The document discusses the indications, contraindications, and seasonal appropriateness of Shodhana, an Ayurvedic purification therapy. It lists various symptoms like indigestion that would indicate the need for Shodhana. Contraindications include patients who are aggressive or dislike physicians. Shodhana is recommended during mild seasons to avoid excess heat, cold, or rain. The summary outlines the key topics covered in the document.

1. INDICATIONS &
CONTRAINDICATIONS
OF SHODHANA
Dr Akshay Shetty
Associate Professor
Department of Panchakarama
SSRAMC&H Inchal

2. Contents
Objectives
Indications of
Shodhana
Contraindications
of Shodhana
Shodhana
according to Rtu
Summary References
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3. Objectives
By the end of the presentation the students must be able to—
• Enumerate indications of Shodhana
• Enumerate contraindications of Shodhana
• Interpret Shodhana according to Rutu
1
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4. Indications of Shodhana
अविपाकोऽरुव िः स्थौल्यं पाण्डुता गौरिं क्लमिः|
वपडकाकोठकण्ड
ू नां सम्भिोऽरवतरेि ||१३||
आलस्यश्रमदौर्बल्यं दौगबन्ध्यमिसादकिः|
श्लेष्मवपत्तसमुत्क्क्लेशो वनद्रानाशोऽवतवनद्रता||१४||
तन्द्रा क्लैब्यमर्ुद्धित्वमशस्तस्वप्नदशबनम्|
र्लिर्बप्रर्ाशश्च तृप्यतो र्ृंहर्ैरवप||१५||
र्हुदोषस्य वलङ्गावन तस्मै संशोधनं वहतम्| Ca.Su 16
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5. Cont…
• Indigestion, anorexia, corpulence, anemia, heaviness, exhaustion, eruption
of pimples and wheals (bumps or itchy sores), pruritis, sluggishness,
indolence, weakness, foul smell of the body, lassitude, precipitation
(utklesha) of kapha and pitta, sleeplessness or excessive drowsiness,
impotency, impediment to intelligence, inauspicious dreams, and loss of
strength and complexion in spite of taking nourishing diet and right
therapy are the signs and symptoms of patients having excess of
morbid dosha.
• An experienced, skilled physician would advise and administer purification
therapy taking into consideration the dosha status and strength of the
patient
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6. Contraindications of Shodhana
ण्डिः साहवसको भीरुिः क
ृ तघ्नो व्यग्र एि |
सद्राजवभषजां द्वेष्टा तद्द
् विष्टिः शोकपीवडतिः||४||
यादृद्धिको मुमूषुबश्च विहीनिः करर्ैश्च यिः|
िैरी िैद्यविदग्धश्च श्रिाहीनिः सुशवितिः||५||
वभषजामविधेयश्च नोपक्रम्या वभषद्धिदा|
एतानुप रन् िैद्यो र्हून् दोषानिाप्नुयात्||६||
एभ्योऽन्ये समुपक्रम्या नरािः सिैरुपक्रमैिः|
अिस्थां प्रविभज्यैषां िज्यं कायं िक्ष्यते||७|| Ca.Si 2
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7. Cont..
The wise physician should not treat
the following types of patients:
Who is fierceful or aggressive,
adventurous, fearful, ungrateful and
fickle minded;
Who hates good persons, kings and
physicians and who is intensely
disliked by them;
Who is afflicted with grief;
Who does not believe in God (nastika)
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8. Cont..
Who is in the end stage of disease and is predicted to die soon;
Who is not in position to collect the essential items (karana) for the
treatment;
Who is enemy or hostile to the physician;
Who is an impostor and considers himself to be a physician;
Who is unfaithful to the physician;
Who is always suspicious (doubtful); and
Who is not obedient to the physician.
The physician, who administers Panchakarma or any medicine to the above
mentioned types of patients, faces many difficulties and does not get success.
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9. Cont…
िातातपविशुष्कश्च ये कमबपरा नरा:I
अध्वयानविशुष्कश्च तान्न संशोधयेवदभषक
् II
Bh.Sam.Su 25/7
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10. Shodhana according to Rtu
Purification therapies such as emesis etc. are applied in seasons having similar
characters(as of physiological vitiation of dosha) and are stopped in other seasons. The
seasons having similar characters are the most convenient ones and are not harmful to
body and drugs because of moderate cold, heat and rains, while others, due to
excessive cold, heat and rains are inconvenient ones and harmful to body and the drugs.
तत्रसाधारणलक्षणेष्वृतुषुवमनादीनाांप्रवृत्तित्तविधीयते, त्तनवृत्तिररतरेषु|
साधारणलक्षणात्तिमन्दशीतोष्णवषित्वात्सुखतमाश्चभवन्त्यत्तवकल्पकाश्चशरीरौषधानाम्,
इतरेपुनरत्यर्िशीतोष्णवषित्वाद् दुुःखतमाश्च भवन्तित्तवकल्पकाश्चशरीरौषधानाम्||१२६|| Ca.Vi
8
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11. Seasons for purification
Excess heat, rain and cold are the signature features of summer (greeshma), rainy
(varsha) and winter (hemanta) seasons respectively. The three seasons viz., the
period between summer and rains (pravrita), autumn (sharada) and spring
(vasanta), which come in between the above mentioned are known as general
seasons (sadharana ritu).
अत्युष्णिषबशीता वह ग्रीष्मिषाबवहमागमािः|तदन्तरे प्रािृडाद्यास्तेषां
साधारर्ास्त्रयिः||४||
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12. Cont…
प्रािृट् शुव नभौ ज्ञेयौ शरदू जबसहौ
पुनिः|
तपस्यश्च मधुश्चैि िसन्तिः शोधनं
प्रवत||५||
एतानृतून् विकल्प्प्यैिं दद्यात्
संशोधनं वभषक
् |
स्वस्थिृत्तमवभप्रेत्य व्याधौ
व्यावधिशेन तु||६||
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13. Cont…
The months Shuchi (Aashadha, Mid
June to Mid July)
and Nabha (Shravana, Mid July to Mid
August) together are known as Pravrita
ritu.
The months Urja (Kartika, Mid
October to Mid November)
and Saha (Margashersha –Mid
November to Mid December) are
known as Sharada ritu.
The months Tapasya (Phaalguna -
Mid February to Mid March)
and Madhu (Chaitram- mid March
to mid April) are known
as Vasanta ritu.
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14. Cont…
These seasons are specially mentioned here for the sake of
administration of shodhana therapy (purificatory procedures).
The physician shall select an appropriate purificatory procedure
to preserve the health after determining the exact season.
However, in case of disease, it has to be done with respect to
the nature of the clinical condition in any of the seasons
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15. Summary
Enumerate
Indications of
Shodhana
Interpret
Shodhana
according to Rutu
Enumerate
contraindications of
Shodhana
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16. References
Charaka Samhita
Bhela Samhita
www.Carakasamhitaonline.com
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17. Thank
you
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