The nutritional aspect is more in the form of its high vitamin C content, the presence of linoleic oil and other important nutrients which it makes more of a tonic. People who are in need of purgatives are those whose bowel irregularity is caused by liver and gall bladder congestion usually accompanied by some degree of blood toxins. Those in need of demulcent laxatives are those with intestinal dryness caused by a variety of metabolic factors including a nutritional deficiency as well as a condition of excess hypermetabolic energy. Triphala will prove useful for all kinds of constipation except that caused by a lack of vital energy or chi. Even for the latter type, it will not further deplete such an individual and can be made to work well if it is combined with other chi, blood or yang-warming tonic herbs such as ginseng for chi tonification, tang kuei for blood tonification and prepared aconite for yang tonification.
Herbal healing is largely a matter of strategy.
One approach may emphasize tonification while another emphasizes elimination. The problem with overemphasizing tonification is that it can lead to further stagnation and congestion in an excess condition. Emphasizing elimination through the overuse of purgatives in an already deficient individual can further deplete the body's store of minerals and essential B vitamins as well as imbalance beneficial intestinal micro-organisms. The result is weakness with a likely tendency towards chronic fatigue and anemia. Since the body is always simultaneously involved with maintaining and gaining strength through good nutrition as well as eliminating waste, Triphala is unique in that it is naturally able to support both vital processes simultaneously.