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Terminalia arjuna

Arjuna

Research reviewed: Up until 03/2026

Arjuna (Terminalia arjuna) is a dietary supplement with 14 published peer-reviewed studies involving 562 participants, researched for Cardiovascular & Heart Health, Lipids, Anti-inflammatory & Other, Systematic reviews.

14
Studies
562
Participants
1995–2025
Research Span

Evidence at a Glance

Strength is scored by study design, sample size, study type, and outcomes

Overall: Strong Evidence

Cardiovascular & Heart Health

Strong
4 studies 3 of 4 positive 138 participants 3 human

Lipids, Anti-inflammatory & Other

Moderate
6 studies 4 of 6 positive 130 participants 3 human

Systematic reviews

Weak
4 studies 0 of 4 positive 294 participants 0 human

Research Visualised

Visual breakdown of the clinical data.

Study Quality Breakdown

What types of studies were conducted

0/14
Randomised
1/14
Double-Blind
1/14
Placebo-Controlled

Participants Per Study

Larger samples = more reliable results

Study 1 (1995)
58
Study 2 (2002)
40
Study 3 (2010)
0
Study 4 (1995)
40
Study 5 (2015)
30
Study 6 (2001)
50
Study 7 (2014)
0
Study 8 (2011)
50

Research Timeline

When the studies were published

2
1995
1
2001
1
2002
1
2009
1
2010
1
2011
1
2012
1
2014
1
2015
1
2023
1
2024
2
2025

All Studies

Detailed breakdown of each trial. Click to expand.

Cardiovascular & Heart Health

1

Antianginal and cardioprotective effects of T. arjuna in stable angina

1995 58 participants 3 months 500mg bark extract 3x/day
Human Study Double-Blind Placebo Positive

Study Type

Double-blind placebo-controlled crossover trial

Purpose

Antianginal and cardioprotective effects of T. arjuna in stable angina

Dose

500mg bark extract 3x/day

Participants

58 stable angina patients

Duration

3 months

Results

Significantly reduced anginal episodes, improved exercise tolerance, and reduced GTN consumption versus placebo. NYHA class improvements observed.

How They Measured It

Exercise treadmill test, NYHA class, anginal attacks, GTN consumption

Read full study
2

Efficacy of T. arjuna in stable angina (SETCA trial)

2002 40 participants 3 months crossover 500mg bark powder 3x/day
Human Study Positive

Study Type

RCT

Purpose

Efficacy of T. arjuna in stable angina (SETCA trial)

Dose

500mg bark powder 3x/day

Participants

40 stable angina patients

Duration

3 months crossover

Results

Significantly improved exercise tolerance and reduced angina frequency. Effects comparable to isosorbide mononitrate in this crossover design.

How They Measured It

Exercise treadmill test, angina frequency, GTN use

Read full study
3

T. arjuna transition from traditional to modern cardiovascular medicine

2010 ? participants Various Various
Review/Other Mixed

Study Type

Review

Purpose

T. arjuna transition from traditional to modern cardiovascular medicine

Dose

Various

Participants

Review

Duration

Various

Results

Extensive evidence for positive inotropic, anti-ischaemic, hypolipidaemic, and antioxidant effects. Multiple clinical trials confirm anti-anginal benefits. Tannins, saponins, flavonoids as cardioprotective bioactives.

How They Measured It

Review of clinical and experimental cardiovascular evidence

Read full study
4

T. arjuna in chronic heart failure patients on standard therapy

1995 40 participants 3 months 500mg bark extract 3x/day
Human Study Positive

Study Type

Clinical trial

Purpose

T. arjuna in chronic heart failure patients on standard therapy

Dose

500mg bark extract 3x/day

Participants

40 NYHA class II-III heart failure patients

Duration

3 months

Results

Significant improvements in LVEF, 6-minute walk distance, and NYHA class. Echocardiographic parameters confirmed real cardiac benefit.

