Nishakathakadi Kashayam is a classical Ayurvedic formulation prepared via decoction of key herbs like Haridra (Curcuma longa), Kataka (Strychnos potatorum), Amalaki (Emblica officinalis), Paranti (Ixora coccinea), Lodhra (Symplocos racemosa), etc. Traditionally used in Ayurveda to help manage elevated blood sugar and related metabolic factors (Prameha), this decoction also supports fluid balance, kidney health, and digestive function. Several constituent herbs exhibit antioxidant, anti-inflammatory, and insulin-sensitizing properties in preliminary studies, aligning with traditional usage. The formulation may help maintain internal balance, support metabolic wellness, and moderate oxidative stress when incorporated as part of a holistic regimen. It is traditionally recommended under the guidance of a qualified Ayurvedic practitioner and integrated with diet and lifestyle measures.