Draksharishtam is a classical Ayurvedic fermented syrup prepared chiefly from dried grapes (Draksha) and a blend of supportive herbs like Dashamoola, Pippali, Vidanga, Dhataki, and spices such as cinnamon and cardamom. Traditionally used in Ayurveda as a general health tonic, it is valued for its supportive role in promoting appetite, digestive comfort, and energy levels. Research on its preparation highlights the importance of controlled natural fermentation, which enhances bioavailability and stability. Modern studies also point to the antioxidant properties of grape-derived polyphenols—such as resveratrol and flavonoids—which may contribute to maintaining gut health and cellular balance. Draksharishtam is best used under the supervision of a qualified Ayurvedic practitioner to ensure proper dosage and individual suitability.