The word parihara states that avoidance of apathy a (bad diet/regimen) during and after shodhana. The Ahara and Vihara must be avoided during and after shodhana karma is called as parihara vishaya.During panchakarma therapies one should avoid excessive sitting, standing, speaking and riding, sleep during day time, sexual intercourse, suppression of natural urges, cooling regimens, exposure to sun, grief, anger and intake of untimely and unwholesome food. Samsarjana krama explains about diet sequence in which persons should adopt the healthy diet from laghu aahara (light diet) to guru ahara (heavy diet) in order to increase agni.

1. Pariharya vishaya
&
Sansarjana krama
Deep prajapati
MRIAS, gujarat

3. Meanimg of pariharya vishaya
Deep
prajapati
• Parihara vishaya comprises of two words.
• Parihara
परिहाि = त्यागः , वर्जनम् (सु.चि.२७/८)
The word pariharastates that avoidance of apathya (bad diet/regimen) during and after shodhana.
• Vishaya
ववषय = इन्द्रियार्जः, इन्द्रिय ववषयः, शब्धस्पशजरूपिसगरधा इति पंि ववषयाः (सु.तन.१/१०)
हस्िादि कमेन्द्रियाणां ववषयाः विनािानाऽऽनरिववसगजववहिणातन (सु.शा.१/५)
The Ahara and Vihara must be avoided during and after shodhanakarma is called as pariharavishaya.

4. Need of knowledge of parihara vishaya
Deep
prajapati
• In a crowd of many cows, when it is necessary to denotea particularcow, by touchingthe horn
of a cow we can denoteit similarly when we tell to do pathya palana (followthe pathya)in
general the patient cannot understand what to do.
• But if we explained in particularthen the patient can follow the pathya and avoid apathya.
(This nyaya is called as shringa grahikanyaya mentioned by AcharyaChakrapani)
i.e.
न्द्स्नग्धः स्वेिैरुपक्रम्यःन्द्स्वरन पथ्याशनो भवेि्। ििहः न्द्स्वरनगत्रस्िु व्यायामं वर्जयेरनिः ।।
(ि.सू.१४/७१)
पथ्याशनो भवेदित्यत्र यद्यवप शृङ्गन्द्ग्हकयापथ्यं नोक्िं, िर्ाऽवप स्वेिप्रवृववववषयिोषस्ययि ्पथ्यं ििेव
बोद्धव्यम।
(Chakrapani, Cha.Su.14/67)

5. Deep
prajapati
अर्स्वल्वािुिंवैद्यःसंशुद्धंवमनादिभभः।िुबजलंकृ शमल्पान्द्ग्नंमुक्िसरधानबरधनम्।
तनहजिातनलववण्मूत्रकफवपवंकृ शाशयमशूरयिेहं प्रिीकािासदहषणुंपरिपालयेि्॥
(Cha.Si.12/4)
• A person who has taken vamanadi shodhanakarma,becomes durbala, krusha, has alpagni and
mukta sandhanabandhana (loosecontact of joints). After the shodhanathe person will feels like
emptiness in ashaya becauseof evacuation of vata, pitta, kapha, pureesha,mutra.i.e. The body
becomes free from all the prakupitadosha.
• Therefore, after shodhanakarma, the person not able to tolerateany othertype of therapeutic
measures.
• Hence, the patient should be protectedlike a ‘fresh hatched egg’, like ‘a brimfull pot of oil’or like
‘cattleare protectedby cowherd with a stick in his hand. The physician should carefullyprotect te
patient from unwholesome ahara and vihara.
• Parihara vishaya must be followed when the person attained normal state of dosha.Acharya
Charakamentioned pakruti praptapurushalakshanafor betterunderstanding.

6. Parihara vishaya in panchakarma
Deep
prajapati
अत्यासनस्र्ानविांभस यानं स्वप्नं दिवा मैर्ुनवेगिोधान।
शीिोपिािािपशोकिोषांस्त्यर्ेिकालादहिभोर्नंि।
(Cha.Si.1/54-55)
ित्र न्द्स्नग्धन्द्स्वरनवारिववरिक्िास्र्ावपिानुवभसिभसिाववणैःपरिहिजव्यातनक्रोधायास मैर्ुन दिवास्वप्न वाग्व्यायाम
यानाध्ययन स्र्ानासन िक्रमण शीववावावप ववरुद्धासात्ल्यअर्ीणाजरयाबललाभाि ्, मासमेक
े मरयरिे ।
(Su. Sha. 8/24)
• During panchakarma therapiesone should avoid excessive sitting, standing, speaking and riding, sleep
during day time, sexual intercourse, suppression of natural urges, cooling regimens, exposureto sun, grief,
anger and intake of untimely and unwholesomefood.
o Duration : Parihara vishaya are strictly prohibitedfor 1 month for those who have undergone snehana,
swedana, vamana, virechana, asthapana, anuvasanaand siravyadha.

