Guggulu Tikthakam Kashayam is described in classical texts like Ashtanga Hridaya and contains a potent blend of botanicals—including Guggulu (Commiphora mukul), Neem, Guduchi, Vasa, Patola, Vidanga, Chitraka, and Bhallathaka—prepared as a concentrated herbal decoction. Traditionally, it is indicated for a wide spectrum of imbalances—especially those associated with Vata and Kapha—such as joint inflammation, skin eruptions, non‑healing wounds, fistula, piles, and mild metabolic disturbances. It is recognized for anti‑inflammatory and blood‑purifying activity, and is commonly used to support rheumatic joint comfort and skin clarity, when taken under expert supervision.