Ayurveda · Herb
Punarnava (पुनर्नवा)
Punarnava benefits in Ayurveda: the Boerhavia diffusa herb used for swelling, urinary health and the liver. Uses, dose, research and side effects.

Overview
Punarnava (Boerhavia diffusa, red spiderling, Hindi gadahpurna or santhi) is a creeping herb common across India. Its name means "that which renews again". Ayurveda uses its root mainly for swelling (shotha), urinary health and the liver, and as a rasayana. Its benefits are traditional; human evidence is limited, and swelling always needs a doctor's assessment.
पुनर्नवा (बोरहाविया डिफ्यूजा, हिंदी में गदहपूर्ना या साँठी) भारत में हर जगह मिलने वाली एक फैलने वाली बूटी है। इसके नाम का अर्थ है "जो शरीर को फिर से नया कर दे"। आयुर्वेद में इसकी जड़ का उपयोग मुख्य रूप से सूजन (शोथ), मूत्र-स्वास्थ्य और यकृत के लिए तथा रसायन के रूप में होता है। इसके लाभ पारंपरिक हैं; सूजन हृदय, गुर्दे या यकृत रोग का संकेत हो सकती है, इसलिए पहले डॉक्टर से जाँच कराएँ।
Benefits
- Traditionally used for swelling and fluid retention (shotha), as a mild diuretic (mutrala).
- Used in Ayurvedic formulas for urinary health and to support the kidneys and liver.
- Considered a rasayana (rejuvenative) and especially balancing for Kapha and Vata.
- Its tender leaves are eaten as a seasonal green (santhi saag) in parts of India.
How to Use
Punarnava is used as root powder (churna), decoction (kwath), capsules, or in classical formulas such as Punarnavadi Mandura, Punarnavasava and Punarnava Guggulu. Ayurvedic references commonly give small amounts, around 1–3 g of root powder a day for adults, usually with warm water. Because it acts on fluid balance, use it only after a doctor has ruled out a serious cause of swelling, and preferably under a qualified practitioner's guidance.
Punarnava at a glance
| Botanical name | Boerhavia diffusa |
| English | Red spiderling, spreading hogweed |
| Hindi | Gadahpurna, santhi, sabuni |
| Meaning of the name | “That which renews again” (punar + nava) |
| Part used | Mainly root; also whole plant and leaves |
| Taste (rasa) | Sweet, bitter, astringent |
| Potency (virya) | Heating (ushna) |
| Post-digestive effect (vipaka) | Sweet (madhura) |
| Dosha | Balances all three, especially Kapha and Vata |
| Classical formulas | Punarnavadi Mandura, Punarnavasava, Punarnava Guggulu, Punarnavashtaka Kwath |
Why it is called the herb that renews
Punarnava is a small creeping weed with pinkish-red flowers that grows almost everywhere in India — in fields, along roadsides and in wasteland. Each summer the plant dries out, and with the first rains it sprouts fresh green again. Its Sanskrit name, “the one that becomes new again”, describes this cycle, and Ayurveda says it renews the body in the same way, especially when it is swollen and heavy.
In the monsoon the plant is easy to recognise: a sprawling, many-branched stem, often reddish, with pairs of unequal oval leaves and clusters of tiny pink to purple flowers. Its sticky fruits cling to clothing and animal fur, which helps it spread. The thick, tapering root is the part most valued in medicine, and it is usually collected after the rains, when the plant is fully grown.
Classical texts sometimes distinguish a red (rakta) and a white (shveta) punarnava, and there has long been confusion between Boerhavia diffusa and the related Trianthema portulacastrum. Today most products use Boerhavia diffusa.
How Ayurveda understands punarnava
The Charaka Samhita lists punarnava among herbs that relieve swelling (shothahara) and that promote urine flow. In Ayurvedic terms:
- Kapha: its bitter, astringent taste and warm potency reduce heaviness and fluid accumulation — the qualities of excess Kapha dosha.
- Vata: its sweet post-digestive effect and warmth are considered balancing.
- Pitta: in moderate doses it is generally tolerated, though its heating potency calls for care.
It is also described as kindling agni, the digestive fire, and as a rasayana, a rejuvenative for long-term vitality. See Prakriti, the body constitution for how doshas guide the choice of herbs.
Traditional uses
In Ayurvedic practice punarnava is used for:
- Swelling and fluid retention (shotha) — its best-known use, often in formulas such as Punarnavadi Mandura or Punarnava Guggulu.
- Urinary health — as a mild diuretic (mutrala) to support urine flow.
- Liver support — in formulas for jaundice and sluggish digestion.
- Joint stiffness and inflammation — usually combined with guggulu.
- Anaemia and weakness — in iron-containing preparations such as Punarnavadi Mandura.
