TAKRA (BUTTERMILK): AN ELIXER OF EARTH. Sri Dharmasthala Manjunatheshwara College of Ayurveda and Hospital, Thanniruhalla, Hassan, Karnataka, India.

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REVIEW ARTICLE TAKRA (BUTTERMILK): AN ELIXER OF EARTH JYOTI BJ 1, KAVITA MB 2 1 Postgraduate Scholar, 2 Associate Professor Sri Dharmasthala Manjunatheshwara College of Ayurveda and Hospital, Thanniruhalla, Hassan, Karnataka, India. ABSTRACT Ayurveda, a science of life, has emphasized on proper diet and lifestyle for the promotion of health and prevention of diseases as well as curing the diseases. Takra (buttermilk), a dietary product obtained by churning curd, forms an integral part of a normal Indian diet. It can be used to maintain health as well to treat various conditions, kindle digestive fire, pacify Tridosha (three humors); when used with combination of different drugs, enhance its pacifying property and is a rich source of probiotics which provides necessary micronutrients to the body. In Ayurveda it has been told that one who uses buttermilk daily does not suffer from any diseases, and diseases cured by buttermilk do not recur; just as divine nectar is for the Gods, buttermilk is to humans. This shows the importance of consumption of buttermilk in daily diet. Key words: Ayurveda, Takra, Buttermilk, Anupana, curd, nutraceutical, functional foods KY PUBLICATIONS INTRODUCTION The science nutraceuticals deals with food or constituents of food that provide medical or health benefits including the prevention and treatment of diseases [1]. Ayurveda a science of life has a great deal of emphasis on proper diet and lifestyle for the promotion of health and prevention of diseases as well as curing the diseases. Our body is the result of food and humans attain pleasure and sorrow (health and disease) because of wholesomeness and unwholesomeness of the diet they consume [2]. The diseases can be cured without any medicine by just following wholesome food and regimen while, even hundreds of medicines cannot cure a disease in absence of them [3]. No medicine is equivalent to food, it is possible to make a person disease free with mere proper diet [4]. Food articles have been classified into different groups viz cereals, pulses, vegetables, fruits, milk & milk products and also described the qualities and effects of different foods on human body while describing about the food. Takra (buttermilk) is one among them which is grouped under gorasa varga (milk and milk products) [5]. It is said that one who uses buttermilk daily does not suffer from any diseases, and diseases cured by buttermilk do not recur; just as divine nectar is for the Gods, buttermilk is to humans [6]. This shows the importance of buttermilk in daily diet. It forms an integral part of a normal Indian diet. It is used to maintain health and to treat various disease conditions; it pacifies tridosha (three humors- Vata, Pitta, Kapha) and JYOTI BJ & KAVITA MB 4201

provides necessary micronutrients to the body; kindles digestive fire thus prevents various diseases as mandagni (week digestive fire) is cause for all diseases. General method of preparation of buttermilk: Buttermilk is prepared by churning the curd in a vessel by adding 1/4 th or 1/2 parts of water. The fat called butter is separated. The liquid portion that is neither too thick nor too thin is considered as buttermilk [7]. Churning causes the separation of cream (an oil-in water emulsion) into two distinct phases, an aqueous phase called buttermilk, and an oily phase or dairy fat concentrate (i.e., butterfat). This separation happens as a result of mechanical destabilization of the initial emulsion [8]. Buttermilk is characterized by the existence of high amounts of residual milk fat globule membrane (MFGM). Intact MFGM is responsible for the stability, integrity and protection of milk fat in the aqueous phase of whole milk. Due to the churning process this membrane is finally destroyed. The compactly bound constituents of MFGM such as proteins, phospholipids, minerals