NALPAMARAM KASHAYAM- Benefits, Ingredients, Indications, Dosage, Usage, Preparation, Side effects, Equivalent Medicines, Research Papers

Nalpamaram kashayam is an Ayurvedic medicine for piles, anal fissures and fistulae, and distended abdomen. It enhances digestive fire.

Benefits of Nalpamaram kashayam

It is useful in both bleeding and non-bleeding piles. It helps to heal fistulae and fissures in the early stages. It can prevent the complications of these diseases, too. With proper prakshepadravyas (additives), it enhances Agni (digestive fire), removes blockages in the lower part of Gastro Intestinal Tract and relieves constipation. By regulating the proper movement of Apaanavaayu, it gives relief to many types of aches and pains in the lower abdomen, back and hip area.

It is beneficial in the first stage of Ulcerative colitis and peptic ulcer.It reduces swelling and inflammation inside GIT and around anus.

It is found useful in treating inflammatory varicose veins.

Indications of Nalpamaram kashayam

Bhagandaram                  – Anal fistula

Ingredients of Nalpamaram kashayam

Nalpamara, bark of four trees namely

Banyan treeNyagrodhaFicus benghalensis Linn.

It has astringent, anti-inflammatory, anti-arthritic, diaphoretic, anti-diarrheal, anti-emetic, anti-microbial and immune-modulatory properties.

Fig treeUdumbaraFicus racemose Linn.

It has hypoglycaemic, analgesic, anti-inflammatory, hypolipidemic, antidiuretic, and renal anticarcinogenic activities.

It is used in the treatment of diabetes, liver disorders, diarrhoea, inflammatory conditions, haemorrhoids, respiratory and urinary diseases.

Sacred fig treeAswatthaFicus religiosa Linn.

It has anti-ulcer, anti-bacterial and anti-diabetic properties. It is used in the treatment of gonorrhoea and many skin diseases, asthma, diabetes, diarrhoea, epilepsy, gastric problems, inflammatory disorders, infectious disorders and sexual disorders. The results of few pharmacological studies already reported its potential against cancer, cardiovascular disorders, neuroinflammatory disorders, neuropsychiatric disorders, oxidative stress related disorders and parasitic infections.

Dyed figPlakshaFicus macrocarpa L.fil. or Ficus tinctoria

It is used in the treatment of diabetes, ulcers, burning sensations, haemorrhages, leprosy, itching, liver diseases and toothache.


Chebulic myrobalanAbhaya/PathyaTerminalia chebula RETZ. & WILLD.

It is one of the main drugs in Ayurveda, one of the Rasayana and a member of an important group, Triphala. It is used in a wide variety of diseases as it possesses anti-bacterial, antiseptic, anti-fungal, anti-viral, anti-diabetic, anti-mutagenic, anti-oxidant, anti-ulcer, and wound-healing properties.

Dried gingerSunthiZingiber officinalis

 It is unctuous and hot in potency with pungent taste but becomes sweet after digestion. It is an aphrodisiac and balances Vata and Kapha.

It improves ability to taste and promotes digestion. Relieves cough cold and other respiratory problems. It is not a laxative, rather causes constipation.

TurmericHaridraCurcuma longa L.

Turmeric is used to help with heartburn or bowel problems like diarrhoea, intestinal gas, and bloating. It is famous for its anti-cancerous and detoxification effects. It is widely used in skin diseases. Some may use it to help with memory problems or problems with the liver or gallbladder. It may also help to lessen swelling and help with signs of arthritis. It has marked anti-inflammatory and antiseptic action.

Indian sarsaparillaSaribaHemidesmus indicus (L.) SCHULT

It is a coolant and a potent detoxifier. It is demulcent, alterative, astringent, diaphoretic, diuretic, tonic, anti-pyretic, and blood purifier. It is used in leprosy, other skin diseases, fever, asthma, bronchitis, syphilis, pruritus, diseases of the urinary tractand leucorrhoea.

