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Page 1
Virechanam
Concept and Practice
Dr Ananth Ram Sharma
MD Panchakarma, (PhD).
Associate Professor
Department of Panchakarma
Amrita School of Ayurveda
Presented at Institute of Management at Government, Kakkanad.
At training program in Panchakarma for medical officers of ISM on
11/06/2013
Page 2
Introduction
• Shodhana – Drava Shoshana.
• Procedure of Choice for PITTAJA VIKARA.
• Wide applicability and simplicity
• 40 % of patient in our hospital
Page 3
Virechanam
SÉåwÉ WûUhÉÇ FkuÉï pÉÉaÉÇ uÉqÉlÉ
xÉÇ¥ÉMÇü
AkÉÉå pÉÉaÉÇ ÌuÉUåcÉlÉ xÉÇ¥ÉMÇü |
EpÉrÉÇ uÉÉ zÉUÏU qÉsÉ ÌlÉWïûUhÉÉiÉç
ÌuÉUåcÉlÉ xÉÇ¥ÉÉ sÉpÉiÉå || cÉ.Mü.1/4
Page 4
Area of Virechanam
MüTåü ÌuÉS±É²qÉlÉÇ xÉÇrÉÉåaÉã
uÉÉ MüTüÉåsoÉhÉã |
iɲ̲UåcÉlÉÇ||
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zsÉåwqÉxÉÇxÉ×¹å uÉÉ
iÉixjÉÉlÉaÉiÉå uÉÉ zsÉåwqÉÍhÉ
CÌiÉ | A.xÉÇ xÉÔ.27/4
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cÉ.xÉÔ. 25 (Indu A.S. Su. 1/39)
ÌuÉUåMüÉå qÉÑZÉmÉÏiÉÇ
aÉÑSqÉÉaÉåïhÉÉliÉÈ |
ÎxjÉiÉxiÉ SÉåwÉxrÉ ÌlÉxxÉÉUhÉÇ
ÌmɨÉxrÉ mÉUqÉÉæwÉkÉqÉç ||
Page 5
Common Benefits
ÌuÉUåcÉlÉålÉ zÉÑSèkrÉÎliÉ
mÉëxÉÏSliÉÏÎlSìrÉÉÍhÉ
kÉÉiÉuÉ¶É ÌuÉzÉÑSèkrÉliÉå oÉÏeÉÇ
pÉuÉÌiÉ MüÉqÉÑïMüqÉç || MüÉ. xÉÇ
rÉSÉæSMüÉlÉÉqÉÑSMåüÅmÉlÉÏiÉå
cÉUÎxjÉUÉhÉÉÇ pÉuÉÌiÉ mÉëhÉÉzÉÈ
ÌmɨÉå
WØûiÉåiuÉåuÉqÉÑmÉSìuÉÉhÉÉÇ
Page 6
Classification of virechana
• Mode of actionMode of action
• Intensity of actionIntensity of action
• Parts usedParts used
• Properties
Page 7
Koshtha Bheda
Page 8
Mode of Action
AnulomanaAnulomana
RechanaRechana
BhedanaBhedana
SramsanaSramsana
Page 9
Based on Intensity
Mridu VirechakaMridu Virechaka
Madhyama VirechakaMadhyama Virechaka Teekshna VirechakaTeekshna Virechaka
• BalavanBalavan
• MahavegaMahavega
• Gambheera vyadhiGambheera vyadhi
•Madhyama koshtaMadhyama koshta
•BalavanBalavan
• Mridu koshta
• Durbala
Page 10
Parts Used
Moola Virechaka
Phala Virechaka
Twak Virechaka
Dugdha Virechaka
Swarasa Virechaka
Page 11
Properties
• Ruksha Virechaka
• Snigdha virechaka
Page 12
Specific Drugs for
Virechana
Page 13
Ritu Anusara
VarshaVarsha SharadSharad Shishira &Shishira &
VasathaVasatha
GrishmaGrishma HemanthaHemantha All seasonsAll seasons
Yoga Trivrit,
Kuttaja
Beeja
Pippali,
Shunthi
Shyama
Trivrit,
Duralabha,
Mustha
Sharkara
Swetha
chandana
Shyama Trivrit
Pippali
Nagara
Shyam Trivrit Trivrit, Chitraka,
Patha
Ajaji, Sarala,
vacha
Trivrit, Danti,
Hapusha,
Saptala,
Katuki,
Svarnakshiri
Anupana Draksha
Rasa &
Honey
Yasti
madhu
with
Draksha
svarasa
Honey sugar Warm water Bhavana With
Cows urine
Page 14
Purgation and Virechana-
