Kashayam (Decoction)

Sukumaram Kashayam

Sukumaram Kashayam (also spelled as sukumar kashaya) is a classical ayurvedic medicine available in either decoction liquid form or concentrated extract tablet form. According to Ashtanga Hridayam, it helps treat indigestion (dyspepsia), intestinal spasm, abdominal pains, hernia, menstrual disorders and female infertility. In addition to these, Sukumaram Kashayam is also beneficial in the treatment of polycystic disease, ovarian cysts, and uterine fibroids.


  1. Aegle Marmelos – Bael
  2. Aerva Lanata – Mountain Knotgrass – Gorakhbuti (Kapuri Jadi Or Bhadra)
  3. Asparagus Racemosus – Shatavari
  4. Boerhavia Diffusa – Punarnava
  5. Cuminum Cyminum – Cumin – Jeera
  6. Desmodium Gangeticum – Prisniparni
  7. Desmostachya Bipinnata – Kusha Grass – Davoli (Darbha)
  8. Eragrostis Cynosuroides – Kus Or Kusha
  9. Mulethi (Yashtimadhu) – Licorice – Glycyrrhiza Glabra
  10. Gmelina Arborea – Beechwood – Kasmari
  11. Holostemma Annulare – Payasya
  12. Imperata Cylindrica – Kasa
  13. Oroxylum Indicum – Syonaka
  14. Piper Longum – Long Pepper – Pippali
  15. Piper Longum – Long Pepper Root – Pippali Mool
  16. Premna Corymbosa – Agnimantha (Premna)
  17. Pseudarthria Viscida – Saliparni
  18. Ricinus Communis – Castor Oil Plant – Erand
  19. Saccharum Officinarum – Sugar Cane Root – Ikshu Mool
  20. Saccharum Spontaneum – Sara
  21. Solanum Xanthocarpum – Kantakari
  22. Sphearanthus Hirtus – Potagala
  23. Stereospermum Suaveolens – Patala
  24. Tribulus Terrestris – Gokshura
  25. Vitis Vinifera – Dry Grapes – Draksha
  26. Withania Somnifera – Ashwagandha
  27. Zingiber Officinale – Dried Ginger Root – Sonth

Medicinal Properties

Sukumaram Kashayam has following healing properties.

  1. Antacid
  2. Antiulcerogenic
  3. Anti-inflammatory
  4. Antispasmodic
  5. Antitumor
  6. Analgesic
  7. Carminative
  8. Fertility Promoter in females
  9. Adaptogenic
  10. Anticancer
  11. Anti-mutagenic
  12. Antioxidant
  13. Digestive Stimulant
  14. Emmenagogue
  15. Mild estrogenic
  16. Mild laxative
  17. Muscle relaxant
  18. Uterine Tonic

Therapeutic Indications

Sukumaram Kashayam is helpful in following health conditions.

Women’s Health

  • Infertility
  • Membranous dysmenorrhea
  • Ovarian Cysts
  • Polycystic ovarian disease
  • Premenstrual syndrome (PMS)
  • Secondary amenorrhea
  • Uterine fibroids or tumors

Digestive Health

  • Abdominal distension
  • Abdominal pain or cramps
  • Acidity or Heartburn
  • Bloating
  • Chronic Gastritis
  • Chronic Constipation
  • Duodenal ulcer
  • Gas or flatulence
  • Indigestion or Dyspepsia
  • Intestinal spasm
  • Irritable bowel syndrome (IBS)
  • Peptic ulcer
  • Hepatomegaly – liver enlargement
  • Splenomegaly – Spleen enlargement


  • Hernia

Benefits & Medicinal Uses

Sukumaram Kashayam is prepared from a mix of herbs. Extracts from selective natural ingredients are effective in treating complex situations. It helps treat infertility, indigestion and chronic constipation. There are multiple benefits associated with it, which makes it amongst the popular ones. Several gynecological disorders can be treated with its guided usage, including diseases pertaining to ovaries, uterus and reproductive system in general.

To begin with, it is an excellent remedy for infertility. It is also a popular cure for colic, dyspepsia and indigestion. For women, it is a blessing as it helps overcome commonplace menstrual problems and regulates the hormonal levels to rectify misbalanced functions.

Along with prescribed for hepato-splenomegaly, it is a preferred natural herbal medicine for hernia. At the same time, it is useful in managing hyperacidity and is often recommended for ascites (especially due to liver disease). It calms the brain and mind, thereby relieving depression and tension.

Female Infertility

Being an excellent fertility enhancer and rejuvenator, it often used in women experience difficulty in conception or anything owing to uterine or blood flow related disorders.

Unexplained Infertility

In some cases, the underlying cause of the infertility is unknown, all tests are normal, woman also getting normal regular periods with normal ovulation, but still unable to conceive. In such case, ayurveda believes in weakness of uterus and ovaries. Many cases of Unexplained Infertility are well treatable with following combination when taken continuously for 3 to 6 months.

