Centella asiatica — a centuries-old Ayurvedic and TCM herb studied for collagen synthesis, microcirculation and skin firmness.
Gotu kola (Centella asiatica) is a small creeping herb long used in Ayurveda, Traditional Chinese Medicine and Indonesian Jamu. Its triterpene fraction (TECA / Madecassol) is a prescription wound-healing standard in parts of Europe and Asia. Clinical trials report improvements in dermal collagen, skin elasticity, photo-aged skin, stretch marks and venous-related skin changes.
Quick answer
What it is: Gotu kola (Centella asiatica) is a small creeping herb long used in Ayurveda, Traditional Chinese Medicine and Indonesian Jamu.
Multiple human RCTs on topical madecassoside for photoaging and oral TTFCA for venous/skin microcirculation, plus consistent mechanistic data on collagen synthesis.
Last reviewed · Jun 2026
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Commonly Combined With
Other remedies frequently used alongside this one — from curated relationships, community reports, and shared protocols.
Community signal breakdown
Where this remedy is being discussed across the web and community.
Dietary protocols studied for the conditions this remedy is associated with.
Anti-Inflammatory Diet
A whole-foods pattern designed to lower chronic, low-grade inflammation by emphasizing omega-3s, polyphenols, fiber, and minimizing ultra-processed foods, sugar, and seed oils.
The anti-inflammatory diet is not a single protocol but a synthesis of the patterns most consistently linked to lower inflammatory markers (CRP, IL-6, TNF-alpha) in human studies — Mediterranean-style eating, oily fish, abundant polyphenols, and low intake of ultra-processed foods, refined sugar, industrial seed oils, and excessive alcohol.
Foods to emphasize
Fatty fish 2–3x/week (salmon, sardines, mackerel, herring)
Extra-virgin olive oil
Berries, cherries, and other deeply colored fruit
Dark leafy greens and cruciferous vegetables
Turmeric, ginger, and culinary herbs
Green tea
Nuts (especially walnuts) and seeds (flax, chia)
Legumes and whole grains
Dark chocolate (≥70% cocoa) in moderation
Foods to avoid
Sugar-sweetened beverages and refined sugar
Ultra-processed snacks and ready meals
Industrial seed oils used at high heat (soybean, corn, sunflower, cottonseed)
Processed and cured meats
Refined flour products
Excess alcohol
Key principles
Cook with olive oil, finish with extra-virgin olive oil
Aim for 25–35 g of fiber per day from whole foods
Eat the rainbow — color diversity ~ polyphenol diversity
Limit added sugar to <25 g/day
Typical duration: A long-term eating pattern.
Why it may help
Beauty & Anti-Aging: Polyphenol- and omega-3-rich diets are linked with better skin elasticity, hydration, and reduced photoaging markers.
Skin Care: Reduces inflammatory drivers of acne, rosacea, and eczema; commonly recommended alongside topical care.
Safe and flexible. Can be combined with Mediterranean, vegetarian, or plant-forward patterns.
Vegan Diet
A fully plant-based eating pattern that excludes all animal products — meat, fish, dairy, eggs, and honey.
A whole-food vegan diet emphasizes vegetables, fruit, legumes, whole grains, nuts, and seeds. It has been associated with improvements in body weight, blood lipids, and glycemic control, and is being studied for autoimmune and inflammatory conditions. It requires deliberate planning for vitamin B12, vitamin D, omega-3 (EPA/DHA), iodine, iron, zinc, and (sometimes) calcium.
Nuts and seeds (especially walnuts, chia, flax, hemp)
Fortified plant milks and nutritional yeast
Algae-based EPA/DHA supplement
Vitamin B12 supplement (non-negotiable)
Foods to avoid
Refined grains and sugar as the bulk of meals
Heavily processed vegan junk foods
Coconut and palm oils in excess
Key principles
B12 supplementation is required, not optional
Include a reliable iodine source (iodized salt or seaweed in moderation)
Get vitamin D from sun and/or a supplement
Combine grains and legumes across the day for complete protein
Choose calcium-fortified plant milk if not eating leafy greens daily
Typical duration: A long-term eating pattern.