7. Ashtamahadoshakara bhava
Deep
prajapati
एिांप्रकृ तिमप्ााप्िः सवजवर्जयाजतनवर्जयेि
महािोषकिाण्यषटाववमातनिुववशेषिः॥
उच्िैभाजषयंिर्क्षोभमवविङ्क्रमणासने।
अर्ीणाजदहिभोर्जयेिदिवास्वप्नंसमैर्ुनम्॥
िर्जर्ािेहोध्वजसवाजधोमध्यपीडामिोषर्ाः।
श्लेषमर्ाःक्षयर्ाश्िैवव्याध्यःस्युयजर्ाक्रमम्।
(Cha.Si.12/10-12)
 Varjya ahara → ajeerna,ahita bhojana
 Varjya vihara → ucchai bhashya,rathakshobha, ati-chankramana, ati-asana, maithuna, divaswapna

8. 1. Uccha bhashya (speaking loudly)
Deep prajapati
❖ Effect : This causes urdva deha peedana(pain in the upperpart of the body).
❖ Symptoms :
ित्रोच्िैभाजषयातिभाषयाभयांभशिस्िाप शङ्खकणजतनस्िोि
श्रोत्रोपिोध मुखिालुकण्ठशोषिैभमयज वपपासार्जवि िमक
हनुग्रह मरयास्िम्भ तनषठीवनोिः पाश्वजशूल स्विभेि दहक्काश्वासाियः स्युः।
(Cha.Si.12/14)
• Due to speaking loudlyor in excess before attaining the normal state of health after purification therapy
will give rise to various diseases like –
1. भशिस्िाप (headache)
2. शङ्खकणजतनस्िोि (pricking pain in the temporal region and ears)
3. श्रोत्रोपिोध (obstruction in channels/deafness)
4. मुखिालुकण्ठशोष(dryness of mouth and throat)

9. 5. िैभमयज (black out)
6. वपपासा (excessive thirst)
7. र्जवि (fever)
8. िम (feeling like enteringinto dark)
9. हनुग्रह मरयास्िम्भ(spasticity of jaws, torticollisand ptyalism)
10. तनषठीवन (excess sputum)
11. पाश्वजशूल (pain in the chest and flanks)
12. स्विभेि (hoarseness of voice)
13. दहक्का श्वास (hiccup and dyspnea)
Deep
prajapati

10. ❖ Chikitsa :
ित्रोच्िैभाजषयातिभाषयर्ानामभयङ्ग स्वेिोपनाह धूम नस्योपरिभक्िस्नेहपानि सक्षीिादिवाजिहिःसवोववचधमोनं ि।
(Cha.Si.12/15)
• The disorders caused due loud and excessive speech can be cured by
all the vata shamaka measures like:
✓ Abhyanga
✓ Sweda
✓ Upanaha
✓ Dhuma
✓ Nasya
✓ Uparibhaktasnehapana(intake of sneha after food)
✓ Ksheera
✓ Mouna (maintenanceof silence),etc.
Deep
prajapati

11. 2. Ratha-kshobha (jolting / inconvenience during journey)
Deep
prajapati
❖ Effect : This causes sarva deha peedana (pain all over the body).
❖ Symptoms :
िर्क्षेभात्सन्द्रधपवजशैचर्ल्य हनुनासाकणजभशिः शूलिोि
क
ु क्षक्षक्षोभ आटोपारत्रक
ू र्नाध्मान
हृियेन्द्रियोपिोध न्द्स्फक्पाश्वजवंक्षणवृषण कटीपृषठवेिना
सन्द्रधस्करधग्गीवािौबजल्याङ्गाभभिापपािशोफ प्रस्वापहषजणाियः।
(Cha.Si.12/14)
• The inconvenience caused by ratha kshobha(jolting) 1 results into various disorder.
1. सन्द्रधपवजशैचर्ल्य (looseness of big and small joints)
2. हनुनासाकणजभशिः शूलिोि (pain and pricking in jaws, nose, ears and head)
3. क
ु क्षक्षक्षोभ (pain the pelvic region)

