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Virechana karma Virechana karma By By Dr.Rajalaxmi M.G. Dr.Rajalaxmi M.G. M.D.(Ayu),Lecturer, M.D.(Ayu),Lecturer, S.D.M.C.A. Udupi. S.D.M.C.A. Udupi.

Virechana Karma

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Page 1: Virechana Karma

Virechana karmaVirechana karmaByBy

Dr.Rajalaxmi M.G.Dr.Rajalaxmi M.G.M.D.(Ayu),Lecturer,M.D.(Ayu),Lecturer,S.D.M.C.A. Udupi.S.D.M.C.A. Udupi.

Page 2: Virechana Karma

SÉåwÉ WûUhÉÇ FkuÉï pÉÉaÉÇ uÉqÉlÉ xÉÇarMÇü AkÉÉå pÉÉaÉÇ ÌuÉUåcÉlÉ xÉlarÉMÇü |EpÉrÉÇ uÉÉ zÉUÏU qÉsÉ ÌlÉWïûUhÉÉiÉç ÌuÉUåcÉlÉ xÉÇÇlrÉÉ sÉpÉiÉå ||

cÉ.Mü.1/4

Page 3: Virechana Karma

ÌmɨÉå iÉÑ ÌuÉUåMÇü zsÉåwqÉxÉÇxÉ×¹å uÉÉ iÉixjÉÉlÉaÉiÉå uÉÉ zsÉåwqÉÍhÉ CÌiÉ |

A.xÉÇ xÉÔ.27/4

ÌuÉUåcÉlÉÇ ÌmɨÉWûUÉhÉÉÇ ´É¸qÉç || cÉ.xÉÔ. 25

Page 4: Virechana Karma

qÉÑZÉålÉ AÉæwÉkÉÇ mÉÏiuÉÉ aÉÑSålÉ SÉãwÉÌlÉWïûUhÉÇ | AÂhÉS¨É

Virechana is a procedure in which the prakupita doshas are expelled through adhomarga by the administration of medicines through oral route.

Page 5: Virechana Karma

Assessment before planning for virechanaAssessment before planning for virechana

SÉåwÉ, pÉåwÉeÉ, SåzÉ, MüÉsÉ, oÉsÉ, SÉåwÉ, pÉåwÉeÉ, SåzÉ, MüÉsÉ, oÉsÉ, zÉUÏU, AÉWûÉU, xÉÉiqrÉ, xÉiuÉ, zÉUÏU, AÉWûÉU, xÉÉiqrÉ, xÉiuÉ, mÉëM×üÌiÉ, uÉrÉxÉÉÇ AuÉxjÉÉliÉUÉÍhÉ mÉëM×üÌiÉ, uÉrÉxÉÉÇ AuÉxjÉÉliÉUÉÍhÉ || .... cÉ.xÉÔ.15|| .... cÉ.xÉÔ.15

Page 6: Virechana Karma

Selection of drugs according to koshta:Selection of drugs according to koshta:

oÉWÒûÌmɨÉÉå qÉ×SÒ MüÉå¸Éå oÉWÒûÌmɨÉÉå qÉ×SÒ MüÉå¸Éå oÉWÒûzsÉåwqÉÉ cÉ qÉkrÉqÉ: |oÉWÒûzsÉåwqÉÉ cÉ qÉkrÉqÉ: |

oÉWÒûuÉÉiÉ: ¢ÔüUMüÉå¸Éå SÒÌuÉïUåcrÉ: xÉ oÉWÒûuÉÉiÉ: ¢ÔüUMüÉå¸Éå SÒÌuÉïUåcrÉ: xÉ MüjrÉiÉå || zÉÉ. E. 4/12MüjrÉiÉå || zÉÉ. E. 4/12

qÉ×SÒ: SìɤÉÉmÉrÉ: cÉlcÉÑiÉæsÉæUÌmÉ qÉ×SÒ: SìɤÉÉmÉrÉ: cÉlcÉÑiÉæsÉæUÌmÉ ÌuÉËUcrÉiÉå |ÌuÉËUcrÉiÉå |

qÉkrÉqÉ: ̧ÉuÉ×iÉÉ ÌiÉ£üÉ UÉeÉuÉפÉæ: qÉkrÉqÉ: ̧ÉuÉ×iÉÉ ÌiÉ£üÉ UÉeÉuÉפÉæ: ÌuÉËUcrÉiÉå|ÌuÉËUcrÉiÉå|

