Wrightia tinctoria, also referred to as vettpalai/indrajava, is an evergreen herbal tree belonging to the Apocynaceae family, found in India and the Southeast Asian region. Revered in ancient medical systems such as Ayurveda along with Siddha, it has been employed for millennia to treat many maladies, including dermatological and gastrointestinal issues. This study systematically aggregates scholarly information on Wrighita tinctoria, highlighting its phytochemical composition, pharmacological characteristics, and therapeutic prospects. The plant has many bioactive components, including flavonoids, alkaloids, triterpenoids, and phenolic substances, which enhance its various therapeutic properties. Research underscores Wrightia tintoria’s significant antibacterial efficacy against several pathogens, encompassing viruses, Molds, and bacteria. The anti-inflammatory and antioxidant qualities indicate its effectiveness in treating chronic inflammatory disorders such as dermatitis, with emulgel formulations exhibiting remarkable drug diffusion rates. The plant exhibits considerable anticancer potential, especially targeting oral and breast carcinoma cell lines, causing apoptosis via unique biological pathways. In addition to these qualities, Wrighita tinctoria demonstrates advantages for metabolic and mental disorders, exhibiting antidiabetic actions akin to recognized medicines and neuroprotective properties. Toxicological investigations confirm its safety, demonstrating little mortality in healthy cells while efficiently targeting cancer cells. Notwithstanding these encouraging results, the analysis highlights a deficiency in medical verification and the necessity for further human studies. Subsequent investigations ought to concentrate on isolating active constituents, refining extraction techniques, and formulating standardized preparations. In summary, Wrightia tinctoria is a multifaceted plant with considerable therapeutic potential, integrating traditional and contemporary medicine, but necessitating more study to properly use its capabilities in healthcare.