12. 4. आटोप (meteorism)
5. आरत्रक
ू र्न (gurgling in intestines)
6. आध्मान (flatulence)
7. हृियेन्द्रियोपिोध (congestion in heart region and senses)
8. हृियेन्द्रियोपिोध (congestion in heart region and senses)
9. न्द्स्फक्पाश्वज वंक्षण वृषण कटी पृषठ वेिना (pain in the hips, sides of the chest, groin, scrotum, waist and back)
10. सन्द्रध स्करधग्गीवािौबजल्या (weakness of joints, shoulders and neck)
11. अङ्गाभभिाप (burning sensation in limbs)
12. पािशोफ (edema)
13. प्रस्वाप (numbness)
14. हषजणा (horripilation)
❖ Chikitsa:
िर्क्षोभातििङ्क्रमणात्यासनर्ानांस्नेहस्वेिादिवािहिंकमजसवज तनिानवर्जनं िा (Cha.Si.12/15)
• The symptoms caused due rathakshobha can be cured by
✓ Snehana
✓ Swedana
✓ Vatahara karma
✓ Nidana parivarjana

13. ❖ Effect: This causes pain in the lower part of the body.
❖ Symptoms:
अतििङ्क्रमणात्पािर् नेरुर्ानुवंक्षण श्रोणीपृषठशूल सन्द्क्र्साि
तनस्िोिवपन्द्ण्डकोद्वेषठनाङ्गमिाजसाभभिापभसिाधमनीहषजश्वासकासाियः।
(Cha.Si.12/14)
3. Ati-chakramana (excessive walking)
Deep prajapati

14. Deep
prajapati
• Before regaining normal health after the purification therapy, excessive walking causes-
1. शूल (pain in the feet, calf regions, thighs, knees, groins, waist and back),
2. सन्द्क्र्साि तनस्िोि (astheniaand pricking pain in legs)
3. वपन्द्ण्डकोद्वेषठना ( cramps in calf muscle )
4. अङ्गमिज ( malaise )
5. साभभिाप (burningsensation in the shoulder )
6. भसिाधमनीहषज (swelling of the veins and arteries)
7. श्वास कास (dyspnea and cough) and such othercomplications
❖ Chikitsa :
िर्क्षोभातििङ्क्रमणात्यासनर्ानांस्नेहस्वेिादिवािहिंकमजसवज तनिानवर्जनं िा (Cha.Si.12/15)
• The symptoms caused due ati-chakramana can be cured by
✓ Snehana
✓ Swedana
✓ Vatahara karma
✓ Nidanaparivarjana

15. 4. Ati-asana (excessive /continuous sitting)
Deep
prajapati
❖ Effect : This causes madhya deha peedana (pain in the middle part of the body).
❖ Symptoms :
अत्यासनािर्क्षोभर्ाः न्द्स्फक्पाश्वजवंक्षणवृषणकटीपृषठवेिनाियः। (Cha.Si.12/14)
• Before regaining normal health after the purification therapy excessive/constant sitting causes –
1. न्द्स्फक्पाश्वजवंक्षणवृषणकटीपृषठवेिना (pain in the hips, sides of the chest, groins, scrotum, waist and back)
2. Diseases that are described earlier in case of rathakshobha (jolting).
❖ Chikitsa:
िर्क्षोभातििंक्रमणात्यासनर्ानांस्नेहस्वेिादिवािहिंकमज सवजतनिानवर्जनंिा (Cha.Si.12/15)
The symptoms caused due ati asanna can be cured by-
✓ Snehana
✓ Swedana
✓ Vatahara karma
✓ Nidana parivarjana

16. 5. Ajirna (indigestion)
Deep
prajapati
 Effect: This causes the diseases due to ama (undigested material ).
 Symptoms:
अर्ीणाजध्यशनाभयांिुमुखशोषाध्मानशूलतनस्िोिवपपासा गात्रसािच्छछजिीसािमूच्छाजर्जविप्रवाहणामववषाियः।
( Cha.Si.12/14)
 Before attaining the normal health after the purification therapy, ajeerna (indigestion) and adhyashana
(intake of food before the digestion of previous meal) results in to various health problems like –
1. मुखशोष (dryness of the mouth),
2. आध्मान (flatulence),

17. Deep
prajapati
3. शूलतनस्िोि (colicky and pricking pain),
4. वपपासा (thirst),
5. गात्रसाि (bodyache),
6. Chardi (vomiting),
7. अिीसाि(diarrhea),
8. मूच्छाज (fainting),
9. र्जवि (fever),
10. प्रवाहणा (gripping pain)
11. आम ववषा (food poisoning due to ama) and such other complications
❖ Chikitsa
अर्ीणाजध्यशनर्ानांतनिवशेषिश्छिजनंरूक्षः स्वेिोलङ्घनीयपािनीय िीपनीयौषधाविािणंिा ।
(Cha.Si.12/15)
• The symptoms caused due ajeerna can be cured by –
✓ Chardana
✓ Ruksha swedad
✓ Langhana
✓ Deepana-pachana oushadha