¢ÔüU: xlÉÑYmÉrÉxÉÉ WåûqɤÉÏUÏ ¢ÔüU: xlÉÑYmÉrÉxÉÉ WåûqɤÉÏUÏ SliÉÏTüsÉÉÌSÍpÉ: || zÉÉ.E. 4/14SliÉÏTüsÉÉÌSÍpÉ: || zÉÉ.E. 4/14

Page 7: Virechana Karma

CLASSIFICATION OF VIRECHANA DRAVYA –

SUKHA VIRECHANA MRIDU VIRECHANA TEEKSHNA VIRECHANA

̧ÉuÉ×iÉ xÉÑZÉÌuÉUåcÉlÉÉlÉÉÇ , cÉiÉÑUÉÇaÉÑsÉÉå qÉ×SÒ ÌuÉUåcÉlÉÉlÉÉqÉ, xlÉÑMü mÉrÉ: iÉϤhÉ ÌuÉUåcÉlÉÉlÉÉqÉç |

cÉç. xÉÔ . 25/40

Page 8: Virechana Karma

ACC. TO SHARANGADHARA

Anulomana – hareetaki

Sramsana – kritamalaka

Bhedana – katuka

Rechana - trivrit

Page 9: Virechana Karma

Indications & contraindicationsIndications & contraindications

rÉÉåarÉ:rÉÉåarÉ:euÉU, MÑü¸, euÉU, MÑü¸,

mÉëqÉåWû, FkuÉïaÉ mÉëqÉåWû, FkuÉïaÉ U£üÌmɨÉ, pÉaÉlSU, U£üÌmɨÉ, pÉaÉlSU, AzÉï, aÉUÌuÉwÉ, AzÉï, aÉUÌuÉwÉ, M×üÍqÉMüÉå¸, M×üÍqÉMüÉå¸, mÉÉhQÒû, ÌuÉxÉmÉï, mÉÉhQÒû, ÌuÉxÉmÉï, ÍzÉU:zÉÔsÉ, ESÉuÉiÉï, ÍzÉU:zÉÔsÉ, ESÉuÉiÉï, µÉÉxÉ, MüÉxÉ, µÉÉxÉ, MüÉxÉ, MüÉqÉsÉÉ, ElqÉÉS, MüÉqÉsÉÉ, ElqÉÉS, AmÉxqÉÉU, uÉÉiÉU£ü.AmÉxqÉÉU, uÉÉiÉU£ü.

ArÉÉåarÉ:ArÉÉåarÉ: ¤ÉiÉaÉÑS, AkÉÉåaÉ ¤ÉiÉaÉÑS, AkÉÉåaÉ

U£üÌmɨÉ, AeÉÏhÉÏï, U£üÌmɨÉ, AeÉÏhÉÏï, lÉuÉeuÉU, ¤ÉiɤÉÏhÉ, lÉuÉeuÉU, ¤ÉiɤÉÏhÉ, AÌiÉxjÉÔsÉ, oÉÉsÉ, AÌiÉxjÉÔsÉ, oÉÉsÉ, uÉ×®, aÉÍpÉïÍhÉ, uÉ×®, aÉÍpÉïÍhÉ, lÉuÉmÉëÌiÉzrÉÉrÉ, lÉuÉmÉëÌiÉzrÉÉrÉ, UÉeÉrɤqÉÉ, UÉeÉrɤqÉÉ, AÌiÉxÉÉU, AÌiÉxÉÉU, AÌiÉÎxlÉakÉ, AÌiÉäÉ.AÌiÉÎxlÉakÉ, AÌiÉäÉ.

