Ask Ayurveda

FREE! Ask Ayurvedic Doctors 24/7

Get expert answers from certified doctors anytime

Fast responses
1000+ verified doctors
/
/
/
Can Punarnavarishta or Rohitakarishta Help My Hypothyroidism and Anemia?
General Medicine
Question #45612
187 days ago
1,031

Can Punarnavarishta or Rohitakarishta Help My Hypothyroidism and Anemia? - #45612

Client_a552f2
$30

Female, 37 yrs, unmarried, no children. Condition: Subclinical Hypothyroidism Hemoglobin 13, but Ferritin low at 36 Was consistently anaemic in the past since childhood. Hemoglobin only improved in the last 2 years after taking Vitamin A. Iron supplements normally don't work for me. All the symptoms of hypothyroidism present: swelling around eyes, puffy face, hairfall, thinning eyebrows and eyelashes, brain fog, anxiety, cold intolerance, etc. Currently managing by regulating sleep time, practising pranayama, yoga , regular meal times etc. Strength training twice a week. During periods no exercise. Have a tendency to overthink and worry too much. Dried cracked lips mostly. Pale dry skin, thinning hair. Poor appetite, tendency to constipation mostly. Poor focus and concentration, general lack of energy. Periods pattern: periods marked by two days of spotting at the start, then proper flow for 2.5 days, then almost stops and then picks up on day 4 and 5 before stopping on the 6th day. Flow is scanty and painful. (Initial diagnosis from Traditional Chinese Medicine - blood and Qi deficiency) Question: Could taking Punarnavarishta or Rohitakarishta help me in this case? Do I need another diagnosis?

How long have you been experiencing symptoms related to hypothyroidism?:

- More than 1 year

Have you noticed any specific triggers that worsen your symptoms?:

- Stress

How would you describe your overall energy levels throughout the day?:

- Low
Question is closed
Writing an explanation of your symptoms through Ayurveda...
Analyzing through Ayurvedic framework0%

Doctors' responses

Thank you for reaching out and trusting these platform with your Health journey Everything which you have described, fits very clearly into a long-standing vata kapha imbalance with underlying rasa dhatu depletion low Agni and mild kapha obstruction around the thyroid The picture is very classic - Lifelong low ferritin, dry cracked lips, pale, dry skin, thinning hair, cold intolerance, poor appetite constipation, anxiety, overthinking, swollen eyes, fluffy face, scanty, and irregular menstrual flow, and low energy throughout the day

This shows that the tissues are not getting nourished properly, even though your heamoglobin alone has improved… Ferritin at 36 explains why you still feel the typical hypothyroid symptoms, even with a normal HB value In such cases, the thyroid gland and reproductive system behave as though they are undernourished… and the body remains stuck in a low fuel state Stress and overthinking further drive up vata and disturb Ani, which explains why your symptoms intensify during phases of worry

Punarnava aristha or rohitakaristha or not the best primary choices for you Punarnava works more on swelling, water retention and kapha pitta fluid imbalance Rohitaka aristha wo Mohan liver congestion While you have some fufi, your deeper pattern is depletion, dryness, low Agni and vata kapha thyroid sluggishness, not fluid, excess or liver heat So these aristha won’t address the route of your condition and may even drive you further, if used alone You do not need another diagnosis. You already have a very clear combined picture from both Ayurveda and TCM.- Agni weakness, rasa dhatu depletion low, vata arrange arrangement, and Qi deficiency What you need is rebuilding, warming, nourishing, and stabilising, not drain or detoxifying

For someone with your pattern, the best direction is to support Agni gently,rebuild depleted tissues and calm vata

Medicines that work well in this state or Saraswathi aristha Draksha aristha Take 10 ML each with equal amount of water after meals Kalyanaka gritha -1 teaspoon with warm water at morning Ashwagandhadi lehyam 1 teaspoon with warm milk at night Shatavari churna half teaspoon with warm milk, cut morning Kanchanar guggulu One tablet twice daily after food with warm water Avipattikara churna half teaspoon before meals with water

