VIRECHANA VIRECHANA KARMAKARMA

By

Dr. B. ARUN KUMARDr. B. ARUN KUMAR MD (Ay)MD (Ay)

Virechana VyutpattiVirechana VyutpattiVi +Rich+ Nichu, Lyut pratyaya-मला�दोः�� निस्सरणम�Virechanam (Na pumsaka lingam)

Meanings ----Removal of dosha through anus.

A.H.Su 27-4

Virechana-Dravya Virechana-Dravya GunasGunas::

Gunas of Virechana drugs: 1.Ushna

2.Teekshna

3.Sukshma

4.Vyavavi

5.Vikasi

6.Adho baga hara

Gunas of Vamana drugs:Gunas of Vamana drugs:Ushna Teekshna Sukshma Vyavavi Vikasi Adhobaga

hara

Agneya guna

it does dosha daha, paka, srava

It enters into srotas

Prithvi+Jala

Katu-amla-lavana

Immediat effect

Akasha+vayu+tejas

Pachana, swedana, vishyandana

It does dosha pachana, chedana

Due to its anu pranava guna it brings doshas into kosta

it has kostabimukha property

It displaces the dosha

Virechana drugs:Virechana drugs:• Mula drugs:

• Phalini drugs:

Virechana Virechana drugs:drugs:Lavanas:

Kshira virechanas:

Virechana drugs in pakvashaya gata dosha:

Virechana Virechana drugs:drugs:Bhedaniya drugs:

Virechanopaga drugs:

Purisha virajaniya drugs:

Virechana drugs:Virechana drugs:• Best drugs:

• Masha---best for purisha janana

• Trivrit—sukha virechana

• Chaturangula—Mridu virechana

• Snuhi kshira—Tikshna virechana

• Amla vetasa—bhedana, anulomana

C.S.Su.25-40

Virechana drugs by Virechana drugs by SushritaSushrita

Su.S.Su.39-4

Virechana drugs by Virechana drugs by VagbhataVagbhata

A.H.Su-15-3

Virechana BhedasVirechana Bhedas

Sha.S.Pur 4-3,4,5,6

Prayoga bheda of Prayoga bheda of Virechana drugsVirechana drugs

Su.S.Su-90-89,90

Some Some important important virechana virechana

drugsdrugs

ERANDAERANDA• Properties—• Rasa- Madhura, Katu,

Kasãya

• Guna- Snigdha, Tiksna, Suksma

• Virya- Usna

• Vipãka- Madhura

• Karma Kapha- vãtahara, Recana, Vrsya-(root).

• Indications— Vãta vyãdhi, Pliharoga, Udãvarta, Vastisula, Gulma, Antravrddhi,  sirahula, Prarneha, Vãtarakta etc.

TRIVRITHTRIVRITH• Properties—• Rasa- Tikta, Katu• Virya- Usna• Guna- Laghu, Ruksa,

Tiksna• Vipãka- Katu• Karma- Kapha-pittahara,

vrecana

ASHWAGOLAASHWAGOLA• Properties—•  Guna- snigdha, guru, picchila;

• Rasa-  madhur;

• Veerya-  sheeta:

•  Dosha vatpittashamak and - kaphavardhak.

• External uses Anti-inflammatory, useful in headaches, oedema and boils

•  Internal uses mild laxative, anthelmintic; antidote, cures ulcers. Roasted seeds are constipative due to loss of mucilaginous property.

HARITAKIHARITAKI• Properties—• Rasa –Pañca rasa (except

Lavana), Kasaya mainly

• Guna -Laghu, Rüksa

• Virya- Usna

• Vipãka -Madhura

•  Karma Tridosahara, Anulömana, Rasãyana, Prajãsthapãna, Caksusya, Hdyã, Lekhana

SNUHISNUHI• Properties—• Guna: laghu, snigdha, tikshna;

•  Rasa: katu;

• Vipaka: katu;

• Virya: ushna;

• Dosha: kaphavatahara.

• External use: Leaves are useful in inflammatory conditions. Decoction - drops are used in earache. Latex - useful in skin diseases, toothache, impotency, piles and in preparation of ksharsutra.

JAYAPAALAJAYAPAALA• Properties—• Guna: guru, snigdha. tikshna:

•  Rasa: katu;

• Vipaka katu;

• Virya : ushna:

• Dosha:kaphavatahara.

• External uses: It is an irritant on local application and has a scraping action, It is useful in skin diseases and hair fall (seeds are used). It is also used for local application on the penis in disorders of erection.

