Virechana 01 varanasi

Virechana in
Panchakarma ‐01
Virechana in Panchakarma - 01
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
Ayurmitra, Nadi Bhishak, Jyotisha Vaidya
Prof KSR Prasad (Technoayurveda)
9290566566/9503227966 / technoayurveda@yahoo.com
Panchakarma CME for Medical Officers from 22‐27 November 2021 @

We learn in this session …
• Introduction to Virechana
• Time of administration of
Virechana Aushadhi.
• Process of Virechana Karma.
• Virechana Vyapat Review
• Assessment of Virechana
(Mridu, Madhyama, Tikshna)

01
Introduction
• Present day Panchakarma is observed as –
– 1] Traditional and
– 2] Research Explorative
• Panchakarma is intended to make lifestyle or Disease
rectification in Ayurveda
• Delicate and sensitive 21st Century Human is not able
to withstand the Traditional way of Dosha elimination
• Industrialization and work style made the individual
busy and “NO TIME” people
• To protect and Treat these “NO TIME” people we need
to adopt Easy Panchakarma in our Hospitals

Virechana
• The word Virechana commonly means
eliminating the dosha from lower body
• Charaka used the Word Virechana even for Upper
body elimination
• Virechana is used for Pitta and Vata elimination
• Niruha Vasti is not equal Virechana, as it removes
the Dosha from Pakwashaya only
• Virechana word is used in many areas as Shiro
virechana, Mutra Virechana, etc. according to the
site & material removed from body

Classification
• In general –
– 1] Mrudu 2] Madhyama 3] Teekshna
• Shangadhara classification
– Anulomana – Haritaki
– Sransana – Aragwadha
– Bhedana ‐ Katuki
– Rechana ‐ Trivrut

Virechana Dravya
• Charaka wrote 245 Virechana Yoga with 8
drugs in 6 chapters– Trivrut – Aragwadha –
Tilwaka – Sudha – Saptala – Shankhini – Danti
– Dravanti
• Susruta classified in to 6 groups based on
utility part – Mula – Twak – Phala – Taila –
Swarasa – Ksheera

Virechana Qualities
• Charaka states that Ushna, teekshna,
Sukshma, Vyavayi, Vikasi qualities are there
along with Apa + Prudhvi Mahabhoota –
there by Adhobhaga Prabhava exists
• Susruta explained Ushna, Teekshna, Sukshma,
Vikasi and Saratva – mean as Anulomana or
spreading nature

Virechana Indications
• Pitta Vyadhi – Daha,
• Pitta Sthana Vyadhi – Amlapitta, Kamala
• Rakta Janya Vyadhi – Kushta, Vatarakta
• Shodhana Arha Vyadhi – Garagosha, Vibandha
• Manasika Vyadhi – Unmada, Apasmara
• Vata Vyadhi – Pakshaghata, Kati roga
• Kapha Vyadhi – Tamaka Swasa, Prameha

Time of Administration
• Time of Virechana administration is decided in
Four ways –
– Seasonal in a year
• Pravrut (Shravana‐Vata), Sharat (Kartika – Pitta) and
Vasanta (Chaitra – Kapha)
– Out of 24 hours in relation with meals
• This includes the Dosha association as – if Apana before
food and Udana after food
– Based on the state of disease
• Anulomana – Sransana – Bhedana – Rechana
– Based on the Strength of Patinet
• Mrudu – Madhyama – Teekshna Aushadhi

Vagbhata Seasonal Virechana
• Varsha – Trivrut + Kutaja +Pippali + Shunti
with Kshoudra Draksha rasopetam
• Sharat – Trivrut + Duralabha + Musta + Uditya
+ Chandana + Sharkara with Draksharasa
• Hemanta – Trivrut + Chitraka + Patha + Ajajaji
+ Devadaru + Vacha + Swarnaksheeri with
Ushnodaka

Vagbhata Seasonal Virechana
• Shishira /Vasanta – Trivrut + Pippali + Shunti +
Shyama + saidhava with Madhu
• Greeshma – Trivrut + Sharkara with water
• Sarvarutu – Trivrut + Katuki + Trayanti +
Hapusha + Satala + Swarnaksheeri + Gomutra
bhavana with Ushnodaka

Agni intervention
• Mandagni or Alpagni patients are
contraindicated for Virechana as they couldn't
digest dravya
– If necessary one have to kindle the fire for 3 days
with Kshara, Lavana and Ghruta respectively
before to administer Virechana
• Deeptagni or Atyagni patients digests the
dravya and no Virechana karma possible
– First undertake Vasti and than the Virechana