For ferritin iron, tonic alone won’t work, unless your digestive fire is supported That is why A helped you, it improve absorption, indirectly You would benefit much more from mandura waste preparation, like you can take- Punarnavadi mandura one tablet twice daily after food with warm water Drink pomegranate juice daily at 12 PM

Your symptoms are not because of missing diagnosis, but because the body has been under, no reach at the tissue level for many years Treating this is very possible, it requires steady nourishment vata coming better digestion, and gentle thyroid support

4952 answered questions
37% best answers
Doctor has prepared a treatment plan for you
AVP Kalyanaka Gritham - Arya Vaidya Pharmacy
AVP Aswagandhadi Lehyam - Arya Vaidya Pharmacy
Agatsya Aushadh Avipattikara Churna
+5 more medications
Accepted response

0 replies

Hello

Thank​‍​‌‍​‍‌​‍​‌‍​‍‌ you for providing the details of your symptoms. Judging by the picture, your symptoms seem to correlate with an Ayurvedic imbalance of Vata-Kapha that has been going on for a long time, accompanied by low Agni and Rasa–Rakta Dhatu deficiency, which is the root cause of your low energy, puffy face, dry skin, hair thinning, constipation, and irregular period pattern.

Don’t worry — with the right Rasayana + Agni Deepana + Stress management, you can make very good progress quite fast.

Your symptoms point to: Ayurvedic Diagnosis Vata-Kapha Vriddhi Agnimandya → Ama formation

Rasa–Rakta Dhatu Kshaya (Blood & Qi deficiency in TCM = same as Rasadhatu + Raktadhatu depletion) Apana Vata Dusti → Scanty / painful periods Kapha blocking Vata → Subclinical Hypothyroidism picture

👉Why do your iron & energy stay low?

Weak digestive fire (Manda Agni) → nutrients are not absorbed properly

Stress → Vata aggravation → low appetite, dryness, anxiety

Hormonal imbalance → irregular flow, spotting, fatigue

This is a typical case of Vata-Kapha hormonal dysregulation with chronic Rasa-Rakta depletion.

SHOULD YOU TAKE PUNARVARISTHA OR ROHITAKAARISTHA?

Punarnavarishta – Mainly for edema, water retention, digestion, liver weakness Not appropriate for you.

Rohitakarishta – Nice for liver, spleen, anemia

Both these are not the first-line Ayurvedic medicines for your condition.

AYURVEDIC TREATMENT PLAN

INTERNAL MEDICATION. (Safe, gentle options you can start)

1. Kanchnar Guggulu– 1 tablet twice daily after food Balances Kapha, regulates thyroid.

2. Saraswata Ghrita– 1 tsp at night with warm water Excellent for Vata, anxiety, brain fog.

3. Dashmoolarishta– 15 ml with equal water after lunch Improves Apana Vata, painful periods & low energy.

4. Punarnava Mandur (Better than Punarnavarishta)– 10 ml after lunch Supports low ferritin without causing constipation.

5. Hingwashtak Churna– 1 tsp before meals with warm water For Agni deepana, bloating & absorption.

Yogic Support Bhramari pranayama – 7 rounds morning Ujjayi pranayama – excellent for thyroid Moon salutations 3–5 rounds on non-period days

DIET PLAN To correct Agni + nourish Rasa-Rakta:

Add black sesame seeds, dates, beetroot, cow ghee, soaked raisins, drumstickWarm, freshly cooked foods

Avoid: cold foods, curd at night, wheat-heavy diet, excess salads, skipping meals

Drink: jeera–ajwain–hing water after lunch

LIFESTYLE

Regular sleep (10:30 pm) Oil massage with warm Ksheerabala taila 3x weekly Reduce overstimulation & screen time after 8 pm Reduce excessive worrying (Vata pacification)

INVESTIGATION NEEDED To track root cause:

TSH, FT3, FT4 Anti-TPO antibodies Serum Ferritin, Iron, TIBC Vitamin B12 & Vitamin D Lipid profile

There is no need for Punarnavarishta in your situation. Your real issue is Agnimandya + Vata-Kapha endocrine imbalance + Rasa-Rakta depletion.

