Virechana karma

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this is an ppt presentation by dr.b.arun kumar, who is working as a lecturer in MNR ayurvedic medical college, sangareddy, near hyderabad. in this presentation i given all details of virechana karma.

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Virechana karma

  1. 1. VIRECHANA KARMA By Dr. B. ARUN KUMAR MD (Ay)
  2. 2. Virechana VyutpattiVi +Rich+ Nichu, Lyut pratyaya-मलादोः िनससरणम्Virechanam (Na pumsaka lingam)Meanings ----Removal of dosha through anus. A.H.Su 27-4
  3. 3. Virechana-Dravya Gunas :Gunas of Virechana drugs: 1.Ushna 2.Teekshna 3.Sukshma 4.Vyavavi 5.Vikasi 6.Adho baga hara
  4. 4. Gunas of Vamana drugs:Ushna Teekshna Sukshma Vyavavi Vikasi Adhobaga haraAgneya it does dosha It enters into Prithvi+Ja daha, paka, srotas laguna sravaKatu-amla- Immediat Akasha+vlavana effect ayu+tejasPachana, It does Due to its anuswedana, pranava guna it dosha brings doshasvishyandana pachana, into kosta chedanait has It displaceskostabimukh the doshaa property
  5. 5. Virechana drugs:• Mula drugs:• Phalini drugs:
  6. 6. VirechanaLavanas: drugs:Kshira virechanas:Virechana drugs in pakvashaya gata dosha:
  7. 7. Virechana drugs:Bhedaniya drugs:Virechanopaga drugs:Purisha virajaniya drugs:
  8. 8. Virechana drugs:• Best drugs:• Masha---best for purisha janana• Trivrit—sukha virechana• Chaturangula—Mridu virechana• Snuhi kshira—Tikshna virechana• Amla vetasa—bhedana, anulomana C.S.Su.25-40
  9. 9. Virechana drugs by Sushrita Su.S.Su.39-4
  10. 10. Virechana drugs by Vagbhata A.H.Su-15-3
  11. 11. Virechana Bhedas Sha.S.Pur 4-3,4,5,6
  12. 12. Prayoga bheda of Virechana drugs Su.S.Su-90-89,90
  13. 13. Someimportantvirechana drugs
  14. 14. ERANDA • Properties— • Rasa- Madhura, Katu, Kasãya • Guna- Snigdha, Tiksna, Suksma • Virya- Usna • Vipãka- Madhura • Karma Kapha- vãtahara, Recana, Vrsya-(root). • Indications— Vãta vyãdhi, Pliharoga, Udãvarta, Vastisula, Gulma, Antravrddhi, sirahula, Prarneha, Vãtarakta etc.
  15. 15. TRIVRITH • Properties— • Rasa- Tikta, Katu • Virya- Usna • Guna- Laghu, Ruksa, Tiksna • Vipãka- Katu • Karma- Kapha-pittahara, vrecana
  16. 16. ASHWAGOLA • Properties— •  Guna- snigdha, guru, picchila; • Rasa- madhur; • Veerya- sheeta: • Dosha vatpittashamak and - kaphavardhak. • External uses Anti- inflammatory, useful in headaches, oedema and boils • Internal uses mild laxative, anthelmintic; antidote, cures ulcers. Roasted seeds are constipative due to loss of mucilaginous property.
  17. 17. HARITAKI • Properties— • Rasa –Pañca rasa (except Lavana), Kasaya mainly • Guna -Laghu, Rüksa • Virya- Usna • Vipãka -Madhura • Karma Tridosahara, Anulömana, Rasãyana, Prajãsthapãna, Caksusya, Hdyã, Lekhana
  18. 18. SNUHI • Properties— • Guna: laghu, snigdha, tikshna; • Rasa: katu; • Vipaka: katu; • Virya: ushna; • Dosha: kaphavatahara. • External use: Leaves are useful in inflammatory conditions. Decoction - drops are used in earache. Latex - useful in skin diseases, toothache, impotency, piles and in preparation of ksharsutra.