18. 6. Ahita-bhojana (intake of unwholesome diet)
Deep
prajapati
❖ Effect: This causes vitiation of doshaand leads to diseases.
❖ Symptoms:
ववषमादहिाशनाभयामनरनाभभलाषिौबजल्यवैवण्यज कण्डूपामागात्रसािवािादिप्रकोपर्ाश्िग्रहण्यशोववकािाियः।
(Cha.Si.12/14)
• Irregular and unwholesome food is strictly prohibitedbefore attaining the normal state of health. If it is not
followed then it will give rise to health problemslike –

19. Deep
prajapati
1. अरनाभभलाष (lack of desire for taking food),
2. िौबजल्य (weakness),
3. वैवण्यज (discolorationof the skin),
4. कण्डू(itching),
5. पामा (scabies)
6. गात्रसाि (prostrationof the body)
7. Grahani (sprue like disease),
8. अशज(piles) and otherdiseases caused due to the vitiation and aggravation of vata
❖ Chikitsa:
ववषमादहिाशनर्ानांयर्ास्वंिोषहिाः क्रक्रयाः। (Cha.Si.12/15)
• Treatment should be taken up according to dosha vitiation.

20. 7. Divaswapna (sleeping during day time)
Deep
prajapati
❖ Effect : Divaswapna causes vitiation of kaphadoshawhich leads to kaphaja vikara.
❖ Symptoms:
दिवास्वप्नाििोिकाववपाकान्द्ग्ननाशस्िैभमत्य पाण्डुत्व कण्डू पामा िाह च्छघजङ्गमिज दृत्स्िम्भ र्ाड्य िंिा
तनिाप्रसङ्ग ग्रन्द्रर्र्रम िौबजल्य िक्िमूत्राक्षक्षिा िालुलेपाः।
(Cha. Si.12/14)
• Before regaining normal health after purification therapyday time sleep causes disorders like –
1. अिोिका (anorexia)
2. अववपाका (indigestion)
3. अन्द्ग्ननाश (suppression of the power of digestion)
4. स्िैभमत्य (feeling like body is covered with wet cloths)

21. 5. पाण्डु (anemia)
6. कण्डू (itching)
7. पामा (scabies)
8. िाह (burning sensation)
9. Chardi (vomiting)
10. अङ्गमिज (malaise)
11. दृत्स्िम्भ (impairment of the cardiac function)
12. र्ाड्य (stiffness)
13. िंिा (drowsiness)
14. तनिा (sleep)
15. ग्रन्द्रर् (appearance of nodular swelling)
16. िौबजल्य (weakness)
17. िक्िमूत्राक्षक्षिा (red coloration of urine and eyes)
18. िालुलेपाः (coating of the palate )
Deep
prajapati

22.  Chikitsa:
दिवास्वप्नर्ानांधूमपानलङ्घनवमनभशिोवविेिनव्यायाम रूक्षाशनारिषटिीपनीयौषधोपयोगः
प्रघषजणोरमिजनपरिषेिनादिश्व श्लेषमहिः सवोववचधः।
(Cha.Si. 12/15)
• The symptoms caused due divaswapna can be cured by all the kapha shamakameasures like
✓ Dhumapana
✓ Langhana
✓ Vamana
✓ Shirovirechana
✓ Vyayama
✓ Rukhsha ashana
✓ Arishtaprayoga
✓ Deepaneeya oushadhaprayoga
✓ Pragharshana
✓ Unmardana
✓ Parishechana
Deep
prajapati

23. 8. Maithuna (sexual intercourse)
Deep
prajapati
❖ Effect: Maithunacauses dhatu kshaya (wasting/decay of body tissue) and leads to dhatukshayajanya vikara.
❖ Symptoms:
व्यवायािाशुबलनाशोरुसाि भशिोबन्द्स्िगुिमेढ्रवंक्षणोरु- र्ानुर्ङ्घापािशूल हृियस्परिन नेत्रपीडाङ्गशैचर्ल्य
शुक्रमागजशोणणिागमन कास श्वास शोणणिषठीवन स्विावसाि कटीिौबजल्यैकाङ्गसवाजङ्गिोगमुषकश्वयर्ु
वािवयोमूत्रसङ्ग शुक्रववसगज र्ाड्य वेपर्ु बाचधयज ववषािाियःस्युः; अवलुप्यिइवगुिः, िाड्यि इव मेढ्रम्,
अवसीििीवमनो, वेपिेहृियं, पीड्यरिेसरधयः, िमःप्रवेश्यि इव ि।
(Cha.Si.12/14)
• Indulgence in the sexual intercourse without restoration of normal health after purification therapycauses
various disorders such as:
1. आशुबलनाशो (sudden loss of strength),
2. उरुसाि (prostrationof thighs)
3. भशिोबन्द्स्िगुिमेढ्रवंक्षणोरु र्ानुर्ङ्घापािशूल Headache,Pain in the region of urinary bladder, anus, phallus,
groins, thighs, knees, calf muscles and feet,
4. हृियस्परिन(palpitation),
5. नेत्रपीडा (pain in the eyes),

