Nilavembu Kudineer (Nilavembu Kashayam)

Nilavembu Kudineer, also called Nilavembu Kashayam, is Siddha Medicine recommended for prevention and management of all types of viral infections/fevers. It acts as immunostimulant and immunomodulator, which boosts immunity and modulates defense response in the body, which helps to protect from infections and their complications. It also plays a protective role in dengue fever and chikungunya. It is very popular medicines among people using Ayurveda and Siddha Medicine.

It contains herbal ingredients, which have antipyretic, anti-inflammatory, antiviral, and immunomodulatory actions. This decoction is very useful for all types of fevers regardless the consideration of viral or bacterial infections. Nowadays, it became famous for viral fevers, especially for dengue fever and chikungunya. It reduces symptoms associated with fever, which include – a headache, body aches, muscle aches, loss of energy, fatigue, weakness etc. It is also effective for reducing joint pain, joint swelling, muscle pain, headache and rashes associated with chikungunya infection.

Ingredients (Composition)

Nilavembu Kudineer Choornam (Churna) contains nine ingredients mixed in equal proportion in powdered form.

  1. Nilavembu (Kalmegh, Bhunimba or Indian Echinacea) – Andrographis Paniculata
  2. Vilamichai Ver – Plectranthus Vettiveroides
  3. Vetiver (Ushira or Khas) – Vetiveria Zizanioides
  4. Chukku – Sonth – Zingiber Officinale
  5. Milagu – Kali Mirch (Black pepper) – Piper Nigrum
  6. Korai Kizhangu – Mustak (Nut Grass) – Cyperus Rotundus
  7. Santanam – Safed Chandan (White Sandalwood) – Santalum Album
  8. Peyputtal (Chichonda) – Trichosanthes Cucumerina (Snake Gourd)
  9. Parpadagam – Mollugo Cerviana

Medicinal Properties

Ingredients in Nilavembu Kudineer have following healing properties.

  • Aam Pachak (Detoxifier)
  • Analgesic
  • Anti-viral
  • Antibacterial
  • Anti-inflammatory
  • Immunomodulatory
  • Antipyretic (Febrifuge)
  • Carminative
  • Digestive Stimulant
  • Antioxidant
  • Cholagogue
  • Liver stimulant
  • Anthelmintic
  • Anti-dengue

Ayurvedic Properties

Nilavembu Kudineer (Kashayam) is a balanced formulation, which works on all three humors – Vata, Pitta, and Kapha. Predominantly, it is best for Pitta and Kapha Dosha. The main action is also observed on AMA (toxins). It reduces the formation of AMA in the body. Its digestive action improves digestion of food, which further prevents toxin’s accumulation. Some of its ingredients also check the functions of the liver and improves the overall health of digestive system.

According to ayurveda, the main cause of fever is toxins, which can develop in the body due to either internal or external factors. Nilavembu formulation helps the body to fight off these toxins and naturally increases their elimination.

According to modern studies, Nilavembu formulation has antiviral and antimicrobial action, which helps to prevent and treat viral as well as bacterial infections. It also acts as Shadanga Paniya and exerts soothing action, which reduces discomfort, muscle ache, body ache, joint pain, fatigue, excessive thirst and weakness due to fever. It also improves the feeling of general well-being.

Therapeutic Indications

  1. All diseases with fever as the main symptom
  2. Dengue fever
  3. Chikungunya
  4. Malaria
  5. Chronic fevers
  6. Low-grade fever with feeling of fatigue, weakness and energy loss, body aches and muscle pains
  7. Liver enlargement
  8. Loss of appetite
  9. Anorexia
  10. Fever due to Abscess

Nilavembu Kudineer Benefits & Uses

Nilavembu Kudineer relieves body ache, fatigue, headache, energy loss, joint pain, muscle ache, and inflammation associated with fever or pyrexia. It works in four ways:

  1. Decrease toxin (AMA) accumulation by AMAPACHAK Action
  2. Lowers temperature due to antipyretic action of Andrographis Paniculata and other herbs present in it
  3. Reduces inflammation by anti-inflammatory action of several ingredients in it
  4. Exerts anodyne action and gives relief from body ache and pains

All these actions play a crucial role in the management of all kinds of fevers. In fever, all these actions of Nilavembu Kudineer appear regardless the causative agent. Therefore, whatever the cause of fever, it can be taken for getting relief from the fever and its symptoms. However, the patient may also require other medicines along with Nilavembu Kashayam according to the underlying cause.

Additionally, it also has antiviral and antimicrobial characteristics, which make it suitable medicine for the management of viral fevers, so it is generally recommended for Dengue fever and Chikungunya. It is also helpful in people with malaria and typhoid fever.