Virechana Preparation
• In general Virechana is planned after 15 days of
Vamana (Su.Chi.33/19)
– If not the Kapha moves over Pitta and makes Gurutwa or
Pravahika
• Purvakarma for Virechana is made as we do for
Vamana –
– Agni deepti, Snehapana, Bahya sneha and Sweda for
moving the Dosha to Koshta (C.Su.15/16; C.Si.1/10)
• Snehapana is planned on Koshta basis;
– Mrudu‐3, Madhyama‐5, Krura‐7 days
• We have to opt Samshamana sneha after every
procedure, even for Virechana (C.Si.6/7)

Precautions
• No Virechana for Atisnigdha
– If given it is a Ruksha Virechana
• No Virechana for Sneha satmya
– Make them Ruksha and unction them with
Snehapana before Virechana
• No Virechana for Mandagni/ Krura Koshta
– make Agni Vruddhi with Yavakshara + Saindhava +
Gruta then follow the Virechana Procedure

Pre Virechana Procedure
• After Snehapana 3 days gap for Virechana karma.
In these 3 days ‐
– Abhyanga (Dosha corresponding oil) + Snigdha Sweda
– Rasoudana Ahara – Twice daily
• It is added with Jangala mamsa rasa or Dwidala Dhanya
(pulses) Yusha which is Snigdha, Drava, Ushna in nature
– The food should never increase either Kapha (if
Kapha is more causes Urdhwa Gati) or Pitta (if Pitta is
more the medicine is digested)
– The day before Night of Virechana one has to
consume Laghu Ahara with Amla varga Phala juice
and Ushnodaka – This makes Pakwashaya shithilata

Virechana Karma
• Aushadhi based on Koshta
– Krura – garishta Matra – 1 Karsha = 12 gms
– Madhyama – Madhya matra – 3 Sana = 9 gms
– Mrudu – Kanishta Matra – 1 ½ Sana – 4.5 gms
• Virechana Aushadhi is consumed with
lukewarm water
• After taking Virechana Dravya to prevent
Urdhwagati – wash the face with cold water
• Consumption of cold water is contraindicated

Virechana Check list

• Input in terms of fluids consumed
• Output in the quantity of liquid fecal mater

Virechana assessment
• Vyapats are to be observed – if a proper
assessment is made and proper Medicine with
proper quantity, there will be no
complications at all.

Virechana Vyapat
• Generally we found –
– Chardi (emesis),
– Udarashoola (Abdominal Pain),
– Adhmana (Abdominal bloating),
– Netra Praveshana (Sunken eyes),
– Kandu (itching), and
– Klama (Fatigue) as Vyapats

Admana
• Admana complication appears because of small dose
• It can be more with –
– Ruksha Sharira
– Alpagni
– Prabala Dosha
• Symptoms are – Headache, Pain in flanks, Back pain
• Treatments are – Agnivruddhi, Adhmana Chikitsa,
Niruha vasti, Anuvasana Vasti, Deepana vasti, Phala
varti
• Snigdha Virechana is indicated by Susruta

Klama (Fatigue)
• Mrudu Koshta or Snigdha Deha people gets
this complication
• Symptoms are –
– Klama (fatigue)
– Tandra (stupor)
– Shareera Gourava (heaviness)
– Dourbalya (weakness)
• Treatment is – Vamana, Sneha Sweda, Snigdha
Teekshna Virechana

Final assessment of Virechana
• Antiki – the sequence of elimination is Purisha –
Pitta – Kapha
• Vegiki – Pravara‐30 –Madhyama‐20 –Avara
Shuddhi ‐10 vega
• Maniki – by measurement of output ‐ Pravara‐ 4
Prasta –Madhyama‐ 3 Prasta – Avara Shuddhi ‐ 4
Prasta (this quantity is other than the input
liquids)
• Lingiki – based on the symptoms Heena Yoga or
Ati Yoga is decided.

Result of Virechana
• Ayoga
• Atiyoga
• Samyak Virechana is noted through symptoms

Conclusion
• Virechana is a Primary elimination procedure
in Ayurveda
• As it is a passive treatment modality with less
risk – every body follow it – but very
unfortunately with wrong dose or wrong
selection of medicine
• A through study is necessary to do with 245
different yoga and dose with relation to
disease condition

01
Thank
You

Virechana 01 varanasi

Recomendados

Recomendados

Mais conteúdo relacionado

Mais procurados

Mais procurados (20)

Mais de Ayurmitra Dr.KSR Prasad

Mais de Ayurmitra Dr.KSR Prasad (20)

Virechana 01 varanasi