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Punarnavadi kashayam – Benefits, Dose, Side Effects And Ingredients

Punarnavadi Kashayam is a very famous Ayurvedic medicine in liquid form. It is also known as  Punarnavashtaka kashaya, Punarnavashtak kwath. But there is slight difference. Punarnavadi kashayam contains turmeric as an extra ingredient. But both have quite similar properties and therapeutic action.

Punarnavadi Kashayam benefits: 
It is used in the treatment of inflammatory conditions like myxedema, ascites, anasarca.
Some doctors use this medicine as natural diuretic.
It is also used in the treatment of respiratory conditions, cold, cough, dyspnoea, anemia and abdominal pain.

Punarnavadi Kashayam dose: 
The dose is 12 – 24 ml, before food, at about 6 – 7am and 6 – 7 pm or as directed by Ayurvedic doctor.
It is usually advised to add equal amount of water to the kashayam.
Cow urine is usually prescribed as a co-prescription along with this medicine.

It is also available in tablet form.


Generally non-vegetarian, leafy preparations, snacks made of gingelly, curd, alcohol, too much of salt, tamarind and food items not usually taken and difficult to digest, day time sleep, sex and cold water must be totally avoided. Bathe in water boiled with Kokilaksha (Hygrophila auriculata) cooled for the head and warm for the body, using Panchamla tailam or Punarnavadi tailam. Don’t bathe daily. Butter milk boiled with Punarnava (Boerhaavia diffusa) is good for drinking and is to be taken with rice.


Virechana gritham, Loha bhasma or powdered Katukarohini (Picrorrhiza kurroa).

Punarnavadi Kashaya Side Effects: 
There are no known side effects with this medicine. However it is best to use this product under medical supervision. Self medication with this medicine is discouraged.
Special care and precaution is required while administering this medicine to people with diabetes, because this medicine may lower the blood sugar levels.

Punarnavadi Kashayam Ingredients: 
Punarnava – Boerhaavia diffusa
Daru – Cedrus deodara
Nisha – Turmeric
Tikta – Andrographis paniculata
Patola – Luffa acutangula
Pathya – Terminalia chebula
Pichumarda – Neem
Musta – Cyperus rotundus
Nagara – Ginger

It is added with 8 parts of water, boiled and reduced to quarter part, filtered.

Punarnavadi Kashayam reference: 
Bhaishajya Ratnavali Udararoga 43-44, Sahasrayogam.

Punarnavadi Kwatha churna is the herbal coarse powder of the above herbs.

Dr JV Hebbar is an Ayurveda Doctor, Lecturer, From Mangalore, India. Click here to consult Dr Hebbar
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  1. Mrs Vandana Bhatia says:

    It gives good energy and helps in luccorea, What is the duration of this medicine

  2. How many days have to take a punarnavadi kashayam for kidney diseases??

  3. sir pls replay

  4. Is it cure ovarian carcinoma?

  5. Mahesh .s. Raja says:

    Dear sir does the punarnavadi kashayam tablets reduce over weight iam about 98 kgs and my height is 5’10 so please help me doctor

    • it can be one among the combination of treatment for obesity. please consult an Ayurveda doctor so that you can get an appropriate treatment after thorough analysis of your problem and nature of your body.

  6. I have got sealed pack two bottles,each of 200ml manuf.by Nagarjuna,my father was use to take this,pl.guide me the use of the same.

    • Dr Malini Bhat says:

      Sir, as we do not know for which symptom or disease you want to take would say to take a medical opinion before that.
      Dosage generally is: The dose is 12 – 24 ml, before food, at about 6 – 7am and 6 – 7 pm or as directed by Ayurvedic doctor.
      It is usually advised to add equal amount of water to the kashayam.

  7. Can punarnavadi kashayam be used in the treatment of diabetes?

  8. Aleksandra says:

    Can it be used against anemia while pregnant?

  9. Sherine P. says:

    I have lupus with proteinuria which is increasing with every test. I was given this tablet to help my kidneys. In your description I didn’t see any mention of kidney issues with lupus(SLE). I would like to confirm if this kashayam tablet is helpful.

    • Hi, Punarnava is an excellent diuretic and neem, Musta, Kiratatikta, Devadaru – all are good immune correcting herbs. Hence useful in your case. I would suggest to continue with your doctor’s advice.

  10. Mrs.Panda says:

    Good evening Doctor,

    The two medications given below for me for are rheumatoid Arthritis and weight loss.

    I wanted to know if the combination of these two medicines help in weight loss.

    I need to lose weight as I have a problem with my knees too. I know Varanadi Kashayam helps in weight reduction.

    pathyapunarnnavadi kashayam

    rasnairandadi kashayam

    Please advice

    Thank you.

    • Dr Malini Bhat says:

      Hello Madam,
      Pathyapunarnavadi Kashyam is used in the management of edema whereas Rasnairandadi kashayam helps to relieve pain and swelling and it relaxes muscles and relieves inflammation
      And is not helpful in weight reduction.

  11. Sir,
    my doctor give me the packet of punarnavadi kashayam I do not know how cn it make pls help me

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