Introduction: Seenthil Chooranam is a classical Siddha formulation composed of Tinospora cordifolia, Eclipta prostrata, and earthworm extract. Traditionally used in Siddha medicine, it is known for its diverse therapeutic applications. The modern pharmacological studies on individual ingredients suggest its potential in managing various diseases due to its bioactive compounds, which exhibit multiple medicinal properties. Objective: The objective of this review is to analyse the pharmacological activities of Seenthil Chooranam, evaluate its traditional indications, and examine scientific studies supporting its medicinal applications. Source of Data Collection: The data for this review was collected from classical Siddha texts, published research articles, pharmacological studies, and scientific databases. Relevant literature on the bioactive compounds and therapeutic applications of Seenthil Chooranam and its key ingredients was systematically analysed. Summary of the Content: Seenthil Chooranam is known for its wide range of pharmacological properties, including anti-diabetic, antimicrobial, antioxidant, anti-inflammatory, anti-asthmatic, anti-tumor, immunomodulatory, and wound-healing effects. The active compounds present in its ingredients, such as alkaloids, flavonoids, terpenoids, and bioactive peptides, contribute to its therapeutic potential. It has been traditionally indicated for the treatment of sinusitis, diabetes mellitus, tuberculosis, cough, bronchial asthma, scrotal swelling, alopecia areata, and hair fall. Scientific studies validate its medicinal benefits, supporting its traditional use in managing various diseases. Conclusion: This review establishes a strong correlation between Siddha textual references and modern pharmacological research, affirming the therapeutic potential of Seenthil Chooranam. While scientific evidence supports its medicinal applications, further research is necessary to determine its safety, optimal dosage, and clinical efficacy for widespread therapeutic use. Integrating traditional knowledge with contemporary research could enhance its acceptance in modern medicine. Keywords: Seenthil Chooranam, Tinospora cordifolia, Eclipta prostrata, Earthworm, Chemical constituents, Pharmacological activity.
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