Page 10: Virechana Karma

Pre operative proceduresPre operative proceduresSamyak Snehana and swedana should be Samyak Snehana and swedana should be

ensured. ensured.

Swedana is done generally in the form of Swedana is done generally in the form of abhyanga and Ushma sweda for three daysabhyanga and Ushma sweda for three days

Food regimen of odana and mudga Yusha Food regimen of odana and mudga Yusha should be followedshould be followed

Page 11: Virechana Karma

On the day of Virechana, the following things should be ensured before administering the medicine :-

1. Proper sleep in the previous night2. Proper digestion of previous day’s food3. Proper elimination of natural urges

Page 12: Virechana Karma

Time of administration of virechanaTime of administration of virechana

zsÉåwqÉ MüÉsÉå aÉiÉå fÉÉiuÉÉ MüÉå¸Ç zsÉåwqÉ MüÉsÉå aÉiÉå fÉÉiuÉÉ MüÉå¸Ç xÉqrÉMçü ÌuÉUåcÉrÉåiÉç ||xÉqrÉMçü ÌuÉUåcÉrÉåiÉç ||

Page 13: Virechana Karma

Operative procedureOperative procedure 1. Virechana Oushadha should be administered in 1. Virechana Oushadha should be administered in

empty stomachempty stomach

2. Proper anupanas like ushnodaka, sheetodhka, 2. Proper anupanas like ushnodaka, sheetodhka, triphala kashaya, draksha rasa, ikshu rasa etc. are triphala kashaya, draksha rasa, ikshu rasa etc. are used.used.

3.Patient is advised to wash face with cold water and 3.Patient is advised to wash face with cold water and mouth with Luke warm water and is advised to smell mouth with Luke warm water and is advised to smell substances like lemon, cardamom etc to prevent substances like lemon, cardamom etc to prevent vomiting . (Some times chances of vomiting)vomiting . (Some times chances of vomiting)

4. Patient is advised to take rest in the bed (not to go 4. Patient is advised to take rest in the bed (not to go for sleep)and wait till the urge for defecation occurs.for sleep)and wait till the urge for defecation occurs.

Page 14: Virechana Karma

5. Educate the patient not to hold the urge.

6.Whenever feels thirsty, advise patient drink little quantity of warm water sip by sip.

7.Each Vega should be observed keenly give accurate information to the consultant

8.He can take rest, but shouldn’t sleep in between the Vegas.

9.Physician should record the vital data of the patient at regular intervals.

Page 15: Virechana Karma

Assessment of Samyak shuddhiAssessment of Samyak shuddhi

VegikiVegiki AntikiAntiki ManikiManiki LaingikiLaingiki

Page 16: Virechana Karma

Samyak yoga of virechanaSamyak yoga of virechana

xÉëÉåiÉÉåÌuÉzÉÑή: CÎlSìrÉ xÉÇmÉëxÉÉS: . . . . . . xÉëÉåiÉÉåÌuÉzÉÑή: CÎlSìrÉ xÉÇmÉëxÉÉS: . . . . . . . . . . . .

mÉëÉÎmiÉ¶É ÌuÉOèû ÌmÉ¨É MüTüÉÌlÉsÉÉlÉÉÇ mÉëÉÎmiÉ¶É ÌuÉOèû ÌmÉ¨É MüTüÉÌlÉsÉÉlÉÉÇ xÉqrÉMçü ÌuÉzÉÑή¶É pÉuÉåiÉç ¢üqÉåhÉ || xÉqrÉMçü ÌuÉzÉÑή¶É pÉuÉåiÉç ¢üqÉåhÉ ||

cÉ.ÍxÉ.1cÉ.ÍxÉ.1

Page 17: Virechana Karma

Symptoms Symptoms CharakCharakaa

SushrutaSushruta Astanga HAstanga H Astanga SAstanga S SharangadharSharangadhar BhelaBhela

