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.
12 – 24 ml. one or two times a day, usually advised after food.
If needed, it can be mixed with equal quantity of water.
With western medicines
Seek your doctor’s advice if you are taking this product along with other western (allopathic/modern) medicines. Some Ayurvedic herbs can interact with modern medicine.
If both Ayurvedic and allopathic medicines are advised together, then it is best to take allopathic medicine first, wait for 30 minutes and then, after a gap of 15 – 30 minutes, take Ayurvedic medicine or as directed by the physician.
Can this be used while taking Homeopathic medicine?
Yes. This product does not react with homeopathic medicine.
With supplements like multivitamin tablets, Omega 3 fatty acids etc?
Yes. Generally, this product goes well with most of the dietary supplements. However, if you are taking more than one product per day, please consult your doctor for an opinion.
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.
It is used for treating osteo arthritis, gout, rheumatoid arthritis. It helps to reduce the swelling and inflammation.
It is used in treating joint pains associated with elevated blood ESR levels.
It is used to reduce excess water collection in the body following intake of hormonal tablets and steroids.
Oedema, swelling, inflammatory conditions – Shotha
Ascites, – Udara
Splenomegaly – Pleeha
Gastritis, hyperacidity – Amlapitta
Liver disorders – Yakrut
Abdominal tumor, distension – Gulma
Fever – chronic, difficult to treat disorders – vara
Kruchra sadhya roga
It is useful to promote strength of bones and joints.
It acts as an excellent anti inflammatory and analgesic mediicne.
It is used for the treatment of ankle pain, ankle twitch, slipped disc, sprain, back spasm, backache, back injury, stiffness of muscles, Coccyx pain
Partially useful in (other
medications might be required)
Sensory-neural hearing loss
Pain related to SLE
Avoid deep fried foods, heavy-to-digest non veg foods, fast foods and aerated drinks, smoking and excess alcohol. These can irritate stomach and intestinal lining. These also may increase Tridosha.
Watch the video
Doctors also prescribe Punarnavadyasav for treating:
Swelling induced due to continuous steroid medicine intake
Puffy face, facial swelling
Fatty liver changes, Hepatic steatosis
Obesity, high cholesterol
Commonly prescribed combinations –
Along with Punarnavasav: Loha bhasma for anemia, jaundice, liver disorders etc.
Along with Rasna Erandadi Kashaya or Rasna Saptaka Kashaya for the treatment of rheumatoid arthritis.
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.
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
Eranda moola – 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.
Sanskrit verse, Reference
Reference: Bhaishajya Ratnavali, Shotha rogadhikara, 197-201
Manufacturer, Pregnancy, Children
AVP, AVS (Kottakkal), Baidyanath, Nagarjuna – Punarnnavaasavam
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, Storage
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.
63 thoughts on “Punarnavasavam Uses, Ingredients, Dose and Side Effects”
Wt happen if we take 2 spoon every two hours
One may feel stomach irritation symptom.
sir can this medicine be taken with lohasava for hair loss?
This is useful. But because she is your mom, why don’t you consult an Ayurveda doctor directly rather than risking with online advice.
it can help. default dose is 12-24 ml with equal amount of water after food.
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?
no, to reduce swelling and inflammation at the sight.
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??
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?
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.
sir, does it helps psoriasis? what dosage?
Hello sir, No it does not help.
You can know more about the treatment of Psoriasis here: http://easyayurveda.com/2014/02/19/psoriasis-ayurvedic-understanding-treatment-modalities/
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
Hi, please stick to the dose that your doctor has prescribed. It is safe for kidney and oedema.
Sir is it helpful for joint pain and whole body swelling?
Dashamoolarishta itself is useful for ankle swelling. Hence, I do not recommend punarnasava in your case.
It could be causing gastritis. Try taking it soon after food. If problem persists, consult your doctor for replacement.
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.
It helps to flush out the stones.
Is it reduce blood urea and creatinine level?
Hi is it useful for gave syndrome??
Punarnavasavam can reduce blood urea and creatinine level for poly cystic kidney patients?
Is this product useful for upper left back radiating pain and gastratis and phyrangities.
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?
Ya he is non diabetic… Thanks alot
sir which ayurvedic medicine improves kidney filteration strength
Punarnavasavam, Gokshuradi Guggulu etc.
