Which preparation is indicated to reduce cholesterol and excess meda dhatu in prameha?

• A. Aloe Vera Ghee
• B. Neem Oil
• C. Cinnamon Bark
• D. Triphala Guggulu (all 6 taste / usna / katu)

Answer: (D)

The main idea here is addressing prameha when there’s excess meda dhatu, which corresponds to fat tissue buildup and lipid imbalance. Triphala Guggulu is the classic combination used for this scenario because it blends two powerful actions: Guggulu helps mobilize and regulate lipids, supporting reduction of cholesterol and meda-dhatu, while Triphala aids digestion, removes ama, and promotes cleansing of the digestive tract. Together, they balance the metabolic factors that fuel prameha with meda involvement and hyperlipidemia, and the formulation is noted for containing multiple tastes and heating properties that help stimulate fat metabolism without aggravating vata or kapha.

Aloe vera ghee, neem oil, and cinnamon bark do have beneficial effects in various metabolic or digestive contexts, but they are not the standard, targeted preparation for lowering cholesterol and reducing excess meda dhatu specifically in prameha. Thus, Triphala Guggulu stands out as the best fit for this goal.