Srotovishuddhi Srotovishuddhi ++ -- -- -- -- --Indriya prasadIndriya prasad ++ ++ -- -- ++ --Laghutvama Laghutvama ++ ++ -- -- ++ ++Agnipradipta Agnipradipta ++ -- -- ++ -- --Dourbalyam Dourbalyam ++ -- -- -- -- --Vit-pitta-kapha-anila Vit-pitta-kapha-anila ++ Mutra-purisha-Mutra-purisha-

pitta -pitta -aoushadha-aoushadha-

kapha kapha

KaphantaKaphanta Kaphanta Kaphanta Mala-pitta-Mala-pitta-beshaja-kaphabeshaja-kapha

ShleshamnaShleshamnamm

GlaniGlani ++ -- -- -- -- --Vyadhiupashamana Vyadhiupashamana ++ -- -- ++ -- ++Kshudha Kshudha ++ -- ++ -- -- ++Trushna Trushna ++ -- -- -- -- --Hrudaya shuddhiHrudaya shuddhi ++ -- ++ ++ -- --KukshishuddhiKukshishuddhi -- -- ++ ++ -- --Mukhavishadata Mukhavishadata -- -- -- ++ -- --VarnashuddhiVarnashuddhi ++ -- -- -- -- ++Kale Kale vegapravarthanam vegapravarthanam

++ -- -- ++ -- Mutranam Mutranam shuddhishuddhi

VayuanulomanVayuanuloman ++ ++ -- -- -- ++Asnigdham Asnigdham -- -- -- -- -- ++Araktaanganam Araktaanganam -- -- -- -- -- ++Gatramardhvam Gatramardhvam -- -- -- -- -- ++Hrudayaudgara Hrudayaudgara -- -- -- -- -- ++Prasannaswara Prasannaswara -- -- -- -- -- ++

Page 18: Virechana Karma

PROPERTIES DRUGS USED FOR PURGATION

USHNA TEEKSHNA SOOKSHMA VYAVAYI VIKASI JALA , PRITHVI MAHABHOOTA PRADHANA / ADHOBHAGAHARA PRABHAVA

Page 19: Virechana Karma

KARMUKATA OF VIRECHANA DRAVYAS

Gunas – ushna, teekshna, sukshma, vyavayi, vikashi.

By svarupa, reach hrudaya and then circulate through dhamanis all over the shareera.

Ushnata – Vishyandana of samghata dosha ( liquefies dosha)

Teekshnata - Vichchindanti - separates the adhered dosha located in the gross and subtle channels of body.

Thus the dosha move in the body without adhesion just like honey kept in snehabhavita patra.

Sukshmata, Anupravanabhavat – morbid material reaches amashaya and gets propelled by UDANA VAYU / APANA VAYU resulting in virechana

Page 20: Virechana Karma

The medicines which are used for Virechana (purgation) are having Ushna, Tikshna, Sukshma, Vyavayi and Vikashi qualities similar to that of Visha. So it is important to decide the appropriate dosage to prevent complications.

Virechana Dravya, due to its Virya reaches Hrudaya and circulates to all over the body because of the Vyavayi and Vikashi qualities via Dhamani. Due to Ushna, Sukshma and Tikshna Guna, drug penetrates into the Sthula and Sukshma Srotas and Melts out the Dosha.

These Dosha reaches to the Koshta very easily due to the Samyak Snigdhta attained prior to the Virechana procedure. When the Virechana Oushadha is given in Samyak Snigdha Shareera, as if honey is poured in an oleated vessel moves fast to the core of the vessel, like that Virechana Oushadha brings out the Dosha to the Koshta.

Then Vayu expels it out through the Guda Marga. Repeated Use of hot water promotes the elimination of stools and minimizes the dehydration.

