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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.


Loha bhasma

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. Specially indicated for dropsy and anemia.

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
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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  1. Wt happen if we take 2 spoon every two hours

  2. Najla Fayaz says:

    Sir, is this kasha yam is safe in lactation period. How many times does it take ones or twice. Baby has 4mnt only..I

  3. My mom is suffering from Liver Cirrhosis due to Hepatitis C infection. How useful will this medication be for her..?? She is at the moment taking only homeopathic medication for the same. She has been suffering quite some as she has water retention in her feet and stomach usually. Please advise, hope you can help her recover.

  4. can this help in fatty liver disease? How? what is the best dosage for 28 year old person?

  5. Sir,I was advice this medicine along with ayaskrithi for a swelling around my ankle( left).I am obese.is punarnavasavm is for weight loss?

  6. Aparna Ghosh says:

    My father is havin swelling ankle initially.. nw d knees hv also swollen.. n thr is a pain too.. will this product b beneficial for him??

  7. Sir is this product useful to reduce weight? Am just 22 and my bmi is 30. 3… Can you suggest an ayurvedic medicine o be taken along with exercise to reduce weight?

    • Dr Malini Bhat says:

      No it is used in treating gastritis, edema, fiver and liver diseases. Do consult the doctor for medicines for reducing weight because we all are genetically different with different constitutions and patterns, we respond to treatments in many different ways. Hence Standard Ayurvedic Treatments are always individually formulated.

  8. sir, does it helps psoriasis? what dosage?

  9. Sir
    I am a CKD patient with swollen ankles / legs . My doctor has advised taking this medicine 15 ml, 4 times a day. Should I restrict myself to the standard dosage of 25 ml or continue with the docs advise. Kindly clarify how safe it is for kidney and odema

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