With the medicines + diet + routine stated above, you should get better in: Energy Thyroid symptoms Period pattern Hair & skin dryness Anxiety levels Ferritin levels

Warm regards, Dr Snehal ​‍​‌‍​‍‌​‍​‌‍​‍‌Vidhate

12035 answered questions
28% best answers
Accepted response

1 replies
Client_a552f2
Client
187 days ago

Dear Dr Snehal

Many thanks! Another follow-up question - I’m currently not on any thyroid medication since it is only mild. Would you still recommend that I take Kanchnar Guggulu? I’m asking out of concern for risks, would prefer a conservative approach. My available results are below, for context - I live in Germany, and travelled home to India for the vacation mentioned below.

TSH last week: 3.43

Previous results from oldest to latest:

Nov 2024 - TSH - 5.22 - Ferritin - 36.6 - Vit B12 - 527

Dec 2024 - - TSH - 6.6 - FT3 - 2.6 - FT4 - 0.99 - anti-TPO - 15

Jan 2025 (during vacation) - TSH - 3.48 - Vit B12 - 316 - Vit D - 26

March 2025 (taken after a long vacation) - - TSH - 2.43 - FT3 - 3 - FT4 - 1.02

Rohitakarista useful for anaemia and thyroid for take hamsapadikashayam 20ml bd, thyrocare 1tab bd, kanchanara Guggulu 1tab bd, varanadhi kashayam 20ml bd, punnarvadi mandoor 1tab u ll get results

Dr RC BAMS MS

16028 answered questions
33% best answers

0 replies

Hello, Before starting anything it is better to address the digestion as you are mentioning poor appetite and tendency to get constipated. For that you can start with- 1. Dasamoolarishtam(Vaidyaratnam/Kottakkal) 20ml—0----20ml immediately after breakfast and dinner for 90 days. Once you complete one weeks dosage, along with medicine no.1 please start- 2. Munithyrone tablets 2—0----2 with a cup of boiled warm water after breakfast and dinner for 90 days.

Do a repeat check of thyroid profile after 90 days.

Take care, Kind regards.

10667 answered questions
28% best answers

0 replies

Punarnavarishta and Rohitakarishta are known formulations in Ayurveda, each with distinct roles. In your case of hypothyroidism and recurrent anemia, let’s delve into how these formulations might fit in.

Rohitakarishta is primarily beneficial for correcting digestive fire (Agni) and liver imbalances, promoting better absorption and utilization of nutrients, which could address underlying causes of poor digestion and assimilation that often accompany conditions like anemia. It might be supportive in enhancing your hemoglobin levels over time by improving the overall digestive capacity and liver function. For addressing your low energy levels and poor nutrient absorption, incorporating Triphala churna before bedtime could assist in regularising bowel movement and enhancing digestive absorption.

Punarnavarishta, on the other hand, is more commonly applied in managing fluid balance issues, such as edema (swelling), related to kidney or heart malfunctions. It might not directly target anemia but could help with fluid retention issues that you mentioned, like swelling around the eyes, which are associated with hypothyroidism.

Given your subclinical hypothyroidism symptoms, you’re dealing with Kapha imbalances alongside a Pitta disturbance, evidenced by swelling and digestive stagnation. It’s vital to address both. Ashwagandha might be worth exploring for its adaptogenic properties to balance thyroid function. Also considering your cold intolerance and anxiety, a diet favoring warm, cooked, easy-to-digest foods can support your digestion and energy.