etc are released during the process of churning. Some of these MFGM compounds are considered to be beneficial with regard to human health [9]. Properties of buttermilk: It is of 2 types based on the taste viz., madhura and amla (sweet and sour) with kashaya anurasa (astringent in secondary taste); laghu (light), ruksha (dry) in nature; ushna veerya (hot in potency) and madhura vipaka (sweet at the end of digestion) and kindles the digestive power [10]. Though it mainly acts on kapha and vata it is considered to pacify tridosha [11]. Even though buttermilk is considered to pacify tridosha, it can be used with combination of different drugs to enhance its dosha pacifying property [12]. Increased Vata Dosha - Sour buttermilk + rock salt (Saindhava) OR Sour Buttermilk + dry ginger+ rock salt Increased Pitta Dosha Sweet buttermilk + Sugar candy(sita) Increased Kapha Dosha - Sweet buttermilk + Trikatu (Shunti, Maricha, Pippali) + Alkali(Kshara) Types of Takra: Buttermilk has been classified into different types by different classical texts of Ayurveda based on fat content, water content and method of preparation. Based on fat content, buttermilk is classified into Ruksha Takra (Fat free), Ardhodruta sneha Takra (with partial fat), Anudhruta sneha Takra (Full Fat); these are to be administered based on nature of the doshas involved in causation of the disease, power of digestion and physical strength. Buttermilk with partial fat (1/2 Part) content is considered ordinary and the buttermilk entirely devoid of fat is light and wholesome [13] [Table 1]. Depending upon the quantity of water to be added and method of preparation of buttermilk, is of five types viz. ghola, mathita, takra, udashvita and chachika these are light for digestion in ascending order [14] [Table 2]. Table 1: Types of buttermilk based on Fat content Type of buttermilk Method of preparation Indication Ruksha Takra Ardhodruta Takra sneha Anudhruta sneha takra Churned curd from which fat is completely removed Churned curd from which half of the fat is removed Churned curd from which fat is not at all removed Mandatama Agni(poorest digestive capacity), Adhama bala(least body strength), increased Kaphadosha Mandatara Agni(poorest digestive capacity), Madhyama bala(moderate strength), increased Pitta dosha Manda Agni(poor digestive capacity), Uttama bala(strong body strength), increased Vata dosha Table 2: Types of Buttermilk based on Method of Preparation and Water content Type of buttermilk Method of preparation Properties and Actions Ghola Mathita Churned curd without adding water and without removal of fat Churned curd without adding water but devoid of fat Mitigates Vata pitta, gives contentment when mixed sugar Pacifies Kapha and pitta Takra Churned curd by adding one fourth quantity of Light for digestion, kindles digestive JYOTI BJ & KAVITA MB 4202

water to it fire, aphrodisiac, grahi, trupitkaraka (contemplating) and tridoshahara (pacifies tridoshas) Udashvita Churned curd by adding half part of water to it Kaphakaraka (Increases kapha), balya (strengthening) Chachika Devoid of fat by churning and then added with more quantity of water Pacifies Pitta and Vata, relieves thirst, tiredness, kindles digestive fire by adding saindhava lavana (rock salt) Indications of buttermilk: Fat free buttermilk is useful in various conditions like shotha (oedema), grahanidosha (IBS), sneha vyapad (complications related to consumption of medicated fat), garavisha(artificial poison), arsha (hemorrhoids), atisara (diarrohea), pandu (anemia), aruchi (anorexia), chardi (vomiting), praseka (excessive salivation), mutrakrichra (dysuria), sthoulya (obesity), udara (asctis) and diseases related to skin and spleen [15,10]. It is also recommended in cold seasons (because of its hot potency), during conditions of weakened digestive ability and in diseases caused by kapha and vata dosha, obstruction of channels of tissues (srotorodha mainly vatashleshmavruta marga) [16] Buttermilk with fat is useful in vishamajwara (intermittent fevers) [17]. It is hrudya (good for heart), tarpana (satisfaction), Prinana (soothing), Pustikara (nourishing) and Grahi (binds the feces) [17]. Sphingolipids (SL) are important components of the MFGM found in buttermilk. These dietary SL have cholesterol-lowering properties and triacylglycerol primarily through inhibition of intestinal absorption of both cholesterol and triacylglycerol [18]. The double-blinded randomized cross over placebo controlled study, concluded that consumption of buttermilk led to reduction in serum cholesterol (-3.1%, p = 0.019), LDL-C (-3.1%, P = 0.057) and triacylglycerol (-10.7%, p = 0.007) in men and women [19]. Table 3. Takra as Pathya (wholesome diet) Takra as Aushadhi (Medicine) Takra Anupana Mandagni [20] Krimi [21] Diseases with involvement of Vatadosha [20] Krimi (worm infestation) [21] Shopha [33] Arsha (haemorrhoids) Ghrita vyapad(complications due to Arsha [34,35,36] Grahani 44] excess internal oleation) [22,23] Shopha (oedema) [23] Grahani [37,38] Kasa(productive cough) [45] [25,41, 42,43] Arsha(haemorrhoids) [24, 25,26,27] Vata roga [39] Vishamajwara(intermittent fever) [46] Grahani (IBS) [23,28] Kapha roga [39] Vata roga [47] Kapha roga [47] Mutragraha [23] Hridroga (Diseases related to heart) [40] Aruchi [23] Gulma(tumor) [40] Mutrakrichra [47] Pandu (anaemia) [23] Anaha(distension of Gulma [47] adomen) [40] Garavisha [23] Udara (Ascitis) [28] Rjayakshma (Tuberculosis) [48] Rjayakshma (Tuberculosis) [29,30] Atisara [49] Arsha [24,26,27] Mutrakrichra(dysurea) [31] Chardi(vomiting) [32] JYOTI BJ & KAVITA MB 4203

Contraindications of buttermilk [50,51] : Even though buttermilk is well advised diet in many diseases, sour fat free buttermilk cannot be used in conditions like in case of trauma/wounds, ushna kala (hot seasons -ushna kale sharad greeshmayo) krisha (debilitated persons) and sutika(puerperium); sour buttermilk in fainting, giddiness, burning sensation & disorders of rakta and pitta; sweet full fat buttermilk in aggravated kapha which is situated specially in chest, throat and head. In the warm, the vital functions of lactic acid bacteria accelerate and they convert more milk sugar into lactic acid. As a result, the taste of the product becomes more sour then may be not acceptable to the palate of many people. Nutritional value and health benefits of buttermilk: Buttermilk has wider variation in its composition as it varies with milk quality and its dilution. On an average it consists of total solids 4%, lactose 3%-4%, lactic acid 1.2%, protein 1.3% and fat 0.8%. It is rich source of Calcium, Phosphorus, water soluble vitamins like Vitamin B 2 & B 12. (Table 4). Buttermilk contains various proboitics mainly L. lactis subsp. lactis, L. lactis subsp. lactis var. diacetylactis, L. lactis subsp. Cremori [52]. The probiotics are the live microorganisms which when administered in adequate amount confer health benefits to the host (FAO/WHO, 2002) [53]. The presence of Lactic Acid Bacteria and Lactic Acid in buttermilk inhibit the growth of many pathogenic organisms. Continuous consumption of Lactic fermented milk may help to change the intestinal flora and prevent the growth of putrefactive organisms. Lactic fermented milk products are more readily digested than unfermented milk by persons suffering from intestinal disorders [55]. Probiotic-Lactic Acid Bacteria (LAB)- not only improve intestinal tract health but also does various functions like suppressing the endogenous pathogens (eg. antibiotic associated diarrhea) and exogenous pathogens (eg. traveler s diarrhea), enhancing the immune system modulation, cholesterol reduction, synthesizing and enhancing the bioavailability of nutrients, aid in lactose digestion, small bowel bacterial overgrowth, urogenital infection, decreasing the prevalence of allergy in susceptible individuals, decreases the production of a variety of toxic or carcinogenic metabolites and aid absorption of minerals, especially calcium, due to increased intestinal acidity [52]. It was also found to protect against colon cancer by Sphingomyelin which is