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Formulation Reference Card

Kumaryasava

Kumaryasava · Fermented Preparation of Aloe

Category Arishta/Asava (Fermented)
Dosha Effect Balances Pitta and Kapha primarily.
Target System Yakrit-Plihavaha srotas (liver and spleen), Raktavaha srotas (blood), Annavaha srotas (digestive system), Artavavaha srotas (menstrual/reproductive channel in women)
Dosage 15-30 ml after meals with equal water, twice daily.
Anupana Equal water for dilution.
Classical Reference Bhaishajya Ratnavali, Ashtanga Hridaya

About

Kumaryasava is one of Ayurveda's premier liver medicines, combining the hepatoprotective power of fresh Aloe vera juice with the enhanced bioavailability of fermentation and the hematinic properties of purified iron. The preparation method -- asava rather than arishta -- is significant: in asava preparations, the fresh juice of the primary herb is used directly without first being boiled into a decoction. This preserves the heat-sensitive mucopolysaccharides, enzymes, and other bioactive compounds in Aloe vera that would be destroyed by the temperatures required for kashaya preparation.

Indications

Liver disorders including hepatomegaly, fatty liver, and early cirrhosis. Spleen enlargement. Iron-deficiency anemia. Digestive weakness with liver involvement.

Key Ingredients

Kumari (Aloe barbadensis/vera) fresh juice as the primary ingredient, combined with Guda (jaggery), Dhataki pushpa (Woodfordia fruticosa flowers), Loha bhasma (purified iron calx) in small quantity, Haritaki (Terminalia chebula), Bibhitaki (Terminalia bellirica), Amalaki (Emblica officinalis), Pippali (long pepper), Twak (cinnamon), Ela (cardamom), and other digestive and hepatoprotective herbs. The inclusion of Loha bhasma (iron ash) is a distinguishing feature that enhances its hematinic properties.

Benefits

Powerful hepatoprotective and hepato-regenerative action -- protects liver cells from damage and promotes regeneration of damaged tissue. Reduces liver and spleen enlargement measurably over a course of treatment. Addresses iron-deficiency anemia through the combined action of Loha bhasma and the iron-absorption-enhancing properties of Aloe vera.

Cautions & Contraindications

Pregnancy (Aloe has uterine stimulant properties). Active diarrhea. Severe dehydration. Monitor liver function tests during treatment of liver disease to track progress and ensure no adverse effects. Not a replacement for medical management of liver failure or severe hepatic disease. The Loha bhasma component should be from a reputable source that follows classical purification protocols -- improperly prepared Loha bhasma can be toxic.

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