  19. 19. JAYAPAALA • Properties— • Guna: guru, snigdha. tikshna: • Rasa: katu; • Vipaka katu; • Virya : ushna: • Dosha:kaphavatahara. • External uses: It is an irritant on local application and has a scraping action, It is useful in skin diseases and hair fall (seeds are used). It is also used for local application on the penis in disorders of erection.
  20. 20. AARAGWADHA • Properties— • Rasa- Madhura • Guna- Madura, Guru, Snigdha • Virya- Sita – (Usna- Dhanvañtari Nighandu) • Vipãka- Madhura • Karma Kapha-pittahara • Indications— Kustha, Prameha, Hrdroga, Amavãta, Gandamãlã, Kãmalã, Udara, Udãvarta, Vatarakta, Sula, Jvara • Habitat All over India, • External uses It is anti-inflammatory. analgesic. The pulp and leaf paste are used in nodular oedema & gout. rheumatoid arthritis etc. The decoction is used for gargling in diseases of oral cavity and throat, Leaf paste is used in skin disease and itching.
  21. 21. SWARNAPATRI • Properties— • Dosha : Kaphaghna. pittaghna. • Dhatu : Rakta (blood disorders and dermatoses - latex), rasa (cough). • Mala : Mutra (dysuria. pyuria. calculi), purisha (laxative, useful in tapeworms). • Organ : Intestines.
  22. 22. DRAKSHA • Properties— • Guna: snigdha, guru, mridu; • Rasa: madhur; • Vipaka: madhur; • Virya: sheeta. • Internal uses: Useful in thirst, bleeding disorders, burning, gout, pthisis, pleurisy, tuberculosis, cough, asthma, dysuria, burning micturition, wasting etc.
  23. 23. Virechana drugs by CharakaS.No. Dravya kalpanas Yogas.1. Trivrith 1122. Chaturangula 123. Tilvaka 164. Sudha 205. Saptala, Shankhini 396. Danthi, Dravanthi. 48 Total no.of Virechana yogas. 245
  24. 24. Virechana yogya byYogya: Charaka Cha.Si.2- 13
  25. 25. Virechana yogya by Sushrutha
  26. 26. Virechana yogya by Vagbhata
  27. 27. Virechana Ayogya by Charaka Cha.Si.2-11
  28. 28. Virechana Ayogya by Sushrutha Su.Chi.33-28-30
  29. 29. Virechana Ayogya by Vagbhata A.H.Su.18-7
  30. 30. Ayogyas & their complications Cha.Si.-2-12
  31. 31. Virechana procedure Virechana procedure Purva karma Pradhana karma Paschat karmaSambara sangraha Virechana yoga sevana ------------Atura pariksha Atura paricharya Pariharya vishayasDecide the Dosage of Virechana vega nirnaya Sansarjana kramaAtura siddata Samyak/hina/ati sympt. Santarpana chikitsa Virechana vyapath-treat. Virechnotar shodanaBojanamSneha/swedaManasopachara
  32. 32. PURVAKARMA
  33. 33. SAMBARA SANGRAHA (preparation for the procedure)• Snehana/Swedana remaining mentioned in vamana karma sambara sangraha.• Snehas useful for- tikta grita, maha tikta grita/ shatphala grita/ kalyana grita/ indukanta grita/ vasadi grita/ til taila.• Sweda- bashpa sweda/ nadi sweda.• Virechana yogas- Abayarishta/Ashwakanchuki rasa.• Materials- bedpans/ Med.keeper/measuring glass/stool collector for lab test.
  34. 34. Sambara sangraha(preparation for theprocedure) • Drugs useful when Kutaja gana vati, Karpura ras, arising complications Jatiphaladi chu, during the virechana Bilwadi chu, karma procedure. Sanjivani vati, Sutasekara ras, • Useful medicines to Shankha vati, counter the Hingvastaka chu, complications. Shiva kshara pachana chu, Picha vasti kalpana, Anuvasana vasti kalpana, Phalavarthi.
