LAISHA · DRAVYAGUNA

Shankha

शङ्ख

From Turbinella pyrum, the Indian sacred conch

Jangama · animal origin

Benefits & side effects

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.

Matra and anupana

AS THE CLASSICAL TEXTS AND THE API PRESCRIBE

Bhasma125–250 mg
AnupanaMadhu · Ushnodaka
KalaAdhobhakta

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.

Rasapanchaka

Rasa
KatuTikta
Guna
LaghuRuksha
ViryaSheeta
VipakaKatu
DoshakarmaKaphapittahara.

Karma and part used

DeepanaPachanaShoolaprashamanaGrahi
Upayukta angaShankha bhasma

Paryaya

KambuSunadaJalaja

Shankha is classed among the jangama dravya.

Names, by language

EnglishConch shell
HindiShankh
KannadaShankha

Classical references

Rasa Ratna Samuccaya
Chapter 4
Among the sudha varga; shodhana and marana of shankha.
Bhaishajya Ratnavali
Amlapitta chikitsa
Shankha bhasma in amlapitta and in parinama shoola.

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.

Adulterants and substitutes

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.

Identity

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.

What the tradition holds

Shankha bhasma is the classical antacid of Ayurveda, in amlapitta, parinama shoola and grahani.

Constituents. A product of Turbinella pyrum, the Indian sacred conch.

What the evidence says

StatusCalcium carbonate's antacid action is established. The specific classical preparation has not been shown superior to it.
The honest gapMineral and animal dravya are far less studied than plant dravya, and what study exists is chiefly characterisation and toxicology rather than clinical efficacy.

Safety

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.

ContraindicationsHypercalcaemia.
Renal impairment with high-dose prolonged use.
InteractionsTetracyclines, 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 breastfeedingCalcium carbonate antacids are used in pregnancy in modern practice; shankha bhasma is not a characterised antacid and is not established.

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What this is not

Sources

Rasa Ratna Samuccaya and Rasa Tarangini
National Institute of Indian Medical Heritage
The classical Rasashastra position: which group the dravya belongs to, its shodhana and marana, and the matra of the prepared form.
https://niimh.nic.in/ebooks/
Ayurvedic Pharmacopoeia of India
Pharmacopoeia Commission for Indian Medicine and Homoeopathy, Ministry of Ayush, Government of India
The official Indian pharmacopoeial standing of the dravya and the identity of the prepared article.
https://pcimh.gov.in/
Classical matra by dose form
Sharangadhara Samhita, Madhyama Khanda
The classical quantity for each dose form, as the standard reference gives it.
https://niimh.nic.in/ebooks/esharangadhara/
Mineral fact sheets
National Institutes of Health Office of Dietary Supplements
The established physiology of the element, its upper intake level and its documented interactions with medicines.
https://ods.od.nih.gov/factsheets/list-all/
Monographs for mineral and animal-derived ingredients
Health Canada, Natural and Non-prescription Health Products Directorate
A second regulator's position on the prepared ingredient, from a jurisdiction outside India.
https://www.canada.ca/en/health-canada/services/drugs-health-products/natural-non-prescription/applications-submissions/product-licensing/compendium-monographs.html
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