The book does not ask you to kill the elephant. Instead, it teaches that the "Madha" (the fluid of passion) is necessary for life. Without musth, the elephant is docile and useless. Without passion, the human is dead. The goal is to redirect the flow, not stop it.

One of the challenges in researching the is that it falls into the category of Nīti Nūlkal (books of justice/ethics), similar to the more famous Thirukkural by Thiruvalluvar, Naladiyar , and Aathichudi by Avvaiyar. However, unlike those globally recognized texts, Ettu Thikkum Madha Yaanai is often attributed to anonymous folk poets or later medieval Tamil scholars.