Patrangasava
Patrangasava is a classical Ayurvedic fermented arishta or asava. Listed in the Ayurvedic Formulary of India (AFI). Described in Bhaishajya Ratnavali in the chapter on stri roga (pradara).
| Pharmacopoeia status | Listed in the Ayurvedic Formulary of India (AFI). Described in Bhaishajya Ratnavali. Manufactured under Drug and Cosmetics Act, 1940. |
|---|
Names and identification
| Language | Name |
|---|---|
| English | Patrangasava |
Key Ingredients
- Patranga (Caesalpinia sappan / Sappan wood)
- Khadira (Acacia catechu)
- Vasaka (Adhatoda vasica)
- Semal flowers (Bombax ceiba)
- Bala (Sida cordifolia)
- Gurhal (Hibiscus rosa-sinensis)
- Trikatu (Pippali, Maricha, Shunthi)
- Trivrutta (Operculina turpethum)
- Devadaru (Cedrus deodara)
- Dhataki pushpa (Woodfordia fruticosa)
- Jaggery (fermentation medium)
Where is it described in the classical texts?
Described in Bhaishajya Ratnavali, in the chapter on stri roga (pradara).
How does it work?
- Hemostatic and astringent action of Patranga and Khadira is traditionally described as checking heavy menstrual bleeding (menorrhagia)
- Anti-inflammatory action of Vasaka and Devadaru is traditionally used for uterine inflammation and pain
- Bala and Gurhal are traditionally regarded as uterine tonics
Which traditional uses are supported by research?
These summaries come from the source notes, which do not name the studies behind them.
- Heavy menstrual bleeding (Raktapradar/Menorrhagia): traditionally used for heavy menstrual bleeding. Studies have reported hemostatic and astringent activity.
- Leucorrhea (Shweta Pradar): traditionally used for leucorrhea. It has been described as having uterine tonic and antimicrobial properties.
- PCOS and menstrual irregularity: used in practice for menstrual irregularity, including PCOS. A clinical study reported improved menstrual regularity.
- Endometriosis-related pain: used in practice for pain related to endometriosis. Clinical observations have reported reduced pain and inflammation.
What do recent studies show?
No study for this section could be traced to a published paper. Classical formulations are researched largely in journals that PubMed does not index, so an absence here reflects the reach of the index rather than the state of the evidence.
Recent safety updates
- Contains 5-10% self-generated alcohol. Not recommended during pregnancy. May interact with hormonal medications and oral contraceptives.
- Generally safe at recommended dosage. Prolonged high-dose use without medical supervision not recommended. Women on anticoagulants should use cautiously due to hemostatic properties.
What is it made of?
Key Active Markers
- Derived from constituent herbs (see individual herb profiles)
- Standardized on primary bioactive markers
Dosage forms and preparation
Dosage Forms: Arishta/Asava (fermented liquid), Syrup (modern adaptation)
Standard Dosage: 15-30ml with equal water for bleeding disorders
Optimal Timing: After meals, twice daily
Storage: Room temperature, tightly sealed, away from direct sunlight. Do not refrigerate.
Marker Compounds: Brazilin, Brazilein
Vehicle (Anupana): Equal quantity of water after meals
Synergistic Combinations
- Key herbs: Patranga (Caesalpinia sappan), Dhataki, other herbs; fermentation creates unique metabolite profile with enhanced therapeutic activity
Reviewed by Dr. Awadesh Pratap Singh, BAMS, on 11 October 2026. What that review covered.
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