24. Deep
prajapati
6. अङ्गशैचर्ल्य(asthenia),
7. शुक्रमागजशोणणिागमन(bleedingthrough the seminal rout),
8. कास (cough),
9. श्वास (dyspnea),
10. शोणणिषठीवन (hemoptysis)
11. स्विावसाि(astheniaof the voice),
12. कटीिौबजल्य(weakness of lumbosacral region),
13. एकाङ्गसवाजङ्गिोग(paralysis of part or the whole body),
14. मुषकश्वयर्ु (edema in the scrotum/hydrocele),
15. वािवयोमूत्रसङ्ग (retentionof flatus, stool and urine),
16. शुक्रववसगज (excessive discharge of semen),
17. र्ाड्य (laziness),
18. वेपर्ु (trembling),
19. बाचधयज (deafness),
20. ववषाि (depression),
21. अवलुप्यिइवगुिः(piercing pain in anus),
22. िाड्यि इव मेढ्रम्(cutting pain in the phallus),

25. 23. अवसीििीवमनो(feeling like mind is shrinking),
24. वेपिेहृियं (trembling of the heart),
25. पीड्यरिेसरधयः (pain in joints),
26. िमःप्रवेश्यि (feeling like entering into the darkness).
Deep
prajapati

26. Deep
prajapati
❖ Chikitsa:
मैर्ुनर्ानांर्ीवनीयभसद्धयोः क्षीिसवपजषोरुपयोगः, िर्ावािहिाः स्वेिाभयङ्गोपनाहा वृषयाश्िाहािाः स्नेहाः
स्नेहववधयो यापना- बस्ियोऽनुवासनं ि; मूत्रवैकृ िबन्द्स्िशूलेषु िोविबन्द्स्ि- ववंिािीगरधादिगण
र्ीवनीयक्षीिसंभसद्धंिैलंस्याि् ।
(Cha.Si.12/15)
✓ The symptoms caused due maithunacan be cured by –
✓ Jeevaneeya siddha ksheera and sarpi
✓ Sweda
✓ Abhyanga
✓ Upanaha
✓ Vrushya ahara
✓ Yapana basti
✓ Anuvasana basti
✓ Uttarabastiwith vidarigandhadi/jeevaneeya ksheera siddha taila in the mutra vikruti and basti shula

27. भेषर्क्षवपिे पथ्यमाहािैिेवबृंहणम्। घृिमांसिसक्षीिहृद्ययूषोपसंदहिैः॥
अभयङ्गोत्सािनैःस्नानैतनजरूहैः सानुवासनैः। िर्ा स लभिे शमज युर्जयिे िायुषा चििम्।
(Cha.Su.16/22-23)
• Those who weakened by purification therapy(bheshaja kshapita), for the restorationof one's health the
following measures should be taken up-
✓ Pathya ahara sevana (consuming wholesome food)
✓ Consuming bruhmana ahara
✓ having ghruta, ksheera, mamsarasa, hrudya yusha
• The patient should also be advised to undergo
✓ Abhyanga
✓ Utsadana
✓ Snana
✓ Niruha
✓ Anuvasana
Pathya ahara after shodhana therapy
Deep
prajapati

28. swedana
Deep
prajapati
❖ Parihara vishaya for swedana:It means the ahara and viharashould be avoided after swedana karma.
They are as follows:
A. Apathya ahara.
B. Apathya vihara
Apathya ahara :
1. Abhishyandi ahara(the food articles which causes abhishyandana like dhadhi)
2. Sankara ahara(combination of many food substances)
3. Sheetodaka upachara (using cold water for drinking purpose)
4. Atisnigdhaahara (using of excessive quantityof snigdhata in food)
5. Ghana ahara(solid food)

