Iron deficiency anaemia has a high prevalence in Sri Lanka. As ayurveda treatment is popular a proportion of patients with anaemia, especially the rural folk are treated with ayurveda' haematinics. This descriptive study attempts to briefly review the ayurveda iron preparations and the bioavailability of iron from them. There are between 15 to 20 ayurveda iron preparations that are listed in the formularies. Of these Punarnava Mandura Vati, Lauha Asava and ChandraprabhaVati are three preparations that are commonly used. It is difficult to get at bioavailability and efficacy data of these preparations. A pilot study conducted in Sri Lanka has shown that Punarnava Mandura Vati has efficacy as a haematinic during pregnancy.