Pippalyasava (Pippalyasavam) – Benefits, Usage, Indications and Dosage Reference: Sharangdhara Samhita, Madhyamakhanda 10/28-33. Pippalyasavam is a polyherbal ayurvedic medicine which is used for the treatment of digestive problems. It is a liquid fermented preparation. Long pepper (pippali) is considered as the major ingredients of Pippalyasavam. Many other herbs like Marich, Chavya, Haridra, Chitraka, Musta, Vidanga, Puga, Lodhra, Patha, Amla, Cardamom, Ushira and Tagara etc. are used in the preparation of this medicine. These herbs help to pacify the vitiated tridoshas