20 09-15 pk in lifestyle disorders

Role of Vamana & Virechana in
Lifestyle disorders
Ayurmitra Nadi Bhishak
P f KSR P d (T h d )Prof KSR Prasad (Technoayurveda)
Professor & Head, Panchakarma, LN Ayurved College, Bhopal, MP
9290566566/9503227966 h d @ h9290566566/9503227966 ‐ technoayurveda@yahoo.com
National Webinar On Role of Panchakarma in Lifestyle Disorders
On 15‐09‐2020 @ 2PM
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
Panchakarma Dept, Govt PG Ayurveda College, Varanasi

Panchakarma in Lifestyle Disorders
Introduction01
• Lifestyle diseases include
atherosclerosis, Heart disease,
Introduction01
atherosclerosis, Heart disease,
and stroke; Obesity and type 2
diabetes; and diseases
associated with smoking andassociated with smoking and
alcohol, drug abuse & work
pressure.
• Regular physical activity helps
prevent obesity, heart disease,
hypertension diabetes colonhypertension, diabetes, colon
cancer, and premature
mortality
ा वासकृ तमसुखमसुखानुब ं च;
ा ो िह वासो मूलमश ानां,
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/ 34
Cha Chi 1‐4/5

Lifestyle01
• A disorder which is linked with the way
a person lives can be termed as a
lif l di
Lifestyle01
lifestyle disease.
• The Lifestyle is Swastavritta and includes
even the Occupational behavior also p
• Ayurveda dictated Healthy Lifestyle in
many chapters in Charaka Sutra sthana –
• Swastavritta Chatushka Matrasitiya• Swastavritta Chatushka – Matrasitiya,
Tasyasitiya, Navegandharana &
Indriyopakramana
• Apart from he discussed – Annapana
vidhi, Vividhasita peetiym at the end of
Sutrasthana reminding the importance

Indian Lifestyle01
• Lifestyle Disorders in India are
Busy Life Reflections includes
Indian Lifestyle01
Busy Life Reflections includes
heart diseases, obesity, and
cancer along with depression & g p
anxiety
• The main causes of Lifestyle
Disorders in India are –
– no physical activities like exercising
i f l h l– consumption of alcohol,
– smoking and drugs (Intoxication)
– Mainly the Food habits– Mainly the Food habits

Lifestyle Deviations01 Lifestyle Deviations 01
मा ाशी ात्| आहारमा ा पुनरि बलापेि णी||३||
ापे या च ि भागसौिह मधसौिह ं वा ग णाम
Regular Food & Exercise
ाप या च ि भागसौिह मधसौिह वा गु णामु
पिद ते, लघूनामिप च नाितसौिह म ेयु थम्||७||
Charaka Sutra 5 Chapter
• One have to consume Asita –
Khadita – Peeta – Leedha varieties
according to Agnibala
• Guru Ahara consumption is limited
Over Eating = Over Weight
to ¾ or ½ where in the Laghu
Dravya is taken till satisfaction.
Massive eating ‐= Obesity

Listed for Regular Consumption01
• Shali – Rice (note no Godhuma)
Listed for Regular Consumption 01
• Yava – Barley
• Mudga – Green Gram (note no Tuvardal)
• Sandhava – Salt (note no Iodized salt)
• Amalaki – Emblica (note no Tamarind)
षि का ािलमु ां
सै वामलके यवान्|
आ री ं पयः सिपजा लं
े
( )
• Sarpi – Ghee (note no Veg Fats)
• Madhu – Honey (note no Sugar)
मधु चा सेत्||१२||
• Madhu – Honey (note no Sugar)
• Jala – Water (note no Mineral water)
J l M Chi k M tt• Jangala Mamsa – Chicken, Mutton

Season in Lifestyle01
• The food according to season
consumed gives the strength
Season in Lifestyle01
g g
and complexion
• 6 Rutu in 2 ayana with
temperature moisture windtemperature, moisture, wind
variations influence the Food
and its Rasa combinations to
cause Dosha Vruddhi and
Disease in the body
• So the seasonal regimen and• So, the seasonal regimen and
dietetics are instructed in
Ayurveda
त ािशता ादाहारा लं वण वधते|
य तुसा ं िविदतं चे ाहार पा यम्||३||

