LAISHA · DRAVYAGUNA

Kushtha

कुष्ठ

Saussurea costus (Falc.) Lipsch.

Asteraceae · Saussurea

Benefits & side effects

TRADITIONAL VIEW, WITH SAFETY LIMITS

Hindi name: Kuth

What the texts say Kushtha does

What the evidence says. Traditional use is extensive and long recorded. Modern clinical evidence is limited.

Side effects and limits

Avoid or ask first: Known allergy to plants of the Asteraceae family.; Pregnancy.

A traditional classification, not a recommendation. The full safety record is below.

Stands in 13 groups

A Samhita can only be read forwards, from the group to its members. This is the same list read backwards.

Photographs

Matra and anupana

AS THE CLASSICAL TEXTS AND THE API PRESCRIBE

Churna1–3 g
Kwatha20–40 ml
AnupanaMadhu · Ushnodaka
KalaAdhobhakta

CITES Appendix I — Saussurea costus is among the most restricted medicinal plants in the world. Legality of the source is part of prescribing it.

Reported from Sharangadhara Samhita and the Ayurvedic Pharmacopoeia of India. Laisha states what the texts prescribe; it does not recommend. No quantity here is adjusted for a particular person — not for agni, koshtha, bala, age, pregnancy, kidney or liver function, or anything already being taken.

Rasapanchaka

Rasa
TiktaKatuMadhura
Guna
LaghuRukshaTikshna
ViryaUshna
VipakaKatu
PrabhavaThe texts treat kushtha as acting on the skin and on the breath, and it is named in the Kushthaghna group for which it shares a name.
DoshakarmaKaphavatahara. Being ushna it increases pitta.

Tikta, katu and madhura with ushna virya and katu vipaka.

Karma and part used

KushthaghnaShwasaharaKasaharaVataharaKrimighnaVishaghna

These are the actions the classical texts record. They are statements about what the tradition holds, and this library does not restate them as findings about a human body.

Upayukta angaMula (the root)
Why it mattersThe root is the dravya, aromatic and bitter.

Paryaya

KushthaVapyaPakalaRukshakayaUtpala

The name Kushtha is the same word as the disease category kushtha, skin disease, which is the use the texts most associate it with — the dravya and the condition share a name.

Names, by language

EnglishCostus
SinhalaKotta
NepaliKuth
HindiKuth
KannadaChangalakoshtu
TamilKostam
TeluguChangalvakostu
MalayalamKottam
MarathiKot
GujaratiKath
BengaliKur
PunjabiKuth
OdiaKustha
UrduQust

Classical references

Charaka Samhita
Sutrasthana, chapter 4 (Shadvirechanashatashritiya)
Kushtha is named among the dravya of the chapter.
Bhavaprakasha Nighantu
Haritakyadi Varga
Gives the rasa, guna, virya and vipaka of kushtha.
Sushruta Samhita
Sutrasthana, chapter 38 (Dravyasangrahaniya)
Included among the dravya grouped by action.

Rasa, guna, virya, vipaka and karma are recorded as the classical texts give them, with the text and section named so a student can open the book and check. Where an exact chapter and verse could not be confirmed, this library names the section rather than inventing a number.

Formulations it appears in

Kushthadi TailaNamed for the dravya.
Rasnadi ChurnaAmong the dravya of the formulation.
Saraswata ChurnaAmong the dravya of the formulation.

Adulterants and substitutes

Because wild trade is barred, substitution is the norm rather than the exception. Inula racemosa, Pushkaramoola, is the commonest substitute and is itself a legitimate dravya with different properties. Other Saussurea species and unrelated aromatic roots are also sold as kuth. A buyer offered wild kushtha cheaply is being offered something that is either not kushtha or should not be for sale.

Identity

Matched live against the GBIF backbone on 28 September 2026 at 99 per cent confidence. Saussurea lappa is a synonym and is the name most Ayurvedic literature uses. This is the most strictly protected plant in the library: it is on CITES Appendix I, the highest level, which effectively bans commercial international trade in wild material.

A WAY TO REMEMBER IT

Saussurea honours Horace-Bénédict de Saussure. Costus is the ancient Greek and Latin name for this very root, traded from Kashmir to Rome. Kushtha is one of the oldest named drugs in the world.

