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  • Formulation and Evaluation of Poly Herbal Laxative in the Treatment of Chronic Constipation

  • 1Department of Pharmaceutical Technology, Global College of Pharmaceutical Technology, Nadia, West Bengal, India
    2Assistant Professor, Department of Pharmaceutical Chemistry, Global College of Pharmaceutical Technology, Nadia, West Bengal, India
     

Abstract

Constipation is a highly prevalent gastrointestinal motility disorder that significantly impacts quality of life. While over-the-counter synthetic laxatives are standard treatments, there is widespread and historical reliance on herbal and botanical remedies. These plant-based interventions offer diverse pharmacological mechanisms to promote bowel regularity.Herbal medicine has been widely utilized as a natural and effective approach for managing constipation, particularly in traditional systems such as Ayurveda, Traditional Chinese Medicine, and Unani medicine. Various medicinal plants, including Senna, Psyllium, and Triphala, Fennel are known for their laxative properties. These herbs act through different mechanisms such as stimulating intestinal motility, increasing stool bulk, and enhancing water retention in the intestines. Compared to synthetic laxatives, herbal remedies are generally considered safer with fewer side effects when used appropriately. However, improper use or prolonged consumption may lead to dependency or electrolyte imbalance. This review highlights the pharmacological effects, mechanisms of action, and clinical relevance of herbal treatments for constipation, emphasizing the need for scientific validation and standardized dosages to ensure safety and efficacy.

Keywords

Constipation, Herbal medicine, Natural laxatives, Stimulant laxatives, Gastrointestinal motility, Dietary fiber.

Introduction

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Infrequent bowel movements or dry stools or passing the stool through gastrointestinal tract with pain and stiffness is a disorder commonly known as constipation1.  In constipation stool is often dry and hard in nature 2. Constipation occurs due to many reasons like diatary habits, dehydration, lifestyle, changes in daily routine including different medication like Opioids, antacids, iron pills, and certain blood pressure medications calcium channel blockers, and anticholinergics followed by different medical conditions including diabetes, parkinson’s diseases, hypothyroidism vitamin deficiency, colon cancer and inflammatory bowel diseases 3 -9. When symptoms like Abdominal pain or bloating, Hard, dry, or lumpy stools, Incomplete Evacuation, blockage sensation in the rectum, weight loss, anaemia, blood is present in the stool or need manual maneuvers types of problems are present for at least six months is called Chronic constipation and it can be divided into two types likely as primary types and secondary types 10-12. In the primary types constipation physical condition of bowel is shows healthy but it is not functioning correctly. Primary constipation is categorized into three main types 13-20

  1. Slow-Transit Constipation (STC): Colon moves waste too slowly due to nerve issues
  2. Normal-Transit Constipation (NTC): Due to high water absorption patient fill difficulties with evacuation but rate of stool movement is normal.
  3. Outlet Constipation (Defecatory Disorders): This type of disorder occur due to pelvic floor dysfunction where pelvis muscles do not coordinate to allow for proper stool expulsion.

In the secondary types constipation occur due to medical condition or different external factor such as:

  1. Medication-Induced: This type of problems occur due to different side effects from opioids, iron supplements, antacids, and blood pressure medications.
  2. Medical Conditions: secondary types constipation occur due to hypothyroidism, diabetes, or neurological disorders.
  3. Irritable Bowel Syndrome (IBS-C): Constipation associated with stomach pain.

Constipation effects different age groups of people worldwide. Considering the side effect of synthetic medicine upon human health traditional medicine prepare from different medicinal plants are helpful to relieve from constipation. Medicinal plants like senna, amla, haritaki bahera, isabgul bael, ginger, fennels are rich of various kinds of pharmaceutical ingredients like Alkaloids, Glycosides, Tannins, Fibers, Resins, Flavonoids and all of these plants are used for long time to relieving from constipation 21 - 28.

