic acid in LPS-stimulated H9C2 and C2C12 myotubes via the My88-dependent TLR4 signaling pathway. Pharmaceutical biology. PMID 37497554 · doi:10.1080/13880209.2023.2230251
  Demonstrated arjunolic acid exerts cardioprotection by inhibiting MyD88-dependent TLR4 signaling, reducing LPS-induced cardiac inflammation and oxidative stress in cellular models.
• Maulik SK, Wilson V, Seth S and others 2016. Clinical efficacy of water extract of stem bark of Terminalia arjuna (Roxb. ex DC.) Wight & Arn. in patients of chronic heart failure: a double-blind, randomized controlled trial. Phytomedicine : international journal of phytotherapy and phytopharmacology. PMID 26988798 · doi:10.1016/j.phymed.2016.02.007
  When added to standard pharmacotherapy in chronic heart failure for 12 weeks, Arjuna extract showed no significant change in LVEF but improved functional capacity, antioxidant reserves, and symptom-related quality of life. (Most recent large RCT available)

Only studies that could be traced to a published paper are listed here. An absence here means we could not identify the source, not that no work exists.

Recent safety updates

• No serious side effects reported with arjuna therapy in clinical studies; long-term safety data still limited
• Adverse reactions similar to placebo: constipation, headache, abdominal discomfort, body ache
• Drug interaction WARNING: may potentiate anticoagulant effects of warfarin due to inherent antiplatelet and anticoagulant properties similar to aspirin
• Inhibits CYP3A4, CYP2D6, and CYP2C9 enzymes in human liver microsomes in vitro - caution with drugs metabolized by these enzymes
• In vivo pharmacokinetic study showed aqueous extract did not significantly alter pharmacokinetic parameters of probe substrates, suggesting in vitro findings may not fully translate
• High doses in animal studies associated with hepatotoxicity and hypothyroidism in rats
• Co-administration with statins, calcium channel blockers, and other CYP3A4 substrates requires medical supervision

Recommended Dosage

Bark powder at the dose given under Standard Dosage (with milk or water); Ksheerapaka (milk decoction): 10-20ml twice daily

Safety, contraindications and cautions

• May potentiate cardiac medications
• Hypotension risk with antihypertensives
• Pregnancy (limited data)

What is it made of?

Part(s) Analyzed: Bark

Key Active Markers

• Arjunetin
• Tannins
• Flavonoids
• Luteolin
• Arjunolic acid
• Arjunic acid
• Arjungenin

Dosage forms and preparation

Dosage Forms: Churna (bark powder), Capsule, Tablet, Kashayam (decoction), Kshirapaka (milk decoction), Arishta (Arjunarishta, fermented), Ghana Vati (concentrated extract tablet)

Standard Dosage: 3-6g bark powder twice daily with milk; 500mg-1g extract capsule twice daily; 15-30ml Arjunarishta after meals; Kshirapaka: 3-6g boiled in milk

Optimal Timing: Kshirapaka or powder with milk early morning and evening for cardiac support. Arjunarishta after meals.

Storage: Bark powder in airtight containers, cool and dry place below 25°C. Arjunarishta in amber glass at room temperature, improves with age. Capsules with desiccant.

Marker Compounds: Arjunolic acid, Arjunic acid, Arjungenin, Arjunetin, Arjunaphthanol, Casuarinin, Gallic acid, Ellagic acid, Luteolin, Beta-sitosterol

Synergistic Combinations

• With Ashwagandha for cardioprotection and stress management
• With Punarnava, traditionally used for heart conditions and edema
• With Amalaki for antioxidant cardioprotection
• With Pushkaramoola, traditionally used for heart conditions
• With Guggulu for lipid management