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

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