Virechana karma
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Transcript of Virechana karma
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