According to Bhavaprakasha Nigandu:

श्वेता त्रिव्र्त् रेचनी स्यात् स्वादुरुष्णा समीरह्र्त्।

रूक्ष पित्तज्वर श्लेष्मपित्त शोफ़ उदरापहा ॥

स्यामा त्रिव्र्त् ततो हीनगुणा तीव्ररेचनी ।

मूर्च्छादाहमदभान्ति कण्ठोत्कर्षणकारिणी॥

According to Raja Nigandu:

त्रिव्र्त्तिक्ता कटुष्णा च क्र्मिश्लेष्मोदरात्रिजित् ।

कुष्ठकण्डूव्रणान् हन्ति प्रशस्ता च विरेचने ॥

रक्ता त्रिव्र्द्रसे तिक्ता कटुष्णा रेचनी च सा।

ग्रहणीमलविष्टम्भहारिणी हितकारिणी ॥

1. Fever

a) Trivrt with sugar is useful in Fever caused by pitta and kapha  (C.S. Ci 3.209)

b) One should take powder of Trivrt with honey and ghee or decoction of triphala added with honey and ghee. (C.S. Ci. 3.231-32)

c) One suffering from fever should take Aragvadha with milk or grape juice or triphala or trayamana with milk. (C.S. Ci. 3.232; also A.S. Ci. 2.29)

d) शान्तिम् नयेत् त्रिव्र्च्चापि सक्षौद्रा प्रबलम् ज्वरम्॥

Malarial Fever: Trivrt mixed with honey checks malarial fever. (V.M. 1.246)

e) म्र्द्वीकानाम् रसेन वा त्रिव्र्ताम् ज्वरितः पिबेत्।

Administration of Trivrt choorna with draksharasa .

2. Intrinsic hemorrhage

In such conditions one of the following drugs added with profuse quality of honey and sugar should be given as purgative- Trivrt, Haritaki, Aragvadha (fruit), Trayamana, Indravaruni (root) and Amalaka. (C.S. Ci 4.57-58)

3. Udavartta and Anaha

a) Trivrt, Pippali and Haritaki; 2, 4 and 5 parts respectively mixed with equal quantity of jaggery should be made into pills. It relieves constipation and the disorders caused thereby. (V.M 28.6)

b) Trivrt, Haritaki and Syama should be impregnated with Snuhi latex and made into pills. Taken with urine it acts as excellent breaker or Anaha. (V.M. 29.3)

4. Piles

a) पाययेत् तु त्रिव्र्च्चूर्णम् त्रिफ़लायाः रसेन वा

ह्र्ते गुदाश्रये दोषे गच्छत्यर्शाम्सि सक्षयम्॥

Trivrt powder mixed in decoction of triphala should be given. Thus by elimination of impurity from the rectum the hemorrhoids are destroyed. (C.S. Ci. 14.66)

b) त्रिव्र्त् दन्ती पलाशानाम् …………।

सम्भुष्टम् यमके दद्यात् शाकम् दधि रसायुतम्

Vegetables of the leaves of Trivrt, Danti, Cangeri and Chitraka fried in oil and ghee (mixed together) and added with fatty layer of curd should be given.

(C.S. Ci 14.122)

c) One should take Trivrt with triphala decoction or Haritaki with butter milk or Haritaki with Pippali fried in ghee and mixed with jaggery. (A.H. Ci. 8.58)

5. Gulma

a) Powder of Trivrt 10gm impregnated with Snuhi latex and added with Honey and ghee should be given. It acts as good purgative.

(C.S. Ci 5.153; also A. H. Ci 14.97)

b) One should take Trivrt with Snuhi or Haritaki with Jaggery. (S.S. U. 42.62)

c) Diet should be unctuous and warm and containing the vegetable of Trivrt. (S.S. U. 42.90)

d) त्रिव्र्च्छाकेन वा स्निग्धमुष्णम् भुञ्जीत भोजनम्॥

in Gulma, after the intake of Trivrt powder, food of snigda ushna characters should be given.

6. Udararoga

a) Trivrt root is regarded as the best purgative 

(C.S. Ka. 7.3)

b) Paste of Trivrt should be given with milk. 

(C.S. Ci. 13.69)

c) Trivrt-leha. (S.S. Su. 44.16)

d) Oil cooked with the seeds of Trivrt, madhusigru and radish, by massage and intake, relieves pain in udara caused by Vata. (C.S. Ci 13.155)

e) One should take vegetable of Trivrt, Madhuparni and Vastuka or that of Kalasaka cooked in its own juice and water without sours, salt and fat being steamed or slightly steamed having no other cereal for a month. While thirsty he should take its own juice. (C.S. Ci. 13.282-83)

f) Vegetable of tender leaves of Sankhini, Snuhi, Trivrt, Danti, Cirabilva etc should be given before meals in case of constipation. (C.S. Ci. 13.167)

g) Liquid gruel or vegetable of Trivrt, Madhukaparni, Vastuka, Kalasaka, or Yavasaka (Vastuka) cooked in their own juice should be taken. (A.H. Ci. 15.82)

h) ( गाढापुरीषे ) शङख़िनी स्नुक् त्रिव्र्द्दन्ती …… ।

शाकम् गाढ्पुरीषाय प्राग्भक्तम् दापयेद् भिषक्॥

In case of constipation fine powder of Trivrt choorna should be taken before food.