29. Deep
prajapati
 Apathya vihara:
न वेगिोधी व्यायामक्रोधशोकदहमािपान।
प्रवाियानाध्वभाषयात्यसनसंन्द्स्र्िीः।
नीिात्युच्िोपधानाहः स्वप्नधूमिर्ांभस ि।।
यारयहातन वपबेवातन िावरत्यरयारयवप त्यर्ेि्।
(अ.हृ.सू.१६/२५-२७)
1. Shouldnot withheld the adharaneeyavega.
2. Shouldavoid vyayama,krodha,shoka.
3. Shouldnot exposed to pravata(cold breeze), himaand atapa.
4. Shouldnot travel.
5. Adhva (walking fast) and excessive talking should be avoided.
6. Shouldnot sit for longer time.
7. Shouldnot sleep in day time.
8. Avoid raja and dhuma.
9. Patient should avoid vyayama after sarvangasweda.
िर्ा यश्ि र्ेरिाकादिना सवाांग न्द्स्वरनः सन् ििहः स्वेिोपयोगादिवसमेक
ं सुििां व्यायामं वर्जयेि ्। (इरिु)

30. अर्ीणे न प्रयुञ्र्ीि दिवास्वप्नं ि वर्जयेि् । आहािािारिक
ं शेषमरयि् कामं समाििेि् ।।
(Su.Chi.38/113)
ग्राम्योिक
ं मांसं वपषटारनं पललं िचध । आम्लशाकववकािांश्ि भक्ष्याणण ववववधातन ि ॥
शीिोिकस्य पानं ि िर्ा शीिावगाहनम् । गुरूणण िारनपानातन बन्द्स्िकमाजणण वर्जयेि ् ॥
(भे.भस.५/३०,३१)
• The patient those who have taken basti should avoid the following ahara and vihara:
✓ Shouldnot have food in ajeerna condition
✓ Shouldavoid divaswapna
✓ Shouldavoid aturanimittadosha
✓ Shouldavoid ashta mahadoshakarabhava
✓ Gramyaanupa odaka mamsa
✓ Pishtanna
✓ Palala
✓ Dadhi
✓ Amla shaka and its preparations
✓ Sheetodaka panaSheeta avagaha
✓ Guru annapana
Basti
Deep
prajapati

31.  Pathya ahara :
शाभलषन्द्षटकमुिांश्ि भोर्नार्ां प्रिापयेि ् ।
व्यंर्नार्ां प्रिेयाः स्युः शशतिववरिलावुकाः ॥
(भे.भस.५/३२)
✓ Shashtikashali
✓ Mudga
✓ Shsha,tittiri,lavukavyanjana
Deep
prajapati

32. ❖ Before vamana
➢ Aahara :
• kapha utkleshakaraahara ( mamsaor mamsarasaof gramya, anupapashu-pakshi )
• Dadhi
• Ksheera
• Mamsa
➢ Vihara:
• bahya snehana
• Swedana
❖ After vamana: sansarjana krama
Vamana
Deep
prajapati

33. ❖ Before virechana
➢ Aahara :
• Pitta vardhakaahara
• Laghu bhojana
• Amla phala rasa
• Ushna aahara
• Jangala mamsarasa
• Ushna udaka
➢ Vihara:
• bahya snehana
• Swedana
❖ After vamana: sansarjana krama
Virechana
Deep
prajapati

34. Deep
prajapati
Nasya
• Ushanaaahara & viharaadvise
• Kapha & vata should equallytackled
• Contraindication : shiro snana
Raktamokshana
❖ After karma aahara : neithertoo hot or too cold
❖ After karma vihara: vyayam, vyavaya, shitasnana, diwaswapna

35. Samsarjana krama
Deep
prajapati
❖ Definition: Samsarjanakrama explains about diet sequence in which persons should adopt the healthydiet
from laghu aahara (light diet) to guru ahara (heavy diet) in order to increase agni.
❖ Synonyms of samsarjanakrama:
• Samsarga [ संसगज = अरनसंसगजः पेयादिः, िपजणादिकम्। (आ.श.को) ]
• Samsargi [ संसगी = पेयादिक्रमः। (आ.श.को) (अ.सं.चि.२/३४)]
• Samsarjana [ संसर्जन = पेयदिक्रम (ि.सू.१६/२६)]
• Samsarga bhaktakrama [ संसगज भक्िक्रम = पेयादिक्रमः (डल्हण, सु.उ.५६/२३, आ.श.को)
• Samsrushtaahara [ संसृषठ आहाि = िपजणादिक्रमः (सु.उ.४७/६८, आ.श.को)]
• Anna samsarga [ tarpanadi and peyadi comes under anna samsarga]
• Samsarga pachana [which means peyadi krama pachana(Su.U.42/126)]
• Anna Samsarjana (Cha.Su.18/6)
• Sammishrana
• Peyadi krama

