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How to Separate Traditional Use From Clinical Evidence

Traditional use tells you how people have used shilajit over centuries, in systems such as Ayurveda and Persian and Central Asian medicine. Clinical evidence tells you what happens when it is tested in controlled trials. Tradition can suggest ideas worth testing and reveal obvious harms, but it can’t show whether an effect is real, how big it is, or whether it applies to modern products. Keep the two separate when judging claims.

Updated 4 October 2026Part of Shilajit Research

Key facts
  • Tradition records how shilajit has been used.
  • Clinical trials test whether effects are real.
  • Tradition can suggest ideas and reveal obvious harms.
  • It can’t prove modern products work.

Traditions of use

Shilajit appears in Ayurvedic texts, which describe four classical types and methods of purification.[1] Persian medicine described a similar material, known as mumie, for a range of uses,[2] and it has a long history in Central Asian and Russian folk medicine as mumijo; see history and the four classical types.

Tradition vs clinical evidence

What each can show
QuestionTraditionClinical trials
How has it been used?YesNo
Which ideas are worth testing?Yes—
Is an effect real?NoYes, if well designed
How large is it?NoYes
Uncommon or long-term harms?RarelyPartly; needs long studies

Why tradition isn’t proof

  • No comparison groupImprovement may have happened anyway.
  • Placebo and expectationBelief in a remedy affects how people feel.
  • Selective memorySuccesses are remembered and retold.
  • Different preparationsTraditional processing differs from modern products.
  • Different conditionsTraditional categories don’t map neatly onto modern diagnoses.

What tradition is good for

Traditional use is valuable as a starting point. Many modern research questions about shilajit, such as its use for vitality and fatigue, come from traditional claims. Long use can also suggest that serious, immediate harms are uncommon with traditional preparations, though it can’t detect rare or slow effects.

Traditional vs modern preparations

Ayurvedic texts describe specific purification methods, sometimes using herbal decoctions.[1] Modern commercial resin is usually water-extracted and dried in different ways, and some products are standardised extracts. Evidence from tradition therefore describes different materials from many products sold today; see water-based extraction.

An example: altitude

Shilajit is traditionally associated with mountain communities, and a 2010 review proposed it as a remedy for high-altitude problems.[3] That idea is interesting but hasn’t been tested in human trials, so we rate it “Not studied”; see altitude.

“Used for 3,000 years” claims

Marketing often presents long use as evidence that a product works. In the UK, health claims must be authorised and based on scientific evidence,[4] and traditional use alone doesn’t meet that standard for food supplements. See “used for 3,000 years” claims.

Respecting tradition without overstating it

Separating tradition from clinical evidence isn’t dismissive. Traditional knowledge reflects careful observation over generations and deserves respect. It answers different questions from clinical trials, and both are clearer when kept distinct.

Putting it into practice

When you see a claim, ask whether it is based on tradition or on trials. If it says “traditionally used for”, treat it as history. If it says “shown to”, look for the human study behind it and check our evidence ratings.

The placebo effect and tradition

Expectation can improve how people feel, especially for subjective outcomes such as energy, mood or wellbeing. Traditional remedies often target exactly these outcomes. That doesn’t mean any real effect is absent, but it means only placebo-controlled trials can separate the remedy’s effect from the effect of believing in it.

Traditional categories and modern conditions

Traditional systems describe health in their own terms, such as balance, vitality or strength, which don’t map neatly onto modern diagnoses. Translating a traditional use into a modern claim, such as “boosts testosterone”, adds an interpretation that the tradition itself didn’t make.

What tradition says about safety

Traditional preparations were purified by specific methods, and traditional use took place in very different conditions from modern daily supplementation. Long use doesn’t cover modern contamination risks in products from different sources, which is why batch testing matters; see why contaminant testing matters.

How tradition shaped modern research

Many shilajit trials grew out of traditional claims about vitality, strength and wellbeing. Researchers turned those ideas into testable questions, such as whether shilajit affects testosterone or strength after exercise.[5][6] That is tradition doing exactly what it is best at: pointing research in a direction, with trials then checking whether the idea holds.

What this means for readers

Enjoy the history and respect the tradition, but base decisions about benefits on human trials and decisions about safety on testing. A product’s traditional story says nothing about whether its current batch is clean. Tradition and testing answer different questions, and good decisions draw on both without confusing one for the other. A long history can tell you why people valued shilajit; only evidence and batch testing can tell you what a particular jar will and won’t do.

The bottom line

Traditional use tells you how shilajit has been valued and which ideas are worth testing. Clinical evidence tells you whether effects are real in people. Keep them separate, respect both, and don’t let tradition stand in for trials.

Frequently asked questions

Is traditional use evidence that shilajit works?

No. It shows how shilajit has been used, not whether effects are real.

Which traditions use shilajit?

Ayurveda, Persian medicine and Central Asian and Russian folk medicine, among others.[1][2]

What is tradition good for?

Suggesting ideas worth testing and indicating obvious immediate harms.

Are traditional and modern shilajit the same?

Not necessarily; purification methods differ.

Can products claim traditional benefits?

Health claims must be authorised and evidence-based in the UK.[4]

Has the altitude use been tested?

Not in human trials.[3]

Why might traditional remedies seem to work?

Placebo, natural recovery and selective memory, as well as possible real effects.

Should I dismiss traditional use?

No, but keep it separate from clinical evidence.

Sources & further reading

Primary research, regulators and standards bodies are cited first. A source being listed here does not mean it supports every claim made by sellers; it supports the specific statement it is attached to.

  1. Quazi et al.. Shilajit review: "A powerful molecule of Ayurveda science". Pharmacognosy Research 15(3):455, 2023. View source (opens in a new tab) [Review]
  2. Shahriari M, Zare F, Nimrouzi M. The curative role of bitumen in traditional Persian medicine. Acta medico-historica Adriatica 16(2):283–292, 2018. doi:10.31952/amha.16.2.6. View source (opens in a new tab) [Historical review]
  3. Meena H, Pandey HK, Arya MC, Ahmed Z. Shilajit: a panacea for high-altitude problems. International Journal of Ayurveda Research 1(1):37-40, 2010. View source (opens in a new tab) [Narrative review]
  4. Department of Health and Social Care. Great Britain nutrition and health claims (NHC) register. GOV.UK. View source (opens in a new tab) [Official register]
  5. Pandit S, Biswas S, Jana U, De RK, Mukhopadhyay SC, Biswas TK. Clinical evaluation of purified Shilajit on testosterone levels in healthy volunteers. Andrologia 48(5):570–575, 2016. PMID 26395129. View source (opens in a new tab) [Randomised controlled trial]
  6. Keller JL, Housh TJ, Hill EC, Smith CM, Schmidt RJ, Johnson GO. The effects of Shilajit supplementation on fatigue-induced decreases in muscular strength and serum hydroxyproline levels. Journal of the International Society of Sports Nutrition 16:3, 2019. doi:10.1186/s12970-019-0270-2; PMID 30728074. View source (opens in a new tab) [Randomised controlled trial]