Punarnava Mandur (Punarnava Mandoor)

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Punarnava Mandur (also spelled as Punarnava Mandoor) is an ayurvedic medicine containing iron content and useful in diseases such as anemia, breathing troubles due to anemia, phthisis, hepatitis, jaundice, abdominal distension, piles, chronic colitis, gout, Hyperuricemia, worm infestation and skin diseases.

Ingredients (Composition)

IngredientsQuantity
Punarnava (Spreading Hogweed) – Boerhavia Diffusa1 Part
Nishoth (Trivrit or Turpeth) roots – Operculina Turpethum1 Part
Sonth (dried ginger root) – Zingiber Officinale1 Part
Kali Mirch (Black Pepper) – Piper Nigrum1 Part
Pippali (Long Pepper) – Piper Longum1 Part
Vaividang (False Black Pepper) – Embelia Ribes1 Part
Devdaru (Deodar Cedar or Himalayan Cedar) – Cedrus Deodara1 Part
Chitrak root – Plumbago Zeylanica1 Part
Kushta (Indian Costus Root) – Saussurea Lappa1 Part
Haldi (Turmeric) – Curcuma Longa1 Part
Haritaki – Terminalia Chebula1 Part
Bibhitaki – Terminalia Bellirica1 Part
Amla (Indian Gooseberry) – Emblica Officinalis1 Part
Danti roots – Baliospermum Montanum1 Part
Chavya (Java Long Pepper) – Piper Chaba1 Part
Indrayava – Holarrhena Antidysenterica Seeds1 Part
Kutki – Picrorhiza Kurroa1 Part
Piplamool (Long Pepper Roots) – Piper Longum1 Part
Mustak (Nut Grass) – Cyperus Rotundus1 Part
Kakra Singhi (Crab’s claw) – Pistacia Integerrima1 Part
Kala Jeera (Caraway) – Carum Carvi1 Part
Ajwain (Carom Seeds) – Trachyspermum Ammi1 Part
Kayaphal1 Part
Mandur Bhasma2 Parts
Cow’s Urine8 Parts
First, Mandur Bhasma and Cow’s Urine is mixed and heated, simmered until 1/2 part of liquid remains. Then other ingredients’ fine powder is added to the liquid and again heated and simmered until the mixture become thick and formable into tablet form. Then tablets of Punarnava Mandur are prepared.
Reference: Bhavprakash Samhita

Pharmacological Actions

Punarnava Mandur is diuretic, it detoxifies the blood, removes its impurities and toxins, and it improves blood circulation.

Medicinal Properties

  • Hematogenic (helps in formation of red blood cells)
  • Haematinic (increases hemoglobin levels)
  • Diuretic
  • Depurative (purifies blood)
  • Hepatoprotective
  • Cardioprotective
  • Anti-inflammatory
  • Anti-gout
  • Antihyperlipidemic
  • Digestive Stimulant
  • Immunomodulatory
  • Antioxidant
  • Carminative
  • Cholagogue

Therapeutic Indications

Punarnava Mandoor is useful in following health conditions:

  1. Anemia
  2. Jaundice
  3. Hepatitis
  4. Breathing Difficulties
  5. Phthisis
  6. Abdominal Distension
  7. Chronic Colitis
  8. Chronic Colitis
  9. Gout & Hyperuricemia
  10. Intestinal Worms
  11. Skin Diseases
  12. Fatty Liver Disease (Hepatic Steatosis)
  13. Liver Cirrhosis
  14. Polycystic Liver Disease
  15. Uremia
  16. Ascites

Benefits & Medicinal Uses

Punarnava Mandur is useful in liver and kidney diseases. It also helps to reduce edema (swelling) in legs, ankles, and feet that caused by heart diseases such as congestive heart failure. So, we can see its main indication is edema and ascites, which may occur due to any underlying cause related to heart, liver, and kidneys. Swelling also occurs in anemia, which is treatable with it.

Anemia

Punarnava Mandur is an effective treatment for iron deficiency anemia. It significantly improves the hemoglobin level and reduces the symptoms of anemia. According to study, it significantly increases the serum level of iron and ferritin and improves total iron binding capacity. (1, 2)

It is also helpful in cases of chronic severe anemia, which causes edema (swelling). It acts in two ways. First, it improves hemoglobin level and may also stimulate the formation of the blood. The second action is that it induces diuresis and reduces the accumulated fluids in the body.

In general, it reduces all symptoms of anemia including extreme fatigue, pale skin, breathing troubles, dizziness, weakness, cold hand and feet, uncomfortable tingling sensation in the legs, and fast heartbeat. It also has some appetizer herbs, which improves appetite. Poor appetite is frequently associated with iron deficiency anemia, especially in children.

Ascites

Ascites is a condition in which fluid accumulates in the serous cavities. It mainly occurs in liver disease, congestive heart failure. Punarnava Mandur is beneficial in all these cases along with Punarnavadi Guggulu or Punarnavadi Kashayam and other remedies as explained below.

Liver Diseases

In Liver diseases, it acts as hepatoprotective and induces regeneration of the hepatocytes (liver cells). The most common causes of ascites in liver diseases are cirrhosis of the liver, hepatitis B, and hepatitis C. Excess alcohol use may also be responsible. In all these conditions, along with other medicines like Sutshekhar Ras Gold or Arogyavardhini Vati, Punarnava Mandur is helpful. However, it may be less effective in cases of hepatitis C or cancer.

Congestive Heart Failure

Along with Terminalia ArjunaArjunarishta or Nagarjunabhra Ras, Prabhakar Vati, and Laxmi Vilas Ras, Punarnava Mandur can help to manage congestive heart failure. It promotes diuresis and reduces the fluid retention.

Chronic Kidney Failure

Punarnava Mandur is commonly used in the treatment of chronic renal failure (CRF). It provides benefits for improving the hemoglobin level in kidney patients. Along with Chandraprabha Vati and Punarnavadi Kashayam is helpful for reducing the ascites caused by chronic kidney failure.

Fatty Liver Disease

As it works on Kapha Dosha, it also reduces fat accumulation in the liver cells, which also prevents and treats fatty liver disease and improves the liver functions. It can be used in combination with Varanadi Kashayam for maximum benefits.

Dosage & Administration

The general dosage of Punarnava Mandur is as follows.
Children125 to 500 mg
Adults250 to 1000 mg
Maximum Possible Dosage4 grams Per Day (in divided doses)
* Twice a day with Gur (Jaggery), water or buttermilk
Best Time to Take: After Food

Safety Profile

Punarnava Mandur is considerably well tolerated in most individual when taken in recommended dosage as discussed above and under professional supervision.

Side Effects of Punarnava Mandur

There are no side effects reported with Punarnava Mandur.

Pregnancy & Lactation

Punarnava Mandur is absolutely contraindicated during pregnancy because it contains some ingredients such as Chitrak, Trivrit, and Danti, which are not suitable during pregnancy, so pregnant women should not take it.

Contraindications

However, there are no absolute contraindications for Punarnava Mandur, but it may not be suitable for people with iron overload.

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1 Comment
  1. Kiran Ambhore says

    I want to know that I’m suffering from planter facities from last 6-8 months. I have done allopathic treatment and taken steroids injection but it not cure. Please suggest me is this medicine useful for me.

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