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Virechana: The Ayurvedic Purgation Process
- 1. VIRECHANA
- 2. What is Virechana ? ‘¨É±ÉÉnäùÊxɺºÉ®úhɨÉÂ’ Process by which the mala are expelled is expressed by the word “Virechana”
- 3. Mechanism of Action of Virechana 1. Hydrophilic or osmotic action, retaining water and electrolytes in the intestinal lumen- increase volume of colonic content and make it easily expelled. 2. Acting on intestinal mucosa to reduce net absorption of water and electrolytes, intestinal transit is enhanced indirectly by the fluid bulk. 3. Increasing propulsive activity as primary action allowing less time for absorption of salt and water as a secondary effect.
- 4. Indication It is a specific therapy for eliminating Pitha dosha, Pitha connected with Kapha dosha, and Kapha dosha situated in Pitha sthaana.
- 5. Qualities of Virechana dravyas Ushnam Theekshnam Vyavayi Vikashi
- 6. Virechana dravyas • Moolam- Shyama • Twak- Tilwakam • Phalam- Hareethaki • Thailam- Erandam • Swarasam- Karavelam • Ksheeram- Snuhi
- 7. Classification of Virechana dravyas • Anulomana – Hareethaki • Sramsana – Aragwadha • Bhedana – Katuki • Rechana – Trivruth
- 8. Classification of Laxatives Acc. to laxative effect 1. Slow onset- those which produce softening of stool after 1-3 days of daily use- bulk laxatives, mineral oil, lactulose, dioctyl sodium succinate. 2. Intermediate onset- those which lead to a soft /semisolid stool in 6-12 hrs of a single dose- saline laxatives (low dose), phenolphthalein, bisacodyl (oral), anthraquinone group. 3. Rapid onset- those which lead to a watery evacuation in 2-6 hrs of a single dose. - Saline laxatives (high dose), castor oil, bisacodys (rectal).
- 9. Virechanopaga dravyas Draksha Gambhari Palasam Hareethaki Amalaki Vibheethaki Kuvala Badara Peelu.
- 10. Dose • Kwatha – Uthama – 2 pala – Madhyama – 1 pala – Heena – ½ pala • Choornam - Uthama – 1 pala - Madhyama – ½ pala - Heena – ¼ pala
- 11. Qualities of Virechana dravya as per dosha • Vatha – Snighdha, Ushna, Lavana Eg eranda thailam • Pitha – Kashaya, Madhura, Eg avipathi choornam • Kapha – Katu Eg Thrivrith
- 12. Virechana Arhas jeerna jwara, gara visha, vatarakta, bhagandara, arsas, pandu, udara, soola, krimi, granthi, hridroga, yoniroga, gulma, pleeha, vrana, vidradhi, muthraghata, chardi , visphota, kustha, kamala, unmadam, urdhwajathrugatha vikaras, apasmaram, sotha, akshiroga, urdhwagarakthapitham
- 13. Virechana Anarhas • Subhaga • Kshata guda • Mukta nala ( prolapse rectum) • Adhoga raktapitta • Durbalendriya • Alpagni • Nirudha
- 16. Oushadha • Determination of koshta • Determination of doshaavastha • Determination of bala of patient • Medicine should be given after kaphakala
- 17. Selection of drug as per Rithu VARSHA • Thrivrith • Kutajabeeja • Pippali • Nagara • Mridweeka rasa with khsoudram
- 18. Selection of drug as per Rithu SARATH Thrivrith Duralabha Mustha Sarkara Udeechya, chandana draksha, yashti - seethala kashaya
- 19. Selection of drug as per Rithu HEMANTHAM Thrivrith Chithrakam Pata Ajaji, saralam, vacha Swarna ksheeri- choorna with ushnambu
- 20. Selection of drug as per Rithu GREESHMAM Thrivrith with sarkara
- 21. Pradhana karma • Drug is administered in empty stomach after the kapha kala. • The counting of vega should be started after omitting first two to three Vegas that contain feces.
- 22. Management in case of apravritha vega • If purgation has not started the pt should be aministered with hot water and fomentation should be given to the abdomen. • Still if vega has not started, he should be allowed to take food on that day and should be subjected to virechana on the next day.
- 23. Samyak Virechana Lakshanas • Srotho Visodhana • Indriya Prasadana • Anamayathwa • Laghutwa • Agni Vrudhi
- 24. Virechana Karma in respect of suddhi Lakshana Pravara Madhyama Avara Antaki Kaphantha Kaphantha Kaphantha Laingaki Lakshanas Lakshanas Lakshanas Vegaki 30 vegas 20 vegas 10 vegas Manaki 4 prastha 3 prastha 2 prastha
- 25. Ayoga Virechana Lakshana • Kapha prakopa • Pitha prakopa • Vatha prakopa • Agnimandya • Gowrava • Prathisyayam • Tandra • Chardi • Aruchi • Vatha prathilomatha
- 26. Athiyoga Virechana Lakshana • Kapha kshayaja vikaras • Pitha kshayaja vikaras • Vatha kshayaja vikaras • Angamardam • Klamam • Vepathu • Nidra • Bala abhava • Tama pravesha • Hikka
- 27. Vyapath Adhmana Parikartika Srava Hridgraha Gatragraha Jeevadana Vibhramsa Stambha Upadrava Klama.
- 28. Vyapath 1. Savasesha aushadhatva 2. Jeerna aushadhatva 3. Hina doshapahritatva 4. Adhika- doshaapahritatva 5. Vata soola
- 29. Paschath karma • Regimen – avoid exposure to pravatha, drinking cold water, guru ahara, vyayama, maithuna • Diet – samsarjana krama
- 30. Samsarjana krama In pradhana sudhi Day morning evening 1st - peya 2nd peya peya 3rd vilepi vilepi 4th vilepi akrithayusha 5th krithayusha krithayusha 6th akrithamamsarasa krithamamsarasa 7th krithamamsarasa normal diet
- 31. Samsarjana krama Madhyama sudhi Day morning evening 1st - peya 2nd peya vilepi 3rd vilepi akrithayusha 4th kritha yusha akrithamamsarasa 5th krithamamsarasa normal diet
- 32. Avara sudhi Day morning evening 1st - peya 2nd vilepi krithakritha yusha 3rd krithakritha rasa normal diet Samsarjana krama
- 33. In my opinion Virechana is superb to other panchakarma procedures due to following aspects Easy to perform even in OP Patients Easy availability of drugs Cost effective Simplicity of procedure Less complications Easy to manage complications if any
- 34. Thank You !