  35. 35. ATURA PARIKSHA1. Avirechya/Virechya2. Is he suffereing from any avirechya disease3. Asta stana pariksha4. Physical/psychological fitness5. Dasha vida pariksha6. Dosha7. Saamavasta8. Dosha ashraya-kosta/shaka9. Dosha –swatantra/paratantra10. Stana –swastana/para stana11. Dosha quantity-alpa/madyama/utkrista12. Rogi avasta-baala/yavana/vridda13. Desha –jangala/anupa/sadarana14. Kala –rutu bheda-swasta/atura
  36. 36. ATURA PARIKSHA Cha.Su.15-17
  37. 37. DECIDING THEOushada gunas- DOSAGEBe cautious for giving virechana to these persons-1.Durbala2.After vamana3.Alpa dosha patient4.Krisha patient5.Ajnata koshta patient.
  38. 38. How to Decide kosta? Cha.Su.13-66Dosage decision based on the kosta.
  39. 39. Virechana drug DosageS.No for Different kostas Dravya Mridu kosti Madya Krira kosti. kosti1 Eranda sneha ½-2 tola 2-4 tola 4-10 tola2 Trivrit, swarna patri 1-3 masha 3-6 masha ½-1 tola etc.,3 Draksha, 1-2 tola 21/2 -5 tola 5-10 tola aragvada, haritaki phanta, triphala kwatha4 Jayapaala, ½ -1 ratti 1-2 ratti 4-8 ratti snuhi5 Isaab gol 3 masha 3-6 masha 6 masha-1 tola
  40. 40. Anupana for Different doshas Sha.Uttara.4-18,19
  41. 41. Preparation of the• Snehana patient• Swedana• Vamana karma• Sansarjana karma• Punah sweda• Virechanopaga bojanadi vichara• Sushritha-before doing virechana, vamana is must.• Type of ahara: Cha.Si-1-8 Su.Chi.33-19
  42. 42. Preparation of theType of Virechana: patientRuksha virechana indications: by charaka
  43. 43. PRADHANA KARMA
  44. 44. PRADHANA KARMAVirechana yoga sevana.Preparation of Virechana oushada:Draksha-1 tolaAragvada-1 tola +water 16 tola Make 4 tolaHaritaki-1 tola Virechana KashayaKatuka-1/2 tola
  45. 45. PRADHANATake that kashaya KARMA for Mridu kosta persons give it directly.For Madhya kosta persons add 2 tola Eranda taila and give it.For Krira kosta persons add Ichabedhi ras 4 Ratti and give it.
  46. 46. METHODS FOR THE GIVING VIRECHANA DRUG Methods for the giving virechana drugs For krura kosta give For Madya kosta giveFor Mridu kosthi give Virechana kashaya Virechana kashaya Virechana Kashaya +2 tola Eranda taila +2 tola Eranda taila +Ichabedi ras 4 ratti.
  47. 47. ATURA PARICHARYA• Wait for virechana,• Drink luke warm water (small doses),• Stay at nivata stana /shayana position.• If used any jayapala(Croton tiglium) containing drug, use cold water Ex: Ichabedi ras, rechaka vati, ashvakanchuki ras,naracha ras.
  48. 48. VIRECHANA VEGA VINIRNAYAM Uttama Madhyama AvaraVegiki 30 20 10Maniki 4 prasta 3 prasta 2 prasta (108 tulas)Antiki Kaphanta Pittantam Vit Don’t count the two virechanas
  49. 49. SAMYAK/AYOGA/ATIYOGA LAKSHANASSamyak yoga Heena yoga AtiyogaIndriya prasada Kapaha prakopa Supti,Vitpittakapha Pitta prakopa angamarda,nissara kramath Agnimandya klama,Agni vriddi Gourava vepathu,Laghutha Pratishyaya balabhava,Vatanulomana Aruchi tamahpravesha, Daha,kandu bhrama,trishna, Vitsanga netra praveshanam,
  50. 50. SAMYAK/AYOGA/ATIYOGA LAKSHANASSamyakyogalakshanaHeenaYogalakshanaAtiyogalakshanas
  51. 51. VIRECHANA VYAPATH ANDTREATMENT