Remedies Dosage (Twice daily)
Sukumaram Kashayam (Liquid or Tablets) Liquid: 4 tsp. or Tablets: 2 Tabs with warm water
Chandraprabha Vati 2 Tablets (eq. 1000 mg) with warm water
Ashwagandha Powder + Misri Powder 1.5 grams (Ashwagandha) + 3 grams (Misri) with milk

Dysmenorrhea (Menstrual cramps)

Sukumaram Kashayam has antispasmodic and anodyne action, which gives relief from menstrual cramps, severe throbbing pain or severe lower abdominal cramps that occurs just before or during menstrual periods. Sukumaram Kashayam possibly acts on prostaglandins. The higher levels of prostaglandins are associated with severe menstrual cramps.

Severe contractions of uterine muscles constrict the blood vessels of uterus. This blockage also leads to severe pain. Several ingredients in Sukumaram Kashayam lead to smooth contractions and easier flow of menstrual blood, which results in normal contractions and gives relief from menstrual cramps.

Sukumaram Kashayam also provides relief in other causes of dysmenorrhea including endometriosis, uterine fibroids and pelvic inflammatory disease.

For best results in Dysmenorrhea (Menstrual cramps), the following combination with Sukumaram Kashayam works better.

Remedies Dosage (Twice daily)
Sukumaram Kashayam (Liquid or Tablets) Liquid: 4 tsp. or Tablets: 2 Tabs with warm water
Sutshekhar Ras 125 mg
Chandraprabha Vati 2 Tabs
Praval Pishti 500 mg
Jatamansi Powder 500 mg
Acorus Calamus – Vacha 125 mg

Premenstrual Syndrome (PMS)

According to ayurveda, most commonly Premenstrual syndrome (PMS) occurs due to aggravated VATA and PITTA humors. Sukumaram Kashayam pacifies VATA and PITTA both and relieves symptoms such as mood swings, fatigue, irritability and tenderness of the breasts. Some ingredients of Sukumaram Kashayam also act on mental stress and depression, which may be likely a cause of PMS aggravated symptoms. Following combination with Sukumaram Kashayam can treat PMS if taken for three months regularly.

Remedies Dosage (Twice daily)
Sukumaram Kashayam (Liquid or Tablets) Liquid: 4 tsp. or Tablets: 2 Tabs with warm water
Chandraprabha Vati 2 Tabs
Praval Pishti 500 mg
Jatamansi Powder 500 mg
  1. If backache, fatigue, joint pain or muscle pain occur, then Ashwagandha can be added in above mix.
  2. If restlessness, lower abdominal cramps, irritability, mood swings and breast tenderness are main symptoms, then Licorice (Mulethi) and Shatavari can also be added in the above mix.

Ovarian Cysts

However, ovarian cysts may not be harmful and these may present with no or little discomfort. In ayurveda, the drugs of choice for ovarian cysts are Chandraprabha Vati and Sukumaram Kashayam. This treatment is very successful and gives complete relief from ovarian cysts and associated symptoms.


Polycystic ovary syndrome (PCOS) or polycystic ovarian disease (PCOD) is a major contributor towards infertility in women. Hormonal imbalance triggers this condition and leads to formation of multiple ovarian cysts.

Together with other Ayurvedic medicines, Sukumaram Kashayam is used in holistic healing of ovaries and uterus related issues. Minimum three months therapy is recommended for bringing back the normal cycle. It controls ovarian and endocrine functions while reducing circulation of androgens. The following combination can be used along with Sukumaram Kashayam.

  1. Ovarian Cysts: Chandraprabha Vati is necessary to take with Sukumaram Kashayam for reducing ovarian cysts.
  2. Absent Periods: Normally, Kumaryasava and Kasisadi vati or Raja Pravartini Vati is used for this purpose, but when this combination does not work, and then a strong medicine is required. Agnitundi Vati with Kumaryasava is strongest medicine for bringing periods and starting ovulation. However, it may also have side effects, so it should be used under medical supervision. It should be stopped immediately as soon as a menstrual period starts. Kumaryasava should be continued.
  3. Ovulation Problems: Vang Bhasma and Saraswatarishta are two effective medicines with Sukumaram Kashayam, which help correcting ovulation problems and balancing hormones. However, in some cases, Ashokarishta can also be beneficial, but some women with PCOS reported delay in menstruation periods with Ashokarishta. If Ashokarishta need to be taken then it should be taken in combination with Kumaryasava and Bang bhasma.

In addition to these, women may require other medications as per other symptoms.


Sukumaram Kashayam along with Kumaryasava and Kasisadi vati or Raja Pravartini Vati or Agnitundi Vati with Kumaryasava help curing amenorrhea (absent periods). However, medicines like Raja Pravartini Vati and Agnitundi Vati can only be used for a short-term duration, but Sukumaram Kashayam can be used for a longer period to regulating the periods.

Uterine Fibroids or Tumors

Sukumaram Kashayam is a drug of choice for Uterine Fibroids or Tumors. For additional support, Kanchnar Guggul and Chandraprabha vati should also be used. This combination helps reducing size of uterine fibroids and long-term treatment (3 to 6 months) can completely remove the fibroid.