How They Measured It

NYHA class, 6-min walk test, echocardiography (LVEF, LV dimensions)

Read full study

Lipids, Anti-inflammatory & Other

5

T. arjuna anti-inflammatory effects in stable CAD patients

2015 30 participants 4 weeks 500mg bark extract 3x/day
Human Study Positive

Study Type

In vitro and in vivo study

Purpose

T. arjuna anti-inflammatory effects in stable CAD patients

Dose

500mg bark extract 3x/day

Participants

30 stable CAD patients

Duration

4 weeks

Results

Significantly attenuated ongoing inflammation and immune imbalance measured by reductions in CRP, IL-6, and TNF-alpha in CAD patients.

How They Measured It

CRP, IL-6, TNF-alpha, CD4/CD8 ratio

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6

Antioxidant and hypocholesterolaemic effects of T. arjuna

2001 50 participants 12 weeks 500mg bark powder daily
Human Study Positive

Study Type

Antioxidant and lipid clinical trial

Purpose

Antioxidant and hypocholesterolaemic effects of T. arjuna

Dose

500mg bark powder daily

Participants

50 hypercholesterolaemic patients

Duration

12 weeks

Results

Significant reductions in total cholesterol and LDL; HDL increased. Antioxidant enzyme activity improved. Combined anti-atherogenic and antioxidant effects.

How They Measured It

Total cholesterol, LDL, HDL, TG; SOD, catalase, GSH

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7

Revisiting T. arjuna as ancient cardiovascular drug with modern evidence

2014 ? participants Various Various
Review/Other Mixed

Study Type

Systematic review

Purpose

Revisiting T. arjuna as ancient cardiovascular drug with modern evidence

Dose

Various

Participants

Review

Duration

Various

Results

Arjunolic acid, arjunetin, arjunin with cardioprotective mechanisms: positive inotropy, antioxidant, anti-atherogenic, antiplatelet. Multiple RCTs confirm anti-anginal and heart failure benefits.

How They Measured It

Systematic review of experimental and clinical data

Read full study
8

Effect of T. arjuna on blood pressure as add-on therapy

2011 50 participants 12 weeks 500mg 3x/day
Human Study Positive

Study Type

Antihypertensive study

Purpose

Effect of T. arjuna on blood pressure as add-on therapy

Dose

500mg 3x/day

Participants

50 hypertensive patients

Duration

12 weeks

Results

Significant additional reductions in systolic and diastolic BP beyond standard medication alone. Tolerability was good.

How They Measured It

24-hour ABPM, pulse rate

Read full study
9

Protective effect of T. arjuna against catecholamine-induced myocardial fibrosis

2009 ? participants 14 days Bark extract 300mg/kg
Review/Other Positive

Study Type

Myocardial fibrosis study

Purpose

Protective effect of T. arjuna against catecholamine-induced myocardial fibrosis

Dose

Bark extract 300mg/kg

Participants

Catecholamine toxicity animal model

Duration

14 days

Results

Significantly attenuated myocardial fibrosis and oxidative stress. Antifibrotic mechanism via TGF-beta1 suppression identified.

How They Measured It

Cardiac fibrosis markers, hydroxyproline content, TGF-beta1

Read full study
10

Antiplatelet activity of T. arjuna bark extract

2012 ? participants Acute 100-200mg/kg extract
Review/Other Positive

Study Type

Platelet aggregation study

Purpose

Antiplatelet activity of T. arjuna bark extract

Dose

100-200mg/kg extract

Participants

In vitro and animal study

Duration

Acute

Results

Significantly inhibited all three platelet aggregation pathways. Activity comparable to aspirin. Antiplatelet mechanism supports cardiovascular protective effects.

How They Measured It

ADP, collagen, arachidonic acid-induced platelet aggregation

Read full study

Systematic reviews

1

To investigate the effects of Arjuna in accuracy of ct hounsfield units for predicting cage subsidence and pedicle screw loosening after lumbar interbody fusion: a systematic review and meta

2025 294 participants Duration not specified Arjuna (dose not specified)
Review/Other Mixed

Study Type

Systematic review and meta-analysis

Purpose

To investigate the effects of Arjuna in accuracy of ct hounsfield units for predicting cage subsidence and pedicle screw loosening after lumbar interbody fusion: a systematic review and meta

Dose

Arjuna (dose not specified)

Participants

294 participants

Duration

Duration not specified

Results

ality. HU values are reliable predictors of CS and PSL after LIF, with stronger accuracy for CS, that may serve as a practical tool in preoperative planning to identify high-risk patients and reduce complication rates. However, the retrospective nature and methodological variability among included studies may affect generalizability, that warrants for further large scale, prospective studies.

