Ayurmed Info

Punarnavasavam 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.

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.

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.
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.
Drug induced liver injury and damage

Traditional uses

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)
Avascular necrosis
Sensory-neural hearing loss
Ankylosing spondylitis
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.

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Doctors also prescribe Punarnavadyasav for treating:
Swelling induced due to continuous steroid medicine intake
Ankle swelling,
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.

Side effects

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 chebulaFruit rind – 16 g
Darvi – Berberis aristataStem – 16 g
Vibhitaki – Terminalia bellirica – Fruit rind – 16 g
Amla – Emblica officinalis – Fruit – 16 g
Gokshura – Tribulus terrestrisRoot / whole plant – 16 g
Kantakari – Solanum xanthocarpumRoot / 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 officinalisFruit – 16 g
Pichumarda – Neem – Azadirachta indica – Stem bark – 16 g
Guduchi – Giloya – Tinospora cordifoliaStem – 16 g
Patola – Trichosanthes dioica – Leaf – 16 g
Shushka Mulaka – Dry Radish – Raphanus sativusRoot – 16 g
Duralabha – Fagonia creticaRoot – 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.

Please consult your doctor before taking this medicine.
This article is written by Dr. Janardhana V Hebbar BAMS, MD (Ayu), PGDPSM, Managing Director, Easy Ayurveda Hospital.
It is reviewed by Dr. Raviganesh Mogra BAMS, MD (Ayu), Chief Medical Officer, Easy Ayurveda Hospital

63 thoughts on “Punarnavasavam Uses, Ingredients, Dose and Side Effects”

  1. 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?

  2. 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??

  3. 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.

  4. 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

  5. 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.

  6. 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?

  7. 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

  8. 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..

    • Thank you sir,Currently sometime I feel difficult to breathe,So should I take Pankajakasthuri BREATHE EAZY SYRUP along with these medicines,Please reply,

  9. Namaste Sir,

    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?


  10. It is very hard to understand the condition. Please Contact Any Of Below Ayurvedic Doctors. Please book the appointment by phone before going there.

    Dr. Srilakshmi
    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]

  11. 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 ?

  12. 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 ??

  13. 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?

  14. Hello 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 …
    Thank you,

  15. 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.


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