Punarnava Mandur (Punarnava Mandoor)
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)
| Ingredients | Quantity |
| Punarnava (Spreading Hogweed) – Boerhavia Diffusa | 1 Part |
| Nishoth (Trivrit or Turpeth) roots – Operculina Turpethum | 1 Part |
| Sonth (dried ginger root) – Zingiber Officinale | 1 Part |
| Kali Mirch (Black Pepper) – Piper Nigrum | 1 Part |
| Pippali (Long Pepper) – Piper Longum | 1 Part |
| Vaividang (False Black Pepper) – Embelia Ribes | 1 Part |
| Devdaru (Deodar Cedar or Himalayan Cedar) – Cedrus Deodara | 1 Part |
| Chitrak root – Plumbago Zeylanica | 1 Part |
| Kushta (Indian Costus Root) – Saussurea Lappa | 1 Part |
| Haldi (Turmeric) – Curcuma Longa | 1 Part |
| Haritaki – Terminalia Chebula | 1 Part |
| Bibhitaki – Terminalia Bellirica | 1 Part |
| Amla (Indian Gooseberry) – Emblica Officinalis | 1 Part |
| Danti roots – Baliospermum Montanum | 1 Part |
| Chavya (Java Long Pepper) – Piper Chaba | 1 Part |
| Indrayava – Holarrhena Antidysenterica Seeds | 1 Part |
| Kutki – Picrorhiza Kurroa | 1 Part |
| Piplamool (Long Pepper Roots) – Piper Longum | 1 Part |
| Mustak (Nut Grass) – Cyperus Rotundus | 1 Part |
| Kakra Singhi (Crab’s claw) – Pistacia Integerrima | 1 Part |
| Kala Jeera (Caraway) – Carum Carvi | 1 Part |
| Ajwain (Carom Seeds) – Trachyspermum Ammi | 1 Part |
| Kayaphal | 1 Part |
| Mandur Bhasma | 2 Parts |
| Cow’s Urine | 8 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:
- Anemia
- Jaundice
- Hepatitis
- Breathing Difficulties
- Phthisis
- Abdominal Distension
- Chronic Colitis
- Chronic Colitis
- Gout & Hyperuricemia
- Intestinal Worms
- Skin Diseases
- Fatty Liver Disease (Hepatic Steatosis)
- Liver Cirrhosis
- Polycystic Liver Disease
- Uremia
- 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 Arjuna, Arjunarishta 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. | |
| Children | 125 to 500 mg |
| Adults | 250 to 1000 mg |
| Maximum Possible Dosage | 4 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.