MATERIAL AND METHOD:

  1. Collection of Herbal Components:

 Seena leaf, ginger were collected from the local place and the other components like Triphala, fennel, Psyllium Husk were collected from the local market.

Table 1: - Herbal and Chemical Component Details

Sr. no.

Ingredients

Ingredients

Functions

Image

 

1.

Seena (Senna alexandrina)
Family: Fabaceae
Plant part: Leaf

Sennosides (A, B, C, D), Flavonoids and Phenolics

Used to treat constipation and clear the bowel. They contain compounds called sennosides that stimulate intestinal muscles to increase bowel movements.21

 

 

 

2.

Triphala

Amalaki (Phyllanthus emblica or Emblica officinalis),

Bibhitaki (Terminalia bellirica or bellerica),

Haritaki (Terminalia chebula)

gallic acid, ellagic acid, chebulinic acid, and chebulagic acid

Used to improve digestive health, relieve constipation, and detoxify the body. It acts as a gentle laxative, balances gut health, reduces inflammation, and offers antioxidant benefits to support immunity. 22-24

 

 

 

 

3.

Psyllium Husk (Plantago ovata)

Family: Plantaginaceae

 

Plant part: outer seed coat (husk) of the seeds of the plant

It consists of roughly 70-80% soluble fiber, which acts as a mucilage that absorbs water to form a gel in the digestive tract

It works by absorbing water in the gut, forming a gel that eases stool passage, while also helping manage cholesterol levels, regulating blood sugar, and promoting satiety for weight management.25

  

 

 

4.

Ginger (Zingiber officinale Roscoe)
 

Family: Zingiberaceae
 

Part Used: Rhizomes

 

Contains volatile oils, including monoterpenes, sesquiterpenes, and phenolic compounds (gingerol).

Anti-inflammatory, Gastrointestinal Health, Antiemetic, Respiratory Support, Antimicrobial,

Antioxidant [26].

   

 

5.

Fennel

(Foeniculum vulgare)

 

Family: Apiaceae

 

Plant part: Seed

 

Volatile oil- Trans anethole (C10H12O),

 

Monoterpenoid-fenchone(C10H16O)

Antibacterial and anti-inflammatory properties, antioxidant. [27]

 

 

6.

Bael Fruit

(Aegle marmelos)

 

Family: Rutaceae

Flavonoids- Rutin

(C27H30O16), Coumarin - marmelosin

(C16H14O4)

Diarrhoea, Constipation, Anti-inflammatory, acidity, heart burn, balancing stomachic acid, Anti- Diabetic. [28]

 

 

 

 

 

2. Extraction of Different Herbal Drugs or Components:

  1. Screening of those component

Table 2: - Screening of Plant Part Extact

Sr.No.

Ingredients

Reactions

Observation

Image

1.

Seena

Take powdered senna leaf and boil with dilute acid (HCl).

Cool and filter.

Add an organic solvent (like benzene or chloroform) and shake.

Separate the organic layer. Add ammonia solution.

Pink to red color in ammoniacal layer → Presence of anthraquinone glycosides (positive test)

A= plant extract

B= reagent

C= observed result

 

 

 

2.

Triphala

Add a few drops of Ferric chloride to aqueous extract.

 

Blue-black or greenish coloration → confirms tannins.

A= mixup of three fruits

B= reagent

C= observed result

 

 

3.

Psyllium Husk

Add iodine solution.

 

 

No blue coloration (or very faint). Indicates absence of significant starch (helps distinguish from other plant materials).

A= seed

B= reagent

C= observed result

 

 

4.

Fennel

Prepare on aqueous extract of fennel by dissolving fennel seed. add a minimal volume of ferric chloride mixture to the extract

Greenish colour appears, indicating the presence of phenolic compound.

A= seed extract

B = reagent

C= Observed result

 

 

5.

Ginger

Prepare an aqueous extract of ginger. Add minimal volume of the ferric chloride mixture to the extract.

Violet colour appears, indicating the presence of phenolic compounds like ginger.