Why it may help
Skin Care: Eliminating dairy has reduced acne severity in clinical studies; whole-food vegan diets push this further with high antioxidant intake.
Vegan diets can be excellent or deficient — quality depends on planning. Pregnant, breastfeeding, and growing children on vegan diets should be followed by a registered dietitian.
Vegetarian Diet
A plant-based eating pattern that excludes meat, poultry, and fish but typically allows eggs and/or dairy.
Vegetarian diets range from lacto-ovo (includes eggs and dairy) to lacto (dairy only) and ovo (eggs only). Done well, they are associated with lower rates of cardiovascular disease, type 2 diabetes, and some cancers. Done poorly, they can be high in refined grains and low in key nutrients (B12, iron, omega-3s, zinc).
Foods to emphasize
Legumes (lentils, chickpeas, beans, tofu, tempeh)
Whole grains (oats, quinoa, brown rice, whole wheat)
Vegetables and fruit, daily and varied
Nuts and seeds (almonds, walnuts, chia, flax, hemp)
Plan for protein at every meal (legumes, tofu, tempeh, eggs, dairy)
Pair iron-rich plants with vitamin C to boost absorption
Plan a reliable B12 source — fortified foods or a supplement
Include omega-3 ALA from flax, chia, walnuts; consider an algae-based EPA/DHA supplement
Typical duration: A long-term eating pattern.
Why it may help
Beauty & Anti-Aging: High intake of plant antioxidants is linked with better skin antioxidant capacity and lower oxidative stress markers in observational studies.
Nutritional adequacy depends on planning, not just food choice. A registered dietitian can help avoid common gaps.
Autoimmune Protocol (AIP)
A strict elimination version of paleo designed to calm autoimmune flares and identify food triggers through structured reintroduction.
The Autoimmune Protocol removes foods commonly implicated in immune activation and gut permeability — grains, legumes, dairy, eggs, nightshade vegetables, nuts, seeds, refined sugar, alcohol, and additives — for a 30–90 day elimination, followed by careful one-at-a-time reintroduction. It is most studied in Hashimoto's thyroiditis and inflammatory bowel disease.
Foods to emphasize
Quality meat, poultry, and seafood (especially wild-caught fatty fish)
Organ meats once or twice weekly
A wide variety of non-nightshade vegetables and leafy greens
Nuts and seeds (including seed-based spices like cumin, coriander)
Refined sugar and sweeteners
Alcohol
NSAIDs and food additives where possible
Key principles
Pair the elimination with sleep, stress management, and movement
Track symptoms in a journal during reintroductions
Reintroduce one food every 5–7 days and watch for symptom changes
Most people do NOT need to stay strict long-term — the goal is a personalized maintenance diet
Typical duration: 30–90 day strict elimination, then a structured staged reintroduction over weeks to months.
Why it may help
Skin Care: Used as an elimination protocol for chronic eczema, psoriasis, and autoimmune skin conditions where food triggers are suspected.
AIP is restrictive and best done with a practitioner familiar with the protocol, especially when active autoimmune disease is involved or in pregnancy/lactation.
Carnivore Diet
An all-animal-foods elimination diet consisting of meat, fish, eggs, and (optionally) dairy, with zero plant foods.
The carnivore diet is the most aggressive elimination diet — it removes every plant food (and therefore every fiber, lectin, oxalate, gluten, and FODMAP source) to isolate animal-food tolerance. Proponents use it primarily as a short-term diagnostic elimination to surface food triggers in autoimmune, gut, and inflammatory conditions. Long-term safety data is limited and observational.
Foods to emphasize
Ruminant meat (beef, lamb, bison) — emphasized for nutrient density
Pasture-raised eggs
Fatty fish (salmon, sardines)
Organ meats (liver, kidney) once or twice weekly
Bone broth and bone marrow
Animal fats (tallow, butter, ghee)
Salt to taste
Optional: aged hard cheeses, heavy cream
Foods to avoid
All grains, legumes, and seeds
All vegetables and fruit
Nuts and plant oils
Sugar and sweeteners
Most processed foods
Alcohol
Key principles
Eat to satiety — no calorie counting
Salt food liberally to maintain electrolytes
Prioritize fattier cuts over lean meats
Reintroduce foods one at a time after the elimination window to identify triggers
Best tracked with a clinician given the radical nature of the change
Typical duration: Typically run as a 30–90 day elimination, then food reintroductions one at a time.