Vega Dharana & Lifestyle disorders01
• Bhashpa Nigrahana causes the
Hrudroga – to avoid it sleep or
Vega Dharana & Lifestyle disorders 01
g p
hearing the music or watching
TV
• Sharama Nishwasa DhjaranaSharama Nishwasa Dhjarana
cause – Hrudroga – to avoid
have good sleep & Basti Karma
• Nidra Nirodha Cause Obesity• Nidra Nirodha Cause Obesity
and Heaviness in the Body – to
avoid undergo Massage and
good sleepgood sleep.
• Always Vyayama is Good as
prophylaxis in any Lifestyle
disorders

Vyayama ‐ Exercise01
• Regular exercise induces
lightness in the body ability
Vyayama Exercise 01
शरीरचे ा या चे ा थैया
था बलविधनी| . . .
ै lightness in the body, ability
to do the work, strength,
capability of withstanding in
लाघवं कमसाम थैय
दुःखसिह ुता [१] |
दोष योऽि वृ ा
यामादपजायते||३२|| capability of withstanding in
tough situations,
Normalization of Dosha and
यामादुपजायत||३२||
Charaka Sutra 7 chapter
digestion improvement.

Suggestions to Good Health01
• Rules for food selection, Making,
Consumption are many –
Suggestions to Good Health01
Consumption are many –
• Many rules and dictums are told for
healthy livinghealthy living
• Making mind and body healthy with
behavior and food of Sadvritta and
Sadachara makes devoid of Lifestyle
Disorders like Hrudroga and Sthoulyaनार पािणना ातो नोपहतवा
सा नाजिप ा
• Every one has to under go Rutu
Sandhi Shodhana regularly as
prophylaxis
सा नाजिप ा .. .
नाितसमयं ज ात्, न िनयमं
िभ ात्, न न ं नादेशे चरे
त्, . . . .
prophylaxis
Charaka Sutra 8 chapter

Shodhana01
• Vamana and Virechana are
Porna Shodhaka and Vasti and
Shodhana01
Porna Shodhaka and Vasti and
Nasya are Ardha Chikitsa and
Ardha Shodhaka
• Out of Virechana is easy to
adopt as the role of physician is p p y
limited
• Easy level Koshta Shuddhi is y
possible for all age groups and
economical groups

Most common Lifestyle Issues01
Top lifestyle disorder are –
• Hypertension & Over Weight – Obesity
Most common Lifestyle Issues01
• The sequence is well explained by Charaka as –
All the bodily Dosha are vitiated due to the
Nind a Vir ddha Asatm a Apak aNindya, Viruddha, Asatmya, Apakwa,
Adhyasana, Parushita Bhojana, excess of
Madya, mamsa and Stree.
• There by Mamsa looseness, Sandhi
subluxation, Rakta over combustion,
li f ti f f tliquefaction of fats appears
• Fat doesn’t reach bones to nourish and Sukra
doesn’t functions सव शरीरदोषा भव ा ाहाराद लवणकटुक . .
रोगाणामिध ानभतो न सवमायरवा ोित| h kdoesn t functions
रोगाणामिध ानभूतो न सवमायुरवा ोित| Charaka
Chikitsa 1‐2/3 sloka

Development of Lifestyle disorder01
• As the Kaliyuga entered people started
eating as they are wealthy.
Development of Lifestyle disorder01
• Because of over eating they develop
inability of physical activity there by
lethargy ultimately made them to do
ि े े ि
lethargy ultimately made them to do
money accumulation
• As the money is acived they got
ित तु कृ तयुगे के षाि द ा
दानात् सा ि कानां स ानां
शरीरगौरवमासीत्, शरीरगौरवा
मः मादाल म आल ा
attachment to it and develop peevishness.
With that they got cunningness and
become liar & Cheeters.
मः, मादाल म्, आल ा
त् स यः, स यात् प र हः, प
र हा ोभः ादुरासीत् कृ ते|
तत ेतायां लोभादिभ ोहः, अ
ि ो
become liar & Cheeters.
• With that they are exposed to Kama,
Krotha, Mana, Dwesha, Parushata,
िभ ोहानृतवचनम्, अनृतवचना
त् काम ोधमान ेषपा ािभ
घातभयतापशोकिच ो ेगादयः
व ाः|
Abhighata, bhaya, taapa, shoka udreka, etc.
वृ ा |
Charaka Vimana 3/24