  52. 52. VIRECHANA VYAPATH -TREATMENTVyapath are divided into two types 1.Atiyoga vyapath(red marked vyapaths) 2.Ayoga vyapathSushrutha mentioned 15 vamana/virechana vyapaths, vatashula,jirnoushadavta, oushasda savasheshatva, vibandha,hinadoshapaharana
  53. 53. VIRECHANA VYAPATH BY SUSHRUTHA
  54. 54. Virechana vyapath &TreatmentAdhmanam: Cha.Si-6-58,59
  55. 55. Virechana vyapath &TreatmentParikartika:
  56. 56. Virechana vyapath &TreatmentParisrava:
  57. 57. Virechana vyapath &TreatmentParisrava:
  58. 58. Virechana vyapath &TreatmentHridgraham:
  59. 59. Virechana vyapath &TreatmentHridgraham:
  60. 60. Virechana vyapath &TreatmentAngagraham:
  61. 61. Virechana vyapath &TreatmentJivadaanam:
  62. 62. Virechana vyapath &TreatmentJivadaanam:
  63. 63. Virechana vyapath &TreatmentVibramsha:
  64. 64. Virechana vyapath &TreatmentStambha:
  65. 65. Virechana vyapath &TreatmentUpadrava:
  66. 66. Virechana vyapath &TreatmentKlama:
  67. 67. AYOGA TREATMENTReasons for Ayoga: Treatment: Sutasekara ras 2 ratti+Shankha basma 4 ratti + Pravala pisti 2 Ratti 3 times with honey. Drink luke warm water.
  68. 68. ATIYOGA TREATMENTTreatment for Atiyoga: Drugs:• Vamana Sanjivani vati 2 ratti• Parisheka Shankodara ras 1 ratti• Avagaha Nagakesara chu 2 ratti• Rakapitta Treatment Chandra kala ras 2 ratti• Amlapitta treatment Jatiphaladi chu 4 ratti• Jwara treatment Indrayava chu 4 ratti give it for 3 to 4 times with dadimavalehya. • Kutajaghana vati 4 ratti to 1 masha 3 to 4 times.
  69. 69. Ajirna/ Jirna oushada lakshanasAjirna oushada Jirna oushada• Klama • Vatanulomana• Daha • Swastha anubhava• Angamarda • Thrist/appetite• Bhrama • Sharira utsaha• Murcha • Manah prasannata• Shirah shula • Indriya laghava• Arati • Shudda• Dourbalya dakara(eructation)
  70. 70. PASCHYA T KARMA
  71. 71. PASCHYATDhumapana: KARMA• It is not required for virechana karma.• Sansarjana krama• Tarpana/Shamana oushada• Pariharya vishayas• Virechana uttara karma vichara
  72. 72. PARIHARYA VISHAYAS
  73. 73. SANSARJANA KRAMAM
  74. 74. TABLE OF SAMSARJANA KRAMADay 1st  2nd  2nd  3rd  3rd  4th  4rd  5d   5rd  6rd  6rd  7rd  7rd Annak day  day  day  day  day  day  day  day  day  day  day  day  day ala Even Mor Even Morn Even Morn Even Morn Even Morn Even Morn Even ing ing ing ing ing ing ing ing ing ing ing ingPradan Akritshuddi Akrit Krita Krita Sama Peya Krita Krita a Vilep Vilep Vilep a mam mam nya Peya Peya yush yush mam i i i yush sa sa bojan a a sa a rasa rasa a rasaMadya Akritshuddi Akrit Krita Sama Peya Krita a Vilep Vilep a mam nya Peya yush mam X X X X i i yush sa bojan a asa a rasa a rasaAvarashuddi Krita Sama Peya Krita Vilep akrita nya krita X X X X X X X X i yush boha rasa a na
  75. 75. SANTARPANACharaka: CHIKITSA
  76. 76. SHAMANA OUSHADA &VIRECHANOTTARA SHODANA• Start Shamana chikitsa after 6 days. It he does not require any further panchakarma.• If you want to give basti karma, at 9th day Anuvasana vasti then niruha vasti.• Don’t give basti before 7th day. If given, it aggravates Vata. Cha.Si-1-26• Before Niruha vasti Gritha pana is not required.• At 9th day give Anuvasana vasti after that mamsarasadi bhojana for 3 days then Niruha vasti.
