Pathyapunarnavadi kashayam is an Ayurvedic medicine for treating oedema.
This yogam is specially made by traditional Kerala vaidyas.
Benefits of Pathyapunarnavadi kashayam
Pathyapunarnavadi kashayam is used in acute and chronic swelling, especially in elderly people.
It is effective both in localised and whole body swelling.
It is Vaatanulomana, relieves constipation.
As it has an effect in proper management of water retention and electrolyte balancing in the body, it is used in many cases of hepatic and renal disorders.
It is a hepato-protective formulation.
Indications of Pathyapunarnavadi kashayam
Sopha – Swelling
Vid sanga – Constipation
Ingredients of Pathyapunarnavadi kashaya
| Chebulic myrobalan | Pathya | Terminalia chebula RETZ. & WILLD. |
It is one of the main drugs in Ayurveda, one of the Rasayana and a member of an important group, Triphala. It is used in a wide variety of diseases as it possesses anti-bacterial anti-fungal anti-viral anti-diabetic anti-mutagenic anti-oxidant anti-ulcer and wound-healing properties
| Spreading hogweed | Punarnava | Boerhavia diffusa Linn. |
The name Punarnava means it has the capability to repair and regenerate itself. It does the same function in our body also. It is an important anti-inflammatory medicinal herb well known for its diuretic and antioedematous properties. Here it works as a diuretic, by balancing the water retention at the same time helping to reduce oedema in the visceral organs being beneficial in ascites, splenomegaly etc. It can eliminate the unwanted fluid collected in tissues and reduce swelling and thereby reverse inflammation.
| Turmeric
|
Nisa | Curcuma longa L.
|
Turmeric is used to help with heartburn or bowel problems like diarrhoea, intestinal gas, and bloating. It is famous for its anti-cancerous and detoxification effects. It is widely used in skin diseases. Some may use it to help with memory problems or problems with the liver or gallbladder. It may also help to lessen swelling and help with signs of arthritis. It has marked anti-inflammatory and antiseptic action.
| Long pepper – root | Kanaamoola / Pippaleemoola | Piper longum |
It is pungent in taste and hot in potency. It breaks down thick sputum and is beneficial in sinusitis and asthma. It is also useful in the treatment of worm infestation, infected wounds, ascites, enlargement of abdomen, distension of abdomen, splenomegaly, asthma, tuberculosis and other chronic respiratory disorders. It improves taste and relieves anorexia.
| Ceylon leadwort | Vahni/Chitraka | Plumbago zeylanica L.
|
It aids digestion and increases appetite. It has anti-inflammatory action. It can also be used in liver diseases.
| Castor bean plant
|
Chitra/Eranda
|
Ricinus communis |
It has evident antimicrobial activity and is a strong laxative. Its leaf, root and seed oil are used as anti-inflammatory & antioxidant. Also, its antimicrobial and cytotoxic activities are evident.
| Coco grass, Nut grass, Purple nutsedge | Abda | Cyperus rotundus L. |
It has marked anti-inflammatory action. It also has anthelmintic, antioxidant and antifungal properties. The drug improves lactation, relieves fever, burning sensation, and excessive thirst. It is also used in treating diarrhoea, dyspepsia and skin diseases.
| Cumin | Jeeraka | Cuminum cyminum |
It is very good in improving digestive fire and immunity. It helps in curing various kinds of ulcers, IBS, diarrhoea and other disorders of the gut. It is used in the treatment of mild digestive disorders as carminative. It is useful as an astringent in Broncho pulmonary diseases.
| Himalayan cedar | Suradruma | Cedrus deodara |
It is useful as an expectorant in cough. It relieves asthma and other respiratory diseases by clearing the airways and enhancing the movements of respiratory tract.
| Long pepper | Pippali | Piper longum |
It has carminative action and maybe used as appetizer. The fruit and root of Pippali are used in the form of powder to treat fever, diarrhoea, piles, cough, hiccough, asthma, hoarseness of voice, flatulence, colic, vomiting, acid gastritis, oedema, diseases of mouth, eye diseases, diseases of semen, diseases of women, jaundice, and earache.