Page 21: Virechana Karma

Post- operative procedurePost- operative procedure A³ÉxÉÇxÉeÉïlÉ ¢üqÉ UxÉ xÉÇxÉeÉïlÉ ¢üqÉ iÉmÉïhÉÉÌSA³ÉxÉÇxÉeÉïlÉ ¢üqÉ UxÉ xÉÇxÉeÉïlÉ ¢üqÉ iÉmÉïhÉÉÌS

¢üqÉ¢üqÉ

uÉÍqÉiÉ¶É ÌuÉËU£ü¶É qÉlSÉÎalÉ¶É ÌuÉsÉÇÍbÉiÉÈ | AÎalÉmÉëÉhÉ ÌuÉuÉ×krÉjÉïÇ ¢üqÉqÉç mÉårÉÉÌSMüÇ

pÉeÉåiÉç ..cÉ.ÍxÉ 6/57

WØûiÉSÉåwÉ mÉëqÉÉhÉålÉ xÉSÉ AÉWûÉU ÌuÉÍkÉÈ xqÉ×iÉÈ ... xÉÑ.ÍcÉ.39

xlÉåWûÉSÏlÉÉÇ ÌlÉÃWûÉliÉÉlÉÉÇ EmÉ¢üqÉÉhÉÉÇ AliÉå AÎalÉqÉÉl±Ç AuÉzrÉqpÉÉÌuÉ

iÉixÉlkÉÔ¤ÉhÉÉjÉïÇ mÉårÉÉÌS xÉÇxÉeÉïlÉÉåmÉSåzÉÉrÉ .. xÉÑ.ÍcÉ.39 QûsWûhÉ

pÉåwÉeɤÉÌmÉiÉå mÉjrÉÉWûÉUæUåuÉ oÉ×ÇWûhÉqÉç |pÉåwÉeɤÉÌmÉiÉå mÉjrÉÉWûÉUæUåuÉ oÉ×ÇWûhÉqÉç | bÉ×iÉ qÉÉÇxÉUxÉ ¤ÉÏU WØû± rÉÔwÉÉåmÉxÉÇÌWûiÉæ: bÉ×iÉ qÉÉÇxÉUxÉ ¤ÉÏU WØû± rÉÔwÉÉåmÉxÉÇÌWûiÉæ:

|| ...cÉ.xÉÔ.16|| ...cÉ.xÉÔ.16

Page 22: Virechana Karma

Importance of samsarjana kramaImportance of samsarjana krama

rÉjÉÉÅhÉÑUÎalÉÈ iÉ×hÉaÉÉãqÉrÉÉkrÉæ: rÉjÉÉÅhÉÑUÎalÉÈ iÉ×hÉaÉÉãqÉrÉÉkrÉæ: xÉlkÉѤrÉqÉÉhÉ pÉuÉÌiÉ ¢üqÉãhÉ |xÉlkÉѤrÉqÉÉhÉ pÉuÉÌiÉ ¢üqÉãhÉ |qÉWûÉlÉç ÎxjÉU: xÉuÉïmÉcÉrÉxjÉiÉãuÉ qÉWûÉlÉç ÎxjÉU: xÉuÉïmÉcÉrÉxjÉiÉãuÉ vÉѬxrÉ mÉãrÉÉÌSÍpÉUliÉUÎalÉ: || vÉѬxrÉ mÉãrÉÉÌSÍpÉUliÉUÎalÉ: || ...cÉ.ÍxÉ.1/12...cÉ.ÍxÉ.1/12

mÉårÉÉÇ ÌuÉsÉåmÉÏÇ AM×üiÉÇ M×üiÉÇ cÉ mÉårÉÉÇ ÌuÉsÉåmÉÏÇ AM×üiÉÇ M×üiÉÇ cÉ rÉÔwÉÇ UxÉÇ §ÉÏ̲UjÉæMüMü¶É |rÉÔwÉÇ UxÉÇ §ÉÏ̲UjÉæMüMü¶É | ¢üqÉåhÉ xÉåuÉåiÉ ÌuÉzÉÑ®MüÉrÉ: ¢üqÉåhÉ xÉåuÉåiÉ ÌuÉzÉÑ®MüÉrÉ: mÉëuÉUqÉkrÉÉuÉUvÉÑÌ®vÉÑ®È||mÉëuÉUqÉkrÉÉuÉUvÉÑÌ®vÉÑ®È|| ..cÉ.ÍxÉû.1/11-12..cÉ.ÍxÉû.1/11-12

