# Siddha Makardhwaj

> Siddha Makardhwaj is a rasa preparation, a herbo-mineral formulation of the rasa shastra tradition. [Safety evaluation of mercury based Ayurvedic formulation (Sidh Makardhwaj) on brain cerebrum, liver & kidney in rats](https://pubmed.ncbi.nlm.nih.gov/24927349/). The Indian journal of medical research.

## Names and identification

| Language | Name |
|----------|------|
| English | [Siddha Makardhwaj](/herb/siddha-makardhwaj/) |

## How does it work?

- HgS nanoparticle complex with gold provides a stable, poorly soluble mineral matrix; the enhanced gold content in Siddha form is believed to improve [immunomodulatory](/reference/immunomodulatory/) and [Rasayana](/reference/rasayana/) (rejuvenative) potency
- Acts at the cellular level to enhance metabolic processes; gold nanoparticles interact with immune cells to boost innate immunity
- The mercury sulfide component may modulate enzymatic pathways involved in cellular energy production, while gold particles serve as carrier for targeted tissue delivery

## Which traditional uses are supported by research?

- Rejuvenation and vitality: Animal safety studies indirectly support the Rasayana claim by demonstrating that the preparation enhances metabolic parameters without causing organ toxicity at therapeutic doses
- Rheumatoid arthritis and neurological disorders: Traditional use documented in classical texts; the anti-inflammatory and immunomodulatory mechanisms identified in related formulation studies provide preliminary mechanistic support

## What do recent clinical trials show?

- Kumar G, Srivastava A, Sharma SK and others 2014. [Safety evaluation of mercury based Ayurvedic formulation (Sidh Makardhwaj) on brain cerebrum, liver & kidney in rats](https://pubmed.ncbi.nlm.nih.gov/24927349/). *The Indian journal of medical research*. PMID [24927349](https://pubmed.ncbi.nlm.nih.gov/24927349/)  
  At therapeutic dose (10 mg/kg) and up to 5x the human dose for 28 days, no significant toxicity was observed in liver, kidney, or brain cerebrum of rats, despite mercury content far exceeding EPA reference dose. The Ayurvedic detoxification process (Sodhana) may modify metal properties, abolishing toxicity while retaining pharmacological activity.
- Jamadagni S, Jamadagni PS, Singh RK and others 2017. [Ninety days repeated dose oral toxicity study of Makaradhwaja in Wistar rats](https://pubmed.ncbi.nlm.nih.gov/30254400/). *Ayu*. PMID [30254400](https://pubmed.ncbi.nlm.nih.gov/30254400/) · [doi:10.4103/ayu.AYU_33_17](https://doi.org/10.4103/ayu.AYU_33_17)  
  NOAEL established at 27 mg/kg/day for 90 consecutive days. No treatment-related histopathological changes observed. Significant increase in kidney weight at high dose noted but not correlated with biochemical or histopathological changes.
- Mukhopadhyay S, Abraham SE, Holla B and others 2021. [Heavy Metals in Indian Traditional Systems of Medicine: A Systematic Scoping Review and Recommendations for Integrative Medicine Practice](https://pubmed.ncbi.nlm.nih.gov/34142855/). *Journal of alternative and complementary medicine (New York, N.Y.)*. PMID [34142855](https://pubmed.ncbi.nlm.nih.gov/34142855/) · [doi:10.1089/acm.2021.0083](https://doi.org/10.1089/acm.2021.0083)  
  Systematic review identified that while individual studies show safety of properly prepared formulations at therapeutic doses, regulatory mechanisms have been insufficient, and heavy metal toxicity with traditional Indian medicine preparations continues to be a public health concern. Errors in preparation can lead to dangerous health issues.

## Recent safety updates

- The 28-day and 90-day animal toxicity studies provide preliminary safety evidence at therapeutic doses, but the paradox of high mercury content with no overt toxicity requires mechanistic explanation beyond 'Shodhana modification'
- Errors in traditional preparation can lead to dangerous heavy metal toxicity - the safety is critically dependent on strict adherence to classical pharmaceutical procedures and quality control
- No long-term human clinical safety data available; chronic exposure to even low-bioavailability mercury compounds raises concerns about cumulative renal and neurological effects
- The higher gold content in Siddha form increases cost but may also increase the nanoparticle load; gold accumulation in organs has been documented in gold-containing Ayurvedic medicine studies
- Strictly requires prescription and physician monitoring; periodic assessment of serum creatinine, BUN, liver [enzymes](/glossary/compounds-d-g/#enzymes), and urinary mercury levels recommended during use

## What is it made of?

### Mineral/Elemental Profile

- **Primary component:** Mineral-derived preparation
- **Note:** Composition varies by specific preparation method

**Analytical Methods:** XRD, ICP-OES, SEM-EDS

## Dosage forms and preparation

**Dosage Forms:** Vati

**Standard Dosage:** 30–60 mg twice daily

**Bioavailability:** Superior to standard Makaradhwaj; enhanced by additional herbal processing (Siddha = perfected)

**Optimal Timing:** With honey, ghee, or [Chyawanprash](/formulation/chyawanprash/)

**Standardized Extract:** Makaradhwaj further processed (Siddha) with herbal Bhavana

**Shelf Life:** Indefinite

**Storage:** Airtight, premium container

**Marker Compounds:** Gold-mercury sulfide complex, Herbal bioactives from Siddhi process

**Quality Parameters:** All Makaradhwaj tests + additional Siddhi verification

**Vehicle (Anupana):** Honey + ghee, [Chyawanprash](/formulation/chyawanprash/), or condition-specific vehicles

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Canonical version of this page: https://nighantu.ageayurveda.com/herb/siddha-makardhwaj/

## Sources

- Amidha Ayurveda Herb Database (700+ herbs, CC-BY-4.0)
- Web research (clinical trials, WHO monographs, safety databases)
- Ayurvedic Pharmacopoeia of India

Published by Age Ayurveda in the Nighantu. Educational reference only, not medical advice.
Incorporates material from the Amidha Ayurveda Herb Database under CC BY 4.0.