AARAGWADHAAARAGWADHA• Properties—• Rasa- Madhura

• Guna- Madura, Guru, Snigdha

• Virya- Sita – (Usna- Dhanvañtari Nighandu)

• Vipãka- Madhura 

• Karma Kapha-pittahara 

• Indications— Kustha, Prameha, Hrdroga, Amavãta, Gandamãlã, Kãmalã, Udara, Udãvarta, Vatarakta, Sula, Jvara

• Habitat All over India,

• External uses It is anti-inflammatory. analgesic. The pulp and leaf paste are used in nodular oedema & gout. rheumatoid arthritis etc. The decoction is used for gargling in diseases of oral cavity and throat, Leaf paste is used in skin disease and itching.

SWARNAPATRISWARNAPATRI• Properties—• Dosha : Kaphaghna.

pittaghna.• Dhatu : Rakta (blood

disorders and dermatoses - latex), rasa (cough).

• Mala : Mutra (dysuria. pyuria. calculi), purisha (laxative, useful in tapeworms).

• Organ : Intestines.

DRAKSHADRAKSHA• Properties—

• Guna: snigdha, guru, mridu;

• Rasa: madhur;• Vipaka: madhur;• Virya: sheeta.•  Internal uses: Useful in

thirst, bleeding disorders, burning, gout, pthisis, pleurisy, tuberculosis, cough, asthma, dysuria, burning micturition, wasting etc.

Virechana drugs by Virechana drugs by CharakaCharaka

S.No. Dravya kalpanas Yogas.

1. Trivrith 112

2. Chaturangula 12

3. Tilvaka 16

4. Sudha 20

5. Saptala, Shankhini 39

6. Danthi, Dravanthi. 48

Total no.of Virechana yogas. 245

Virechana yogya by Virechana yogya by CharakaCharakaYogya:Yogya:

Cha.Si.2-13

Virechana yogya by Virechana yogya by SushruthaSushrutha

Virechana yogya by Virechana yogya by VagbhataVagbhata

Virechana Ayogya by Virechana Ayogya by CharakaCharaka

Cha.Si.2-11

Virechana Ayogya by Virechana Ayogya by SushruthaSushrutha

Su.Chi.33-28-30

Virechana Ayogya by Virechana Ayogya by VagbhataVagbhata

A.H.Su.18-7

Ayogyas & their Ayogyas & their complicationscomplications

Cha.Si.-2-12

Virechana procedureVirechana procedureVirechana procedure

Purva karma Pradhana karma Paschat karma

Sambara sangraha Virechana yoga sevana ------------

Atura pariksha Atura paricharya Pariharya vishayas

Decide the Dosage of Virechana vega nirnaya Sansarjana krama

Atura siddata Samyak/hina/ati sympt. Santarpana chikitsa

Virechana vyapath-treat. Virechnotar shodana

Bojanam

Sneha/sweda

Manasopachara

PURVA PURVA KARMAKARMA

SAMBARA SANGRAHASAMBARA SANGRAHA(preparation for the (preparation for the

procedure)procedure)• Snehana/Swedana remaining mentioned in vamana

karma sambara sangraha.• Snehas useful for- tikta grita, maha tikta grita/

shatphala grita/ kalyana grita/ indukanta grita/ vasadi grita/ til taila.

• Sweda- bashpa sweda/ nadi sweda.• Virechana yogas- Abayarishta/Ashwakanchuki

rasa.• Materials- bedpans/ Med.keeper/measuring

glass/stool collector for lab test.

Sambara sangrahaSambara sangraha(preparation for the (preparation for the procedure)procedure)

• Drugs useful when arising complications during the virechana karma procedure.

• Useful medicines to counter the complications.

Kutaja gana vati,

Karpura ras,

Jatiphaladi chu,

Bilwadi chu,

Sanjivani vati,

Sutasekara ras,

Shankha vati,

Hingvastaka chu,

Shiva kshara pachana chu,

Picha vasti kalpana,

Anuvasana vasti kalpana,

Phalavarthi.

ATURA PARIKSHAATURA PARIKSHA1. Avirechya/Virechya2. Is he suffereing from any avirechya disease3. Asta stana pariksha4. Physical/psychological fitness5. Dasha vida pariksha6. Dosha 7. Saamavasta 8. Dosha ashraya-kosta/shaka9. Dosha –swatantra/paratantra10. Stana –swastana/para stana11. Dosha quantity-alpa/madyama/utkrista12. Rogi avasta-baala/yavana/vridda13. Desha –jangala/anupa/sadarana14. Kala –rutu bheda-swasta/atura

ATURA PARIKSHAATURA PARIKSHA

Cha.Su.15-17

DECIDING THE DECIDING THE DOSAGEDOSAGEOushada gunas-

Be cautious for giving virechana to these persons-1.Durbala 2.After vamana3.Alpa dosha patient4.Krisha patient5.Ajnata koshta patient.