Karma
Virechana karmaVirechana karma PurgationPurgation
 Have systemic and local
Action
 Only local action
 Eradication of systemic
disease
 No such action
 Prior to it assessment of
Kosta, Agni and Doshas
are important
 No such assessment were
made
 Poorvakarma is essential  Poorvakarma is not done
 Have the preventive role  Not have any preventive
role
Page 15
Contraindication of Virechana
Asaha
• Bala
• Vriddha
• Atisthula
• Atikrisha
• Alpagni
• Upavasitha
• Pipasita
• Durbalendriya
• Garbhini
• Navaprasooth
a
Disease of rectumDisease of rectum
• Kshata guda
• Guda bhramsha
Marga virodhi vyadhiMarga virodhi vyadhi
•Adhoga rakta pitta
•Atisara
Other Conditions
•Adhmana
•Urustambha
•Rajayakshma
Manasika BhavasManasika Bhavas
• Bhayabhita
• Chintaprasakta
• Adhyayana prasakta
Vatakara ViharaVatakara Vihara
•Atirooksha
•Ratri jagarana
•Maithuna prasakta
•Vyayama prasakta
Page 16
Sadhya Vyadhi’s
Page 17
Procedure of Virechana
Karma
PoorvakarmaPoorvakarma
 Selection of patient
 Examination of patient
 Assessment of Koshta & Agni
 Deepana – Pachana
 Snehana – Swedana
 Vishrama kala
Page 18
Vamana Before
Virechana?
Decide by
• Roga bala
• Rogi bala
• Avasta of disease
• Condition of Dosha
Eg: In case of kusta if kapha is predominant
then one should go for vamana
Page 19
Diet Before Virechana
• Kapha avriddikara
• Snigda drava, ushna ahara
• Mamsa rasa
• Yoosha
• Amla rasa
• Laghu Bhojana
Page 20
Pradhana karma
• Samyak Snigdha Lakshana
• Nidra
• Passed natural urges
• Empty stomach
• Manasopachara
Administration of Virechana Yoga
Page 21
Dosage of
Virechanoushadhi
• Koshta
• Agni
• Rogi bala
• Roga bala
• Dosha: Bahudoshavasta
• Oushadha veerya
Page 22
Matra acc. Classics
• Uttama- 2 pala, Madhyama – 1 Pala, avara – ½ Pala (Bh.Si)
• 1,2,3 Tola is Mentioned for Mridu, Madhyama and Krura (Su.Chi)
Kalpana Hina for
Mridu Koshtha
Madhyama
For Madhyama
Uttama for
Krura
Kwatha 02 Tola 04 Tola 08 Tola
Kalka, Churna, Modaka 01 Tola 02 Tola 04 Tola
Swarasa 01 Tola 02 Tola 04 Tola
Ushnodaka 04 Tola 08 Tola 12 Tola
Page 23
Guidelines Followed After
Administration
• Ask the patient not to close the door of toilet
• Hot water gargling
• Have some fragrance
• Intake of water ? Ushna Jala/ Shita Jala
• Vega should not be induced or retained
• Time should be noted
• Keen observation of content of Vega
• Avoid sleep
• Tambula Sevana
• Avoid shitala Vihara
Page 24
Practically Encountered
Problem• Chardi soon after giving medicine?
• Chardi after 2-3 hours of administration?
• If virechana won’t happen ?
• If only 2-3 vega observed?
