Punarnavasavam

Punarnavasavam  is an Ayurvedic  medicine in liquid form used in  edema, gastritis,  fiver, liver diseases etc… it is also known as punarnavadyasavam.

  
Punarnavasavam dose: 12 – 24 ml. one or two times a day, usually advised after food.
If needed, it can be mixed with equal quantity of water.

Indications of Punarnavasavam:

• Shotha – oedema, swelling, inflammatory conditions.
• Udara – ascites,
• Pleeha – splenomegaly
• Amlapitta – gastritis, hyperacidity
• Yakrut – liver disorders
• Gulma – round and hard abdominal mass,
• Jvara – fever
• Kruchra sadhya roga – chronic, difficult-to-treat disorders.

Punarnavasavam ingredients: 

1. Shunti – Ginger – Zingiber officinalis – Rhizome – 16 g
2. Pippali – Long pepper – Piper longum – Fruit – 16 g
3. Maricha – Pepper – Piper nigrum  -Fruit – 16 g
4. Haritaki – Terminalia chebula – Fruit rind – 16 g
5. Darvi – Berberis aristata – Stem – 16 g
6. Vibhitaki – Terminalia bellirica – Fruit rind – 16 g
7. Amla– Emblica officinalis – Fruit – 16 g
8. Gokshura –  Tribulus terrestris – Root / whole plant – 16 g
9. Kantakari –  Solanum xanthocarpum – Root / whole plant – 16 g
10. Brihati –  Solanum indicum – Root / whole plant – 16 g
11. Vasaka – Adhatoda vasica – Root – 16 g
12. Erandamoola Castor root – Ricinus communis – 16 g
13. katuki – Picrorrhiza kurroa – Root – 16 g
14. Punarnava – Boerhaavia diffusa – Root – 16 g
15. Gajapippali  Scindapsus officinalis – Fruit – 16 g
16. Pichumarda – Neem – Azadirachta indica – Stem bark – 16 g
17. Guduchi – Giloya – Tinospora cordifolia – Stem – 16 g
18. Patola – Trichosanthes dioica – leaf – 16 g
19. Shushka Mulaka – Dry Radish –  Raphanus sativus – root – 16 g
20. Duralabha – Fagonia cretica – Root – 16 g
21. Dhataki –  Woodfordia fruticosa – Flower – 256 g
22. Sita – sugar – 1.6 kg
23. Draksha – Dry grapes– Vitis vinifera – Fruit – 320 g
24. Madhu – Honey– 800 g
25. Water – 8.19 liters

Method of manufacturing:
The herbs in the list up to  Sugar are made into coarse powder.

Sugar is dissolved in water and filtered. It is taken in a clean container.

To this sugar solution, the rest of the ingredients are added and sealed.

Duration for fermentation – one month

Reference: Bhaishajya Ratnavali, Shotha rogadhikara, 197-201