How to Decide How to Decide kosta?kosta?

Dosage decision based on the kosta.

Cha.Su.13-66

Virechana drug Virechana drug Dosage Dosage

for Different kostasfor Different kostasS.No.

Dravya Mridu kosti Madya kosti

Krira kosti

1 Eranda sneha ½-2 tola 2-4 tola 4-10 tola

2 Trivrit, swarna patri etc.,

1-3 masha 3-6 masha ½-1 tola

3 Draksha,

aragvada, haritaki phanta, triphala kwatha

1-2 tola 21/2 -5 tola 5-10 tola

4 Jayapaala,

snuhi

½ -1 ratti 1-2 ratti 4-8 ratti

5 Isaab gol 3 masha 3-6 masha 6 masha-1 tola

Anupana for Anupana for Different Different doshasdoshas

Sha.Uttara.4-18,19

Preparation of the Preparation of the patientpatient• Snehana

• Swedana

• Vamana karma

• Sansarjana karma

• Punah sweda

• Virechanopaga bojanadi vichara

• Sushritha-before doing virechana, vamana is must.

• Type of ahara:

Su.Chi.33-19Cha.Si-1-8

Preparation of the Preparation of the patientpatient

Type of Virechana:

Ruksha virechana indications: by charaka

PRADHANPRADHANA KARMAA KARMA

PRADHANA KARMAPRADHANA KARMAVirechana yoga sevana.

Preparation of Virechana oushada:Draksha-1 tola

Aragvada-1 tola +water 16 tola Make 4 tola

Haritaki-1 tola Virechana Kashaya

Katuka-1/2 tola

PRADHANA PRADHANA KARMAKARMATake that kashaya for Mridu kosta persons give it

directly.

For Madhya kosta persons add 2 tola Eranda taila and give it.

For Krira kosta persons add Ichabedhi ras 4 Ratti and give it.

METHODS FOR THE GIVING METHODS FOR THE GIVING VIRECHANA DRUGVIRECHANA DRUG

Methods for the Methods for the giving giving

virechana drugsvirechana drugs

For Mridu kosthi give Virechana Kashaya

For Madya kosta give Virechana kashaya+2 tola Eranda taila

For krura kosta give Virechana kashaya+2 tola Eranda taila+Ichabedi ras 4 ratti.

ATURA PARICHARYAATURA PARICHARYA• Wait for virechana,• Drink luke warm water (small doses),• Stay at nivata stana /shayana position.• If used any jayapala(Croton tiglium) containing

drug, use cold waterEx: Ichabedi ras, rechaka vati, ashvakanchuki ras,naracha ras.

VIRECHANA VEGA VIRECHANA VEGA VINIRNAYAMVINIRNAYAMUttama Madhyama Avara

Vegiki 30 20 10

Maniki 4 prasta 3 prasta 2 prasta

(108 tulas)

Antiki Kaphanta Pittantam Vit

Don’t count the two virechanas

SAMYAK/AYOGA/ATIYOGA SAMYAK/AYOGA/ATIYOGA LAKSHANASLAKSHANAS

Samyak yoga Heena yoga Atiyoga

Indriya prasada

Vitpittakapha nissara kramath

Agni vriddi

Laghutha

Vatanulomana

Kapaha prakopa

Pitta prakopa

Agnimandya

Gourava

Pratishyaya

Aruchi

Daha,kandu

Vitsanga

Supti,

angamarda,

klama,

vepathu,

balabhava,

tamahpravesha,

bhrama,trishna,

netra praveshanam,

SAMYAK/AYOGA/ATIYOGA SAMYAK/AYOGA/ATIYOGA LAKSHANASLAKSHANAS

Samyak yoga lakshana

HeenaYoga lakshana

Atiyoga lakshanas

VIRECHANA VIRECHANA VYAPATH VYAPATH

AND AND TREATMENTTREATMENT

VIRECHANA VYAPATH -VIRECHANA VYAPATH -TREATMENTTREATMENT

Vyapath are divided into two types 1.Atiyoga vyapath(red marked vyapaths)

2.Ayoga vyapath

Sushrutha mentioned 15 vamana/virechana vyapaths, vatashula, jirnoushadavta, oushasda savasheshatva, vibandha,hina doshapaharana

