Punarnavarishta is an Ayurvedic medicine commonly used in the treatment of hepatic diseases and inflammatory disorders. It is particularly beneficial in the cases where these disorders are accompanied by itching.  It contains about 5 to 7% of self-generated alcohol in it. This naturally produced alcohol and the water present in this medicine act as a media and deliver water and alcohol soluble active herbal constituents to the body. The shelf life of this medicine is 10 years from the date of manufacture. It should be stored in a cool and dry place away from direct sunlight and moisture. It should be kept out of reach of children as accidental ingestion of high amount of this medicine can lead to serious side effects.


The herbs used in the preparation of this medication are given below:

  • Sveta Punarnava
  • Rakta Punarnava
  • Bala
  • Atibala
  • Patha
  • Danti
  • Guduchi
  • Chitraka
  • Nidigdhika
  • Patra
  • Tvak
  • Ela
  • Maricha
  • Hrivera
  • Aguru

Indications, Benefits & Uses

The health benefits of this medicine are described beneath:

Spleen and liver disorders

Punarnavarishta is an excellent liver tonic. It is useful in the management of fatty liver disease, jaundice, chronic alcoholism, and anemia. It produces a protective action on the spleen and the liver and helps in preventing disorders such as splenomegaly, hepatomegaly, and hepatitis. It helps in treating hepatitis by producing an antibacterial and antiviral action, which result in the destruction of the organisms responsible for the disease. It reduces jaundice, loss of appetite, nausea, vomiting, and pain in the abdomen, loose motions, and fever occurring due to hepatitis. It can also be used to prevent the progression of cirrhosis.

It treats cirrhosis by acting as a powerful antioxidant. It also protects the liver against the damage caused by chronic consumption of alcohol, and toxins in the food. It also protects the liver against free radicals. It ensures proper functioning of the organ. It has also been found to be useful in the treatment of ascites arising due to fatty degeneration of the liver, or cirrhosis. The hepatic and spleen conditions are often accompanied by itching.

Urinary diseases

Punarnavarishta is commonly used to treat urinary tract infections. It reduces burning while passing urine caused due to the infections. It can also be used to treat kidney diseases that affect the efficiency of this organ in regulating excretory functions resulting in edema. It can be used to relieve the excessive water retention and the resulting complications like hypertension, dropsy, cardiac failure, renal failure, and pulmonary hypertension.

Skin diseases

Punarnavarishta is immensely beneficial in the management of skin diseases like leucoderma. It is a chronic skin condition that causes the appearance of white spots or patches on the skin. It occurs when some parts of the skin lose pigmentation.

The conventional methods of treatment for this disease involve the use of phototherapy and the application of steroidal creams. However, these treatments are not too effective in controlling the symptoms and can also cause serious side effects. Hence, Punarnavarishta is considered an effective treatment for this condition. It not only helps to reduce the appearance of white patches but is also safe to use.

Recommended dosage of Punarnavarishta

Patients can take Punarnavarishta in a dose of 12 ml, once or twice a day. The dose may be increased to 24 ml twice a day if the symptoms are severe or the response to the lower dose is not satisfactory. This medicine should be used for a period of 2 to 4 months. If needed, an equal quantity of water may be added to the medication before consumption. Lactating mothers should use this medicine in a low dose of about 5 to 10 ml, once a day. However, they should not use it for more than 2 to 3 weeks.

Side effects of Punarnavarishta

Punarnavarishta is not known to cause serious side effects. It may cause mild irritation and burning sensation in the abdomen. This side effect can be avoided by taking the doses after meals. It may cause gastric discomfort when used in a very high dose. The effect of this medicine on the fetus, when used by a pregnant woman, is not fully known. Hence, women should avoid using Punarnavarishta during pregnancy. The use of Punarnavarishta in children should be done only after consulting a doctor. It may be used during lactation for a short period.

This medicine is not suitable for the people with diarrhea as it contains Danti, which is a strong purgative. Using this medicine while suffering from diarrhea can result in the worsening of the condition. People with a sensitive stomach should also avoid using this medicine as it can cause worsening of gastritis.

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