It is a decoction and ayurvedic medicine available in liquid form. It is a remedy prescribed by most of Ayurvedic physicians for resolving respiratory conditions, colds, anaemia & abdominal pain. It is useful in cases of myxedema, abdominal diseases and anaemia. The main ingredients in Punarnavadi Kashayam are Boerhaavia diffusa, Cedrus deodara, Terminalia chebula, Azadirachta indica, zingiber officinale. The pharmacological action of Punarnavadi Kashayam assuages kapha and pitta conditions when in extreme. It is a natural and herbal diuretic remedy, which can be used to increase the urine output of patients with various diseases such as generalized edema, kidney failure, ascites or myxedema etc. Initially, it increases urine output and then balances urinary outflow. It decreases generalized swelling to due excess fluid accumulation in the body. Punarnavadi Kashayam is also anti-inflammatory. Due to this, it is commonly prescribed for rheumatoid arthritis and osteoarthritis. Moreover, its anti-inflammatory action can be seen in 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 levels.