शङ्ख
From Turbinella pyrum, the Indian sacred conch
Jangama · animal origin
TRADITIONAL VIEW, WITH SAFETY LIMITS
What the texts say Shankha does
What the evidence says. Calcium carbonate's antacid action is established. The specific classical preparation has not been shown superior to it.
Side effects and limits
Calcium carbonate. Prolonged high-dose use with milk can in principle produce milk-alkali syndrome, which is the specific thing to watch in a drug that is given for acidity and taken with milk.
Avoid or ask first: Hypercalcaemia.; Renal impairment with high-dose prolonged use.
A traditional classification, not a recommendation. The full safety record is below.
AS THE CLASSICAL TEXTS AND THE API PRESCRIBE
| Bhasma | 125–250 mg |
| Anupana | Madhu · Ushnodaka |
| Kala | Adhobhakta |
The classical drug of amlapitta and parinama shoola — calcium carbonate acting as an antacid, which is the one mineral dravya whose mechanism is entirely uncontroversial.
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.
| Rasa | KatuTikta |
| Guna | LaghuRuksha |
| Virya | Sheeta |
| Vipaka | Katu |
| Doshakarma | Kaphapittahara. |
| Upayukta anga | Shankha bhasma |
Shankha is classed among the jangama dravya.
| English | Conch shell |
| Hindi | Shankh |
| Kannada | Shankha |
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.
Ordinary sea shell is substituted for Turbinella pyrum routinely. Turbinella pyrum is also protected under India's Wildlife Protection Act, which makes sourcing a legal question and not only a quality one.
From Turbinella pyrum, the Indian sacred conch. The shell.
A WAY TO REMEMBER IT
Shankha is the Sanskrit that became the Greek konche and the Latin concha, and from there the English conch. The word travelled with the shell along the same routes the trade did.
Shankha bhasma is the classical antacid of Ayurveda, in amlapitta, parinama shoola and grahani.
Constituents. A product of Turbinella pyrum, the Indian sacred conch.
| Status | Calcium carbonate's antacid action is established. The specific classical preparation has not been shown superior to it. |
| The honest gap | Mineral and animal dravya are far less studied than plant dravya, and what study exists is chiefly characterisation and toxicology rather than clinical efficacy. |
Calcium carbonate. Prolonged high-dose use with milk can in principle produce milk-alkali syndrome, which is the specific thing to watch in a drug that is given for acidity and taken with milk.
| Contraindications | Hypercalcaemia. Renal impairment with high-dose prolonged use. |
| Interactions | Tetracyclines, fluoroquinolones, levothyroxine and bisphosphonates — calcium carbonate binds them. Separate by two hours. Any drug needing gastric acid for absorption — ketoconazole, atazanavir, iron — absorption is reduced. Thiazide diuretics with calcium — additive risk of hypercalcaemia. |
| Pregnancy and breastfeeding | Calcium carbonate antacids are used in pregnancy in modern practice; shankha bhasma is not a characterised antacid and is not established. |