The document discusses the preparatory procedures for Virechana (therapeutic purgation) according to Ayurveda. It covers collecting the necessary drugs, examining the patient, determining the dosage, and references key classical Ayurvedic texts on the topic. The objectives are to understand the processes of collecting drugs and materials, examining the patient, planning the treatment, and assessing the proper dosage.

1. Dr Akshay Shetty
Assistant Professor
Department of Panchakarma
SSRAMC&H Inchal

2. Contents
Objectives
Sambhara
Samgraha
Aatura Pariksha
Aatura Siddhata
Matra
Vinishchaya
Summary References
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3. Objectives
By the end of the presentation the
students must be able to
1. Enumerate Sambhara Samgraha
2. Demonstrate Aatura Pariksha
3. Plan Aatura Siddhata
4. Asses Matra Vinishchaya
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4. • Drugs required for Deepana like Panchakola, Trikatu etc are collected.
Shuddha Ghrita or Aushadhi Siddha Ghrita, Taila, Vasa or Majja are
also collected depending on the selection of of Snehana Dravya in
specific condition.
• Drugs for carrying out Virechana like Triphala, Trivrit
leyam,Aragavadha, Katuki, Eranda Taila, Icchabhedi Rasa, Abhayadi
Modaka and Manibhadra Vataka etc. are collected.
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5. • Drugs for counter acting various emergencies like Grahani Kapata
Rasa, Karpura Rasa, etc. in case of Atiyoga and Mocharasa,
Picchabasti Kalpa, etc. for rectal bleeding should be sought out. Ahara
Dravyas, Shalyodana, Vessels, bed pan, should be collected
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6. समीक्ष्य दोषौषधदेशकालसात्म्याग्निसत्त्वाददवयोबलानि|
बग््तिः प्रयुक्तो नियतं गुणाय ्यात ् सववकमावणण च ससद्धधमग्तत||६||
Ca.Si 3
समीक्ष्येति ज्ञानपूर्वकमर्ेक्ष्य| सर्वकमावणि चेति र्मनादीतन च दोषादीनपे
क्ष्य प्रयुक्िातन गुिकराणि भर्न्ति||६||
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7. प्रावृट् शुधचिभौ ज्ञेयौ शरदूर्वसहौ पुििः|
तप्यश्च मधुश्चैव वसततिः शोधिं प्रनत||५||
एतािृतूि् ववकल्प्यैवं दद्यात् संशोधिं सभषक्|
्व्थवृत्तमसभप्रेत्मय व्याधौ व्याधधवशेि तु||६|| Ca.si 6
प्रार्ृट् शुचचनभावर्त्यादद| शुचचनभौ आषाढश्रार्िौ| ऊर्वसहौ कातिवकमागवशीषषौ| िपस्यः
फाल्गुनः| मधु चैत्रः| शोधनं प्रिीति शोधने किवव्येऽयं यथोक्िः प्रार्ृडाददऋिुवर्भागो
भर्ति; स्र्स्थर्ृत्तौ रसोत्पत्तौ र्ा िस्याशशिीयोक्ि एर् र्षावशरद्धेमतिशशशशरर्सतिग्री
ष्मरूपः ऋिुक्रमो भर्ति| एिानृिूतनति
“आत्यतयके िु पुनः कमवणि काममृिुं वर्कल््य कृ त्रत्रमगुिोपधानेन” (वर्.अ.८)
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9. • After proper assessment of patient regarding Yogya and ayogya .
• The patient should be counselled regarding the procedure steps
• Probable benefits and adverse effects of the procedure.