Why it may help
Skin Care: Reported anecdotally to clear chronic skin inflammation by removing common food triggers; used as a short diagnostic elimination, not a long-term plan.
Long-term effects on cardiovascular markers, bone health, and the gut microbiome are not well established. Avoid in chronic kidney disease, gout flares, or active eating disorders without medical supervision.
Linked nutrient deficiencies
Vitamin and mineral deficiencies commonly associated with the conditions this remedy may support.
Vitamin C
Water-soluble vitamin
Antioxidant required for collagen synthesis, immune function, and iron absorption.
Low zinc is linked to recurrent infections, acne, slow wound healing, leaky gut, and impaired taste/smell. Often deficient in vegetarians and those with gut malabsorption.
Common symptoms
Frequent colds/infections
Acne or slow-healing skin
Loss of taste or smell
Hair loss
White spots on nails
Food sources
Oysters
Beef and lamb
Pumpkin seeds
Cashews
Lentils and chickpeas
Lab markers to discuss
Plasma or serum zinc
Zinc/copper ratio
Reference intake: 8–11 mg/day RDA.
Supplementation notes: Take away from iron and calcium. Long-term high-dose zinc depletes copper — pair with ~1 mg copper if dosing >30 mg/day.
Why it matters here
Skin Care: Low zinc is implicated in acne, eczema, and slow wound healing.
Beauty & Anti-Aging: Required for wound healing and collagen formation.
Vitamin A (Retinol)
Fat-soluble vitamin
Required for epithelial integrity, immune defense, vision, and skin renewal.
Low vitamin D status is one of the most widespread deficiencies globally and has been linked to autoimmune disease activity (Hashimoto's, MS), mood disorders, recurrent infections, and poor skin barrier function.
Common symptoms
Fatigue
Low mood
Frequent infections
Bone or muscle aches
Hair thinning
Food sources
Fatty fish (salmon, sardines)
Egg yolks
Cod liver oil
UV-exposed mushrooms
Fortified dairy
Lab markers to discuss
25-hydroxyvitamin D (target 40–60 ng/mL per most functional ranges)
Reference intake: Adults 600–800 IU/day RDA; functional medicine often targets 2,000–5,000 IU/day with monitoring.
Supplementation notes: Take with a fat-containing meal. Pair with vitamin K2 (MK-7) when supplementing higher doses long-term.
Why it matters here
Beauty & Anti-Aging: Influences skin barrier function and pigmentation pathways.
Skin Care: Supports skin barrier and immune balance.
Triterpenoids (asiaticoside, madecassoside, asiatic & madecassic acids) stimulate Type I and Type III collagen, modulate TGF-β signaling and improve dermal microcirculation.
How it works in more detail
In vitro and human-biopsy studies show madecassoside and asiaticoside upregulate fibroblast proliferation and Type I/III collagen synthesis while inhibiting UV-induced matrix metalloproteinases. Topical 0.1% madecassoside + 5% vitamin C trials (Haftek 2008) demonstrated measurable dermal-density gains after 6 months. Oral TTFCA improves venular tone and reduces capillary leakage.
How to use
Always consult a qualified clinician.
Editorial guidance
Suggested dosage
Oral: 60–120 mg/day standardized triterpene extract (TECA/TTFCA), or 1–2 g/day dried herb. Topical: 0.1% madecassoside cream twice daily. Cycle 8–12 weeks on, then reassess.
Research dosage range
60–180 mg/day standardized extract; 1–4 g/day dried herb
Typical onset
4–8 weeks for visible skin firmness; up to 6 months for photoaging markers.
Look for extracts standardized to ≥40% total triterpenes (asiaticoside + madecassoside + asiatic & madecassic acids). Choose wild-crafted or organic leaf — gotu kola is a heavy-metal accumulator.
