Table of Contents
- 1 Punarnavadi Kashayam Tablet Composition
- 2 Key Ingredients in Punarnavadi Kashayam Tablet
- 3 Punarnavadi Kashayam Tablet Ayurvedic Action / Karma
- 4 Punarnavadi Kashayam Biomedical Action
- 5 Punarnavadi Kashayam Health Benefits and usage in thyroid treatment
- 6 Punarnavadi Kashayam Therapeutic Uses
- 7 Punarnavadi Kashayam Dosage
- 8 Side-effects of Punarnavadi Kashayam
- 9 Pharmacies Making Punarnavadi Kashayam
Punarnavadi Kashayam is polyherbal Ayurvedic medicine indicated hypothyroidism treatment, liver diseases, all types of stomach diseases and diseases of small intestine. It is also beneficial in skin ailments due to its detoxifying properties. This medicine is also known as Punarnavadi Kwath/kvath. The main ingredient in this formulation is Punarnava. Kashayam refers to the concentrated decoction of medicinal herbs prepared using water.
Punarnavadi Kashayam has diuretic action and useful in inflammatory conditions, edema, swelling etc. In various diseases, Punarnavadi Kashayam is given in combination of other medicines.
In endometriosis, this medicine is given in combination of Chandraprabha Vati, to cure pain and inflammation in pelvic region.
In case of Chikungunya, with persistent pain and swelling in joints, the person can be given Punarnavadi Kashaya (60 ml), Yograj Guggulu (1 tablet), Cheriya Rasnadi Kashaya (60 ml) thrice daily and Nagaradi lepa for external use. This treatment gives complete relief in 90% cases.
The usual dosage of Kashayam is about twelve ml of decoction in four times water. If the kwath is available in form of powder then decoction is prepared by boiling churna in recommended amount of water. Nowadays, kwath are also available in tablet form for easy administration. Such tablets are prepared by concentrating decoction till they can be given pill shape. Generally, one tablet is equivalent to 5-6 ml of decoction and at a time 2-3 tablets are taken twice a day. Here is given more about this medicine, such as benefits, indication/therapeutic uses, composition and dosage.
- Reference Text: Bhaishajya Ratnavali, Udara Rogadhikara: 43-44
- Synonyms: Punarnavadi Kashayam, Punarnavadi Kwatham, Punarnavadi Kwath, Panduhar Kashayam, Punarnavadi Kadha
- Availability: Online and at medical stores
- Type of medicine: Classical Medicine
- Main Indication: liver disorders, hepatitis, edema
- Main Action: hepatoprotective, Anti-inflammatory, Anti-edema
- Presentation: Pravahi Kwath (Concentrated Decoction), Tablets
Ingredients present in this formulation are given below:
- Punarnava (Rakta Punarnava) (Pl.) 1 Part
- Daru (Devadaru) (Ht.Wd.) 1 Part
- Nisha (Haridra) (Rz.) 1 Part
- Tikta (Katuka) (Rz.) 1 Part
- Patola (Pl.) 1 Part
- Pathya (Haritaki) (P.) 1 Part
- Pichumarda (Nimba) (St.Bk.) 1 Part
- Musta (Rz.) 1 Part
- Nagara (Shunthi) (Rz.) 1 Part
- Chinnaruha (Guduchi) (St.) 1 Part
Punarnava is one of the best herb used for diseases of liver and kidney. It helps to reduce swelling by losing extra fluid from body. It helps in enlargement of liver, cirrhosis of liver, jaundice, dropsy, oedema and similar inflammatory conditions.
Punarnava is astringent, bitter, sweet in taste (Rasa), sweet after digestion (Vipaka), and is cool in effect (Virya). It is a Sheet Virya herb. Sheet Virya or Cool potency herb, subdues Pitta (Bile) and Vata (Wind), gives nourishment to body and supports building of body fluids.
- Rasa (taste on tongue): Kashaya (Astringent), Madhura (Sweet), Tikta (Bitter)
- Guna (Pharmacological Action): Ruksha (Dry)
- Virya (Action): Ushna (Heating)
- Vipaka (transformed state after digestion): Madhura (Sweet)
It is Madhur Vipak (digests into sweet) and has building, moistening and nourishing effect on body. Such herbs are cooling and reduce swelling, decreases Pitta and have Anabolic effect on body.