  77. 77. VIRECHANOTTARA• SHODANA Sushrith mentioned that virechana should be given after 15 days of vamana, basti should be given after 7th day of virechana. Su.Chi.36-51• Dalhana mentioned that after 7th day/8th day/9th day basti can be given.After virechana within 7days u should not give any type of basti.
  78. 78. VIRECHANA DRAVYAKARMUKAT A
  79. 79. Virechana dravya karmukataUshna Dosha vilayanam,Tikshna Dosha chinna/ bhinna,Anupranava bhava Enter into AmashayajaJala/Prithvi Adhobagahara sevanaApanavata preritha Virechana
  80. 80. Virechana dravya karmukataVirechana Guna karmas: Cha.Su-15-22 Su.Chi.33-26,27
  81. 81. Virechana dravyaUshna, karmukataTikshna,Sukshma, Hridayam Dhamani Stula/SukshmaVyavayi,Vikashi, srotasSara(Sus) Prabhava Ex:Danti/Chitra Ushna-Vishyandam Rasa/Vipaka-Katu,Ushna virya Tikshna-Chedana Danti-Virechana,Chitraka-no Guda Jala+Prithvi buta Kosta Aagamana Adobhaga hara prabha Virechana
  82. 82. Virechana dravya karmukataVirechana drugs by charaka 1.Mrudu Ex:Aragvada 2.Sukha Ex:Trivrith 3.Tikshna Ex:Snuhi/DantiAnother classification given by Charaka 1.Bedaniya Ex:Arka/Eranda/Shankini 2.Anulomana Ex:Hingu/Amlavetasa 3.Sramsana Ex:Yava kshara 4.Virechanopaga Ex:Draksha/gambari/ peelu/Amalaki/haritaki/vibhitaki
  83. 83. Virechana dravya karmukataPURGATIVES ANOTHER CLASSIFICATION: 1.LAXATIVE 2.SIMPLE PURGATIVE 3.DRASTIC PURGATIVE 4.HYDROGOGUE 5.CHOLGOGUE PURGATIVE• Purgation control occurs through CNS-Medulla oblongata Near the resp.center &vomiting center(due to this some times vamana drugs causes virechana vice versa) through S2,S3,S4.,Guda vali, sympathetic/parasympathetic systems.
  84. 84. VIRECHANAS.No. ANULOMANA DRAVYAS SRANSANAM BHEDANA RECHANA1 IT does mala paka It doesn’t mala It doesn’t It doesn’t paka mala paka mala paka2 It breaks the mala It separates mala It throughs It liquifies the from intestines mala in ghana mala rupa3 It moves mala to It moves mala to It moves It moves downwars downwars mala to mala to downwars downwars4 With comfort, it Sometimes it Pain gives Sometimes it does vatanuloman gives pain with motion gives pain with motion.
  85. 85. Virechana dravya karmukataVishistha dravyas in virechana karma:Virechana contains: Mala, Pitta, Udaka dathu.Mala- purisha- 1.which are end products due to sweda/sneha due to their kostabhigamana from shakas to kosta. 2.Dathugata malas(from all saptha dathus) it occurs in intestines.Udaka dhathu:• It comes from different dhatus like mutra, rasa, rakta, lasika, upadathu• Fluid from extra/intra/interstitial cells.
  86. 86. Virechana dravya karmukata Pitta- It was mentioned as madyama shuddi lakshana. In Shakasraya kamala by removing k avarodha it reaches to kosta.
  87. 87. Therapeutics of Virechana drugsAshwakanchuki Abhayadi Ichchabhedi ras Rechaka vati Hingutrigunaras modaka tailaKajjali, S.Parada 10gm, Ichabedi rasS.Tankan, Gandhaka 20gm, 10gm,S.Hartal S.tankan40gm,S.Visha, Jayapaal,cheeni,tri Haritaki60gm, Reval cheeni 20 Hingu, vrith,trikatu,amla,h gmTrikatu, maricha30gm, Saindava lavana aritaki,pippaliTriphala, mula,dalchini,tejapa shunti50gm, Lashuna*,S.Jayapala* tra,nagaramoth Jayapala120gm Eranda taila**Bhringaraja Nimbu ras Chedu puchchaswarasa(21) rasa
  88. 88. THANK YOU

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