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
Hello good morning Sir,
Is punarnavasav is safe for diabetics patient?
Only if the blood sugar is under full control, then it can be taken by diabetic patient.
Thank you Sir for your quick response.
Sir,Dialysis in twice a week is it useful
Thank you Doctor.
Thank you very much Dr.
Hi, You can take shelcal 500 mg 1 tablet per day, along with the two Ayurvedic medicines. It can be continued for 2 – 3 months time.
Thank you sir for quick response..
You can consume it for 6 more weeks and then stop it.
Thank you Dr.
Brother my age is 34, at the age of 5 yrs I had eaten white ice while is was sweating all over as I was playing with frnds..the same day evening I felt breathing suffocation n i was admitted in hospital…since than i was good till age 20 but after that i m facing trouble in breathing in the month of July/august/September…when it’s cloudy climate I feel short of oxygen n some time conditions worsen and i have to spend the whole night sitting near window…i m also having dust allergy……plz help me..
punarnavasa aristam i had but body full itching why
Probably the quality of product was not good. Stop it and consult a doctor directly.
No problem in taking both, as per prescribed time of 3 – 4 months.
Thank you sir,Currently sometime I feel difficult to breathe,So should I take Pankajakasthuri BREATHE EAZY SYRUP along with these medicines,Please reply,
5 ml mixed with 5 ml water, 2 times a day can be taken for 6 weeks time. It is better to stop it after six weeks.
Thank You Doctor
Does it help to cure costochondritis?
It is mentioned “People with diabetes and high BP should take this medicine only under medical supervision.”
What is the effect of punarnavasava on BP? It increases or decreases BP? What about in case of punarnavarishta?
When should one take punarnavadi Gugglu and when punarnavadi Mandoor?
Punarnavasava and Punarnavarishta can reduce BP.
Read details of p guggul and mandoor here
How many days requires to cure oedema if it is taken?is it also help in reducing swollen eyelids
It is very hard to understand the condition. Please Contact Any Of Below Ayurvedic Doctors. Please book the appointment by phone before going there.
Kerala Ayurveda Limited, Somajiguda 6-3-906/B/1, Somajiguda, Near Yasoda Speciality Hospital, Hyderabad, A.P., India.
PIN: 500 082 Phone: 040-66613357/040-23378813 Email: [email protected]
Hi sir , my kid diagnosed by nephrotic syndrome , our aayurvedic doctor gave punarnavasav for him , he is taking daily twice 20 ml with equal amount of water , is it safe for this age , he is 5 Years 9 months old ?
Aap isko khane se pehle le sakte hai.
Will this medicine be helpful in PCOS, hypothyroidism and impaired glucose tolerance condition?? A female of age 23yrs has all the above complaints whether this medicine be used ??
It is useful to reduce swelling. Please go ahead with your doctor’s suggestion.
Punarnav and Ashwagandharista together helpful for neck pain ?
Hello Sir, my mother has had knee replacement surgery. Her swelling is increasing in leg below knee. Will Punarnavasavam help soon with the swelling/pain? Is there an oil you may suggest for massaging as well? Is there anything topical I can have her put on the surgical wounds/stitches for proper healing?
Is there any pathya for this medicine?
No product specific Pathya is mentioned for this medicine. If your doctor has advised any diet, please follow that.
Hi sir my grandma is suffering from swelling from past few weeks we are giving punaravasanam but the doubt is how many days can we give it doctor
I have CSF leak, (spontaneous) , the allopathy doctors asked me to go in for surgery after seeing the MRI …,
An ayurvedic doc has suggested Punarnavasavam and Amrutarishtam for 45 days …. Saying surgery can be avoided…
Would like to hear your suggestions…. If any …
Dr. – first of all my heart-felt thanks to you for spreading the knowledge around ayurveda and the kind of medicines & cure it can provide.
My job requires me to sit in a place for at least 7+ hours with little bio-breaks in-between. At the end of the day my legs (below knee) gets swollen and become heavy. At times it becomes very dry and itchy. I have the same problem if I sit and travel in a bus/car for more than 5 hours. After I stretch my legs and sleep in the night, the swelling subsides and legs return to normal conditions. I have this complaint for more than 2 decades if I remember correctly. Will this medicine help in my case here. Pls let me know. Thanks again.