•Aushadha Jeerna Lakshana
•Aushadha Ajeerna Lakshana
•Samyak Shuddhi
•Bala traividyam
•Vyapat
•Shesha Dina
Any intervention only on the following observation
Page 25
Shuddhi Prakara
Shuddhi Classics Observed by research studies
Vaigiki Pravara-30
Madyama-20
Avara-10
Haritaki 13-15
Aragvadha 13-17
Katuki 15-25
Trivrit 15-27
Maniki 4 prasta
3 prasta
2 prasta
Haritaki 700-1000ml
Aragvadha 700-100ml
Katuki 800-1500ml
Trivrit 1200-1650ml
Antiki Kaphanta Haritaki P-60%,K-40%,
Aragvadha P-50% K-40%, V – 10%
Katuki K-60% P-30% , V – 10%
Trivrit K-100%
Page 26
Page 27
Ayoga And Atiyoga of
Virechana
Ayoga
• Agnimandya
• Kandu
• Pidaka
• Vata sanga
• Vit sanga
Atiyoga
• Angamarda
• Vepatu
• Balabava
• Klama
• Trishna
• Brama
• Tama pravesha
• Netra pravesha
Page 28
Paschat Karma
• Same as that of Vamana Karma except
Dhumapana
• Samsarjana Krama
Page 29
Samsarjana Krama
Day Annakala Pravara Madhyama Avara
1st Morning - - -
Aft. Noon - - -
Evening Peya Peya Peya
2nd Morning Peya Peya Vilepi
Aft. Noon Peya Vilepi Kruta yusha
Evening Vilepi Vilepi Akrutmamsa rasa
3rd Morning Vilepi Akruta yusha Krita mamsa rasa
Aft. Noon Vilepi Kruta yusha Normal diet
Evening Akruta yusha Akrita mamsa ras or
akrita masha yusha
4th Morning Akrut yusha Krita mamsa rasa
Aft. Noon krut yusha
Evening Akrita Mamsa rasa or Krita yusha
5th Morning AKrita Mamsa rasa or Akrita yush ras
Aft. Noon krita mamsa rasa or krita masha
yusha
Evening Normal diet
Page 30
Nutritive Values
K.
Cal
Prot Fat Carb Phos Fe Cal Thim N.
acid
Rib Vit C
Peya
100 gms
94 2.7
gm
2.2
gm
15.8
gm
0.07
gm
0.25
mg
0.11
gm
0.04
gm
0.11
mg
0.12
gm
3.3
mg
Yusha
100 gms
158 5.5
gm
3.6
gm
25.6
gm
- 3.4
mg
0.05
gm
0.04
gm
0.04
mg
0.28
gm
-
Page 31
Benefits of Samsarjana
Krama
• Immediate supply of Calories and
Nutrition
• Restoration of digestive power through
specific dietary schedule.
• Absorption and assimilation function of
GIT get increase.
Page 32
Pariharya Vishaya
• Speaking loudly.
• Excessive meal.
• Excessive walking.
• Anger and sorrow.
• Sleeplessness.
• Day sleep.
• Incompatible diet.
• With holding natural
urges.
• All these causes GI
upset, further it
will lead to
formation of Ama,
hence aim of
Virechana will fail.
Page 33
Nitya Virechana
• Elimination of excessive fluid
• Reliving the constipation
• Acts as diuretic
• Increase of appetite
What may be the scientific reason?
Page 34
Virechana as preventive
measure
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kÉÉiÉÑ ÎxjÉUiuÉÇ oÉsÉÇ AÎalÉ SÏÎmiÉÈ |
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xÉÑ. ÍcÉ
33/27
• Disease deterrent
• Delay the process of ageing
• Bio purifier
Page 35
Virechana as curative
measure
qÉsÉÉmÉWûÇ UÉåaÉWûUÇ oÉsÉ
uÉhÉï mÉëxÉÉSlÉqÉç |
mÉÏiuÉÉ xÉÇvÉÉåkÉlÉÇ xÉqrÉaÉç
AÉrÉÑwÉÉ rÉÑerÉiÉå ÍcÉUqÉç ||
cÉ. xÉÔ 15/22
• Removes the morbid Doshas
• Multiple therapeutic benefit
• Effect on specific disease
Page 36
Virechana as Rasayana & Vajikarana Poorva
karma.
ÍcÉUÉccÉ mÉÉMüÇ uÉrÉxÉÈ MüUÉåÌiÉ ÌuÉUåcÉlÉÇ
xÉqrÉaÉç EmÉÉxrÉqÉÉlÉqÉç ||
xÉÑ. ÍcÉ 33/27.
ÌuÉUåcÉlÉålÉ vÉÑ®rÉçÇÌiÉ mÉëxÉÏSÇiÉÏ CÎlSìrÉÉÍhÉ cÉ
|
kÉÉiÉuÉ¶É ÌuÉvÉÑkrÉÇÌiÉ oÉÏeÉÇ pÉuÉÌiÉ
MüÉqÉÑïMüqÉç || MüÉ. ÍxÉÌ®.