Result of deviated Lifestyle01 Result of deviated Lifestyle01
• The best managements offered by
Ayurveda are –
• Virechana for all Cardiac Issues
V f ll i ht i• Vamana for all over weight issues

Diagnose Lifestyle Level01
• Education – High – Medium – Low
f i S i i
• Level of Education – Skilled – Unskilled
• Food habits - Vegetarian / Mixed Diet
• Bowl Movements – Regular – Irregular
• Sleep
– - Patterns – Sound – Disturbed
• Addictions
– – Alcohol – Smoking – Drug – etc
• Sexual Satisfaction
d il– –Best – Better - Good– Nil

• Work style – Manual – Intellectual – Sedentary
• Whether Career Life oriented
• Whether Career – Life oriented
• Work Stress – Heavy – Moderate – Minimal -
None
• Work Movement – Always in Traffic with own
vehicle – Public Transport – No movement
• Financial Needs – High – Moderate - Low
• Medicinal Exposure – Frequently – often –
seldom – Never
• Females : Menstrual / Pregnancy – Abasement
etcetc

Pulse as Tool01
Pulse as Tool01
a
c
Pulse is Good
Tool to
d
e
Tool to
diagnose
Hidden
Lif t l
h dh ( dh k k ) C
b
a,b,c,d,e wave of five component
Lifestyle
Disorders
Vata Urdhwa (Prana, Udana)
PittaUrdhwa (Sadhaka, Alochaka)
Kapha Urdhwa (Bodhaka, tarpaka)
A
B
C
Vata Urdhwa (Prana, Udana)
Vata Adho (Samana, Apana)
Pitta Adho (Pachaka, Ranjaka)
A
X
Y
Dr. K. Shiva Rama Prasad, at http://technoayurveda.wordpress.com/ 19
Kapha Adho (Kledaka, Avalambaka) Z

Lifestyle Management01
• Common Managements of Lifestyle
disorders are according to Dosha
Lifestyle Management 01
disorders are according to Dosha
• Most common are Hypertension (Rasa‐
Rakta vaha srotas) and Cardiac issuesRakta vaha srotas) and Cardiac issues
are Pitta disorders require Virechana
Karma
• The Overweight and Obesity (Medo
vaha srotas) is the route cause of many
di lik M dh h (M hdiseases like Madhumeha (Mamsavaha
srotas) which are Kapha predominant
requires Vamana Karmarequires Vamana Karma

Vamana Karma01
• Before to Vamana it is must to
liquefy Fats through Abhyantara
Vamana Karma01
liquefy Fats through Abhyantara
Snehapana
• Bahya Sneha – Abhyanga is done
l i h S d k b ialong with Sweda karma to bring
in to Koshta
• Vamana according to KaphaVamana according to Kapha
predominance addition of Vacha
and Other Vamanopaga Dravya
iis necessary
• Sansarjana Krama has to be
followedfollowed

Virechana Karma01
• Choose wisely Anulomana, Sramsana, Bhedana
& Rechana according to patient
Virechana Karma01
g p
• Best used for the Respiratory diseases, Diabetes,
Hypertension, Obesity, & psychological disorders.
b b d h l f ll• It can be prescribed even as prophylaxis for all
lifestyle disorders
• Advantage is No need of separate Snehena – it• Advantage is No need of separate Snehena it
can be added even along with Virechana
Medicine
• Vata = Snigdha Lavana Virechana
• Pitta = Madhura Kashaya Virechana
K h K T k h K h Vi h• Kapha = Katu Teekshna Kshara Virechana

Virechana in HTN01
• 21 patients were given
TrivritaYoga Haritaki
Virechana in HTN01
TrivritaYoga , Haritaki,
Aragvadha and Eranda taila
for Virechana followed by f f y
Ghanavati of Shankhapuspi,
Jatamansi, Arjuna, Amalaki, Ramesh Bhayal, Role Of
Vi h K A d
Guduchi, Gokshura and
Punarnava
Virechana Karma And
Shamana Chikitsa In The
Management of
Uccharaktachapa (EHT),
• 52.94% patients of Group A
showed excellent response
p ( )
PG Dissertation submitted
to Gujarat Ayurved
University, Jamanagar,
2003
2003.

