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.

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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

  10. Sir is it helpful for joint pain and whole body swelling?

  11. Venkat reddy says:

    Sir, Can i use this product for psoriasis arthritis? I have swelling at all major joints? Does it help me?

  12. N S RAGHAVAN says:

    I am taking Dashmoolarishta , Maharasnadikashyam, Eranda sukumaram, and Dhanwahthari 100 Aavarthi for my lower back pain and general weekness. Will taking Punarnavasava help in reducing my ankle swelling, without causing side effects. Is it alcoholic in nature and will it induce sleepinesss during day..thanks..Raghavan

  13. If taken in empty stomach will it cause stomach pain. I’m suffering from stomach pain for nearly 12 hours now. Please let me know immediately

  14. I am suffering from stomach pain after having punarnavasavam with water dosage 30ml with water after 2hours of food for last 12 hrs. Why?

  15. Doctor, I am using balarishtam and punarnavasavam, yogaraja guggulu vatika daily 4 for knee pain from 2 months. I am 33 years old. While planning for pregnancy when can I stop the medicine? Is this medicine can cause problems while pregnant?

    • All three can be continued till pregnancy is confirmed through urine test. After that, consult your doctor for further advice.
      These three do not affect the chances of pregnancy.

  16. i am suffering kidney stones problem both kidneys have 5mm stones, my doctor suggest some medicines and punarnavasavam syrup.. what is the use for kidney stones this medicine??

  17. Is it reduce blood urea and creatinine level?

  18. Hi is it useful for gave syndrome??

  19. Sir,
    Punarnavasavam can reduce blood urea and creatinine level for poly cystic kidney patients?

  20. kiran netkar says:

    Is this product useful for upper left back radiating pain and gastratis and phyrangities.

  21. My father is heart patient. Due to which his kidney n liver r affected. Our renowned ayurvedic doctor has told to start with punarnavasava, arjunarishta, kumari asav. And even chandraprabha Vati. He is even taking allopathic medicines. Just wanted to confirm if it’s safe to start with above herbs?

  22. prasanth avent says:

    sir which ayurvedic medicine improves kidney filteration strength

  23. Sir, I am suffering from swelling in kidney and urinary tract infection and burning feeling in stomach. Is it reduce the swelling and infection and burning in stomach?

  24. Ahamed Abdul Jaleel says:

    I m 55 yr old. Due to enlargment of prostate I have difficulty to pass urine. Punarnavasavam usage will be having any benefits.

  25. Dear sir I have swelling in abdominal and hip , groin pain also Wright leg paining i cannot walk I am using punarnavasam balaristam gokshuradi guggul dazzle and still pain remains same I am 40 year

    • Hi, the cause for swelling needs to be evaluated first.

      Shallaki tablet – 1 tablet 2 times a day after food, for a month could be useful. Available in amazon website here

      For further personal health advice, please consult an Ayurveda doctor directly.
      If you want my help in finding a good Ayurveda doctor for you, then let me know your place.

      For email advice (not a reliable option, we do not promise any cure), please write to our health experts here (paid service) – http://easyayurveda.com/consult/

  26. Firoz Khan says:

    Hello good morning Sir,

    Is punarnavasav is safe for diabetics patient?

  27. M D Singh says:

    Sir,Dialysis in twice a week is it useful

  28. Sir,
    Can I take Gasex Tablet along with punarnavasav for stomach gases and for swelling in feet,Please reply,

  29. Sir,
    My age is 51,I was suffering from blocked nose and burning sensation at anus, A Doctor gave me powder and after 15 days I got relief from my blocked nose, After that he gave me Mehndi powder for 3 months for burning sensation,After
    3 months (20 May 2017),Burning sensation stopped,But my feet were swollen and weight was increased by 5 Kg,I fear it might be a steroid,Currently from 2/6/2017 I am taking Punarnavasava 2 spoon for two times,Swollen feet is normal
    now,Dr have suggested to take one month, So is there another medicine for side effects that may cause along with Punarnavasava,Please reply,

    • Hi, never take any medicine from any doctor without a prescription letter. You have the right to know the name of the medicine.
      I feel in your case, Punarnavasava is working very well. Please continue.
      You may also take Gokshuradi guggulu tablet -1 tablet 2 times a day after food, along with the above for 1 month time.
      Available locally, or here, in the amazon website

      • Sir,
        Currently I am taking Punarnavasav and Gokshuradi guggulu,( For adverse effects of long term use of steroids- 5 Months) But sometimes I am feeling pain in legs and waist,So can I take Shelcal 500 tablet along with this ayurvedic medicine if yes than how much gap should I take? and what should be exact dose,Please reply,

  30. Thank you very much Dr.

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