🔘 Virechana Karma

VIRECHANA 

(THERAPEUTIC PURGATION)

अधोभागं विरेचन संज्ञकम् ।।

तद्वद्विरेचनं पित्ते विषेशेण तु वामयेत्।

              (अ. हृ. सू., 18/1)

Virechana is the procedure by which the vitiated Doshas are eliminated through the anal route. It is the treatment of choice for Pitta predominant conditions. 

👉🏻Man power -

Ayurvedic Physician (for supervision) : 1

Attendant : 1

👉🏻Mode of administration/procedure -

Selected  patient  should  undergo  first  Purvakarma  i.e.Snehapana for 3-7  days, then Abhyanga &  Swedana for  three  days.  The  medicine  for  purgation  is  to  be  given  in  early morning  at  6 AM preferably  on  empty  stomach. Usually  the  purgation  will  start  after three hours. Warm water may be given in  small doses, when the patient  feels thirsty or the urge  for evacuation is not felt sufficient. Cold water should be used for drinking when the preparation of Jayaphala is used for purgation. When the evacuation of bowel is complete as per the lakshanasdescribed  for  Samyak  virechana ,  the  patient  is  advised  to  take  complete  rest.  ThereafterSamsarjana krama is to be followed as per the directions of the physician. Assessment criteria of virechana procedure are elaborately mentioned in the classics(Jaghanya- 10 Vegas, Madhyama- 20 Vegas, Pravara- 30 Vegas).

👉🏻Indications:

-Gastrointestinal disorders  -Constipation, 

 Krimi  (Worm  infestation), Kamala  (Jaundice)

-Dermatological disorders - Eczema, Allergic dermatitis etc.

-Other major conditions Pakshaghat (Hemiplegia), 

Jeerna Jwara (Chronic fever), Madhumeha (Diabetes),  Arbuda  (Tumour),  Tamak Shwasa (Bronchial Asthma), Galganda (Goitre), etc.

👉🏻Contraindications -

Navajwara (Acute fevers)

Krisha (Emaciated patients)

Rajayakshma (Tuberculosis) 

Garbhini (Pregnant women)

Hridroga (Cardiac problems)

👉🏻Complications -

The complications during Virechana therapy may be in the form of Ayoga / Atiyoga.

👉🏻Symptoms of Ayoga-

1. Hridya Ashuddhi (Heaviness of Precordium)

2. Udara Ashuddhi (heaviness of abdomen)

3. Aruchi (Anorexia)

4. Kapha-pitta ulklesha

5. Kandu (itching)

6. Daha (burning sensation)

7. Pitika (eruptions)

8. Peenasa (sinusitis)

9. Obstruction of Vata & Mala

👉🏻 Symptoms of Samyak virechana -

The symptoms of Samyak virechana are opposite to that of Ayoga.

👉🏻Symptoms of Atiyoga

1. Malena

2. Prolapse of rectum

3. Thirst

4. Giddiness

5. Sunken eyes

👉🏻 Observations -

This  process  cleans  the  channels  by  the  removal  of  accumulated  waste  products, undigested material  and the toxins mainly from the gut (Gastrointestinal tract). It enhances the appetite, power of digestion and absorption of food.