Punarnava is diuretic and decreases urinary albumin, urinary protein excretion and specific gravity. It is also a urinary antiseptic. The plant is recommended for the treatment of urolithiasis. Punarnava exhibits significant anti-inflammatory, laxative and diuretic action along with stomachic, expectorant, rejuvenative, diaphoretic and emetic properties. The anti-inflammatory and analgesic properties of Punarnava is comparable to that of ibuprofen.
Haritaki – Terminalia chebula
Haritaki is mainly Kashaya (astringent) in taste and all tastes except salty (Rasa), sweet after digestion (Madhur Vipaka), and is heating in effect (Virya). It is light, dry in qualities (Guna). It cures diseases of the Vata Dosha. Haritaki acts on Digestive, excretory, nervous, respiratory system. It has Laxative, astringent, anthelmintic, nervine, expectorant and tonic action.
Haritaki is contraindicated in pregnancy due to its laxative and descending nature.
Haridra (also known as Rajni, Nisha, Nishi, Haldi, Haladhi, Turmeric) consists of the dried and cured rhizomes of Curcuma longa Linn. It mainly contains essential oil and curcumin. It is bitter, and pungent in taste (Rasa), pungent after digestion (Vipaka), and is hot in effect (Virya). It is Ruksha (drying) in quality (Guna). Turmeric balances vitiated Kapha and Pitta. It is anthelmintic (Krimighna) and poison-destroying (Vishaghna). It is used in all type of skin diseases both internally and externally. As it is drying in nature, it reduces excessive phlegm in body. It detoxifies blood.
Haridra is a broad spectrum medicine effective in indigestion, poor circulation, cough, cold, flu, skin disorders, diabetes, arthritis, madhumeha, swelling, fever, bacterial infection, intestinal worms, liver complaints, stammering, filaria, sprain, boils, wounds, conjunctivitis, thirst due to phlegm, allergic reactions etc. Haldi is used traditionally in liver diseases such as jaundice, enlargement of spleen. It is used as a cholagogue, stomachic, laxative and antiseptic activities.
Guduchi, Giloy, Gurch, Amrita, Amritavalli, Madhuparni, Guduchika, Chinnobhava, Vatsadani, Tantrika, Kundalini, Chakralakshanika are Ayurvedic synonyms of Tinospora cordifolia. It is also known as Garo, Galac (Gujarati), Thippateega (Telugu), Amrita, Gilo (Kashmiri), Chittamrutu (Malayalam), Guluchi (Oriya), Gilo (Punjabi), Seendal, Seendil Kodi (Tamil), Siddhilata, Amarlata (Assamese). Tinospora is a climber and for medicinal purpose the stem of plant is used.
- Taste/Rasa: Bitter/Titka, Astringent, Pungent
- Quality/Guna: Light/Laghu, Unctuous
- Potency/Veerya: Heating/Ushana
- Post Digestive/Vipak: Sweet
- Dosha: Balances Vata, Kapha And Pitta, Reduces Vata And Pitta
- Tissue/Dhatu: Plasma, Blood, Muscle, Fat, Nerve, Reproductive
- Srotas/Channel: Digestive, Circulatory
Giloy is useful in liver damage, viral hepatitis or poisoning from alcohol, chemicals or recreational and medicinal drugs. It helps in repairing fibrosis and regenerating liver tissue.
Guduchi / Giloy / Tinospora cordifolia, is recommended for diabetes, burning sensation, fever, edema etc. It has been scientifically validated in various animal models for hypoglycemic, immunomodulatory, anti-inflammatory, antioxidant and other pharmacological activities. The aqueous and alcoholic extract of the plant has been shown to improve glucose tolerance. It has hypoglycemic, anti-oxidant and analgesic activity and reduces burning sensation. It helps to clean liver. It is broad spectrum pitta-reducing herb that destroys toxins and strengthens immunity.
It is a Rasayana herb and used to treat many diseases such as general debility, fever, diabetes, dyspepsia, urinary infections, jaundice and skin diseases.
Neem (Azadirachta indica, family Meliaceae) is also known as margosa, nim, nimba, nimbatiktam, arishtha, praneem. The active constituents of neem are mainly triterpenoids, sterols, bitter principles nimbin and nimbiol. The Neem bark is cool, bitter, astringent, acrid and refrigerant. Bark of the tree is useful in tiredness, cough, fever, loss of appetite, worm infestation.