specifically responsible for the reduction in the number of apoptosis- resistant cells, predictive of colon cancer [57]. Drinking buttermilk significantly lowers blood pressure on regular consumption [58] and a high water content and mineral content allows the use of buttermilk both for maintaining the water balance and electrolyte balance of the human body in case of diarrhea and as a quick thirst quencher. Thus if consumed regularly, lead to longer, healthier life. Table4. Constituents of 100 gm buttermilk (low fat) [59] Calories Water Macronutrients Carbohydrates Protein Fats Micronutrients Vitamins Vitamin A Vitamin C Vitamin B 6 Vitamin D Thiamin Riboflavin Niacin Micronutrients Minerals Potassium Calcium 40 kcal 90.13 g 4.79 g 3.43 g 0.51 g 47 IU 1.0 mg 0.034 mg 1 IU 0.034 mg 0.154 mg 0.058 mg 151 mg 116 mg JYOTI BJ & KAVITA MB 4204

Iron Magnesium Phosphorous Sodium 0.05 mg 11 mg 89 mg 190 mg CONCLUSION Buttermilk is easily available, easy to prepare and a nutritious beverage or dietary substance all around the year; it provides probiotics which are 'friendly' bacteria that help in maintaining beneficial bacteria in the intestines and warding away disease causing microbes, improves the digestion and metabolism therefore improving immunity. Butter milk detoxifies body and cleanses the intestines, relieves constipation and helps to replenish intestinal flora; forms a complete drink and thirsty quencher. Daily intake of buttermilk helps to maintain the health and beneficial in curing various disorder like grahani, atisara, arshas etc by its tridoshahara guna and prime cause in improving digestive power. Thus it can be beneficial in preventing, promoting and curative aspects of health there by acts as a nectar on earth. References: [1]. Stephen Defelice. Foundation for Innovation in Medicine, Cited on [18 Jan 2015]. Available from:http: / / w w w. c l e m s o n. e d u / N N C / what_are_nutra.html) [2]. Acharya YT. Charaka Samhita of Agnivesha. Chikitsasthana; Vividhashitapitiyamadhyaya: Chapter 28, verse 45. Varanasi : Chaukhambha Prakashana, 2010,p.181. [3]. Tripathy B. Pathyapathya Vinirnaya, Hindi Vyakhya Samanvita.1 st chapter, 6 shloka. Delhi; Chaukhambha Sanskrit Pratishtana. p.3. [4]. Sharma PH, Hindi commentary by Bhisagacharya Kashyapa samhita by Kashyapa. 4th chapter yushanirdeshiyanamadhyaya. Verse 5. Varanasi, Chaukhambha Sanskrit Sansthan: p. 249 [5]. Acharya YT. CharakaSamhita of Agnivesha. Sutrasasthana; Annapanavidhimadhyaya : Chapter 27, verse 229. Varanasi : Chaukhambha Prakashana, 2010, p.166. [6]. Chunekar KC, Pandey GS. Hindi commentary on Bhavaprakasha Nighantu of Bhavamishra. Takravarga. Verse 4-7 Varanasi: Chaukhambha Bharathi Academy, 2013, p.754. [7]. Acharya YT. Sushruta Samhita of Sushruta. Sutrasthana; Dravadravyavidhimadhyaya: Chapter 45, Verse 85. Varanasi: Chaukhambha Sanskrit Sansthan, 2013, p.203. [8]. Conway V, Gauthier SF, Pouliol Y. Buttermilk: Much more than a source of milk phospholipids.. Apr. 2014, Vol. 4, 2:44-51. [9]. Danthine S, Blecker C, Paquot M, Innocente N, Deroanne C. Progress in milk fat globule membrane research: a review. Lait 2000;80: 209-22. [10]. Acharya YT. Sushruta Samhita of Sushruta. Sutrasthana; Dravadravyavidhimadhyaya: Chapter 45, Verse 84. Varanasi: Chaukhambha Sanskrit Sansthan, 2013: 203 [11]. Pandey G, Dwivedi RR (editor) Shodala. Shodala Nighantu. Chowkhambha Krishnadas Academy, Varanasi: First edition 2000,p.351. [12]. Acharya YT. Sushruta Samhita of Sushruta. Sutrasthana; Dravadravyavidhimadhyaya: Chapter 45, Verse 89. Varanasi: Chaukhambha Sanskrit Sansthan, 2013, p. 203. [13]. Acharya YT. Charaka Samhita of Agnivesha. Chikitsasthana; Arshachikitsitamadhyaya : Chapter 14, verse 84. Varanasi : Chaukhambha Prakashana, 2010, p.505. [14]. Chunekar KC, Pandey GS. Hindi commentary on Bhavaprakasha Nighantu of Bhavamishra. Takravarga. Verse 4-7 Varanasi: Chaukhambha Bharathi Academy, 2013, p.754-56. [15]. Pandey G, Dwivedi RR. Shodala. Shodala Nighantu. Chowkhambha Krishnadas Academy, Varanasi: First edition 2000, p. 351. [16]. Acharya YT. Sushruta Samhita of Sushruta. Sutrasthana; Dravadravyavidhimadhyaya: Chapter 45, Verse 87. Varanasi: Chaukhambha Sanskrit Sansthan, 2013, 203. JYOTI BJ & KAVITA MB 4205

