Kottakkal Guggulu Tiktam Kashayam is a traditional ayurvedic herbal formulation and is one of the finest medications for treating rheumatoid arthritis, joint pain, inflammation, gout, stiffness, abscess, fistula, and skin conditions like psoriasis, scabies, eczema, acne, etc. Kottakkal Guggulu Tiktam Kashayam contains several excellent herbs.

It contains Guggulu and herbs named Neem, Patola, Guduchi, Vyaghri, Chitrak, Chavya, Shunthi, and Haridra as the chief ingredients which are 'tikt' (bitter) in nature, has 'Ushna' virya (hot potency) and helps in reducing Vata and Pitta dosha from the body. Neem and Patola include anti-inflammatory properties that help reduce acne, and skin blemishes, and can be helpful in detoxification on the inside as well as the outside.

Chavya, Guduchi, Chitrak, and Haridra possess antibacterial and antioxidant qualities that hasten the healing of wounds and contribute to the growth of new skin cells. Guggulu has a significant impact on the musculoskeletal system, it is beneficial for reducing inflammation and easing pain in the muscles, joints, ligaments, and bones.

This formulation is made in accordance with the instructions provided in the Ashtanga Hridayam and the Bhaishajya Ratnavali which are the Ayurveda texts. Each ingredient is taken in the appropriate amount and ground to a powder form. After adding the water, it is heated eight times.

Filtered water is utilized as 'kashayam' when the water content is decreased to one-fourth of its original quantity. Kottakkal Guggulu Tiktam Kashayam is recommended by Ayurveda doctors for all the inflammatory conditions of bones and skin as well as useful in the healing of wounds, abscesses, and fistula.