Enhance the drug absorption -
Removing interfering molecules or ions.
Enhancing mucosal blood supply
Altering secretary function
?
Page 37
Diminished activity of GI tract
Intestinal villi blunted by many GI disorders due to
ischemic condition
Irritant activity of virechana drug
Re dilate arteriole and correct the blood supply
Increase the parasympathetic activity
Enhances absorption and removes the morbid Doshas
and waste products
Bioavailability of Rasayana and Vajikarana drugs increases
Page 38
Mode of Action of Virechana.Mode of Action of Virechana.
Page 39
Causes physician induced inflammation
Increased propulsive movement and
irritant properties of virechana Dravya
Increases permeability of the capillaries
Then patient gets Virechana Vega
Page 40
Role of inflammation
Hyperemia
Arteriolar
dilatation
Exudation Dilution of
the toxins
Page 41
Chemical factors
Vasoactive
amines
Mast cells
Platelets
Histamine
Serotonin
Increase
permeability
Dilatation
Page 42
Elimination of
Pitta
Relaxation of sphincter of oddi
Increase uptake of fatty food
Polyunsaturated fatty acid stimulate
oxidation of cholesterol into bile
Cholycytokinin hormone is released
Stimulate gallbladder to contract
Page 43
Elimination of Kapha
• Elimination of kapha
•Large intestine chiefly secretes mucous
•Extreme parasympathetic stimulation
secretes large amount of mucous
Page 44
Elimination of Waste
Product
1.Interchange of ECF & ICF
2. Some hormones excreted by liver
3. Liver eliminate it through bile
Page 45
Summary
• VirechanaVirechana therapy can be used as
Preventive, Curative and Conservative line
of management
• Virechana hold the supremacy over the Pitta
• Careful assessment of Roga – Rogi – Koshta
– Agni — Oushda is essential
• Importance should be given to Samsarjana
Krama that we usually ignore
Page 46
For Your
Attention
Dr. Sharma’s Panchakarma Concepts
“Na Matra Matramapyatra Kinchit Agama Varjitam”

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Virechana concept and practice

  • 1. Page 1 Virechanam Concept and Practice Dr Ananth Ram Sharma MD Panchakarma, (PhD). Associate Professor Department of Panchakarma Amrita School of Ayurveda Presented at Institute of Management at Government, Kakkanad. At training program in Panchakarma for medical officers of ISM on 11/06/2013
  • 2. Page 2 Introduction • Shodhana – Drava Shoshana. • Procedure of Choice for PITTAJA VIKARA. • Wide applicability and simplicity • 40 % of patient in our hospital
  • 3. Page 3 Virechanam SÉåwÉ WûUhÉÇ FkuÉï pÉÉaÉÇ uÉqÉlÉ xÉÇ¥ÉMÇü AkÉÉå pÉÉaÉÇ ÌuÉUåcÉlÉ xÉÇ¥ÉMÇü | EpÉrÉÇ uÉÉ zÉUÏU qÉsÉ ÌlÉWïûUhÉÉiÉç ÌuÉUåcÉlÉ xÉÇ¥ÉÉ sÉpÉiÉå || cÉ.Mü.1/4
  • 4. Page 4 Area of Virechanam MüTåü ÌuÉS±É²qÉlÉÇ xÉÇrÉÉåaÉã uÉÉ MüTüÉåsoÉhÉã | iɲ̲UåcÉlÉÇ|| ÌmɨÉå iÉÑ ÌuÉUåMÇü zsÉåwqÉxÉÇxÉ×¹å uÉÉ iÉixjÉÉlÉaÉiÉå uÉÉ zsÉåwqÉÍhÉ CÌiÉ | A.xÉÇ xÉÔ.27/4 ÌuÉUåcÉlÉÇ ÌmɨÉWûUÉhÉÉÇ || cÉ.xÉÔ. 25 (Indu A.S. Su. 1/39) ÌuÉUåMüÉå qÉÑZÉmÉÏiÉÇ aÉÑSqÉÉaÉåïhÉÉliÉÈ | ÎxjÉiÉxiÉ SÉåwÉxrÉ ÌlÉxxÉÉUhÉÇ ÌmɨÉxrÉ mÉUqÉÉæwÉkÉqÉç ||
  • 5. Page 5 Common Benefits ÌuÉUåcÉlÉålÉ zÉÑSèkrÉÎliÉ mÉëxÉÏSliÉÏÎlSìrÉÉÍhÉ kÉÉiÉuÉ¶É ÌuÉzÉÑSèkrÉliÉå oÉÏeÉÇ pÉuÉÌiÉ MüÉqÉÑïMüqÉç || MüÉ. xÉÇ rÉSÉæSMüÉlÉÉqÉÑSMåüÅmÉlÉÏiÉå cÉUÎxjÉUÉhÉÉÇ pÉuÉÌiÉ mÉëhÉÉzÉÈ ÌmɨÉå WØûiÉåiuÉåuÉqÉÑmÉSìuÉÉhÉÉÇ
