Punarnavasavam (Punarnavasava)

August 12, 2016Last Updated: March 28, 2019

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Punarnavasavam (Punarnavasava) is an ayurvedic liquid formulation prepared through the process of fermentation of some herbs affecting the stomach, liver, spleen, heart, and kidney. According to Bhaishajya Ratnavali, it can be helpful to treat and manage the diseases that are considered difficult to cure. It can be used for acid peptic disorders, abdominal lump, abdominal diseases, inflammatory diseases, spleen disorders, liver disorders, heart diseases and kidney diseases. Its overall action appears on the edema and inflammation.

Ingredients (Composition)

Punarnavasavam contains following ingredients:
Ingredients	Quantity Used for Preparation
Sonth (dried ginger root) – Zingiber Officinale	48 grams
Pippali (Long Pepper) – Piper Longum	48 grams
Kali Mirch (Black Pepper) – Piper Nigrum	48 grams
Haritaki – Terminalia Chebula	48 grams
Bibhitaki – Terminalia Bellirica	48 grams
Amla (Indian Gooseberry) – Emblica Officinalis	48 grams
Daruhaldi – Berberis Aristata	48 grams
Gokshura – Tribulus Terrestris	48 grams
Brihati (Indian Nightshade) root – Solanum Indicum	48 grams
Kantakari – Solanum Xanthocarpum	48 grams
Vasaka roots – Adhatoda Vasica	48 grams
Eranda (Castor Oil Plant) – Ricinus Communis	48 grams
Kutki – Picrorhiza Kurroa	48 grams
Gajpippali (Gajapippal) – Scindapsus Officinalis	48 grams
Punarnava – Boerhavia Diffusa	48 grams
Neem – Azadirachta Indica	48 grams
Guduchi (Giloy) – Tinospora Cordifolia	48 grams
Muli (Radish) – Raphanus Sativus	48 grams
Dhamasa (Duralabha) – Fagonia Cretica	48 grams
Patol (Pointed gourd leaves) – Trichosanthes Dioica	48 grams
Dhataki – Woodfordia Fruticosa	768 grams
Draksha – Vitis Vinifera	960 grams
Misri (Crystallized Sugar) – Saccharum Officinarum	4.8 Kg
Shahad (Honey)	2.4 Kg
All ingredients of Punarnavasava are mixed in Asava Vessel and left for 30 days. Then the liquid is filtered to obtain Punarnavasavam and stored in bottles.

Pharmacological Actions

Punarnavasavam ingredients have inflammatory properties, so it helps to reduce inflammation. It also has diuretic action, which helps to reduce edema and swelling due to heart, liver or kidney diseases.

Medicinal Properties

Anti-inflammatory
Hepatoprotective
Cardioprotective
Mild Diuretic
Antihyperlipidemic
Mild Anti-hypertensive
Antioxidant
Antiulcerogenic
Carminative
Cholagogue
Depurative

Ayurvedic Properties

Punarnavasavam is a balanced formulation, so it works on all dosha especially, Vata, Kapha and Sama-Pitta.

Therapeutic Indications

Punarnavasavam is indicated in following health conditions.

Acid peptic disorders
Abdominal lump
Splenomegaly – Spleen enlargement
Hepatomegaly – Liver enlargement
Fever
Congestive heart failure (as diuretic)
Kidney Disease & Chronic Kidney Failure
Cardiac Weakness

Punarnavasavam Benefits & Uses

Here are some important uses of Punarnavasavam:

Chronic Kidney Disease

Punarnavasavam improves the kidney functions and preserves it from further deterioration. Along with Chandraprabha Vati, Sarvatobhadra Vati, Brihatyadi Kashayam, Pathya Punarnavadi Kashayam etc., it is beneficial for reducing the serum urea and creatinine levels.

Hepatomegaly (Liver Enlargement)

Several ingredients in Punarnavasavam act as hepatoprotective and improve the liver functions. It normalizes the size of the enlarged liver by reducing inflammation and pressure on the hepatocytes. Generally, it is recommended along with Arogyavardhini Vati or Tapyadi Lauh.

Dosage & Administration

The general dosage of Punarnavasavam is as follows.
Children	5 to 10 ml *
Adults	10 to 20 ml *
Maximum Possible Dosage	60 ml Per Day (in divided doses)
* Twice a day with equal amount of water
Best Time to Take: After Food

Safety Profile

Punarnavasavam is considerably safe formulation and well tolerated in most individuals. Punarnavasava should be taken in recommended dosage under professional supervision.