Neem bark heals wounds and vitiated conditions of kapha, vomiting, skin diseases, excessive thirst, and diabetes. Neem is used to treat intestinal worms, heat-rash, boils, wounds, jaundice, leprosy, skin disorders, stomach ulcers, chicken pox, malarial fever etc. The bark of tree is used in Ayurveda for treatment of skin diseases, excessive pitta, excessive kapha, toxins in body, bleeding disorders and healing of wounds.
Neem Root bark and young fruits are astringent, tonic and antiperiodic (prevent recurrence of diseases).
Patola Trichosanthes dioica
Trichosanthes dioica Roxb. (family: Cucurbitaceae), commonly known as “Sespadula” in English and “Parwal” in Hindi. Fruits of this plant are used as vegetable. The fruits also possess Hepatoprotective, hypocholesterolemic, hypoglyceridimic, and hypophospholipemic action. A study was carried out to assess the potential of T.dioica as a hepatoprotective agent in ferrous sulphate (FeSO4) intoxicated rats. T.dioica given at dose of 200mg/kg showed decrease in the levels of AST, ALT, TB, ALP and increase in TP. The groups treated with 400 mg/kg aqueous and ethanolic extract showed significant reduction in AST, ALT, ALP, TB and increase in TP level. The
pretreatment with T.dioica extracts showed profound histopathological protection to liver cells as evident from histopathological studies. Hence it can be concluded that T.dioica has significant hepatoprotective activity.
Katuka (Synonyms: Picrorhiza kurroa, Tikta, Tiktarohi, Kutki, Katuka rohini, Katuku rohini, Kadugurohini) is a perennial, hairy herb found in north-western Himalayas from Kashmir to Sikkim. The main constituent of the rhizomes is Glucoside (Picrorhizin). The rhizomes of plant are dried and used for medicinal purpose.
It has alterative, bitter, tonic, antibacterial, antiviral, anthelmintic, hepatoprotective, choleretic, spasmolytic, insecticidal and laxative activities.
Traditionally, Picrorhiza is used for constipation, chronic dysentery, scabies, leucoderma, joint pain, chronic asthma, infections, inflammations, coughs, hepatitis, menstrual problems, enteritis, gall bladder complaints, jaundice and hemorrhoids. It works on plasma, blood and muscle tissues.
Kutki pacifies Vata and Pitta and reduces Ama in body. It helps in liver conditions and is considered main herb for jaundice, hepatitis etc. It purges excess pitta from the liver and gall bladder. It protects the liver.
- Amanashaka: Destroys ama.
- Anulomna: Anulomna means one which promote excretions and favor discharge. Takes vata / wind downward, mild laxative.
- Kaphahara: Pacifies Kapha Dosha.
- Mutrakricchraghna: Alleviates Dysuria.
- Mutral: Diuretics, increase the flow of urine
- Pandughna: Reduces anemia.
- Pittahar: Reduces Pitta
- Raktastambhana: Stops bleeding.
- Rasayana: Improve the quality of the tissues.
- Shleshmahar: Reduces phlegm.
- Shothagna: Reduces swelling and inflammation, relieves edema.
- Vishaghna: Destroys poisons in the body.
- Yakritdottejaka: Benefits the liver.
- Antiasthmatic: It promotes the removal of catarrhal matter and phlegm from the bronchial tubes.
- Anti-estrogenic: Suppresses or inhibits oestrogenic activity.
- Anti-inflammatory: Reducing inflammation by acting on body mechanisms.
- Antioxidant: The evaluation of the antioxidant potential of ethanolic extract of Boerhavia diffusa showed that it possessed significant levels of enzymatic and non-enzymatic antioxidants. It possesses preventive and productive role to maintain the cell survival, cellular interaction and maintenance of cell membrane architecture.
- Diuretic: Punarnava is rich in potassium nitrate and hence possess diuretic properties. It increases the secretion and discharge of urine as it is effective on controlling excessive fluids filled in the body cavity. The decoction of whole plant is given for oedema, inflammation, nephrotic conditions, jaundice, ascites and for scanty urine.
- Hepatoprotective: Prevent damage to the liver.
- Hypoglycemic: It increases plasma insulin levels and improves glucose tolerance.
- Laxative: Tending to stimulate or facilitate evacuation of the bowels.