  • 6. Page 6 Classification of virechana • Mode of actionMode of action • Intensity of actionIntensity of action • Parts usedParts used • Properties
  • 8. Page 8 Mode of Action AnulomanaAnulomana RechanaRechana BhedanaBhedana SramsanaSramsana
  • 9. Page 9 Based on Intensity Mridu VirechakaMridu Virechaka Madhyama VirechakaMadhyama Virechaka Teekshna VirechakaTeekshna Virechaka • BalavanBalavan • MahavegaMahavega • Gambheera vyadhiGambheera vyadhi •Madhyama koshtaMadhyama koshta •BalavanBalavan • Mridu koshta • Durbala
  • 10. Page 10 Parts Used Moola Virechaka Phala Virechaka Twak Virechaka Dugdha Virechaka Swarasa Virechaka
  • 11. Page 11 Properties • Ruksha Virechaka • Snigdha virechaka
  • 12. Page 12 Specific Drugs for Virechana
  • 13. Page 13 Ritu Anusara VarshaVarsha SharadSharad Shishira &Shishira & VasathaVasatha GrishmaGrishma HemanthaHemantha All seasonsAll seasons Yoga Trivrit, Kuttaja Beeja Pippali, Shunthi Shyama Trivrit, Duralabha, Mustha Sharkara Swetha chandana Shyama Trivrit Pippali Nagara Shyam Trivrit Trivrit, Chitraka, Patha Ajaji, Sarala, vacha Trivrit, Danti, Hapusha, Saptala, Katuki, Svarnakshiri Anupana Draksha Rasa & Honey Yasti madhu with Draksha svarasa Honey sugar Warm water Bhavana With Cows urine
  • 14. Page 14 Purgation and Virechana- Karma Virechana karmaVirechana karma PurgationPurgation  Have systemic and local Action  Only local action  Eradication of systemic disease  No such action  Prior to it assessment of Kosta, Agni and Doshas are important  No such assessment were made  Poorvakarma is essential  Poorvakarma is not done  Have the preventive role  Not have any preventive role
  • 15. Page 15 Contraindication of Virechana Asaha • Bala • Vriddha • Atisthula • Atikrisha • Alpagni • Upavasitha • Pipasita • Durbalendriya • Garbhini • Navaprasooth a Disease of rectumDisease of rectum • Kshata guda • Guda bhramsha Marga virodhi vyadhiMarga virodhi vyadhi •Adhoga rakta pitta •Atisara Other Conditions •Adhmana •Urustambha •Rajayakshma Manasika BhavasManasika Bhavas • Bhayabhita • Chintaprasakta • Adhyayana prasakta Vatakara ViharaVatakara Vihara •Atirooksha •Ratri jagarana •Maithuna prasakta •Vyayama prasakta
  • 17. Page 17 Procedure of Virechana Karma PoorvakarmaPoorvakarma  Selection of patient  Examination of patient  Assessment of Koshta & Agni  Deepana – Pachana  Snehana – Swedana  Vishrama kala
  • 18. Page 18 Vamana Before Virechana? Decide by • Roga bala • Rogi bala • Avasta of disease • Condition of Dosha Eg: In case of kusta if kapha is predominant then one should go for vamana
  • 19. Page 19 Diet Before Virechana • Kapha avriddikara • Snigda drava, ushna ahara • Mamsa rasa • Yoosha • Amla rasa • Laghu Bhojana
  • 20. Page 20 Pradhana karma • Samyak Snigdha Lakshana • Nidra • Passed natural urges • Empty stomach • Manasopachara Administration of Virechana Yoga
  • 21. Page 21 Dosage of Virechanoushadhi • Koshta • Agni • Rogi bala • Roga bala • Dosha: Bahudoshavasta • Oushadha veerya