Although supplements and treatments have roles, identifying your digestive capacity and working on increasing Agni are foundational. Consulting with an Ayurvedic practitioner for a personalized pulse or tongue diagnosis would be beneficial to understand deeper Dosha imbalances and customize a treatment plan further.

Continuing your practices like yoga and pranayama is crucial. Adding meditation can help manage the tendency to overthink and worry. Optimize your rest, focusing also on sipping warm water with fennel and ginger to aid digestion and metabolism, especially during the cold periods.

13389 answered questions
39% best answers

0 replies

Considering your symptoms, it’s essential to address both your thyroid imbalance and the anemia effectively. While Punarnavarishta and Rohitakarishta have their benefits, their primary uses may not directly align with your specific condition.

Punarnavarishta is often used for fluid retention, improving kidney function, and balancing Kapha dosha. Your symptoms suggest underlying Vata imbalance exacerbated by intuitions like poor appetite, constipation, and dry skin. Rohitakarishta, on the other hand, is frequently used in liver and spleen disorders and might not directly address your subclinical hypothyroidism or anemia.

For hypothyroidism, enhancing your Agni, or digestive fire, would be crucial. Opt for milder spices like cumin and ginger in your meals to ignite Agni without exacerbating Pitta. Warm, cooked meals with good fats like ghee can help. For anemia, ensure you’re taking Vitamin C-rich foods alongside iron sources to improve absorption.

Improving blood quality and circulation is also vital. Consider Ayurvedic formulations like Ashwagandha and Shatavari to help with stress and hormonal regulation. They also support your Dhatu nourishment. Dashamoola Kwath can also be beneficial in improving overall strength and fighting fatigue.

Since regular iron supplements aren’t effective, consider evaluating your diet for lesser-known enhancers, like black sesame seeds or dates. Continue yoga and pranayama but emphasize those that calm the mind.

Lastly, work towards improving overall body constitution and balance doshas rather than relying only on single remedies. A dedicated Siddha-Ayurvedic practitioner can provide you a focused treatment, possibly using formulations like Amalaki or Brahmi to address mind-related concerns and strengthen your systemic resilience.

12159 answered questions
27% best answers

0 replies

About our doctors

Only qualified ayurvedic doctors who have confirmed the availability of medical education and other certificates of medical practice consult on our service. You can check the qualification confirmation in the doctor's profile.