- As food — the tender leaves are cooked as a green (santhi saag) in parts of Bihar, Jharkhand and other regions.
In most of these uses punarnava is combined with other herbs rather than taken alone; classical Ayurveda rarely relies on a single plant for a complex condition.
What modern research says
Punarnava contains compounds called punarnavine (an alkaloid), rotenoids (boeravinones), flavonoids and other substances. Laboratory and animal studies report diuretic, anti-inflammatory, liver-protective, antioxidant and immunomodulating effects. A few small human studies of Ayurvedic formulas containing punarnava have looked at kidney function, liver disease and anaemia, with some encouraging results.
However, the evidence is preliminary. Most studies are in animals or cells, human trials are small and often test multi-herb formulas, and there is no good proof that punarnava treats kidney disease, liver disease or heart failure. Claims that it “cures” kidney failure or “reverses” fatty liver are not supported.
How to use punarnava
- Root powder (churna): a common traditional amount is about 1–3 g a day with warm water, for adults.
- Decoction (kwath): the dried root boiled in water and reduced, taken warm.
- Classical formulas: Punarnavasava (a fermented liquid), Punarnavadi Mandura (with iron), Punarnava Guggulu and Punarnavashtaka Kwath, used as directed by a practitioner.
- Capsules or tablets: choose reputable brands tested for heavy metals and contaminants.
Many practitioners recommend taking it in the morning or early afternoon rather than at night, because of its diuretic action. Use it for limited periods, watch how your body responds, and do not combine several diuretic herbs. Punarnava is often paired with guduchi (giloy) or triphala in practitioner-led formulas.
Safety and side effects
Punarnava is generally well tolerated in usual amounts, but:
- Swelling is a symptom, not a disease. Swollen legs, puffy eyes or a swollen abdomen can be signs of heart failure, kidney disease, liver disease, thyroid problems, blood clots or medication side effects. Always see a doctor before using any herb for swelling.
- As a diuretic, it may add to the effect of water pills (such as furosemide), blood-pressure medicines and lithium, and could cause dehydration or low potassium or sodium.
- Avoid in pregnancy and breastfeeding; safety has not been established.
- People with kidney disease, heart disease or diabetes, or who take regular medicines, should use it only with their doctor’s approval.
- Large doses can cause nausea, vomiting or loose stools.
- Herbal products may be adulterated or contaminated; buy from reputable sources.
This page is for general information only. Talk to a qualified doctor or Ayurvedic practitioner before using punarnava, especially if you are pregnant, breastfeeding, have a medical condition, or take regular medicines. For another classic Ayurvedic fruit used for elimination, see haritaki.
Note: Avoid in pregnancy and breastfeeding. Because it is diuretic, it may add to the effect of water pills, blood-pressure medicines and lithium, and can cause dehydration or electrolyte imbalance. Do not use it to self-treat swelling, which can signal heart, kidney or liver disease; see a doctor first, and check with your doctor if you take regular medicines. Ayurvedic herbs and practices can interact with medication, pregnancy, and existing conditions — check with a qualified Ayurvedic practitioner or your doctor before starting something new.
Frequently Asked Questions
What is punarnava?
Punarnava is the Ayurvedic name of Boerhavia diffusa, a creeping herb with small pink flowers that grows across India, known in English as red spiderling or hogweed. Its name means 'that which renews again', and its root is used mainly for swelling, urinary health and the liver.
What are the benefits of punarnava?
Traditionally it is used to reduce swelling and fluid retention, support urinary flow, protect the liver and act as a general rejuvenative. Animal and laboratory studies show diuretic, anti-inflammatory and liver-protective effects, but good human trials are few, so these benefits are not proven.
Is punarnava good for the kidneys?
Punarnava is one of Ayurveda's best-known herbs for the urinary system, and it appears in many formulas for kidney support. However, there is not enough clinical evidence to recommend it for kidney disease. Anyone with kidney problems should use it only with their nephrologist's approval.
How do you take punarnava?
It is usually taken as root powder with warm water, as a decoction, as capsules, or in classical formulas such as Punarnavasava and Punarnavadi Mandura. Ayurvedic references commonly suggest about 1–3 g of powder a day for adults. Follow a practitioner's advice on dose and duration.
What are the side effects of punarnava?
At usual doses it is generally well tolerated, but its diuretic action can cause dehydration or electrolyte imbalance and may interact with diuretics, blood-pressure medicines and lithium. Avoid it in pregnancy and breastfeeding. Large doses can cause nausea or loose stools.
Why is it called punarnava?
Punar means 'again' and nava means 'new'. The plant dries up in summer and sprouts fresh again with the rains, and Ayurveda says it renews the body in the same way. Some texts distinguish a red-flowered and a white-flowered punarnava.