7. Anemia and Jaundice

a) सशर्करा कानलिनाम् तिर्भडी

In case of Jaundice, Trivrt choorna is taken with sugar.

b) Trivrt powder mixed with double sugar in dose of 20gm should be taken in predominance of pitta. 

(C.S. Ci. 16.57 also V.M. 8.3)

c) Trivrt mixed with sugar, Indravaruni or Sunthi mixed with jaggery are useful in Jaundice. 

(S.S. U. 4.30 also V.M. 8.14)

d) One suffering from Jaundice should take Trivrt along with decoction of Triphala. (C.S. Ci 16.60)

e) Sugarcane is bifurcated longitudinally and inner surface is pasted with Trivrt, then it is tied with rope and cooked by closed heating. And then after cooling it is taken by one suffering from the diseases of pitta (Jaundice).  

(C.D. 71.5)

8. Erysipelas

Trivrt mixed with ghee or milk or hot water or grape juice should be given for purgation which alleviates erysipelas (C.S. Ci. 21.64-65)

9. Vatarakta

Decoction or Trivrt, Vidari and Ikshuraka destroy Vatarakta. (B.S Vatarakta 40, B.P. Ci. 29.40)

10. Abscess

Powder of Trivrt and Haritaki should be taken with ample quantity of honey. (S.S. Ci. 16.12)

11. Eye disease

a) त्रिःत्रिव्र्द्वारिणा पक्वं क्षतशुक्रे घ्र्तं पिबेत्॥

In case of physical injury, or entering of powder inside the eye, Trivrt choorna is made paka using thrice its amount water, and taken along with ghee.

b) Rasakriya (solid extract) of Trivrt or maduka should be prepared and given with sugar and honey. (S.S. U. 10.7)

c) In corneal ulcer, ghee cooked with Trivrt decoction trice should be given. (A.H U. 11.30)

 

12. For purification of breast milk

Trivrt or Haritaki is given with Triphala decoction. 

(C.S. Ci. 30-254)

13) Raktha pittam

त्रिव्र्ताम्…..  विरेचनम् प्रयुञ्जित प्रभुतमधुशर्करम्॥

In case of rakthapitta, Trivrt choorna should be taken in excess of honey and sugar, and virejana should be done.

14) Visepa

त्रिव्र्च्चूर्णम् समालोदय सर्पीषा पयसाऽपि वा।

धर्माम्बुना च सम्योज्य म्र्द्विकानाम् रसेन वा

विरेकार्थम् प्रयुक्तव्यम् सिद्धम् विसर्पनाशनम्॥

In viserpa taking Trivrt choorna with ghee, milk lukewarm water and drakshaswarasa desroys viserpa.

15) Pittapanduruji

द्विशर्करम् त्रिव्र्च्चूर्णम् पलार्धम् पेत्तिकः पिबेत्॥

Sugar taken twice that of Trivrt choorna, and taken my mixing in milk.

16) वातिकशोफ़े

तत्र वातश्वयथो त्रैव्र्तभैरणतैलम् बा मासम् अर्धमासम् वा पाययेत्॥.

Incase of vathika shofa, Trivrt choorna should be taken for a month.

17) Poison

a) Trivrt and Manjusta pounded with latex of Snuhi should be given with honey. (S.S. Ka. 7.212)

b) तण्दुलीयकतुल्यांशां त्रिव्र्ताम् सर्पिषा पिबेत्॥

One should take Trivrt mixed with equal quantity of Tanduliyaka with ghee. (A.H. U. 37.25)

The drug Trivrt is an ideal laxative, and is used is general anasarca, consumption, dropsy, eye diseases, erysipelas, fevers, hepatic and haemophilic disorders, jaundice and piles. The drug is much used in dropsy due to heart, kidney and liver diseases.

The drug powder (root-bark) is given in gas troubles and hyper acidity and various abdominal disorders especially flatulence, constipation tympanitis. It is quite useful in piles. The drug is useful in gout and arthritis. Drug is used in obesity being lenkahana (emaciating) medicine, and also in oedema. The drug is major ingredient of Avipittikara curna prescribed frequently.

Alcoholic extracts of fresh roots of Trivrt (Operculina turpethum Silva Manso) show anti bacterial activity against micrococcus pyogenes var. aureus and Escherichia coli.

The young leaves to tender stems are reported to be used as vegetables. The root-drug is almost as effective as true jalap (Exogonium purga) and superior to rhurarb (Rheumemodi Wall ex Meisrn) and useful in all affections where jalap or rhurarb is indicated.