  • 22. Page 22 Matra acc. Classics • Uttama- 2 pala, Madhyama – 1 Pala, avara – ½ Pala (Bh.Si) • 1,2,3 Tola is Mentioned for Mridu, Madhyama and Krura (Su.Chi) Kalpana Hina for Mridu Koshtha Madhyama For Madhyama Uttama for Krura Kwatha 02 Tola 04 Tola 08 Tola Kalka, Churna, Modaka 01 Tola 02 Tola 04 Tola Swarasa 01 Tola 02 Tola 04 Tola Ushnodaka 04 Tola 08 Tola 12 Tola
  • 23. Page 23 Guidelines Followed After Administration • Ask the patient not to close the door of toilet • Hot water gargling • Have some fragrance • Intake of water ? Ushna Jala/ Shita Jala • Vega should not be induced or retained • Time should be noted • Keen observation of content of Vega • Avoid sleep • Tambula Sevana • Avoid shitala Vihara
  • 24. Page 24 Practically Encountered Problem• Chardi soon after giving medicine? • Chardi after 2-3 hours of administration? • If virechana won’t happen ? • If only 2-3 vega observed? •Aushadha Jeerna Lakshana •Aushadha Ajeerna Lakshana •Samyak Shuddhi •Bala traividyam •Vyapat •Shesha Dina Any intervention only on the following observation
  • 25. Page 25 Shuddhi Prakara Shuddhi Classics Observed by research studies Vaigiki Pravara-30 Madyama-20 Avara-10 Haritaki 13-15 Aragvadha 13-17 Katuki 15-25 Trivrit 15-27 Maniki 4 prasta 3 prasta 2 prasta Haritaki 700-1000ml Aragvadha 700-100ml Katuki 800-1500ml Trivrit 1200-1650ml Antiki Kaphanta Haritaki P-60%,K-40%, Aragvadha P-50% K-40%, V – 10% Katuki K-60% P-30% , V – 10% Trivrit K-100%
  • 27. Page 27 Ayoga And Atiyoga of Virechana Ayoga • Agnimandya • Kandu • Pidaka • Vata sanga • Vit sanga Atiyoga • Angamarda • Vepatu • Balabava • Klama • Trishna • Brama • Tama pravesha • Netra pravesha
  • 28. Page 28 Paschat Karma • Same as that of Vamana Karma except Dhumapana • Samsarjana Krama
  • 29. Page 29 Samsarjana Krama Day Annakala Pravara Madhyama Avara 1st Morning - - - Aft. Noon - - - Evening Peya Peya Peya 2nd Morning Peya Peya Vilepi Aft. Noon Peya Vilepi Kruta yusha Evening Vilepi Vilepi Akrutmamsa rasa 3rd Morning Vilepi Akruta yusha Krita mamsa rasa Aft. Noon Vilepi Kruta yusha Normal diet Evening Akruta yusha Akrita mamsa ras or akrita masha yusha 4th Morning Akrut yusha Krita mamsa rasa Aft. Noon krut yusha Evening Akrita Mamsa rasa or Krita yusha 5th Morning AKrita Mamsa rasa or Akrita yush ras Aft. Noon krita mamsa rasa or krita masha yusha Evening Normal diet
  • 30. Page 30 Nutritive Values K. Cal Prot Fat Carb Phos Fe Cal Thim N. acid Rib Vit C Peya 100 gms 94 2.7 gm 2.2 gm 15.8 gm 0.07 gm 0.25 mg 0.11 gm 0.04 gm 0.11 mg 0.12 gm 3.3 mg Yusha 100 gms 158 5.5 gm 3.6 gm 25.6 gm - 3.4 mg 0.05 gm 0.04 gm 0.04 mg 0.28 gm -
  • 31. Page 31 Benefits of Samsarjana Krama • Immediate supply of Calories and Nutrition • Restoration of digestive power through specific dietary schedule. • Absorption and assimilation function of GIT get increase.
  • 32. Page 32 Pariharya Vishaya • Speaking loudly. • Excessive meal. • Excessive walking. • Anger and sorrow. • Sleeplessness. • Day sleep. • Incompatible diet. • With holding natural urges. • All these causes GI upset, further it will lead to formation of Ama, hence aim of Virechana will fail.