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DaysDays Pravara Pravara suddhisuddhi

Madhyama Madhyama SuddhiSuddhi

Avara Avara SuddhiSuddhi

11stst day Morning day Morning EveningEvening PeyaPeya PeyaPeya PeyaPeya22ndnd day Morning day Morning EveningEvening

PeyaPeyaPeyaPeya

PeyaPeyaVilepiVilepi

VilepiVilepiYushaYusha

33rdrd day Morning day Morning EveningEvening

VilepiVilepiVilepiVilepi

VilepiVilepiAkritaYushaAkritaYusha

MamsarasaMamsarasaNormal Normal DietDiet

44thth day Morning day Morning EveningEvening

VilepiVilepiAkritaYushaAkritaYusha

Krita YushaKrita YushaAkrita Akrita MamsarasaMamsarasa

------------

55thth day Morning day Morning EveningEvening

Krita YushaKrita YushaKrita YushaKrita Yusha

K.MamsarasaK.MamsarasaNormal DietNormal Diet

------

66thth day Morning day Morning EveningEvening

A.MamsarasaA.MamsarasaK.MamsarasaK.Mamsarasa

------ ------

77thth day Morning day Morning EveningEvening

K.MamsarasaK.MamsarasaNormal DietNormal Diet

-------- ------

Page 24: Virechana Karma

Some commonly used virechana drugsSome commonly used virechana drugs

Virechana kashaya – 150 to 300 mlVirechana kashaya – 150 to 300 ml Abhayadi modaka 2 to 5 tabAbhayadi modaka 2 to 5 tab Icchabhedi rasa 2 to 4 tabIcchabhedi rasa 2 to 4 tab Eranda taila with Triphala kashayaEranda taila with Triphala kashaya Gandharva hastadi tailaGandharva hastadi taila Brihat saindhavadi tailaBrihat saindhavadi taila Trivrit lehaTrivrit leha Aragwadha ksheerapakaAragwadha ksheerapaka

Page 25: Virechana Karma

Commonly practiced virechana karma in Commonly practiced virechana karma in certain conditions:certain conditions:

PsoriasisPsoriasis EczemaEczema PCODPCOD InfertilityInfertility Diabetes mellitusDiabetes mellitus UrticariaUrticaria Stroke syndromeStroke syndrome Rheumatoid arthritisRheumatoid arthritis Scleroderma, SLE.Scleroderma, SLE. VitiligoVitiligo Bronchial asthmaBronchial asthma

Page 26: Virechana Karma

IMPROPER VIRECHANA AND VYAPATH DUE TO IT -

Page 27: Virechana Karma

Extra vyapats of sushrutaExtra vyapats of sushruta

xÉÉuÉzÉåwÉÉæwÉkÉiuÉÇxÉÉuÉzÉåwÉÉæwÉkÉiuÉÇ eÉÏhÉÉæïwÉkÉiuÉÇeÉÏhÉÉæïwÉkÉiuÉÇ WûÏlÉSÉåwÉWØûiÉiuÉqÉçWûÏlÉSÉåwÉWØûiÉiuÉqÉç AsmÉSÉåwÉWØûiÉiuÉqÉçAsmÉSÉåwÉWØûiÉiuÉqÉç uÉÉiÉzÉÔsÉqÉçuÉÉiÉzÉÔsÉqÉç

Page 28: Virechana Karma

THANK UTHANK U