Punarnava Mandur Reference: Charaka Samhita Chikitsa Sthana 16/93-95, Bhaishajya Ratnavali. Punarnava Mandur is an Ayurvedic medicine available in tablet form. It is mainly used in the treatment of different disease like Anemia, splenomegaly, piles, fever etc. This medicine is more commonly used in North Indian Ayurvedic practice. Ingredients 48 g fine power of each of:- Punarnava – Spreading Hogweed – Boerhaavia diffusa Trivrit – Operculina turpethum Shunti – Ginger Rhizome – Zingiber officinalis Maricha – Black pepper – Piper nigrum