A= Plant extract

B= reagent

C= Observed result

 

 

6.

Bael Fruit

Prepare an aqueous extract of bael fruit pule by dissolving powder. Introduce a few dropof ferric chloride solution.

Greenish or Bluish colour appears, indicating the presence of tannins and phenolic compound.

A= powder extract

B= reagent

C= Observed result

 

 

  1. Formulation study

Evolution:

Organoleptic Properties:

Colour, odour, and taste were observed. The powder showed uniform Pale-Yellow colour with a characteristic herbal smell and slightly bitter taste.

Table 3: - Formulation Table

Sl. No.

Name of ingredients

Each 10gm. Contains

1.

Ginger extract

5%

2.

Fennel extract

20%

3.

Seena extract

10%

4.

Psyllium husk

15%

5.

Amla powder

10%

6.

Haritaki powder

10%

7.

Bohera powder

10%

8.

Beal fruit powder

20%

Partial Size & Uniformity:

Powder passed through sieve ensuring uniform particle size for better mixing and absorption.

Phytochemical Screening:

Presence of tannins, flavonoids, saponins, and phenolic compounds detected.

pH Determination:

Slightly basic to neutral pH, suitable for stomach compatibility.

General Powder Properties:

The particle size was measured using the microscope approach. and the tapping method was used to compute the dried powder's bulk density, tapped density and angle of repose in order to evaluate the flow property.

Angle Of Repose:

It is defined as the maximum angle possible in between the surface of pile of powder to the horizontal flow. It required amount of dried powder is placed in a cylindrical tube open at both ends is placed on a horizontal surface. Then the funnel should be raised to form a heap. The height and radius of the heap is noted and recorded. For the above method, the angle of repose (θ) Can be calculated by using the formula.

θ = tan-1(h / r)

Where, θ – Angle of repose, h – Height of the heap, r – Radius of the base.

Bulk Density:

Bulk density is the ratio of the mass of the mass of a powder to the total volume it occupies prior to compaction, including the interparticulate void spaces.

Tapped Density:

Tapped density represents the bulk density of a powder measured after controlled mechanical tapping, reflecting the extent of particle packing and consolidation under external vibrational force.

Tapped density = mass of sample/tapped of sample

RESULTS AND DISCUSSION:

Appearance, colour, odour, taste, moisture content, pH, Angle of repose, Bulk density, Tap density was observed as shown in Table 4.

Table 4: Organoleptic properties of herbal formulation

Sl No.

Parameter

Observation

1.

Appearance

Fine powder

2.

Colour

Pale Yellow

3.

Odour

Characteristic

4.

Taste

Sweet

6.

pH

7.5

7.

Angle of repose

37 Degree

8.

Bulk density

0.55 g/ml

9.

Tapped density

0.6 g/ml

CONCLUSION:

The present study successfully formulated and evaluated a herbal powder using selected medicinal plant extracts with benefits in constipation and slow bowel movement. The formulation exhibited satisfactory organoleptic and physicochemical properties, appropriate Stomach-compatible pH. Through the above test it is proved that the product can definitely provide a better and healthy effect on human. It is absolutely safe and alcohol free. The natural herbs works properly and it is shown that the natural ingredients used in this formulation and specific therapeutic and pharmacological effect on the human.   

ACKNOWLEDGEMENT: -

We would like to thank our college Global College of Pharmaceutical Technology for giving us the opportunities to perform this research work.

CONFLICT OF INTEREST: - None.