The drug is administered in the form of powder; it may be given in combination with cream of tartar in equal proportion. White turpeth is preferred to black turpeth as cathartic, the later produces drastic purgation and causes vomiting.

Trivrt has classically been discussed in detail in regard to its therapeutic utility independently (C.S. Kalpa 7) incorporating several uses and recipes in therapeusis and recommending this drug as a best laxative herbal agent.

The root skin and roots of white variety of Trivrt are used for medicinal purpose. Externally, the medicated oil- Trivrt siddha taila is used for dressing the infected, foul wounds. It reduces the infection and discharges, and cleanses the wounds. In local swelling, the root paste mixed with cow’s urine is applied with great benefit. 

Internally, Trivrt is useful in vast range of diseases. Trivrt was held in high esteem by the ancient sages as the best laxative amongst all. It is used in diseases like flatulence, piles, jaundice, ascites, gout, rheumatic fever, cough, asthma etc. wherein laxative is recommended. It is always given along with sunthi, rock salt or Amalaki is vitiated conditions of vata and with honey, sugar, milk or black raisins in pitta conditions, whereas with hot water or cows urine in kapha disorders. As trivrt is dry, it aggravates the vata dosha and causes abdominal pain; hence these vehicles are usually recommended with trivrt. In fever, the root powder mixed with honey is beneficial. The decoction of Trivrt, guduchi, kiratatikta, sunthi and triphala is salutary in the treatment of anemia accompanied by splenomegaly. In skin disorders, the combination of Trivrt, triphala and vidanga (in proportion (10:3:1) powders is given along with jaggery, for the duration of one month. It is also benevolent in obesity to decrease the fat. Trivrt is widely used as a safe drug in the treatment of ascites. It works well with the decoction of triphala is piles. In anasarca, the root powder is given with hot water. In poisoning, alcoholism associated with fever, Trivrt, is given as a purgative to mitigate the doshas. The decoction of its roots is rewarding in Rakta pitta. In jaundice, the roots are given along with triphala decoction and honey. 

According to the Raja Nirghaunta, the Teoree is dry and hot; a good remedy against worms; a remover of phlegm, swellings of the limbs, and diseases of the stomach. It also heals ulcers, and is useful in diseases of the skin. It is known to be one of the best purgatives.

The Bhavaprukasha has the following observation: "The white Trivrt is cathartic; it is pungent; it increases wind, is hot and efficacious in removing cold find bile; it is useful in bilious fevers and complaints of the stomach. The black sort is somewhat less efficacious; it is a violent purgative, is good in fainting, and diminishes the heat of the body in levers with delirium.”

Two varieties of Trivrt are described by most writers, namely, śveta or white and kṛṣṇa or black. The white variety is preferred for medicinal use as a moderate or mild cathartic. The black variety is said to be a powerful drastic and to cause vomiting, faintness and giddiness. Trivrt has been used as a purgative from time immemorial and is still used as such by native practitioners, alone, as well as in various combinations. In fact this medicine is the ordinary cathartic in use amongst natives, just as jalap is among Europeans. The usual mode of administering it is as follows. About two scruples of the root are rubbed into a pulp with water and taken with the addition of rock salt and ginger or sugar and black pepper.

A compound powder called Nārācha churna, is thus prepared. Take of Trivrit root eight tolās, long pepper two tolās, sugar eight tolās ; powder and mix. About a scruple of the powder is recommended to be taken before meals in constipation with hard faeces. 

Tumburādya churna. Take of the fruits of Xanthoxylumm hostile ( tumburu ), rock, vit and sochal salts, ajowan, pāchak root, yavakshāra, chebulic myrobalan, asafoetida and baberang seeds, one part each, trivrit three parts; powder the ingredients and mix. Dose, about a drachm with warm water, in painful dyspepsia with costiveness and flatulence.

In anasarca supposed to be caused by deranged bile, a decoction of trivrit, gulancha, and the three myrobalans is recommended to be taken. Milk diet should be prescribed along with this medicine." 

It is also used to relieve flatulence and colic. In the treatment of obesity, it is used to decrease fat. A paste of the root is used as an external application in hemorrhoids, chancres and ulcerations. An oil extracted from the root bark is used in skin diseases of a scaly nature. The fresh juice of leaves is dropped into the eyes for inducing lachrymation in ophthalmia.

Trivrit contains sixteen amino acids both in hydrolysate and free forms and also gamma linolenic acid.  Trivrt is an excellent immunomodulator and antioxidant.  It modulates the cytokines and macrophage systems and increases non-specific resistance to disease.  It possesses antimicrobial property with special effectiveness in treating infections of the gastrointestinal tract and respiratory system.

Mind

Delirium associated with restlessness, loquacity. Tendency to escape from bed; ravings, pains cause fainting. 

Abdomen

Watery diarrhoea, profuse with sinking sensation. Cholera morbus. Hemorrhoids. 

Skin

Lymphatic glands enlarged and indurated. Boils and slowly

suppurating abscesses