What causes height not to increase at 15 years old and how can I increase my height?
Can I increase my GLIMIKEM-MP1 dosage from 1 to 1.5 tablets for type 2 diabetes at 75 years old?
How to treat morning heaviness in eyes and fatigue after sex for 20-25 days?
Can heart patients take this medicine without issues in other areas like joints or heart, especially at age 50 with a history of a minor attack?
How to use this medicine: should I take it in the morning, evening, or at night?
What to do if I have a persistent mouth ulcer for 40 days that isn't healing?
How to take Dr. Meyers Pilex for piles at 25 years old?
What herbal tea is good for diabetic neuropathy if my husband is on aspirin and has heart stents?
How to treat tingling and stabbing pain in the soles of my feet at 70 years old without Gabapentin?
How to manage high HbA1c levels and kidney function in a 58-year-old woman on insulin?
What can I do to increase my height at 14 years old within a budget of 100?
How to treat fungal infection on hips after stopping allopathic medicine?
How to use Ayush Kwath powder for my 4-year-old child? Should I give it before or after meals, and how much should I use?
How to learn Nadi Pariksha and lose 18 kg without medication?
What dietary changes or herbal medications can help treat fatty liver?
Can my 21-year-old son with epilepsy take Narasimha Rasayan?
What to do if my linear lichen planus pigmentous isn't improving after Ayurvedic treatment?
What to do for fiberglass splinters in my fingers that are encapsulated and causing itching and swelling?
How to increase height at 20 years old if I'm only 4.7 inches tall?
Can I give my 15-year-old daughter Liv 52 tablets for high SGPT levels?
How to increase height for a 23-year-old woman who is 150 cm tall and weighs 53 kg?
Is it safe to take Manasamitravatakam tablets with BPcinod 10 mg and thyroid medication for poor sleep?
How to use Mukta Vati Extra Power for maintaining blood pressure and pulse rate?
How to lower high bad cholesterol and triglycerides with medicines or juices?
How to gain weight while dealing with pimples, oily skin, and hair fall?
How to use triphala and guggulu together without aggravating pitta in hot weather?
Is masturbation safe for someone with high creatinine and albumin leakage?
Can I use Ayurvedic medicine for high sugar levels and muscle pain after 20 years of hysterectomy and 13 years of diabetes?
How to increase height for a 16-year-old girl who is 4.7 feet tall?
Does live 52 by Himalaya Drugs have side effects and help digestion by boosting T4 to T3 conversion?
Can I repeat Mebarid syrup and Zifi for my 4-month-old baby if diarrhea hasn't stopped after 5 days?
Is it safe for a 70-year-old to use Tantric Forte for nerve weakness and pain?
How long does it take for Kamdudha Vati to relieve breast and chest pain after gallbladder removal?
How to increase height at the age of 15 and what things can help with height growth?
Can I take Mukta Vati for high blood pressure at dinner if I'm 52 and just had 140/90 readings?
What causes consistently high GGT levels above 110 without alcohol or medication?
What are some remedies for cervical pain with dizziness?
Is it safe to continue taking Madhukalp vati and Madhunadhini for my high HbA1c level of 61 at 49 years old?
Can I eat fish cooked in desi ghee after adding ghee to rice, and how can white spots occur?
What are the Ayurvedic treatments for high MCV and constant fatigue?
Is it safe to take Assicon syrup and Livcon for weight gain for 3 months, and will my weight decrease if I stop?
How to treat persistent headaches and weakness that make me feel unconscious?
What to do for M.N.D symptoms like not eating, difficulty speaking, and constant tears?
Can I mix 20 kari patta, 10 peepal patta, 10 bargad patta, and 10 neem patta in buttermilk or yogurt to drink?
What to do for anxiety, insomnia, and gas issues at night?
Why does my blood pressure rise when I eat ghee or ghee-based foods despite taking medication?
What are the Ayurvedic remedies for B12 deficiency with a count of 173 and can I avoid injections?
Can I take Keela Nelli plant extract regularly before meals for digestive issues after stent surgery?
What to do if my 17-year-old son is not growing and looks younger due to stomach issues?
How much Arvindsava should I give to my 6 and 12-year-old children and what are its benefits?
Can I take Siddhmakardwaj at night after Serenace treatment? Are there any side effects?
How to increase height for a 14-year-old within a budget of 100?
How to treat body pain and low heart rate of 36 to 40 bpm as seen on a Holter monitor?
Is it safe to take abana for cholesterol, vasaka for asthma, and amlant for GERD together?
What is causing my body pain, leg pain, back pain, and weight gain with swelling in my legs?
Can height growth happen at 22 for girls? I'm 149 cm and want to reach 152 cm.
When should I start Ayurvedic medicine for my cervical spondylosis while on neuropathic medication?