REFERENCES

  1. Forootan et al. Chronic constipation: A review of literature Medicine. 2018 97:20; 1-9
  2. Constipation. National Institute of Diabetes and Digestive and Kidney Diseases. February 2015. Archived from the original on 15 March 2017. Retrieved 14 March 2017.
  3. Symptoms & Causes of Celiac Disease | NIDDK. National Institute of Diabetes and Digestive and Kidney Diseases. June 2016. Archived from the original on 24 April 2017. Retrieved 24 April 2017.
  4.  Makharia A, Catassi C, Makharia GK (2015). "The Overlap between Irritable Bowel Syndrome and Non-Celiac Gluten Sensitivity: A Clinical Dilemma". Nutrients (Review). 7 (12): 10417–26.
  5. Andromanakos N, Skandalakis P, Troupis T, Filippou D (2006). "Constipation of anorectal outlet obstruction: Pathophysiology, evaluation and management". Journal of Gastroenterology and Hepatology. 21 (4): 638–646.
  6. Colombo JM, Wassom MC, Rosen JM (1 September 2015). "Constipation and Encopresis in Childhood". Pediatrics in Review. 36 (9): 392–401, quiz 402. 
  7. Bharucha AE, Pemberton JH, Locke GR 3rd (January 2013). "American Gastroenterological Association technical review on constipation". Gastroenterology. 144 (1): 218–38.
  8. Pernicious Anemia Clinical Presentation: History, Physical Examination". emedicine.medscape.com. Retrieved 6 April 2023.
  9. Canadian Agency for Drugs and Technologies in Health (26 June 2014). Dioctyl Sulfosuccinate or Docusate (Calcium or Sodium) for the Prevention or Management of Constipation: A Review of the Clinical Effectiveness.
  10. Brenner DM, Shah M (June 2016). "Chronic Constipation". Gastroenterology Clinics of North America. 45 (2): 205–16
  11. Aziz I, Whitehead WE, Palsson OS, et al. An approach to the diagnosis and management of Rome IV functional disorders of chronic constipation. Expert Rev Gastroenterol Hepatol. 2020;14(1):39-46.
  12.  Lacy BE, Mearin F, Chang L, et al. Bowel disorders. Gastroenterology. 2016; 150(6):1393-1407.
  13. Jamshed N, Lee ZE, Olden KW. Diagnostic approach to chronic constipation in adults. Am Fam Physician. 2011;84(3):299-306.
  14.   Voderholzer WA, Schatke W, Mühldorfer BE, et al. Clinical response to dietary fiber treatment of chronic constipation. Am J Gastroenterol. 1997;92(1):95-98.
  15.  Saad RJ, Rao SSC, Koch KL, et al. Do stool form and frequency correlate with whole-gut and colonic transit? Results from a multicenter study in constipated individuals and healthy controls. Am J Gastroenterol. 2010; 105(2):403-411.
  16. Shah BJ, Rughwani N, Rose S. Constipation. Ann Intern Med. 2015; 162(7): ITC1-ITC16
  17. Wald A, Scarpignato C, Kamm MA, et al. The burden of constipation on quality of life: results of a multinational survey. Aliment Pharmacol Ther 2007; 26:227–36
  18. Dukas L, Willett WC, Giovannucci EL. Association between physical activity, fiber intake, and other lifestyle variables and constipation in a study of women. Am J Gastroenterol 2003; 98:1790–6.
  19. Haug TT, Mykletun A, Dahl AA. Are anxiety and depression related to gastrointestinal symptoms in the general population? Scand J Gastroenterol 2002; 37:294–8.
  20.  Lu CL, Chang FY, Chen CY, et al. Significance of Rome II-defined functional constipation in Taiwan and comparison with constipation predominant irritable bowel syndrome. Aliment Pharmacol Ther 2006; 24:429–38
  21. Sujatha R, Mohankumar JB, Shanmugasundaram P. A Study on Toxic Effects and Luxative Activity of Senna (Cassia angustifolia Vahl.). J Pure Appl Microbiol. 2012;6(1):257-264
  22. Dasaroju S, Gottumukkala KM. Current Trends in the Research of Emblica officinalis (Amla): A Pharmacological Perspective. Int. J. Pharm. Sci. Rev. Res. 2014; 24(2):150-159
  23. Ram Ts, Srinivasulu B, Narayana A. Pragmatic Usage Of Haritaki (Terminalia Chebula Retz): An Ayurvedic Perspective Visa-Vis Current Practice. Int. J. Ayur. Pharma Research, 2013; 1(3): 72-82
  24. Deb A, Barua S, Das B. Pharmacological activities of Baheda (Terminalia bellerica): A review. Journal of Pharmacognosy and Phytochemistry 2016; 5(1): 194-197
  25. Chavhan P et al. Pharmacological aspects of Isabgol: An overview. International Journal of Pharmaceutical Chemistry and Analysis. 2025; 12(1):16-23.
  26. Nikkhah Bodagh M, Maleki I, Hekmatdoost A. Ginger in gastrointestinal disorders: A systematic review of clinical trials. Food science & nutrition. 2019 ;7(1):96-108
  27. Korinek M, Handoussa H, Tsai YH, Chen YY, Chen MH, Chiou ZW, Fang Y, Chang FR, Yen CH, Hsieh CF, Chen BH. Anti-inflammatory and antimicrobial volatile oils: fennel and cumin inhibit neutrophilic inflammation via regulating calcium and MAPKs. Frontiers in pharmacology. 2021; 12:674095.
  28. Baliga MS, Bhat HP, Joseph N, Fazal F. Phytochemistry and medicinal uses of the bael fruit (Aegle marmelos Correa): A concise review. Food Research International. 2011;44(7):1768-75.