Nilavembu Kudineer for Chikungunya

Nilavembu Kudineer is a drug of choice for the management of the Chikungunya. Andrographis Paniculata in this herbal drink formulation is mainly responsible for its action against Chikungunya and pain associated with it. It shows positive results within a few days. The antipyretic, analgesic and anti-inflammatory properties of Nilavembu Kudineer give relief from fever, joint pain, joint swelling, headache, muscle pain, and rash.

It should be continued until joint pain persists. Patient taking Nilavembu Kudineer feels better within 2 to 3 days and gets about 60 to 95% symptomatic relief within a week. A month therapy with Nilavembu Kashayam is essential to get complete relief from Chikungunya.

Additionally, Punarnava (Boerhavia Diffusa) and Giloy (Tinospora Cordifolia) formulations can also be beneficial for getting quick relief.

Punarnava FormulationsGiloy Formulations
Punarnava ChurnaGiloy (Guduchi) Sat
PunarnavasavaGiloy Churna
Punarnavadi Kashayam (Kwatham)Giloy Juice

Boswellia Serrata (Indian Frankincense) and Shuddha Guggulu can also be used for severe joint pains and swelling. For local application on joints, Karpooradi Thailam and Pinda Thailam are also beneficial.

Some patients suffer from strong joint pain, joint swelling, muscle pain and fatigue even after a few weeks or months after Chikungunya. In such cases, Nilavembu Kudineer should be continued along with Ashwagandha Churna or Amukkara Choornam and Maha Yograj Guggul until the complete relief from these symptoms. Maha Yograj Guggul can be used for maximum 2 months. If it is still required, then Yograj Guggul should be used in place of Maha Yograj Guggul because it is a safer option for a long-term use.

Nilavembu Kashayam for Dengue Fever

Nilavembu Kudineer has anti-dengue action attributed to Kalmegh (Andrographis Paniculata), which inhibits the dengue virus activities.

Nilavembu Kudineer along with aqueous extract of papaya leaves or papaya leaf juice and Giloy (Guduchi) is very beneficial for the management of the Dengue fever. Both exhibit potential action against Dengue fever. There are several other medicines, which may also require along with Nilavembu Kudineer for the proper management of the Dengue fever. It helps to treat intermittent fever, body ache, headache, weakness, and nausea.

Nilavembu Kudineer30 ml twice daily
Papaya Leaf Aqueous Extract500 mg twice daily
Giloy (Guduchi) Churna2 grams twice daily
Note: If Papaya Leaf Aqueous Extract is not available, then Papaya Leaf juice in a dosage of 10 ml twice daily can also be used. Giloy extract, Giloy decoction or Giloy Ghan Vati can also be used instead of Giloy (Guduchi) Churna.
Duration of Treatment: Generally, 7 days treatment with this combination is sufficient in all cases. If muscle or joint pains continue, then this combination can be taken for 4 to 6 weeks.
Weakness: If weakness persists, then Ashwagandha Churna or Amukkara Choornam should be added for additional support in this combination.
Dengue Hemorrhagic Fever:  If bleeding occurs in dengue fever, then Vasaka (Adhatoda Vasica) leaf juice in a dosage of 10 ml thrice daily should be given to the patients. For additional support, Kaharva Pishti (Trinkant Mani Pishti) can also be used.

How to make Nilavembu Kashayam

  1. Take 2 to 3 teaspoons (around 10 grams) Nilavembu Kudineer Choornam in 240 ml water.
  2. Boil water with Nilavembu Kudineer Choornam and simmer the mixture until it reduces to 1/4the. 60 ml.
  3. Now, separate the decoction using a sieve.
  4. Drink as per dosage recommended below.

Nilavembu Kashayam Dosage

The decoction prepared should be prepared using 240 ml water and 2 to 3 teaspoons (around 10 grams) of Nilavembu Kudineer Choornam and it should be heated and simmered to reduce the liquid content to 60 ml. In adults, 60 ml Nilavembu Kudineer herbal drink or decoction is the full dosage, which should be taken twice or thrice daily as per recommendation.

The general dosage of Nilavembu Kudineer Decoction is as follows.
Infants (Age: Up To 12 Months)2.5 to 5 ml
Toddler (Age: 1 – 3 yrs)5 ml
Preschooler (3 – 5 yrs)5 to 7.5 ml
Grade-schooler (5 – 12 yrs)7.5 to 15 ml
Teenager (13 -19 yrs)15 to 30 ml
Adults (19 to 60 yrs)30 to 60 ml
Geriatric (above 60 yrs)30 to 60 ml
Pregnancy15 to 30 ml
Lactation30 to 60 ml
Maximum Possible Dosage180 ml Per Day (in divided doses)
* Twice a day
Best Time to Take: Before Food

Safety Profile

Nilavembu Kudineer is Likely Safe for the most individuals in the recommended dosage when taken under professional supervision.