Medication interactions
Sedatives (may potentiate)
Hepatotoxic medications
Diabetes medications (may lower blood sugar)
Cholesterol-lowering drugs
Pregnancy / lactation
Avoid during pregnancy and lactation — insufficient safety data and traditional use as an emmenagogue.
Community tips
No community tips yet — be the first to share what worked for you.
Suggested dosage
Oral: 60–120 mg/day standardized triterpene extract (TECA/TTFCA), or 1–2 g/day dried herb. Topical: 0.1% madecassoside cream twice daily. Cycle 8–12 weeks on, then reassess.
General guidance — discuss specifics with a clinician.
Active medicinal compounds
Pentacyclic triterpenoid saponins: asiaticoside, madecassoside, asiatic acid, madecassic acid (standardized as TECA/TTFCA). Plus flavonoids (quercetin, kaempferol) and phytosterols.
Nutritional contents
Modest source of B-vitamins, vitamin C and beta-carotene when eaten fresh; medicinal effect comes from the triterpene fraction, not the nutrients.
Traditional use
Used in Ayurveda ("Brahmi"/"Mandukaparni") as a rasayana for skin, longevity and mental clarity. In TCM ("Ji Xue Cao") for cooling and skin sores. Eaten fresh in salads (pegaga) across Southeast Asia.
Safety
Safety warnings
Generally well tolerated up to 12 weeks. Rare hepatotoxicity reports with prolonged high-dose oral use — take breaks every 6 weeks and avoid combining with other hepatotoxic herbs.
Medication interactions
Sedatives (may potentiate)
Hepatotoxic medications
Diabetes medications (may lower blood sugar)
Cholesterol-lowering drugs
Reported side effects
Mild GI upset
Headache
Drowsiness
Contact dermatitis (topical, rare)
Elevated liver enzymes with chronic high-dose use
Pregnancy & lactation
Avoid during pregnancy and lactation — insufficient safety data and traditional use as an emmenagogue.
General guidance — discuss specifics with a clinician.
Evidence ecosystem
Scientific literature, clinical guidance, government sources, ongoing research, traditional use, and lived experience — grouped by source type and quality.
Overall grade (C)
Multiple human RCTs on topical madecassoside for photoaging and oral TTFCA for venous/skin microcirculation, plus consistent mechanistic data on collagen synthesis.
Filter by source type
Systematic Reviews(1)
Structured reviews of the full body of evidence (incl. Cochrane).
This study is being done to find out whether a nightly 5-minute foot massage (Padabhyanga) using Brahmi-Gotukola oil can help women ages 40 to 55 sleep better and feel calmer during perimenopause. Perimenopause is the time when periods start to change and many women begin to experience sleep problems and mood changes. The study will also compare Brahmi-Gotukola oil to organic sesame oil, which will be used as the control oil.
Participants will do a simple guided 10-minute foot massage at home every night for 2 weeks using either Brahmi-Gotukola oil or organic sesame oil. They will fill out a short sleep log each morning to track their sleep. Before starting the study and again at the end of the 2-week period, they will complete questionnaires about their sleep and mood. Additional follow-up questionnaires will be completed in the 3rd and 4th weeks to see if any improvements continue even after the massage period is over.
This study aims to:
See whether Brahmi-Gotukola oil foot massage improves sleep in women experiencing perimenopausal sleep problems.
Find out whether Brahmi-Gotukola oil foot massage helps with mood and emotional well-being.
Compare Brahmi-Gotukola oil foot massage with sesame oil foot massage to determine whether Brahmi oil provides more benefits for sleep and mood.
Clinical TrialClinicalTrials.govModerate Quality
Limitations: Trials are mostly small (n<100), short (8–24 weeks) and often combine gotu kola with vitamin C or other actives, making isolated effect size hard to quantify.
This page is educational. Statements use phrases like "may support" and "has been studied for"because no remedy here is approved to cure, treat, or reverse any condition. Discussion happens on the ailment pages — community statistics here are derived from those reports. Always consult a qualified clinician.
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