CHAMGAP
APPROVEDReviewed and approved by the Chamgap Editorial Team (2026-07-11). The draft was written by AI, the existence of all 2 cited sources was verified at the original page, and the verdict passed blind grading and adversarial audit. Methodology v0.6.
Verdict No. 257 · Search date 2026-07-11 · Methodology v0.6

Picrorhiza kurroa extract,
does it really help with Improvement in liver function and liver enzymes?

30-Second Summary
C
Evidence Grade C · 41 · Safety unknown
An old 33-person acute-hepatitis trial provides a signal, but it has not been replicated in modern products or other liver diseases
What the
research shows
Kutki root powder showed signals of faster bilirubin, SGOT, and SGPT recovery in an old double-blind placebo-controlled trial of 33 patients with acute viral hepatitis. The evidence is limited to one small two-week study, lacks independent replication with modern standardized extracts, and a confirmatory fatty-liver trial remains in progress, resulting in C with 41 points.
What the
ads claim
Advertisements describe kutki as powerful liver protection, liver regeneration, and normalization of liver values. The core published human evidence is one 33-person root-powder trial in a specific acute-hepatitis population and does not represent ordinary supplements or all chronic liver diseases.
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Useful facts when choosing a product

  • The key trial used 375 mg of root powder three times daily, totaling 1,125 mg/day for two weeks.
  • The trial capsules were analyzed for picrosides I and II, but standardization can differ in marketed extracts.
  • An acute viral-hepatitis result is not the same as a result in fatty or chronic liver disease.
  • A standardized Picroliv fraction and simple kutki root powder are different formulations.
Gap Measurement · Verdict 257 · C 41
What advertising claims
What independent, higher-quality research supports
△ GAP
01

What the research actually shows

The Vaidya 1996 study randomized HBsAg-negative patients with acute viral hepatitis to kutki root powder 375 mg three times daily for two weeks, with 15 receiving kutki and 18 placebo. Between-group differences in bilirubin, SGOT, and SGPT were significant, and the mean time for bilirubin to fall to 2.5 mg% was 27.44 versus 75.9 days. A 2022 translational review shows that later liver-related clinical data are concentrated in single-arm studies, combinations, or low-quality research. A 170-person phase III fatty-liver trial of standardized Picroliv had not reached completion by July 2026.

02

Why this is classified as C (41)

The positive biochemical signal from an ingredient-only placebo-controlled human trial places the evidence above ?. Its 33-person sample, two-week duration, age, disease and formulation extrapolation, and lack of independent replication limit it to the low end of C with 41 points.

Counterpoint. An early signal exists for recovery time and liver enzymes in acute viral hepatitis. This assessment does not assume that the signal has been replicated in modern standardized products or other liver diseases.

Rejudgment record. New assessment — Positive bilirubin and liver-enzyme signals in one 33-person, two-week placebo-controlled trial, but an old study with no independent replication and limited disease and formulation generalizability

Cross-check — Codex and Claude

This verdict was drafted by Codex through literature review and source-existence checks, cross-checked through blind grading and adversarial audit, and settled by reapplying the methodology boundary rules. Cases with split grades were resolved through rejudgment.
03

Evidence Table

StudyDesignSampleFundingEndpointResultWeight
Vaidya AB et al. 1996Randomized double-blind placebo-controlled trial with preclinical studies33Affiliated with Ciba Research CentreBilirubin, SGOT, SGPT, and recovery timeBiochemical measures and time to bilirubin recovery improved with kutki versus placebo.Key
Raut A et al. 2022Translational review of traditional, preclinical, and clinical evidenceUnknownTranslational potential in fatty liver and clinical-trial statusClinical data were concentrated in a few single-arm or combination studies, supporting the need for confirmatory trials.Supportive
§

Receipt — 2 References

All 2 cited sources were verified for existence at the original page (as of 2026-07-11).

Vaidya AB, Antarkar DS, Doshi JC, Bhatt AD, Ramesh V, Vora PV, Perissond D, Baxi AJ, Kale PM. 1996. Picrorhiza kurroa (Kutaki) Royle ex Benth as a hepatoprotective agent--experimental & clinical studies. J Postgrad Med. 42(4):105-108. PMID: 9715310.
checked
Raut A, Dhami-Shah H, Phadke A. 2022. Picrorhiza kurroa, Royle ex Benth: Traditional uses, phytopharmacology, and translational potential in therapy of fatty liver disease. J Ayurveda Integr Med. 14(1):100558. DOI: 10.1016/j.jaim.2022.100558.
checked
Draft and rewrite: Codex (AI) · Verification: Codex blind grading and adversarial audit · Final adjudication: Claude
Reviewed and approved: Chamgap Editorial Team · Approval date: 2026-07-11 · Corrections: none

Cite this verdict

Picrorhiza kurroa (kutki) extract x improvement in liver function and liver enzymes Evidence Grade C card
[Chamgap] Picrorhiza kurroa (kutki) extract x improvement in liver function and liver enzymes — Evidence Grade C·41. 2 cited sources checked. Source: https://health-receipt.pages.dev/en/verdicts/liver/kutki-liver-function-enzymes/ · CC BY 4.0

CC BY 4.0 — free to use with attribution; do not distort grades, numbers, or verdict meaning.

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