Yes, Punarnavasava may aid the situation, but it should not be considered the only or the most powerful medicine for the condition.
Essentially, it: –Reduces swelling / water retention –Supports kidney function –Improves micturition (urination) –Reduces nocturnal frequency to some extent
As she is already on Nefrosafe, the addition of Punarnavasava is both safe and compatible.
Recommended Dose
For a female aged 65 and above: Punarnavasava – 10 ml + 20 ml lukewarm water once daily after lunch (Do not use it at night because it might increase urine output.)
However, what concerns her the most (morning urgency / leakage)
Punarnavasava can only partially relieve her condition because her problem is that:
Bladder weakly toned Mild urge incontinence Age-related pelvic muscle laxity
The following remedies will serve this purpose better:
Stronger Supportive Medicines
1. Chandanasava – 10 ml + 20 ml water once daily after breakfast → Relaxes urinary tract and helps bladder control.
2. Gokshuradi Guggulu – 1 tablet twice daily after food → Makes the bladder muscles stronger, lessens the feeling of urgency.
3. Ural Syrup – 10 ml at bedtime (optional) → Relieves morning burning/urgency.
Simple Home Remedies
Warm water rather than cold water throughout the day Kegel exercises (2–3 times daily) Avoid tea/coffee early morning (they aggravate the urgency) Do not drink water immediately before going to bed
Kind Regards Dr Snehal Vidhate
How much is her creatinine level?? Along with that let her start on Chandraprabha vatik1 BD Gokshuradi guggulu 1 BD
Yes punarnavasava can be useful but it depends upon on what is causing the morning urinary leakage Might be due to overactive bladder or weak pelvic floor muscles- not necessarily kidney disease alone However for inability to hold urine, it is not the first choice syrup It supports kidneys, but does not strongly strengthen pelvic muscles or bladder tone
She can use 15 ML with equal quantity of water after lunch and dinner Avoid if she is diabetic You can add Chandraprabha vati One tablet after breakfast and dinner with warm water
Avoid tea, coffee on empty stomach, reduce nighttime fluid after 7 PM. You warm water instead of cold.
Are chandraprabha vati and chandraprabha gulika same?
Yes both are same Vati or gulika means tablet
yes
Yes also take Chandra Prabha vati 1tab bd, varanashi kashaya 1tab bd u ll get results
Dr RC BAMS MS
yes afocurs also use neeri kft syrp 10 ml bd with luckwarm water its good
Punarnavasava can indeed be beneficial for improving urinary health and addressing issues such as an inability to hold urine, commonly experienced in the morning, especially by elderly individuals. Derived from the classical Ayurvedic texts, punarnavasava is known for its diuretic and anti-inflammatory properties. It’s particularly effective in managing conditions related to the urinary system by reducing swelling and supporting renal function.
In the context of an elderly woman already taking Nefrosafe, a combination like punarnavasava may provide complementary support. However, certain steps should be taken to integrate it smoothly. Firstly, you may want to consult with an Ayurvedic practitioner or her healthcare provider to ensure there isn’t a risk of interacting effects, given her current medication regime, as it is essential to know her full health profile and any existing conditions.
For practical usage, a typical dosage of punarnavasava for adults can be around 15-30 ml twice daily, after meals, mixed with an equal amount of water. It should be taken consistently and ideally followed up with an evaluation of progress and symptoms.
Additionally, lifestyle and dietary adjustments can enhance the benefits of the treatment. Encourage her to reduce intake of diuretics like caffeine, alcohol, and sugary beverages, and that she stays hydrated with water throughout the day, but limit liquids in the evening to help manage morning urgency. Including kegel exercises to strengthen pelvic floor muscles could provide further support to urinary control.
Ensure she’s also observing any changes in symptoms and maintaining regular check-ups to monitor her kidney health. If the condition worsens or new symptoms arise, it would be prudent to seek immediate medical attention to explore more comprehensive diagnostic tests or treatments.
Punarnavasava can be particularly beneficial for managing urinary issues, especially when there’s an element of water retention or difficulty in controlling urination due to its diuretic and anti-inflammatory properties. In the context of a 65-year-old female, it’s essential to consider the underlying dosha imbalance that could be contributing to her symptoms. In Ayurveda, such urinary disturbances are often linked to vitiated Vata dosha, which affects the urinary system’s normal functioning. Additionally, with advancing age, Vata naturally increases, which can exacerbate the condition.
While punarnavasava may help support kidney and urinary function, it’s important to use it judiciously, especially in combination with other medications like nefrosafe. It would be advisable to consult with an Ayurvedic practitioner who can evaluate her prakriti and doshic imbalances to determine an appropriate dose and duration. Typically, 15-30 ml of punarnavasava can be taken twice a day after meals, but specific recommendations depend on her unique needs.
Moreover, focus on diet and lifestyle to manage Vata. Encourage her to include warm, moist, and grounding foods, avoiding cold and dry types that could further aggravate Vata. Ensure she stays comfortably warm, and follows a routine that minimizes stress.
It’s essential to monitor for any side effects or changes in her condition when integrating Ayurveda with conventional medicine. Regular follow-ups with a healthcare provider to assess progress ensures safety. In the case of any significant changes or worsening of symptoms, seeking immediate medical attention is crucial.