Uterine fibroid also have several symptoms like heavy bleeding or heavy menstrual bleeding or prolonged menstrual periods. Under such circumstances, Ashokarishta, Praval Pishti, Mukta Pishti, Mulethi (Yashtimadhu), Shatavari, Amla (Indian Gooseberry) or other PITTA pacifier herbs should be used.

Endometriosis & Menorrhagia

Endometriosis is characterized by painful and prolonged bleeding. Sukumaram Kashayam with Ashokarishta when taken on regular basis for 6 months can alleviate the symptoms and control the situation.

It is encouraged that during menses women being treated for endometriosis should keep away from salt. This results in speedy recovery as well as enhanced fertility.

After Delivery & Miscarriage

Sukumaram Kashayam pacifies VATA and decreases ill effects of KAPHA. It painlessly cleanses the female reproductive system including the uterus of any toxic substances. Hence, women who have just delivered as well as those recovering from miscarriage, if uses Sukumaram Kashayam at least for one month can get benefit from this formulation. For additional support or benefits, Dashmoolarishta (Dasamoolarishtam) should also be used along with Sukumaram Kashayam.

It clears obstructions in female urogenital system. Furthermore, during pregnancy it nourishes the mother and child. After delivery, it promotes lactation and recovery.


Inflammatory bowel diseases like Ulcerative colitis and Crohn’s disease are on the rise. Many of my patients suffer from these kinds of psychosomatic disorders because of their modern lifestyle.

Sukumaram Kashayam with GRAHI and DEEPAN formulations has succeeded in overcoming irritable bowel syndrome.

Flatulence & Intestinal Spasms

By balancing the VATA aggravation in the abdomen, Sukumaram Kashayam relieves intra-abdominal pressure helping with hernia, constipation, flatulence and intestinal spasms.

Its carminative property benefits those struggling with hernia, GULMA and wounds at large.

Dosage & Administration

The general dosage of Sukumaram Kashayam is as follows.

Children Liquid: 5 to 10 ml or Tablet: A Half to 1 Tablet *
Adults Liquid: 10 to 20 ml or Tablet: 1 to 2 Tablets *
Geriatric (Old age) Liquid: 5 to 10 ml or Tablet: 1 Tablet *
Maximum Possible Dosage

(per day or in 24 hours)

Liquid: 60 ml or Tablet: 6 Tablets *

(in divided doses)

* Twice daily – Sukumaram Kashayam liquid diluted with 15 – 60 ml warm water or Sukumaram Kashayam Tablet with a glass of warm water 30 minutes before meal

Safety Profile

Sukumaram Kashayam is LIKELY SAFE & WELL TOLERATED in most individuals with the dosage of Sukumaram Kashayam described above.

Side Effects

There are no side effects observed with Sukumaram Kashayam use.

Allergic Reactions

Generally, there is no allergic reaction observed while using Sukumaram Kashayam, but one should avoid it if he/she has allergy to any of its ingredients.

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Dr. Jagdev Singh

Dr. Jagdev Singh (B.A.M.S., M. Sc. in Medicinal Plants) is an Ayurvedic Practitioner and Herbalist. He has successfully treated thousands of patients with Ayurveda (including Herbal Ayurvedic Medicine and Ayurvedic Diet). Ayur Times is an initiative of his efforts to bring quality information on Indian Medicine with the highest level of relevancy and scientific evidence.

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  1. Really appreciate your knowlwdge and articles about the kashyam.Please let me know about Musaleekhadiradi kashayam.

    1. Does Sukumaram Kashayam applicable in fatty liver and how much time will take to normalize the liver?

    1. It is likely safe and does not affect developing baby negatively. Actually, it nourishes the mother and developing baby. It is also used to prevent complications in pregnancy that occur due to excess or aggravated VATA.

  2. Can M2 Tone tablets be used with Sukumaram Kashayam for anovulation? If yes, how long can they be taken?

    1. In most cases, answer is Yes. Sukumaram Kashayam along with Chandraprabha Vati can help to cure cysts in the ovaries and many symptoms of polycystic ovarian disease.

  3. Will there be a side effect, if Sukumaram Kashayam taken without doctor’s prescription for PCOS? Please reply doctor.

    1. Your doctor can understand better which medicine will suit you most. Therefore, doctor’s prescription is required before using Sukumaram Kashayam for PCOS or any other condition.

  4. I m having sukumara kwatham and sukumara ghritha for excessive pain during periods. I hv been using it for 2months now. How long should i take them and can i take these during periods?

  5. Does sukumaram kashayam with chandraprabha cure chocolate cyst. How many months does it take to cure?

    1. Yes, this combination is likely very effective for treating chocolate cyst.
      The treatment duration may vary from 3 to 12 months.

  6. Hello doctor
    I am reading regularly your articles these are very much knowledgeable . I am ayurvedic doctor. Please suggest some formulation for endometriosis with severe dysminorrhea.

    1. Sutshekhar Ras (250 mg thrice daily) along with Praval Pishti (500 mg thrice daily) should be best for relieving pain. Medicines for Endometriosis are:
      1. Chandraprabha Vati
      2. Ashokarishta
      3. Chandrakala Ras
      4. Vang Bhasma

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