Margosa, NeemNimbaAzadirachta indica A. JUSS.  

The important health benefits of this drug include its ability to treat dandruff, soothe irritation, protect the skin, boost the immune system, and reduce inflammation. It also speeds up wound healing, treats gastric conditions, slows the aging process, improves hair and scalp health, maintains sexual organ health, has anti-cancer potential, and helps treat diabetes.

Indian nightshade BrihatiSolanum indicum

It has anti-oxidants. It also has anti-cancerous, anti-inflammatory, diuretic, immune-modulatory, neuroprotective, diaphoretic, expectorant and stimulant properties.


Guggulu(Resin of Commiphora mukul)

Details of the manufacturing

As already discussed, Nalpamaram kashayam has 10 ingredients.

All these ingredients should be washed well and dried up in shade.

Take equal quantity of all ingredients in dried & crushed form in an earthen pot. For your special attention, Sunthi should be crushed and tied up separately in a white clean cotton cloth as a Potali. This is to prevent the excess dissolution of the contents and to maintain the exact consistency of the kashayam. Now add 16 times clean water into it. Make it boil and then cook in the open vessel with low fire. Reduce the quantity into one by eighth of the initial quantity. Make sure to mix it in between with a wooden ladle without breaking the potli. Also, the fire should be kept low to make sure that all the active ingredients in the herbs needed are absorbed well into the water. Once the quantity is reduced to one by eighth of the initial amount of water, remove the vessel from the fire. Squeeze and drain through a clean white cloth. Collect the decoction in a clean vessel and discard the solid waste. Drink the mild warm decoction.

Dosha Dooshya Predominance with roga margas.

Nalpamaram kashayam is Kapha-Pittahara and anulomana.

It acts on both aabhyantara rogamargas

Dosage and Usage of Nalpamaram kashayam

Dosage: two Pala.


Kashayam is advised to take in empty stomach, once the ingested food is digested well and aahaararasa is formed well.

Usage of kashayam with prescribed prakshepadravyas according to the condition of disease and the patient gives the best results mostly.

Exercises and Yoga.

As Nalpamaram kashayam targets mainly GIT and excretory system, following stretching exercises and specific yoga asanas like pavanamuktasana, vajrasana, bhujangasana etc for lower back and abdomen recommended.

Regular exercise helps improve bioavailability of the medicine and food ingested and leads to positive health.

 Yoga can maintain harmony within and with surroundings.




Exercises for Low backache

All the exercises and physical exertions must be decided and done under the supervision of a medical expert only.

Recommended diet and behaviour


  • To be avoided

Heavy meals and difficult to digest foods – cause indigestion.

 junk foods- cause disturbance in digestion and reduces the bioavailability of the medicine

 carbonated drinks – makes the stomach more acidic and disturbed digestion

refrigerated and frozen foods – causes weak and sluggish digestion by weakening agni (digestive fire)

 curd – causes vidaaha and thereby many other diseases

  • To be added

Light meals and easily digestible foods

Green gram, soups, buttermilk boiled with turmeric, ginger and curry leaves

 freshly cooked and warm food processed with cumin seeds, ginger, black pepper, ajwain etc


Better to avoid exposure to excessive sunlight wind rain or dust.

Avoid lifting heavy weights and other vigorous physical activities.

Maintain a regular food and sleep schedule.

Avoid sitting continuously for a long time and avoid squatting.

Side effects and contraindications

No known side effects reported.

As almost all the drugs are teekshna, this kashaya may cause mild fatigue and emaciation when taken for long time.

People with IBS or a sensitive stomach may develop diarrhoea when not supervised by a qualified Ayurveda physician.

Classical reference

Chikitsamanjari Arsho Bhagandhara Chikitsa / 17-18

Equivalent medicines.

Chiruvilwadi kashayam

Brands Available

Nalpamaram Kashayam is not available in the open market. Please write to regarding the availability of the product.

Research papers







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