Side Effects of Nilavembu Kudineer (Kashayam)

However, there are no side effects observed with Nilavembu Kudineer (Kashayam) when taken in recommended dosage. In some rare cases, it might cause mild nausea or vomiting.

Pregnancy & Lactation

The safety profile of Nilavembu Kudineer is not well established for pregnant women and lactating mothers. Consult an ayurvedic or Siddha physician before using Nilavembu Kashayam during pregnancy and lactation.


Some ingredients especially Nilavembu in this Kudineer might slow blood clotting. Therefore, people with bleeding disorders should not take it.

Some animal studies on Andrographis Paniculata, which is the main ingredient of this Kashayam suggest it might affect fertility, but these effects are not observed in human. Nevertheless, people planning for a child should avoid it.

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  1. Is it safe to drink nilavembu kashayam during early pregnancy? Its 43rd day now. I have slight fever with cold and fever. I am really feared to take any tablets for this. Kindly reply

  2. My son has Fanconi anemia and one of the Sidha doctor prescribed us with this medicine i was not sure how this helps. Can you suggest if I can continue using this medicine?

  3. can the diabetic patients take nilavembu regularly and stop taking ohter allopathy medicines/

    1. Yes, diabetic patients can take Nilavembu Kashayam. Allopathic medicines should only be stopped if you achieve a good control on blood sugar level and HbA1c with it.

  4. I’m having back pain and leg pain due to sciatica ( L4/L5 disc bulge) . what dosage recommended

  5. My mother(57yrs) is suffering from severe skin burning sensation from Head to toe….can she take nilavembu kudineer ?? If Yes please reply me the dosage.

    1. However, some ingredients in Nilavembu Kashayam may help to reduce burning sensation. But generally, Nilavembu Kashayam is not an ideal medicine for burning sensation. Instead, Ushira, Safed Chandan, Mustak, amla etc. should be used.

  6. As a precautionary measure and for general health benefits ..how does one take this kudineer..for adults and kids..?
    And how often..?

    1. Nilavembu Kudineer improves appetite, prevents damage to the liver, eliminates constipation, and detoxifies the blood. For these health benefits, one can use it once a day.

    1. Pregnant women should not take Nilavembu Kashayam for preventing any disease. However, if you suffer from any illness in which it is indicated, you can take it under the supervision of Siddha or ayurvedic physician.

    1. In most cases, Nilavembu Kudineer is required for 2 to 8 weeks. In cases of dengue fever, chikungunya, and post-fever debility, it can be used for a longer duration.

  7. Dear Doctor, where to buy this product in Bangalore. Not to buy any duplicate/wrong combination product. Please advice. Any label/company product that you suggest to buy?

  8. Can it be taken daily life long for diabetes….should we have to take nilavembu kudineer chooranam or jus nilavembu powder which is green coloured powder??

    1. 1. Yes, Nilavembu Kudineer can be taken for diabetes on regular basis similarly like other antidiabetic medicines.

      2. Both nilavembu kudineer chooranam and nilavembu powder both are effective for diabetes. But the first one also contains other ingredients, which are also useful in diabetes. Nilavembu powder only contains nilavembu plant. Therefore, nilavembu Kudineer is better than nilavembu powder.

    1. Take 2 to 3 teaspoons (around 10 grams) Nilavembu Kudineer powder in 240 ml water. Boil it and simmer it until liquid content reduces to 60 ml. You can take it twice or thrice daily depending on the health condition.

  9. Dear Doctor,
    I found your website while searching for the prevention on Dengue Fever. I’m travelling to Sri Lanka next month. I checked the map for where dengue fever exists and I’ll be staying in a high risk area.
    I’d never heard of Nilavembu Kudineer before, and I understand that it’s been said to be good in it’s prevention.
    I have Multiple Sclerosis. Is this safe for me to use?
    Many thanks,

    1. Taking it for a few weeks does not likely to affect sexual functions. However, its long-term use (more than 3 months) may lower libido.

  10. Sir, my doctor prescribed asphalt (Chandra prabha) for my urinary problem. I used it and from later on I’m experiencing severe heat in my body. I lost weight also . He suggested me chandansa nd usheerasav , but they are making me dry. Pls suggest medicine for vata pitta heat.

      1. Sir, thank you very much for your prompt reply. Pls clarify the difference between Kamdudha Ras Moti Yukt and Praval Pishti. Which will give cooling effect to body rather than only giving cooling to effect to stomach at the same time not making person dry.

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