- Stomachic: Stimulates gastric activity.
- It cleanses the body by flushing out the toxins.
- It has no known side-effect.
- It helps in water retention in body due to liver disorder.
- It improves appetite.
- It improves digestion.
- It has laxative action.
- It is beneficial for liver, bile, blood, kidney, bowel.
- It is cellular cleanser.
- It is diuretic and promotes urination.
- It is helpful in all types of liver ailments, indigestion due to liver dysfunction, fatty liver, Hepatitis, Loss of appetite, Anemia and jaundice.
- It is neither warming or cooling.
- It is useful in detoxifying the liver.
- It reduces Kapha.
- It reduces Vata.
- It supports better functioning of liver.
Punarnavadi Kwath is bitter tonic, alterative, laxative, antiperiodic, diuretic and Shothahara (remover of swelling of body) and useful in jaundice, anaemia, cough, asthma, stomach pain, all diseases of stomach, chronic rheumatism, dropsy, bubo etc.
- Appetite loss
- Breathing troubles
- Cough, Bronchitis, Bronchial complaints
- Dropsy, Oedema (swelling of soft tissues due to the accumulation of excess water)
- Elevated uric acid levels
- Fatty Liver Disease (Hepatic Steatosis)
- Fluid retention, swelling
- General weakness
- Gouty Arthritis
- Hepatitis (Hepatitis A, Hepatitis B, Hepatitis C)
- Hypothyroidism (underactive thyroid disease)
- Jaundice (yellowing of the skin or whites of the eyes, arising from excess of the pigment bilirubin and typically caused by obstruction of the bile duct, by liver disease, or by excessive breakdown of red blood cells)
- Liver cirrhosis
- Liver diseases (Diseases of liver)
- Pain and swelling in both knee joints, ankle
- Pain in the back region from neck to low back
- Pandu (Anemia)
- Polycystic liver disease
- Renal diseases
- Sandhigata Vata
- Sarvangashotha (Generalized tremors)
- Shula (Colicky Pain)
- Shvasa (Dyspnoea/Asthma)
- Udararoga (Ascites)
- Urogenital disorder
The recommended dosage of medicine is 12 ml – 24 ml of decoction twice a day before meals or as directed by physician.
Kashayam/ qwath tablet is made from 12gms of crude drug and is equivalent to 6ml of concentrated qwath/ kashayam. The recommended dosage of tablet is 2-3 tablets twice daily before food with hot water.
- It should be taken twice a day, in the morning and evening.
- It is to be taken with water.
- Or take as directed by doctor.
Effectivity of herbal medicine depends on many factors. A medicine suitable for one person may not essentially give same result in another person.
Exact dose depends on the age, strength, digestive power of the patient, the nature of the illness, the state of the viscera and humours, and the properties of individual drugs.
- It should not be used during pregnancy.
- It is very safe medicine to use.
Please maintain a gap of at least an hour between intake of any allopathic drug and Ayurvedic medicine to avoid drug interaction, if any.
- There are no known side-effects for this medicine.
- It has diuretic action and increases urination.
- It is drying in nature.
- Do check the list of ingredients and their contraindications to avoid any side effects.
- Do not use any medicine during pregnancy without consulting doctor.
- Store in a cool and dry place in tightly closed containers, protected from light and moisture.
- Keep away from the sight and reach of children.
- Shake well before use.
- Keep bottle cap closed after every use.
You can buy this medicine online or from medical stores. Since it is a classical medicine, it is manufactured by many Ayurvedic pharmacies.
Name of some of the Ayurvedic Pharmacies manufacturing this medicine are given below:
- Baidyanath Punarnavadi Kadha 450 ml @ Rs. 146.00.
- AVP Punarnavadi Kashayam
- AVN Punarnavadi Kashayam Tablets
- Arya Vaidya Pharmacy Punarnavadi Kashayam Tablets
- Arya Vaidya Sala Punarnavadi Kwatham Tablets
- Kottakkal Arya Vaidya Sala Punarnavadi Kashayam
- Vaidyaratnam Punarnavadi Kashayam
- Kairali Products Punarnavadi Kashayam 1 Bottle 200 ml @ Rs. 100.
- Nagarjuna Punarnavadi Kashayam 100 Tab @ MRP INR 230. and many other Ayurvedic pharmacies.