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Main ingredients in Punarnavadi Kashayam are Boerhaavia diffusa, Cedrus deodara, Terminalia chebula, Azadirachta indica, zingiber officinale. The rich combination of these herbs have Sophahara action and acts as Ayurvedic medicine for swelling. Pharmacological action of Punarnavadi Kashayam assuages kapha and pitta conditions when in extreme. It helps to reduce the vitiated accumulation of these entities and is an Effective Ayurvedic medicine for Cirrhosis and Ayurvedic Medicine for fatty liver. It is a natural and herbal diuretic remedy, which can be used to increase urine output of patients in various diseases such as generalized edema, kidney failure, ascites or myxedema etc. Another action of aggravated Pitta is the formation of liver maladies, due to its pitta reducing action it is an Ayurvedic medicine for Hepatitis. Initially it increases urine output and then balances urinary outflow. It decreases generalized swelling due to excess fluid accumulation in the body.Punarnavadi Kashayam Gulika is also anti-inflammatory Ayurvedic medicine for Anemia. Due to this, it is commonly prescribed in rheumatoid arthritis and osteoarthritis. Moreover, its anti-inflammatory action can be seen on the liver as well. It reduces inflammation due to various liver ailments such as viral hepatitis and hepatitis B. It also corrects liver metabolism and decreases serum bilirubin level and acts as Ayurvedic medicine for Jaundice. Due to the presence of Shundi it has a great digestive action and thus is Ayurvedic medicine for Loss of Appetite.