Download - 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.
SÉåwÉ WûUhÉÇ FkuÉï pÉÉaÉÇ uÉqÉlÉ xÉÇarMÇü AkÉÉå pÉÉaÉÇ ÌuÉUåcÉlÉ xÉlarÉMÇü |EpÉrÉÇ uÉÉ zÉUÏU qÉsÉ ÌlÉWïûUhÉÉiÉç ÌuÉUåcÉlÉ xÉÇÇlrÉÉ sÉpÉiÉå ||
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ÌuÉUåcÉlÉÇ ÌmɨÉWûUÉhÉÉÇ ´É¸qÉç || cÉ.xÉÔ. 25
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.
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
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|
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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
ACC. TO SHARANGADHARA
Anulomana – hareetaki
Sramsana – kritamalaka
Bhedana – katuka
Rechana - trivrit
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.
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
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
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 ||
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.
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.
Assessment of Samyak shuddhiAssessment of Samyak shuddhi
VegikiVegiki AntikiAntiki ManikiManiki LaingikiLaingiki
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
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 -- -- -- -- -- ++
PROPERTIES DRUGS USED FOR PURGATION
USHNA TEEKSHNA SOOKSHMA VYAVAYI VIKASI JALA , PRITHVI MAHABHOOTA PRADHANA / ADHOBHAGAHARA PRABHAVA
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
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.
Post- operative procedurePost- operative procedure A³ÉxÉÇxÉeÉïlÉ ¢üqÉ UxÉ xÉÇxÉeÉïlÉ ¢üqÉ iÉmÉïhÉÉÌSA³ÉxÉÇxÉeÉïlÉ ¢üqÉ UxÉ xÉÇxÉeÉïlÉ ¢üqÉ iÉmÉïhÉÉÌS
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Importance of samsarjana kramaImportance of samsarjana krama
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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
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55thth day Morning day Morning EveningEvening
Krita YushaKrita YushaKrita YushaKrita Yusha
K.MamsarasaK.MamsarasaNormal DietNormal Diet
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66thth day Morning day Morning EveningEvening
A.MamsarasaA.MamsarasaK.MamsarasaK.Mamsarasa
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77thth day Morning day Morning EveningEvening
K.MamsarasaK.MamsarasaNormal DietNormal Diet
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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
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
IMPROPER VIRECHANA AND VYAPATH DUE TO IT -
Extra vyapats of sushrutaExtra vyapats of sushruta
xÉÉuÉzÉåwÉÉæwÉkÉiuÉÇxÉÉuÉzÉåwÉÉæwÉkÉiuÉÇ eÉÏhÉÉæïwÉkÉiuÉÇeÉÏhÉÉæïwÉkÉiuÉÇ WûÏlÉSÉåwÉWØûiÉiuÉqÉçWûÏlÉSÉåwÉWØûiÉiuÉqÉç AsmÉSÉåwÉWØûiÉiuÉqÉçAsmÉSÉåwÉWØûiÉiuÉqÉç uÉÉiÉzÉÔsÉqÉçuÉÉiÉzÉÔsÉqÉç
THANK UTHANK U