VIRECHANA VYAPATH BY VIRECHANA VYAPATH BY SUSHRUTHASUSHRUTHA

Virechana vyapath Virechana vyapath &Treatment&Treatment

Adhmanam:

Cha.Si-6-58,59

Virechana vyapath Virechana vyapath &Treatment&Treatment

Parikartika:

Virechana vyapath Virechana vyapath &Treatment&Treatment

Parisrava:

Virechana vyapath Virechana vyapath &Treatment&Treatment

Parisrava:

Virechana vyapath Virechana vyapath &Treatment&Treatment

Hridgraham:

Virechana vyapath Virechana vyapath &Treatment&Treatment

Hridgraham:

Virechana vyapath Virechana vyapath &Treatment&Treatment

Angagraham:

Virechana vyapath Virechana vyapath &Treatment&Treatment

Jivadaanam:

Virechana vyapath Virechana vyapath &Treatment&Treatment

Jivadaanam:

Virechana vyapath Virechana vyapath &Treatment&Treatment

Vibramsha:

Virechana vyapath Virechana vyapath &Treatment&Treatment

Stambha:

Virechana vyapath Virechana vyapath &Treatment&Treatment

Upadrava:

Virechana vyapath Virechana vyapath &Treatment&Treatment

Klama:

AYOGA TREATMENTAYOGA TREATMENTReasons for Ayoga:

Treatment:

Sutasekara ras 2 ratti+Shankha basma 4 ratti + Pravala pisti 2 Ratti 3 times with honey.

Drink luke warm water.

ATIYOGA ATIYOGA TREATMENTTREATMENT

Treatment for Atiyoga:• Vamana• Parisheka• Avagaha• Rakapitta Treatment• Amlapitta treatment• Jwara treatment

Drugs:

Sanjivani vati 2 ratti

Shankodara ras 1 ratti

Nagakesara chu 2 ratti

Chandra kala ras 2 ratti

Jatiphaladi chu 4 ratti

Indrayava chu 4 ratti give it for 3 to 4 times with dadimavalehya.

• Kutajaghana vati 4 ratti to 1 masha 3 to 4 times.

Ajirna/ Jirna Ajirna/ Jirna oushada oushada

lakshanaslakshanasAjirna oushada • Klama• Daha• Angamarda • Bhrama • Murcha • Shirah shula• Arati • Dourbalya

Jirna oushada• Vatanulomana• Swastha anubhava• Thrist/appetite• Sharira utsaha• Manah prasannata• Indriya laghava• Shudda

dakara(eructation)

PASCHYATPASCHYAT KARMA KARMA

PASCHYATPASCHYAT KARMAKARMADhumapana:• It is not required for virechana karma.• Sansarjana krama• Tarpana/Shamana oushada• Pariharya vishayas• Virechana uttara karma vichara

PARIHARYA PARIHARYA VISHAYASVISHAYAS

SANSARJANA KRAMAMSANSARJANA KRAMAM

TABLE OF TABLE OF SAMSARJANA KRAMASAMSARJANA KRAMA

Day Annakala

1st day Evening

2nd day Mor

2nd day Evening

3rd day Morning

3rd day Evening

4th day Morning

4rd day Evening

5d day Morning

5rd day Evening

6rd day Morning

6rd day Evening

7rd day Morning

7rd day Evening

Pradan shuddi

PeyaPeya

PeyaVilepi

Vilepi

Vilepi

Akrita yusha

Krita yusha

Krita yusha

Akrita mamsa rasa

Krita mamsa rasa

Krita mamsa rasa

Samanya bojana

Madya shuddi

PeyaPeya Vilep

iVilepi

Akrita yusha

Krita yusha

Akrita mamasa rasa

Krita mamsa rasa

Samanya bojana

X X X X

Avara shuddi

Peya Vilepi

Kritaakrita yusha

Kritakrita rasa

Samanya bohana

X X X X X X X X

SANTARPANA SANTARPANA CHIKITSACHIKITSACharaka:

SHAMANA OUSHADA SHAMANA OUSHADA &VIRECHANOTTARA &VIRECHANOTTARA

SHODANASHODANA• Start Shamana chikitsa after 6 days. It he does not require

any further panchakarma. • If you want to give basti karma, at 9th day Anuvasana vasti

then niruha vasti.• Don’t give basti before 7th day. If given, it aggravates Vata.

• Before Niruha vasti Gritha pana is not required.• At 9th day give Anuvasana vasti after that mamsarasadi

bhojana for 3 days then Niruha vasti.