How to treat amavata and improve bowel movement and urinary flow?
rfrrrrrrdd fff ffknFL F oJfpfwfk snl gpfwfj flfs
How to treat weight loss with fatty liver, sugar, and blood pressure issues in a 47-year-old woman?
Can I take Pithorin tablets for gallstones at 60 years old, and how often can I take them safely?
How to treat foot numbness after lumbar spinal fusion surgery one year ago?
Can I take Amla and Aloe Vera juice one day and soaked Methi Dana and Kalonji the next day?
How to treat Chalazion in both eyes that hasn't improved after a year?
How to stop eating clay or mud and manage health issues like white discharge, dental cavities, knee pain, and period cramps?
Can I take Livosin continuously for 4 months for fatty liver if I have slight pain on my right side?
How to take this medicine for my heart condition and diabetes?
What to do if Bhringrajasava syrup is causing constipation while trying to promote hair growth?
Does taking Himplasia tablets increase creatinine levels? My creatinine has risen from 0.82 to 1.05 between February and June.
What to do for severe leg pain and fatigue after walking for 6 months?
Can I take Medohara Vati for high cholesterol and triglycerides?
How to manage high blood sugar and cholesterol while taking Ayurvedic and English medicines?
What to do for persistent fever, indigestion, and weight loss over 3 years?
What is a good tonic for teen girls to improve eyesight from screen time and what yoga poses should they do for health?
How to increase my height at 20 years old?
What to do for weakness and joint pain after COVID-19 in a 63-year-old?
Can I take Livosin continuously for 5 months for fatty liver and occasional right side stomach pain?
What could be causing bright red blood in my stool after my period and should I seek help?
How to find out when my confirmed medicine order will be delivered?
What are effective naturopathic treatments for type 2 diabetes and neuropathy after 20 years?
Can I use Chitrak Haritaki while taking rosuvas, diabetes, and hypertension medications?
How to safely normalize metabolism and reduce period pain for a 22-year-old female with Hashimoto's and vata imbalance?
What is the best medicine to treat small bumps on my scalp that have lasted for 5-6 months?
Can I take Livosin continuously for 4 months for my fatty liver and occasional right-side stomach pain?
How to manage high blood pressure, creatinine levels, and blood sugar in my case?
How to use Brahma Rasayana for health and immunity, and what are its dosage and contraindications?
Can I take AMLA extract while on potassium-containing blood pressure medication?
What to do if there's grape-sized tissue left in the uterus after a medical abortion?
Why is my pulse rate fluctuating when taking Muktavati every two days for blood pressure?
How to use the two different capsules I received for treatment?
How to use Medohar Vati for weight loss for a 50-year-old woman with back pain?
Can I take Maharasnadi kadha with Guggul if I have gas trouble and I'm using Statiga*ASP 75?
Can I take Ayurvedic medicine for diabetes while using homeopathic treatment for pigmentation and itching?
How to improve my weight and energy levels at 25 years old?
How to treat tension and body weakness with back pain at age 27?
What is causing my weight gain, hair fall, dull skin, and snoring with irregular periods and sleep issues?
Can Ayurveda help my 24-year-old daughter grow taller at 143 cm?
Can I take sugar with my diabetes, and how many tablets should I take at a time?
Is it possible to increase my height from 4'11 to 5'1 after starting my period at age 13?
When is the best time to take Shilajit, in summer or winter, and what are its benefits and side effects?

Doctors online

Latest reviews

Jayden
10 hours ago
This response was super helpful! Explained everything clearly and gave me practical steps to follow. Feel much more reassured now. Thanks!
This response was super helpful! Explained everything clearly and gave me practical steps to follow. Feel much more reassured now. Thanks!
Andrew
10 hours ago
Super grateful for this Ayurvedic advice! The answer really cleared things up for me, feeling a bit more hopeful about recovery now.
Super grateful for this Ayurvedic advice! The answer really cleared things up for me, feeling a bit more hopeful about recovery now.
Samuel
10 hours ago
Thanks for the detailed answer! The Ayurvedic remedies sound promising and are explained so well. Feeling more hopeful about tackling this now! 👍
Thanks for the detailed answer! The Ayurvedic remedies sound promising and are explained so well. Feeling more hopeful about tackling this now! 👍
Matthew
11 hours ago
Thanks to this thorough answer, I’ve got a much clearer picture of what to expect. Appreciating the detailed advice!
Thanks to this thorough answer, I’ve got a much clearer picture of what to expect. Appreciating the detailed advice!