What the tradition holds

Kushtha is named in the Charaka Samhita and described in the Bhavaprakasha Nighantu, and shares its name with the disease category it is used in. That is what the tradition holds and where it is written down, not a finding about what the root does in a body.

Constituents. The root carries sesquiterpene lactones, principally costunolide and dehydrocostus lactone, along with an essential oil.

What the evidence says

StatusTraditional use is extensive and long recorded. Modern clinical evidence is limited.
SuggestedHealth Canada publishes monographs covering Ayurvedic ingredients and permits specific traditional-use claims, which reflects a regulator accepting a documented tradition rather than a body of clinical trial evidence.
Not establishedThere is not enough good clinical evidence to establish an effect on any named health condition. Long traditional use is not a substitute for that evidence, and this library does not present it as one.
The honest gapPublished work often does not confirm the species, which given CITES restriction and routine substitution is a serious limit.

Safety

Two things, and the first is legal as much as ecological. Saussurea costus is on CITES Appendix I, the strictest category, which bars commercial international trade in wild-collected material; cultivated material traded lawfully requires documentation. Buying it casually is not a neutral act. On the body: the sesquiterpene lactones in it are a well-known cause of contact allergy, and costus root oil is a recognised skin sensitiser restricted in cosmetics for that reason. Anyone on medication, pregnant, or managing a diagnosed condition should speak to a doctor or a qualified practitioner first.

Side effectsContact allergy and skin rash
Digestive upset
ContraindicationsKnown allergy to plants of the Asteraceae family.
Pregnancy.
InteractionsNo specific interaction is documented here. Anyone on regular medication should still tell their doctor what they are taking.
Pregnancy and breastfeedingNot to be used in pregnancy or breastfeeding.
CITES Appendix I — the strictest protectionSaussurea costus is listed on CITES Appendix I, which bars commercial international trade in wild specimens. It is assessed as critically endangered in parts of its Himalayan range. Lawful material is cultivated and documented; material offered without that is neither.
A recognised skin sensitiserCostus root oil is a well-documented contact allergen and is restricted in cosmetic use on that basis. The sesquiterpene lactones responsible are characteristic of the Asteraceae family.

Growing it

ClimateAlpine Himalaya, roughly 2500 to 4000 metres.
SoilDeep, moist, well-drained alpine ground.
PlantingGrown from seed. Cultivation is established in Himachal Pradesh and is the only lawful commercial source.
HarvestRoots lifted after two to three years, washed and dried.
What is not statedOn CITES Appendix I and critically endangered in parts of its range. Only cultivated, documented material should be used, and this library records that as fact rather than as advice about anyone's health.

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What this is not

Sources

GBIF Backbone Taxonomy species-match record for Saussurea costus (Falc.) Lipsch.
Global Biodiversity Information Facility (GBIF) · read 2026-09-28
Confirming live, rather than from memory, the accepted botanical name and family behind the Sanskrit name.
https://api.gbif.org/v1/species/match?name=Saussurea%20costus
The Ayurvedic Pharmacopoeia of India — Kushtha (Saussurea costus)
Pharmacopoeia Commission for Indian Medicine and Homoeopathy, Ministry of Ayush, Government of India · read 2026-09-28
The official Indian pharmacopoeial standing of the dravya and the identity of the part used as the pharmacopoeial article.
https://pcimh.gov.in/
Compendium of Monographs — Natural Health Products
Health Canada, Natural and Non-prescription Health Products Directorate · read 2026-09-28
A regulator outside India that publishes monographs covering Ayurvedic ingredients — used for the safety framing, and for the line between a permitted traditional-use claim and clinical evidence.
https://www.canada.ca/en/health-canada/services/drugs-health-products/natural-non-prescription/applications-submissions/product-licensing/compendium-monographs.html
Classical matra by dose form
Sharangadhara Samhita, Madhyama Khanda
The classical quantity for each dose form, as the standard reference gives it. Sharangadhara is where Ayurveda's dose forms and their measures are set out, and it is what every Dravyaguna textbook reproduces.
https://niimh.nic.in/ebooks/esharangadhara/
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