Mahatikthaka Kashayam Tablet is a decoction-based Ayurvedic formulation prepared using bitter herbs (Tikta Dravyas) such as Neem (Azadirachta indica), Guduchi (Tinospora cordifolia), Patola, Chandana, Vasa (Adhatoda vasica), Haridra (Curcuma longa), Amalaki (Emblica officinalis), and Shunti (Zingiber officinale) among others. This formulation is specifically designed to balance Pitta dosha, clear Ama (metabolic toxins), and purify Rakta (blood). It is traditionally used in the management of chronic skin disorders, liver dysfunction, inflammatory conditions, and as a support in auto-immune skin responses. The herbs in Mahatikthaka are known for their anti-inflammatory, hepatoprotective, and immunomodulatory properties as per classical texts and modern phytochemical research. It is also used as an adjuvant in conditions like psoriasis, eczema, and allergic dermatoses, under Ayurvedic supervision. Regular use helps promote tissue healing, liver detox, and systemic cooling.