[17]. Pandey G, Dwivedi RR. Shodala. Shodala Nighantu. Chowkhambha Krishnadas Academy, Varanasi: First edition;2000, p.352. [18]. Dietary sphingolipids lower plasma cholesterol and triacylglycerol and prevent liver steatosis in APOE*3 Leiden mice. Available from: m.ajcn.nutrition.org/content/84/2/312.full. [19]. Conway, P. Couture, C. Richard et al. Impact of buttermilk consumption on plasma lipids and surrogate markers of cholesterol homeostasis in men and women. Nutr metab Cardiovasc Dis.2013. Available from https://www.ncbi.nlm.nih.gov/m/pubmed/23786821/. [20]. Acharya YT. Charaka Samhita of Agnivesha. Sutrasasthana; Apamargatanduliyamadhyaya : Chapter 2, verse 19. Varanasi : Chaukhambha Prakashana, 2010, p.26. [21]. Acharya YT. Charaka Samhita of Agnivesha. Sutrasasthana; Apamargatanduliyamadhyaya : Chapter 2, verse 23. Varanasi : Chaukhambha Prakashana, 2010, p.26. [22]. Acharya YT. Charaka Samhita of Agnivesha. Sutrasasthana; Apamargatanduliyamadhyaya: Chapter 2, verse 30. Varanasi : Chaukhambha Prakashana, 2010, p.26. [23]. Acharya YT. Charaka Samhita of Agnivesha. Sutrasasthana; Annapanavidhimadhyaya : Chapter 27, verse 229. Varanasi : Chaukhambha Prakashana, 2010, p.166. [24]. Acharya YT. Charaka Samhita of Agnivesha. Chikitsasasthana; Annapanavidhimadhyaya : Chapter 14, verse 79. Varanasi : Chaukhambha Prakashana, 2010, p.505. [25]. Acharya YT. Charaka Samhita of Agnivesha. Chikitsasasthana; Annapanavidhimadhyaya : Chapter 14, verse 80-81. Varanasi : Chaukhambha Prakashana, 2010, p.505. [26]. Acharya YT. Charaka Samhita of Agnivesha. Chikitsasasthana; Arshachikitsa adhyaya : Chapter 14, verse 94. Varanasi : Chaukhambha Prakashana, 2010, p.506. [27]. Acharya YT. Charaka Samhita of Agnivesha. Chikitsasasthana; Arshachikitsa adhyaya : Chapter 14, verse 246. Varanasi : Chaukhambha Prakashana, 2010, p.511. [28]. Acharya YT. Charaka Samhita of Agnivesha. Chikitsasasthana; udarachikitsa adhyaya : Chapter 13, verse 101-106. Varanasi : Chaukhambha Prakashana, 2010, p.505. [29]. Acharya YT. Charaka Samhita of Agnivesha. Chikitsasasthana; Rajayakshmachikitsa adhyaya : Chapter 8, verse 125. Varanasi : Chaukhambha Prakashana, 2010, p.465. [30]. Acharya YT. Charaka Samhita of Agnivesha. Chikitsasasthana; Rajayakshmachikitsa adhyaya : Chapter 8, verse 133. Varanasi : Chaukhambha Prakashana, 2010, p.465. [31]. Acharya YT. Charaka Samhita of Agnivesha. Chikitsasasthana; Annapanavidhimadhyaya : Chapter 26, verse 54. Varanasi : Chaukhambha Prakashana, 2010, p.600. [32]. Acharya YT. Charaka Samhita of Agnivesha. Chikitsasasthana; Trimarmiyachikitsa adhyaya : Chapter 20, verse 35. Varanasi : Chaukhambha Prakashana, 2010, p.557. [33]. Acharya YT. Charaka Samhita of Agnivesha. Chikitsasasthana; Urusthambachitksa adhyaya : Chapter 12, verse 27. Varanasi : Chaukhambha Prakashana, 2010, p.485. [34]. Acharya YT. Charaka Samhita of Agnivesha. Chikitsasasthana; Arshachikitsa adhyaya : Chapter 14, verse 70-71. Varanasi : Chaukhambha Prakashana, 2010, p.505. [35]. Acharya YT. Charaka Samhita of Agnivesha. Chikitsasasthana; Arshachikitsa adhyaya : Chapter 14, verse 73-75. Varanasi : Chaukhambha Prakashana, 2010, p.505. [36]. Acharya YT. Charaka Samhita of Agnivesha. Chikitsasasthana; Arshachikitsa adhyaya : Chapter 14, verse 252. Varanasi : Chaukhambha Prakashana, 2010, p.511. [37]. Acharya YT. Charaka Samhita of Agnivesha. Chikitsasasthana; Grahanichikitsa adhyaya : Chapter 15, verse 88-93. Varanasi : Chaukhambha Prakashana, 2010, p.519. [38]. Acharya YT. Charaka Samhita of Agnivesha. Chikitsasasthana; Grahanichikitsa adhyaya : Chapter 15, verse 120-121. Varanasi : Chaukhambha Prakashana, 2010, p.521. [39]. Acharya YT. Charaka Samhita of Agnivesha. Chikitsasasthana; Arshachikitsa adhyaya : Chapter 14, verse 88. Varanasi : Chaukhambha Prakashana, 2010, p.505. JYOTI BJ & KAVITA MB 4206

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