Virechana in HTN01
• Virechana Kashaya: 1) Trivrita:100gm
2) Aaragwadha: 50gm 3) Eranda
Virechana in HTN01
) g g )
Taila:70 ml Sahapana: Draksha
Hima:100 ml
• Shamana: Arjunadi Ghana Vati: 2tabShamana: Arjunadi Ghana Vati: 2tab
X 2 times (500mg each) in
Vyanaudanou (after meal) for 30
days Anupana‐Luke warm water
Gyanenndra Datta Shukla,
Comaparative Study Of
days, Anupana Luke warm water.
• Effect of therapy was recorded as
12.5% control relief, marked relief in
18 75% moderately improved
Efficacy Of Virechana And
Basti Karma With Shamana
Therapy In The Management
of Essential Hypertension, PG
18.75%, moderately improved
43.75% and mildly improved 18.75%
and no relief was found in 6.25% of
patients
of Essential Hypertension, PG
Dissertation submitted to
Gujarat Ayurved University,
Jamanagar, 2010.
patients

Trivrut Churna in HTN01
• Manju Mohan et.al, Efficacy of Nitya Virechana with Trivrit Churna in the Management of
Stage 1 Essential Hypertension – A Pilot Study, International Journal of Ayurvedic
M di i V l 11 (2) 249 254
Trivrut Churna in HTN01
Medicine, Vol 11 (2), 249‐254
–Nitya Virechana with 10 gms of Trivrit Churna
was given with lukewarm water at emptywas given with lukewarm water at empty
stomach around 6 a.m. for consecutive 15
daysdays

Few Past HTN Researches01
• Role of Virechana karma and
shamana chikitsa in Hypertension
w s rt uccha raktachapa by
Few Past HTN Researches 01
Virechana was given with
Trvrut lehya 10 to 15 gmw.s.r.t. uccha raktachapa by
Bhayan Ramesh, 2003.
• A Literary research on
R kt h dhik t i A d
Trvrut lehya 10 to 15 gm
depending upon the koshta of
pts. After observing shuddhi
l j kRaktachapadhikyata in Ayurveda
and the Effect of Virechana – an
Observational Study by Sashidhar
H Doddamani 1999
laxanas samsarjana karma was
advised.
H. Doddamani, 1999.
• G.H.Ananthasayana,
Management Of Essential
Hypertension In AyurvedicHypertension In Ayurvedic
Perspectives, Department Of Post
Graduate Studies In Kayachikitsa,
Government Ayurveda MedicalGovernment Ayurveda Medical
College, Mysore. 2010

Virechana in HTN01 Virechana in HTN01

Virechana in HTN01
• Snuhi bhavit Katuki Virechana
Karma done for 10 patients
Virechana in HTN01
Karma done for 10 patients
• 35% patients showed excellent
improvement 35% patientsimprovement, 35% patients
showed marked improvement Pragna Shah, Role Of
Virechana WithVirechana With
Snuhibhavit Katuki In
The Management Of
Essential Hypertension,
PG Dissertation
submitted to Gujarat
Ayurved University,
Jamanagar, 2005.
Jamanagar, 2005.

Vamana in Over Weight01
• All diseases like Diabetes,
Atherosclerosis, etc lifestyle disorders
Vamana in Over Weight01
, y
starts with Overweight only – which
is Rasa nimitta
• Rasa dushti not only occur because of• Rasa dushti not only occur because of
Over eating but also with the
Irregularities of Food intake and sleep
disturbances
• The Virechana either Ado or Urdhwa
is best for this situation to regulateis best for this situation to regulate
• The first priority is Vamana as it is
Kaphaja Vyadhi p j y

Vamana in Obesity01
• 25 years old male gaining weight
gradually since 2 years Symptoms like –
Vamana in Obesity 01
– Bhara Vriddhi (weight gain),
– Chalasphik Udara, Stana (Excessive
movement of abdomen, breast and gluteal
region)
– Atikshudha (excessive appetite),
– Swedabadha (excessive perspiration), Pratik D. Bahute et.al. ( p p ),
– Dourbalya (weakness),
– Dourgandhya ( foul smell ).
• He lost after Snehapana 4 3 kgs weight
Pratik D. Bahute et.al.
Management of sthoulya
(obesity) through vamana
karma ‐ a case study,
I t ti l J l f • He lost after Snehapana 4.3 kgs weight
and after Madanaphala Vamana totla 8.4
kgs weight in 19 days.
h d
International Journal of
Health Sciences and
Research (www.ijhsr.org)
Vol.10; Issue: 7; July
• BMI changed 31.8 to 28.7
y
2020, 87=90

