Punarnavasavam – Herbal Anti Inflammatory – Uses, Ingredients, Dose and Side Effects

Punarnavasavam is a liquid Ayurvedic medicine useful in gastritis, edema, fiver and liver diseases. It is a fermented product and contains 5 – 10 % of self generated alcohol. This self generated alcohol and the water present in the product acts as a media to deliver water and alcohol soluble active herbal components to the body.  
Punarnavasavam dose: 12 – 24 ml. one or two times a day, usually advised after food.
If needed, it can be mixed with equal quantity of water.

Punarnavasav uses - 
Punarnavasava is widely used as herbal anti inflammatory and anti oedema medicine. it reduces swelling, useful in liver and spleen conditions, and fever.

Traditional uses:
Shotha – oedema, swelling, inflammatory conditions.
Udara – ascites,
Pleeha – splenomegaly
Amlapitta – gastritis, hyperacidity
Yakrut – liver disorders
Gulma – abdominal tumor, distension
Jvara – fever
Kruchra sadhya roga – chronic, difficult-to-treat disorders.

Punarnavasavam side effects:
Punarnavasava in prescribed dosage is not having any side effects.
High dosage may cause temporary Blood pressure variations and gastric irritation.
People with diabetes and high BP should take this medicine only under medical supervision.

Punarnavasavam ingredients: 
Shunti – Ginger – Zingiber officinalis – Rhizome – 16 g
Pippali – Long pepper – Piper longum – Fruit – 16 g
Maricha – Pepper – Piper nigrum  -Fruit – 16 g
Haritaki – Terminalia chebula – Fruit rind – 16 g
Darvi – Berberis aristata – Stem – 16 g
Vibhitaki – Terminalia bellirica - Fruit rind - 16 g
Amla - Emblica officinalis – Fruit - 16 g
Gokshura Tribulus terrestris – Root / whole plant - 16 g
Kantakari –  Solanum xanthocarpum – Root / whole plant - 16 g
Brihati –  Solanum indicum – Root / whole plant - 16 g
Vasaka – Adhatoda vasica – Root – 16 g
Erandamoola Castor root – Ricinus communis - 16 g
katuki – Picrorrhiza kurroa – Root - 16 g
Punarnava – Boerhaavia diffusa - Root - 16 g
Gajapippali  Scindapsus officinalis – Fruit – 16 g
Pichumarda – Neem – Azadirachta indica – Stem bark – 16 g
Guduchi – Giloya – Tinospora cordifolia – Stem – 16 g
Patola - Trichosanthes dioica – leaf – 16 g
Shushka Mulaka – Dry Radish –  Raphanus sativus – root – 16 g
Duralabha – Fagonia cretica – Root – 16 g
Dhataki –  Woodfordia fruticosa – Flower – 256 g
Sita – sugar – 1.6 kg
Draksha - Dry grapes - Vitis vinifera – Fruit – 320 g
Madhu - Honey - 800 g
water – 8.19 liters

Method of manufacturing:
The herbs in the list till Sita (sugar) are made into coarse powder. sugar is dissolved in water and filtered. To the sugar solution, the rest of the ingredients are added in a clean container. It is sealed and kept for a month for fermentation. Filtered. 

Reference: Bhaishajya Ratnavali, Shotha rogadhikara, 197-201
punarnavasavam
Manufacturers: 
AVP,  AVS (Kottakkal), Baidyanath

Safe for kids? 
It is safe to use this medicine in lower dose, in children above 5 years of age.
Pregnancy and lactation -
During pregnancy it is best to take only under medical supervision. Self medication during pregnancy should be avoided.
It can be taken during lactation period, under doctor’s advice, for a short period of time.
Expiry date: 10 years from the date of manufacture.
Storage: Store in a cool place in tightly closed amber coloured bottle, protect from light and moisture.

Dr JV Hebbar is an Ayurveda Doctor, Lecturer, From Mangalore, India. Click here to consult Dr Hebbar
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