Pippali mixed with honey alleviates cough, dyspnoea, fever splenomegaly, and hiccough.
Details of the manufacturing
As already discussed, Pathyapunarnavadi kashayam is prepared using 10 ingredients in equal quantity.
All these ingredients should be washed well and dried up in shade.
Take the prescribed herbs in dried & crushed form in an earthen pot. For your special attention, Jeeraka should be crushed and tied up separately in a white clean cotton cloth as a Potali. This is to prevent the excess dissolution of the contents and to maintain the exact consistency of the kashayam. Now add 16 times clean water into it. Make it boil and then cook in the open vessel with low fire. Reduce the quantity into one by eighth of the initial quantity. Make sure to mix it in between with a ladle without breaking the potli. Also, the fire should be kept low to make sure that all the active ingredients in the herbs needed are absorbed well into the water. Once the quantity is reduced to one by eighth of the initial amount of water, remove the vessel from the fire. Squeeze and drain through a clean white cloth. Collect the decoction in a clean vessel and discard the solid waste. Drink the mild warm decoction.
Dosha Dooshya Predominance with roga margas.
Pathyapunarnavadi kashayam is Kapha-Vaatahara and anulomana.
It acts on aabhyantara rogamarga
Dosage and Usage of Pathyapunarnavadi kashayam
Dosage: two Pala.
Usage:
Kashayam is advised to take in empty stomach, once the ingested food is digested well and aahaararasa is formed well.
Usage of kashayam with prescribed prakshepadravyas according to the condition of disease and the patient gives the best results mostly.
Exercises and Yoga.
As Pathyapunarnavadi kashayam targets mainly excretory system and electrolyte balance, only mild exercises are advised. Also, specific yogacharya including nadisuddhi pranayama, pavanamuktasana, vajrasana, bhujangaasana etc is recommended.
In persons with fever and urinary tract infections, physical exercises are not recommended.
Regular exercise after regaining normal health helps improve bioavailability of the food ingested and leads to positive health.
Yoga can maintain harmony within the body and with the surrounding system.
Pavanamuktasana
Vajrasana
Nadisudhi pranayama
Bhujangasana
Simple exercises for lungs and heart health
All the exercises and physical exertions must be decided and done under the supervision of a medical expert only.
Recommended diet and behaviour
Diet:
- To be avoided
Hot spicy and pungent food items like pickles
Heavy meals and difficult to digest foods – cause indigestion.
junk foods- cause disturbance in digestion and reduces the bioavailability of the medicine
carbonated drinks – makes the stomach more acidic and disturbed digestion
refrigerated and frozen foods – causes weak and sluggish digestion by weakening Agni (digestive fire)
Milk and milk products – increase kapha and cause indigestion. It may cause obstruction in the channels also.
curd – causes vidaaha and thereby many other diseases
- To be added
Light meals and easily digestible foods
Green gram, soups, arrowroot.
freshly cooked and warm food processed with cumin seeds, ginger, black pepper, ajwain etc
Behaviour:
Protect yourself from very hot climate.
Better to avoid exposure to excessive sunlight, wind, rain or dust.
Maintain a regular food and sleep schedule.
Avoid holding or forcing the urges like urine, faeces, cough, sneeze etc.
Side effects and contraindications
No known side effects reported.
Classical reference
SAHASRAYOGA SOPHA SHLOKA 4
Equivalent medicines.
Punarnavadi kashayam
Bruhathyadi kashayam
Brands Available
Research papers
Pathya
https://pubmed.ncbi.nlm.nih.gov/24004166/
Abda
https://pubmed.ncbi.nlm.nih.gov/23388107/
Sunthi
https://www.ncbi.nlm.nih.gov/books/NBK92775/
Punarnava
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4053255/
These statements have not been evaluated by the Food and Drug Administration, United States. This product is not intended to diagnose, treat, cure or prevent any disease. Please consult your GP before the intake.
Dr. Rajesh Nair
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