• Do’s and don'ts during the whole course of Virechana procedure
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10. • CBC
• Urine Routine
• ESR
• Lipid profile
• Serum electrolytes
• LFT
• ECG
• Chest X ray
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11. अर्ीणे वधवते नलानिवववबतधश्चावप र्ायते|
पीतं संशोधिं चैव ववपरीतं प्रवतवते||१४|| ca si 6/14
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13. ग््िनधात ् पात्राद्यथा तोयमयत्मिेि प्रणुद्यते|
कफादयिः प्रणुद्यतते ग््िनधाद्देहात्तथौषधैिः||११||
आर्द्रं काष्ठं यथा वग्निवववष्यतदयनत सववतिः|
तथा ग््िनध्य वै दोषाि ् ्वेदो ववष्यतदयेत ् ग््थराि ्||१२||
ग्क्लष्टं वासो यथोत्मक्लेश्य मलिः संशोध्यतेऽ्भसा|
्िेह्वेदै्तथोत्मक्लेश्य शोध्यते शोधिैमवलिः ||१३|| Ca si 6/11
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14. ्िेह्वेदाविभ्य्य य्तु संशोधिं वपबेत ् |
दारु शुष्कसमवािामे देह्त्य ववशीयवते ||४६|| Su ch 33/46
Samsodhana instituted without Oleation and Fomentation will destroy
the body easily like the dried wood
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15. त्र्यहावरं स्तददिं परं तु ग््िनधो िरिः ्वेदनयतव्य उक्तिः [४] ||६||
िातिः परं ्िेहिमाददशग्तत सात्म्यीभवेत ् स्तददिात ् परं तु|७| cha.si 1
वपबेत्मत्र्यहं चतुरहं पञ्चाहं षडहं तथा |
स्तरात्रात् परं ्िेहिः सात्म्यीभवनत सेववतिः ||३६|| su chi 31/36
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16. • Increasing dose schedule of Snehapana is not described in any of the
Brhatatrayi. Kalyanakara (6th A.D.) first time, clearly mentioned that
Sodhanartha Abhyantara Snehapana is to be given in increasing doses
only. Vangasena (9th A.D.) also repeated "Vardhamana dose
schedule". This pattern was practically followed for Snehapana
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18. लघ्वशीतं ववरेचिम्||१८||
उग्त्मक्लष्टाल्पपकफत्मवेि क्षिप्रं दोषािः स्रवग्तत दह|१९| Ca.Si 6
उन्त्क्िष्टाल्पकफत्र्ेनेति र्मनं प्रति उन्त्क्िष्टकफत्र्ेन, वर्रेचनं प्रति त्र्ल्पकफत्र्ेने
ति वर्भागः||१८||-
अथातुरं श्वो ववरेचिं पायनयताऽ्मीनत पूवावनणे लघु भोर्येत्, फला्लमु
ष्णोदकं चैिमिुपाययेत ् | Su Ch 33
पूर्ावह्िग्रहिं सायम्भोर्नतनषेधाथवम्| फिाम्िं बीर्पूरादद| फिाम्िोष्िोदकानुपानं वपत्त
र्धवनाथवम्
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19. • Matra plays a profound role in a Samyaka Virechana. It should be
elaborately counted by taking various factors like Roga Bala, Rogi Bala,
Agni Bala, Aushadha Veerya, etc. in account.
• While deciding the Matra of Virechana Aushadhi prime importance is
to be given to the Koshtha of the patient as well as the form of
Virechana Aushadhi i.e. whether it is in form of Churna, Kvatha,
Swarasa or Modaka. Various doses depending the Koshtha and
Kalpana are described below in tabulated form
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20. Matra Vinischaya (Sh.Ut 4/19)
Kalpana
Avara
Matra
Madhyama
Matra
Uttama
Matra
Kvatha 2 tolas 4 tolas 8 tolas
Kalka, Churna, Modaka 1 tolas 2 tolas 4 tolas
Swarasa (Half of Kwatha) 1 tola 2 tolas 4 tolas
Ushnodaka (As Anupana) 4 tolas 8 tolas 12 tolas
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21. Summary
1.Enumerate Sambhara
Samgraha
1.Demonstrate Aatura
Pariksha
1.Plan Aatura Siddhata
Asses Matra Vinishchaya
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22. References
• Charaka Samhita
• Sushruta Samhita
• Asthanga Hridaya
• Sharangadhara Samhita
• Kalyanakaraka
• Vangasena
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23. THANK YOU
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