In chronic dysenteric conditions, accompanied by loose stools alternating with occasional constipation, the ripe fruit is widely used in different formulations. Chronic diarrhea or dysentery responds well to bilva, this therapeutic effect being included in the British Pharmacopoeia. It is also been used for treating giardiasis. The bark and leaves are used in medicated retention enema. The root improves appetite and relieves nausea. It is also used as a mild sedative. The extract of leaves is used in diabetes mellitus. The root is administered with other plants during post-partum period. The oil is used as ear drops.
Bilva has been used very widely for thousands of years in India. Occasionally constipation has been reported with larger doses of root bark. The extract of leaves has shown isotropic effects on the heart in experimental animals. Hypoglycemic effects have been reported.