How They Measured It

See study for outcome measures

Read full study
2

To investigate the effects of Arjuna in application of rhbmp in spinal fusion surgery: any correlation of cancer incidence? a systematic review and meta-analysis.

2023 ? participants Duration not specified Arjuna (dose not specified)
Review/Other Mixed

Study Type

Systematic review and meta-analysis

Purpose

To investigate the effects of Arjuna in application of rhbmp in spinal fusion surgery: any correlation of cancer incidence? a systematic review and meta-analysis.

Dose

Arjuna (dose not specified)

Participants

Participants not specified

Duration

Duration not specified

Results

Safety concerns regarding the application of bone morphogenetic proteins (BMPs) have been highlighted in recent years. It is noted that both BMP and their receptors being identified as a trigger for cancer growth. Here, we aimed to determine the safety and efficacy of BMP for spinal fusion surgery.

How They Measured It

See study for outcome measures

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3

To investigate the effects of Arjuna in the safety and efficacy of anti-inflammatory-impregnated gelatin sponge in spine surgery: a systematic review and meta-analysis.

2024 ? participants Duration not specified Arjuna (dose not specified)
Review/Other Positive

Study Type

Systematic review and meta-analysis

Purpose

To investigate the effects of Arjuna in the safety and efficacy of anti-inflammatory-impregnated gelatin sponge in spine surgery: a systematic review and meta-analysis.

Dose

Arjuna (dose not specified)

Participants

Participants not specified

Duration

Duration not specified

Results

6; p=0.05). However, no significant difference was observed in the disability index (MD, -0.59; 95% CI, -1.88 to -0.70; p=0.37). The use of anti-inflammatory-impregnated gelatin sponges during spine surgeries decreases postoperative back pain and leg pain, reduces length of stay, and improves neurological function. Larger, prospective, randomized trials are required to obtain more robust evidence.

How They Measured It

See study for outcome measures

Read full study
4

To investigate the effects of Arjuna in effects of plant extracts on patients with heart failure: a network meta-analysis of randomized controlled trials.

2025 ? participants Duration not specified Arjuna (dose not specified)
Review/Other Mixed

Study Type

Systematic review and meta-analysis

Purpose

To investigate the effects of Arjuna in effects of plant extracts on patients with heart failure: a network meta-analysis of randomized controlled trials.

Dose

Arjuna (dose not specified)

Participants

Participants not specified

Duration

Duration not specified

Results

Heart failure (HF) is a major global health challenge. Traditional therapies have limitations, while recent studies highlight plant extracts' potential due to their medicinal properties and milder side effects.

How They Measured It

See study for outcome measures

Read full study

Frequently Asked Questions

Common questions about Arjuna research

What does the research say about Arjuna?

There are currently 14 peer-reviewed studies on Arjuna (Terminalia arjuna), involving 562 total participants. Research covers Cardiovascular & Heart Health, Lipids, Anti-inflammatory & Other, Systematic reviews. The overall evidence strength is rated as Strong.

How strong is the evidence for Arjuna?

The evidence is currently rated as "Strong Evidence". This rating is based on study design quality (randomisation, blinding, placebo controls), sample sizes, study types (6 human studies), and reported outcomes.

What health goals has Arjuna been studied for?

Arjuna has been researched for: Cardiovascular & Heart Health, Lipids, Anti-inflammatory & Other, Systematic reviews. Each area has its own body of evidence which you can explore in the study breakdowns above.

Are the studies on Arjuna based on human trials?

Yes, 6 out of 14 studies are human trials. Human trials carry more weight in our evidence scoring system.