This document discusses Yuktivyapashraya and Antahparimarjana Samshodhana Chikitsa (internal cleansing treatment). It notes that Samshodhana involves five main treatments - Basti, Virechana, Vamana, Raktamokshana, and Shirovirechana. It explains that these treatments work to cleanse the body by eliminating aggravated doshas from different areas, with Vamana reaching the pylorus, Virechana the ileocecal junction, and Basti the anal canal. The document emphasizes that Samshodhana is only complete after the Samsarjana karma stage of gradual diet introduction.

2. INTRODUCTION TO
YUKTIVYAPASHRAYA AND
ANTAHPARIMARJANA -
SAMSHODHANA CHIKITSA
Dr.Madhav Diggavi
M.D.(Ayu) Jamnagar, Ph.D(Sch)
Lecturer
Department of Kayachikitsa & Panchakarma
T.G.A.M.C. Bellary
Phone : 98440 94290

3. Chikitsa
Vyadhiharini Kriya
Dhatu Samya Kriya
Na Yogaireva Kevalam
Purusham purusham Veekshya
Sthaanam jayet hi purvam
Samprapti vighatanameva
Trividham Aushadham Daiva-yukti-
satvavajaya

4. Yuktivyapashraya Chikitsa
# Second of Trividha Aushadham
# Ahara-Aushadha-Dravyanam Yojana
# Matra and Kala Ashraya
# Vaidya adheena
# Three Types
- Antahparimarjana
- Bahiparimarjana
- Shastra Praneedhana

5. Antah parimarjana Chikitsa
Yat aushadham antah shareeramanupravishya
Ahaara Jataah Vyadheen pramarshti.
Nirama dehasya hi Bheshajaani
Doshaanam Kshayam,Vruddhim, Samatvam, avaranam
vijnyasya.
yadeerayet bahirdoshaan
Pravruttaan Doshaan Praakato Upekshet.
Langhana Upakrama
Apataspana Upakrama
Samshodhana Chikitsa
A Special Pharmacotherapeutic modality unparallel to any medical
system - limitations are to be justified.

6. Yuktivyapashraya Aushadha
Antah Parimarjana Chikitsa
Langhana / Apatarpana
Samshodhana
Pradhana Gouna
Basti Virechana Vamana Shirovirechana
Raktamokshana

7. Samshodhana
1. Shareerajaanam Vikaranam
Bastir vireko vamanam || Va
2. Chatushprakara Samshuddhihi…. || Ca
3. Yadeerayet bahirdoshan…… || Va.
4. Taan upasthita Doshanam Panchakarmani
Karayet …. || Ca.
5. Chaya eva jayet Dosham….. ||
Sarvakope seshaDosha avirodhataha… ||

8. Samshodhana
# Purva karma - Preparation of Patient.
# Pradhana Karma - Basti-Vamana-Virechana
# Paschat Karma - Peyadi Samsarjana

9. Mode of Adaptation of Samshodhana
a. Pachanaihi
Deepanaihi
Snehaihi
Taan svedaischa parishkrutaan
Yathaasannam
Kaale
Yathabalam
Shodhayet….. || Vagbhata

10. B. Vaktrena Amashaya Malaan Haret
Ghranena Urdhva Jatrusthaan
Gudena Pakvaadhaanat
C. Utklishtaan Adhah-urdhvam va Haret
Pravruttan doshaan praagato
upekshet.

11. Note :
Na Nirharet
Saamaan Doshaan
Sarvadeha Prasrutaan
Dhaatushu Leenaam
Anutklishtaan
Praksheena Balam Yasya

12. Anatomical Limitations of
Samshodhana Aushadhi
* Oral Cavity --- Pylorus (Kaphasthana)
* Pylorus---- Ileocecal junction (Pittasthana)
* Ileocecal junction---Anal canal (Vatasthana)

13. In Antahkostha
* Vamana Aushadhi works upto pylorus
* Virechana Aushadhi works upto
Ileocecal junction.
* Basti Aushadhi works upto anal canal /
sigmoid colon.

14. Karyakshetra of active principles of
Samshodhana
* all over the body
* through Sthulanu Srotas
* Agni Modulated.

15. “Samoshodhana is
successful and
complete only after
proper samsarjana
karma”

16. Peya -- more liquid , laghu, easy energizer.
Vilepi - Shukadhanya, CHO rich, Semi solid, energizer
Akruta Yusha / Mamsarasa --> shimbi, Protein food,
Dhatu Tarpana.
Kruta yusha / Mamsarasa--> Ghrita etc., Fats & Oils.

17. Samshodhana & Ashtangayurveda
~ Bala Roga - Stanya pradoshaja,
Parigabhika,Talukantaka etc.,
~ Graha Roga - Revatee , Pootana,
Visha Tantra - Sarpadamsha, Sthaavara Visha
~ Urdhvanga- Vata abhishyanda, Adhimantha,
Puyalasaka.
~ Shalya Tantra - Vrana, Bhagna, Arsha
~ Rasayana -Vajeekarana-Shodhana as
purvakarma.

18. Samshodhana Or Panchakarma
a. As risk as surgery.
b. wrongly popularised upakarmas
c. vamana karma - major operation without incision.
d. specialty and monopoly of Ayurveda compared to modern medicine.
e. Useful in Antarashraya Vyadhis.
f. expelling out endotoxins.
g. seasonal, voluntary, preventive & prophylactic therapy.
h. 0% Recurrence Casu 16/20
i. Shodhana in its remote effect is shamana as well as Rasayana.
j. Proper understanding, learning and practicing samshodhana under
strict and skilled supervision is a must.