Cha.Si-1-26

VIRECHANOTTARA VIRECHANOTTARA SHODANASHODANA• Sushrith mentioned that virechana should be given

after 15 days of vamana, basti should be given after 7th day of virechana.

• Dalhana mentioned that after 7th day/8th day/9th day basti can be given.After virechana within 7days u should not give any type of basti.

Su.Chi.36-51

VIRECHANA VIRECHANA DRAVYA DRAVYA

KARMUKATKARMUKATAA

Virechana dravya Virechana dravya karmukatakarmukata

Ushna Dosha vilayanam,

Tikshna Dosha chinna/ bhinna,

Anupranava bhava Enter into Amashayaja

Jala/Prithvi Adhobagahara sevana

Apanavata preritha Virechana

Virechana dravya Virechana dravya karmukatakarmukata

Virechana Guna karmas:

Su.Chi.33-26,27

Cha.Su-15-22

Virechana dravya Virechana dravya karmukatakarmukataUshna,

Tikshna,Sukshma,Vyavayi,Vikashi,Sara(Sus)

Hridayam Dhamani Stula/Sukshma srotas

Ushna-Vishyandam

Tikshna-Chedana

Kosta AagamanaJala+Prithvi buta Adobhaga hara prabha

Guda

Virechana

PrabhavaEx:Danti/Chitra

Rasa/Vipaka-Katu,Ushna viryaDanti-Virechana,Chitraka-no

Virechana dravya Virechana dravya karmukatakarmukata

Virechana drugs by charaka 1.Mrudu Ex:Aragvada

2.Sukha Ex:Trivrith

3.Tikshna Ex:Snuhi/Danti

Another classification given by Charaka

1.Bedaniya Ex:Arka/Eranda/Shankini

2.Anulomana Ex:Hingu/Amlavetasa

3.Sramsana Ex:Yava kshara

4.Virechanopaga Ex:Draksha/gambari/

peelu/Amalaki/haritaki/vibhitaki

Virechana dravya Virechana dravya karmukatakarmukata

PURGATIVES ANOTHER CLASSIFICATION:1.LAXATIVE

2.SIMPLE PURGATIVE

3.DRASTIC PURGATIVE

4.HYDROGOGUE

5.CHOLGOGUE PURGATIVE

• Purgation control occurs through

CNS-Medulla oblongata

Near the resp.center &vomiting center(due to this some times vamana drugs causes virechana vice versa)

through S2,S3,S4.,Guda vali, sympathetic/parasympathetic systems.

VIRECHANA VIRECHANA DRAVYASDRAVYAS

S.No. ANULOMANA SRANSANAM BHEDANA RECHANA

1 IT does mala paka It doesn’t mala paka

It doesn’t mala paka

It doesn’t mala paka

2 It breaks the mala It separates mala from intestines

It throughs mala in ghana rupa

It liquifies the mala

3 It moves mala to downwars

It moves mala to downwars

It moves mala to downwars

It moves mala to downwars

4 With comfort, it does vatanuloman

Sometimes it gives pain

Pain gives with motion

Sometimes it gives pain with motion.

Virechana dravya Virechana dravya karmukatakarmukata

Vishistha dravyas in virechana karma:

Virechana contains: Mala, Pitta, Udaka dathu.

Mala- purisha-

1.which are end products due to sweda/sneha due to their kostabhigamana from shakas to kosta.

2.Dathugata malas(from all saptha dathus) it occurs in intestines.

Udaka dhathu:• It comes from different dhatus like mutra, rasa, rakta, lasika,

upadathu• Fluid from extra/intra/interstitial cells.

Virechana dravya Virechana dravya karmukatakarmukata

Pitta-

It was mentioned as madyama shuddi lakshana.

In Shakasraya kamala by removing k avarodha it reaches to kosta.

Therapeutics of Therapeutics of Virechana drugsVirechana drugs

Ashwakanchuki ras

Abhayadi modaka

Ichchabhedi ras Rechaka vati Hingutriguna taila

Kajjali,

S.Tankan,

S.Hartal

S.Parada 10gm,

Gandhaka 20gm,

S.tankan40gm,

Ichabedi ras 10gm,

S.Visha,

Trikatu,

Triphala,

S.Jayapala*

Jayapaal,cheeni,trivrith,trikatu,amla,haritaki,pippali mula,dalchini,tejapatra,nagaramoth

Haritaki60gm,

maricha30gm,

shunti50gm,

Jayapala120gm

Reval cheeni 20 gm

Hingu,

Saindava lavana

Lashuna*,

Eranda taila**

Bhringaraja swarasa(21)

Nimbu ras Chedu puchcha rasa

THANK THANK

YOUYOU