Indications: It is useful in cases of sluggish liver functions, fatty liver, and as a supportive treatment for jaundice, infantile jaundice, liver damage from alcohol abuse, biliary colic, and toxic liver damage. It also helps in many disorders of digestion such as indigestion, constipation, flatulence, nausea, vomiting and also in general detoxification of the system. It also controls nausea and vomiting related to liver and biliary disorders. It regulates the digestion and helps in regulating bowel movements hence preventing constipation.

The actions of the main ingredients of the tonic are:

Carduus marianus: It acts on liver, portal veins and hepatic vascular system. It treats conditions like alcohol abuse, liver enlargement with soreness and fullness, hyperaemia of liver, jaundice, lack of appetite vomiting, nausea, irritability, constipation etc.

Chelidonium majus: It helps in treating jaundice, enlarged liver, sluggish bowels due to liver diseases etc.

Andrographis paniculata: This helps to treat liver diseases in children, general weakness, prolonged fever, jaundice and enlarged liver. It also acts as tonic and helps in treatment of dyspepsia and dysentery.

Hydrastis Canadensis: It treats jaundice with dull pain in the hepatic region, constipation, and hardness of the liver.

Podophyllum peltatum: It is helpful in case of distended abdomen with weakness, sensation of emptiness, jaundice and enteritis with loose stools.

Ipecacuanha: For nausea, vomiting, pain around the navel, sore liver and frequent urging to pass stools.

Acidum citricum: For hemorrhage and ascities. It regulates acid base balance and establishes normal bile flow.

Dosage: Unless otherwise prescribed by the physician, 10-20 drops 2-3 times daily. As the symptoms improve, it can be reduced to 1-2 times daily. It is well-tolerated drug and can be used for prolonged periods. Children should be given half the adult dose.