Reference

  1. Forootan et al. Chronic constipation: A review of literature Medicine. 2018 97:20; 1-9
  2. Constipation. National Institute of Diabetes and Digestive and Kidney Diseases. February 2015. Archived from the original on 15 March 2017. Retrieved 14 March 2017.
  3. Symptoms & Causes of Celiac Disease | NIDDK. National Institute of Diabetes and Digestive and Kidney Diseases. June 2016. Archived from the original on 24 April 2017. Retrieved 24 April 2017.
  4.  Makharia A, Catassi C, Makharia GK (2015). "The Overlap between Irritable Bowel Syndrome and Non-Celiac Gluten Sensitivity: A Clinical Dilemma". Nutrients (Review). 7 (12): 10417–26.
  5. Andromanakos N, Skandalakis P, Troupis T, Filippou D (2006). "Constipation of anorectal outlet obstruction: Pathophysiology, evaluation and management". Journal of Gastroenterology and Hepatology. 21 (4): 638–646.
  6. Colombo JM, Wassom MC, Rosen JM (1 September 2015). "Constipation and Encopresis in Childhood". Pediatrics in Review. 36 (9): 392–401, quiz 402. 
  7. Bharucha AE, Pemberton JH, Locke GR 3rd (January 2013). "American Gastroenterological Association technical review on constipation". Gastroenterology. 144 (1): 218–38.
  8. Pernicious Anemia Clinical Presentation: History, Physical Examination". emedicine.medscape.com. Retrieved 6 April 2023.
  9. Canadian Agency for Drugs and Technologies in Health (26 June 2014). Dioctyl Sulfosuccinate or Docusate (Calcium or Sodium) for the Prevention or Management of Constipation: A Review of the Clinical Effectiveness.
  10. Brenner DM, Shah M (June 2016). "Chronic Constipation". Gastroenterology Clinics of North America. 45 (2): 205–16
  11. Aziz I, Whitehead WE, Palsson OS, et al. An approach to the diagnosis and management of Rome IV functional disorders of chronic constipation. Expert Rev Gastroenterol Hepatol. 2020;14(1):39-46.
  12.  Lacy BE, Mearin F, Chang L, et al. Bowel disorders. Gastroenterology. 2016; 150(6):1393-1407.
  13. Jamshed N, Lee ZE, Olden KW. Diagnostic approach to chronic constipation in adults. Am Fam Physician. 2011;84(3):299-306.
  14.   Voderholzer WA, Schatke W, Mühldorfer BE, et al. Clinical response to dietary fiber treatment of chronic constipation. Am J Gastroenterol. 1997;92(1):95-98.
  15.  Saad RJ, Rao SSC, Koch KL, et al. Do stool form and frequency correlate with whole-gut and colonic transit? Results from a multicenter study in constipated individuals and healthy controls. Am J Gastroenterol. 2010; 105(2):403-411.
  16. Shah BJ, Rughwani N, Rose S. Constipation. Ann Intern Med. 2015; 162(7): ITC1-ITC16
  17. Wald A, Scarpignato C, Kamm MA, et al. The burden of constipation on quality of life: results of a multinational survey. Aliment Pharmacol Ther 2007; 26:227–36