Vama inObesity01
• 15 obesity Patients were
administered for Vamana
Vama inObesity01
administered for Vamana
karma with madanaphala
pippali yoga in classical waypippali yoga in classical way
and 5.14% weight
reduction observed in the Jyoti “Clinical study on effect of
Group
Jyoti Clinical study on effect of
Vamana and Udvartana karma
in the management of Sthoulya

Virechana in Obesity01
• Maximum Trivruta Leha dose of 50 gms
for 20 Sthoulya patients with different
BMI
Virechana in Obesity01
Chougule
Paresh. Role of
i h BMI.
• Maximum weight was 108 Kg and
Minimum weight was 62.2 kg before
treatment. After treatment maximum
Virechana
Karma in the
Management
of Sthoulya, treatment. After treatment maximum
weight was 105.4, while minimum
weight was 60 kg.
y ,
IJAPR | July
2016 | Vol 4 |
Issue 7 89‐92

Virechana in Metabolic Syndrome01
• 22 patients of Metabolic Syndrome with
hypertension, dyslipidemia, insulin
Virechana in Metabolic Syndrome01
Sharma Priyanka, Role
of virechana karma in
metabolic syndrome hypertension, dyslipidemia, insulin
resistance treated with Virechana Karma
in 2 consecutive sitting with a gap of 15
d i b t
metabolic syndrome‐
Clinical trial,
Environment
Conservation Journal,
20(SE) 25 29 2019
days in between20(SE) 25‐29, 2019

Virechana in Overweight01
• 20 patients of overweight
treated with Virechana Yoga of
Virechana in Overweight 01
Magdum Rahul
Ravindra, Clinical Study
To Evaluate The Efficacy
Of Virechana Karma In treated with Virechana Yoga of
Pippali, Nagar, Kshara,(each
4gm) Shyama Trivritta (10gm) &
Of Virechana Karma In
Sthaulya W.S.R. TO
OVERWEIGHT,
Department Of
Panchakarma In P.G. g ) y ( g )
Madhu(Q.S).
Studies. S.D.M. College
Of Ayurveda, Kuthpady,
Udupi 2010‐11

Ruksha Poorva Vamana Virechana01
• Vamana with Madanaphala
Pippali (n=10) & Virechana
Ruksha Poorva Vamana Virechana01
S Jagadesh Kumar, Shreyas, DM, Kiran
M. Goud. Rookshana Poorvaka Vamana
Karma and Rookshana Poorvaka Pippali (n 10) & Virechana
with Trivrut Avalehya (n=10)
given after Rooksha Poorva
karma
Karma and Rookshana Poorvaka
Virechana Karma in the management of
Sthoulya vis‐a‐vis Obesity ‐Comparative
Clinical Study. J Ayurveda Integr Med
karma.
• It can be summarized that both
Vamana and Virechana Karma
Sci 2020;3:20‐26.
BMI
cause marked reduction in
various parameters of Obesity.
• 3 09 BMI reduction with• 3.09 BMI reduction with
Vamana and
• 1.49 BMI reduction with Vamana
i h
Virechana was recorded
Virechana

Conclusion01
• Hypo & Hyperthyroidism, Various Skin
diseases of allergy and Pratishyaya, many
Conclusion01
gy y y , y
Sankramika roga like HIV, Leprosy, Jwara
including pandemic COVID‐19 are also to be
considered as Lifestyle disordersconsidered as Lifestyle disorders.
• The best way to prevent these Lifestyle
disorders is to follow Shodhana in Rutu
sandhi – Vasanta Vamana, Sharad Virechana,
etc through Self Pulse Diagnosis
• Apart from the seasonal Dosha elimination• Apart from the seasonal Dosha elimination
“Koshta Shuddhi” with Virechana is
necessary along with Stress releasing
Techniques like Shirodhara periodically

Conclusion01
We need to pay attention towards –
– What we eat
Conclusion01
– How we eat
– Where we eat
Wh t– When we eat
– How much we eat
– Do we CLEAN our body & mind regularly y g y
– if not to start doing it
– Are we provide proper REST to Body
(sleep) & Mind (Relaxation)(sleep) & Mind (Relaxation)
• Maintain sound Lifestyle with
precautions our Physical, Psychological,
Professional, Social, Spiritual Health

01 Thank You
Thank You
01 Thank You

20 09-15 pk in lifestyle disorders

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