  • 33. Page 33 Nitya Virechana • Elimination of excessive fluid • Reliving the constipation • Acts as diuretic • Increase of appetite What may be the scientific reason?
  • 34. Page 34 Virechana as preventive measure oÉÑ®åÈ mÉëxÉÉSÇ oÉsÉÇ CÎlSìrÉÉhÉÉÇ kÉÉiÉÑ ÎxjÉUiuÉÇ oÉsÉÇ AÎalÉ SÏÎmiÉÈ | ÍcÉUÉccÉ mÉÉMüÇ uÉrÉxÉÈ MüUÉåÌiÉ ÌuÉUåcÉlÉÇ xÉqrÉaÉç EmÉÉxrÉqÉÉlÉqÉç || xÉÑ. ÍcÉ 33/27 • Disease deterrent • Delay the process of ageing • Bio purifier
  • 35. Page 35 Virechana as curative measure qÉsÉÉmÉWûÇ UÉåaÉWûUÇ oÉsÉ uÉhÉï mÉëxÉÉSlÉqÉç | mÉÏiuÉÉ xÉÇvÉÉåkÉlÉÇ xÉqrÉaÉç AÉrÉÑwÉÉ rÉÑerÉiÉå ÍcÉUqÉç || cÉ. xÉÔ 15/22 • Removes the morbid Doshas • Multiple therapeutic benefit • Effect on specific disease
  • 36. Page 36 Virechana as Rasayana & Vajikarana Poorva karma. ÍcÉUÉccÉ mÉÉMüÇ uÉrÉxÉÈ MüUÉåÌiÉ ÌuÉUåcÉlÉÇ xÉqrÉaÉç EmÉÉxrÉqÉÉlÉqÉç || xÉÑ. ÍcÉ 33/27. ÌuÉUåcÉlÉålÉ vÉÑ®rÉçÇÌiÉ mÉëxÉÏSÇiÉÏ CÎlSìrÉÉÍhÉ cÉ | kÉÉiÉuÉ¶É ÌuÉvÉÑkrÉÇÌiÉ oÉÏeÉÇ pÉuÉÌiÉ MüÉqÉÑïMüqÉç || MüÉ. ÍxÉÌ®. Enhance the drug absorption - Removing interfering molecules or ions. Enhancing mucosal blood supply Altering secretary function ?
  • 37. Page 37 Diminished activity of GI tract Intestinal villi blunted by many GI disorders due to ischemic condition Irritant activity of virechana drug Re dilate arteriole and correct the blood supply Increase the parasympathetic activity Enhances absorption and removes the morbid Doshas and waste products Bioavailability of Rasayana and Vajikarana drugs increases
  • 38. Page 38 Mode of Action of Virechana.Mode of Action of Virechana.
  • 39. Page 39 Causes physician induced inflammation Increased propulsive movement and irritant properties of virechana Dravya Increases permeability of the capillaries Then patient gets Virechana Vega
  • 40. Page 40 Role of inflammation Hyperemia Arteriolar dilatation Exudation Dilution of the toxins
  • 41. Page 41 Chemical factors Vasoactive amines Mast cells Platelets Histamine Serotonin Increase permeability Dilatation
  • 42. Page 42 Elimination of Pitta Relaxation of sphincter of oddi Increase uptake of fatty food Polyunsaturated fatty acid stimulate oxidation of cholesterol into bile Cholycytokinin hormone is released Stimulate gallbladder to contract
  • 43. Page 43 Elimination of Kapha • Elimination of kapha •Large intestine chiefly secretes mucous •Extreme parasympathetic stimulation secretes large amount of mucous
  • 44. Page 44 Elimination of Waste Product 1.Interchange of ECF & ICF 2. Some hormones excreted by liver 3. Liver eliminate it through bile
  • 45. Page 45 Summary • VirechanaVirechana therapy can be used as Preventive, Curative and Conservative line of management • Virechana hold the supremacy over the Pitta • Careful assessment of Roga – Rogi – Koshta – Agni — Oushda is essential • Importance should be given to Samsarjana Krama that we usually ignore
  • 46. Page 46 For Your Attention Dr. Sharma’s Panchakarma Concepts “Na Matra Matramapyatra Kinchit Agama Varjitam”