  18. Dukas L, Willett WC, Giovannucci EL. Association between physical activity, fiber intake, and other lifestyle variables and constipation in a study of women. Am J Gastroenterol 2003; 98:1790–6.
  19. Haug TT, Mykletun A, Dahl AA. Are anxiety and depression related to gastrointestinal symptoms in the general population? Scand J Gastroenterol 2002; 37:294–8.
  20.  Lu CL, Chang FY, Chen CY, et al. Significance of Rome II-defined functional constipation in Taiwan and comparison with constipation predominant irritable bowel syndrome. Aliment Pharmacol Ther 2006; 24:429–38
  21. Sujatha R, Mohankumar JB, Shanmugasundaram P. A Study on Toxic Effects and Luxative Activity of Senna (Cassia angustifolia Vahl.). J Pure Appl Microbiol. 2012;6(1):257-264
  22. Dasaroju S, Gottumukkala KM. Current Trends in the Research of Emblica officinalis (Amla): A Pharmacological Perspective. Int. J. Pharm. Sci. Rev. Res. 2014; 24(2):150-159
  23. Ram Ts, Srinivasulu B, Narayana A. Pragmatic Usage Of Haritaki (Terminalia Chebula Retz): An Ayurvedic Perspective Visa-Vis Current Practice. Int. J. Ayur. Pharma Research, 2013; 1(3): 72-82
  24. Deb A, Barua S, Das B. Pharmacological activities of Baheda (Terminalia bellerica): A review. Journal of Pharmacognosy and Phytochemistry 2016; 5(1): 194-197
  25. Chavhan P et al. Pharmacological aspects of Isabgol: An overview. International Journal of Pharmaceutical Chemistry and Analysis. 2025; 12(1):16-23.
  26. Nikkhah Bodagh M, Maleki I, Hekmatdoost A. Ginger in gastrointestinal disorders: A systematic review of clinical trials. Food science & nutrition. 2019 ;7(1):96-108
  27. Korinek M, Handoussa H, Tsai YH, Chen YY, Chen MH, Chiou ZW, Fang Y, Chang FR, Yen CH, Hsieh CF, Chen BH. Anti-inflammatory and antimicrobial volatile oils: fennel and cumin inhibit neutrophilic inflammation via regulating calcium and MAPKs. Frontiers in pharmacology. 2021; 12:674095.
  28. Baliga MS, Bhat HP, Joseph N, Fazal F. Phytochemistry and medicinal uses of the bael fruit (Aegle marmelos Correa): A concise review. Food Research International. 2011;44(7):1768-75.

Photo
Soumallya Chakraborty
Corresponding author

Department of Pharmaceutical Technology, Global College of Pharmaceutical Technology, Nadia, West Bengal, India

Photo
Arnab Chakraborty
Co-author

Department of Pharmaceutical Technology, Global College of Pharmaceutical Technology, Nadia, West Bengal, India

Photo
Somenath Bhattacharya
Co-author

Assistant Professor, Department of Pharmaceutical Chemistry, Global College of Pharmaceutical Technology, Nadia, West Bengal, India

Arnab Chakraborty, Somenath Bhattacharya, Soumallya Chakraborty*, Formulation and Evaluation of Poly Herbal Laxative in the Treatment of Chronic Constipation, Int. J. Med. Pharm. Sci., 2026, 2 (5), 329-335. https://doi.org/10.5281/zenodo.20073792

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