36. • Need of Samsarjana Krama
1. Helps to regularise the Agni which is weakened due to purificatory process
2. To over come Dosha Kshaya/dhatu Kshaya.
3. By arranging in such plan, diet comprising of all the tastes can be served through 12 meals along with
different qualities.
Deep
prajapati

37. Deep
prajapati
Various kinds of samsarjana krama
1. Peyadi samsarjanakrama.
2. Tarpanadi samsarjanakrama
3. Rasa samsarjanakrama
4. Yushadisamsarjanakrama
5. Mamsarasa samsarjana krama
6. Yavagvadi samsarjanakrama
Acharyacharakaclassified SamsarjanaKrama into two divisions as
1. Peyadi Samsarjana Krama
2. Tarpanadi Krama

38. Peyadi samsarjana krama and Tarpanadi krama with their specific indication
Deep
prajapati
• The specific diet prescribed after shodhanakarma till the patient starts taking his normal diet may be taken
as samsarjanakrama. Due to the shodhana doneby vamana,virewchana , etc .
• weakness, loss of weight, freeness of sandhi bandhana, decrease in the agni and emptiness in respective
ashaya due to expulsion of vata, purisha, mutra, kapha and pittais observed.
• Therefore patientscannot tolerateany type of chikitsa or diet, otherthan prescribed for this purpose.
संशोधनाध्यां शुद्धस्य इििोषस्य िेदहनः। बात्यतनमजरििां िस्माि् क्रमं पेयादिमाििेि्।। (Cha.Si 6/24)
• Due to Dosha elimination from the body after samshodhana karma, agni becomes hampered. In order to
restore the strength of agni and prana, peyadi samsarjana Krama should be followed.
यर्ाणुिचग्रस्िृण गोमयाडी सरयुक्ष्यमाणो भवति क्रमेण।
महान् न्द्स्र्ि सवज पिस्िर्ैव शुद्िस्य पेयादिभभिरििक्षक्षः।।
(Cha.Si 1/12)
• Charaka reveals its importance by giving example that small souther of fire,if stimulated by adding small
and light fuel, eventually becomes so fierce thatstimbumanything. Similarly, by following samsarjana Krama,
Jatharagni can beincreased to such an extent that it can digest all types of food.

39. Deep
prajapati
Samsarjanakrama accordingto strength:
बलं यन्द्त्त्रववधं प्रोक्िमिस्ित्र क्रमववधा।
ित्रानुक्रममेक
ं िु बलस्र्ः सकृ िाििेि ्।।
द्वविाििेन् मध्यवल श्रीन् वािान् िुबजलस्िर्ा।।
क
े चििेवं क्रमज प्राहुमजरिमषयोवमात्रत्रषु।।
(Su.chi 39/17-18)
• Sushruta mentioned that Samsarjanasequencecan be followed by considering the strength of the patient.
He says 3 types of Bala exist; SamsarjanaKrama should also be adoptedaccordingly.
• For the individuals having good strength, three annakalasare advocated, two annakalafor the individuals
of medium strength and in the individuals with lesser strength only one annakalais advised.

40. Deep
prajapati
1. Peyadi Samsarjana Krama
अर्ैनं साबाहे पिे वाऽन्द्नन सुखोिक परिवषक्िं पुिाणानां लोदहिशाभलिण्डुलानां स्ववन्द्क्लरनां मण्डपूवी सुखोषणं
यवागू पाययेद् अन्द्ग्नवलंऽठभभसमीक्ष्य, एवं द्वविीये िृिीये िारनकाले,
ििुर्ेत्वरनकाले िर्ाववधनामेव शाभलिण्डुलािामुन्द्त्स्वरनां ववलेपी उषणोिक द्वविीयाम् अस्नेहलवणाम्
अल्पस्नेहलवणं वा भोर्येि्, एवं पञ्िमे षषठे िारनकाले,
सप्िमे त्वत्रकाले िर्ाववधानामेव शालीनां द्ववप्रसृिं सुन्द्स्वरनम् ओिनम् उषणोिक अनुपानं िनुना
िनुस्नेहलक्षण उपपिेन मुहयूषेण भोर्येि ् एवमषटमे नवमे िारत्रकाले,
िशमे त्वज्ञकाले लाव कवपञ्र्लािीनाम् अरयिमस्र् मांसिसेन औिकलावणणक
े न नातिसािखिा भोर्येद्
उषणोिक अनुपानम्ः एवमेकािशे द्वािशे िारत्रकाले,
अि ऊध्वजमरत्रगुणान् क्रमेणोपभुञ्र्नः सप्ििात्रेण प्रकृ तिभोर्नमागछेि्।।
(Cha. Su 15/16)
• After Vamana process (SamshodhanaKarma), the "Peyadi Sequence"is advised as diet regimen as
follows:

41. Days Annakala shudhhi Pravara shudhhi Madhyma shudhhi Aavara shudhhi
1
1 morning - - -
2 evening Peya Peya Peya
2
1 morning Peya Peya Vilepi
2 evening Peya Vilepi Krita / Akrita yusa
3
1 morning Vilepi Vilepi Krita / Akrita mamsarasa
2 evening Vilepi Akrita yusa Normal diet
4
1 morning Vilepi Krita yusa -
2 evening Akrita yusa Akrita mamsarasa -
5
1 morning Krita yusa Krita mamsarasa -
2 evening Krita yusa Normal diet -
6
1 morning Akrita mamsarasa - -
2 evening Krita mamsarasa - -
7
1 morning Krita mamsarasa - -
2 evening Normal diet - -
Deep
prajapati

42. Deep
prajapati
पेयां ववलेपीमकृ िं कृ िं ि यूषं िसं त्रत्रद्वविर्ैकशछ।
क्रमेण सेवेि ववशुद्धकायः प्रधान मध्य अवि शुद्चध शुद्धः ।।
(Cha. Si 1/11)
1. Peya : Rice is cooked by adding fourteen times of water and is boiled till the rice is almost dissolved to
become liquid and that is known as Peya.
2. Vilepi : Rice is cooked by adding four times of water so that it becomes semi liquid and it is termed as
Vilepi (SharnghadharaMadh.2:166-167).
3. Yusha : 16 times of water is added to any one of the pulses and it is cooked properlyso that it contains
more liquid and littlesolid. When it is taken as such without adding any thing, then it is termed as Akrita
Yusha,
when added with salt and Condiment as well as prepared (Samskarita)with ghee then it is named as
Krita Yusha.
4. Mamsa Rasa : Cleaned meat cut in to small pieces and meat juice is prepared by ence saladding water
and then by cooking properly. When it is taken as such without adding any thing, then it is termed as
AkritaMamsa Rasa;
but when added with salt and condiment as well as fried with ghee then it is named as Krita Mamsa
Rasa.

43. Peya :
1 part rice cooked in 14 parts of water
Vilepi :
1 part rice cooked in 4 parts of water
Akruta yusha :
1 part shimbi dhanya
( pulses ) is cooled in 16 parts of water
Kruta yoosha :
preparing with saindhava lavana , shunthi,
pippali, etc katu dravya along with sneha
Akutha mamsa rasa :
1 part chopped meat is cooked in 4
part of water
Kruta mamsa :
Rasa preparing the same by adding
saindhava, shunthi, pippali, etc katu dravya
along with sneha dravya
Deep
prajapati

44. Deep
prajapati
2. Tarpanadi Krama
कफवपवे ववशुद्धेऽल्पं मद्यपे वािपैभसक
े ।
िपजणादि कमज कु याजि् पेयाऽभभषयरियेद्चध िान्।।
(Cha.Si 6/25)
• A Textbook on Panchakarma Charaka advised to follow 'Tarpanadi Krama' as 'Samsarjana Krama' in these
conditions
1. When Kapha & Pitta are eliminated in a smaller quantity during Samshodhana
2. In alcoholic subjects.
3. The patients having Vata, Pitta Prakrti.
4. In ghrishma ritu
• This is preferred against 'Peyadi Samsarjana Course' as Peyadi Samsarjana may produce 'Abhishyanda' (increase
in the secretions) again in the srotas (channels) of 'Vishodhita' (well purified) body.
Natureof Tarpanadi Krama
िपजणादिक्रमे ि पेर्ायाः स्र्ाने स्वच्छिपजणं ववलेप्याः स्र्ाने ि धनिपजणं िेयम्। (Cha.Si.6/25 teeka)
• According to Chakrapani, 'Swaccha Tarpana' can be served instead of 'Peya'
"Ghana Tarpana" instead of "Vilepi”
• Jejjata says due to similarities, Mudga Yusha & Mamsarasa can be given as Tarpana but commentators of
Vagbhata mentioned the diet regimen clearly pertaining to Annakala.

45. प्रर्मेऽब्रकाले लार्सक्ियो द्वविीयेऽत्रकाले मांसिसौिनभमत्येष िपजणादिक्रमस्िेषां दहिः ।। AH.Su. 18/46 (टीका)
Pratham
annakalam
Dwitiya
annakalam
Trutiya
annkalam
Arundatta Laja + Saktu Jirna,Sali Odana Mamsarasa + Odana
Parame Laja + Saktu Yusha + Anna bhojana Mamsarasa + Anna
Deep
prajapati
❖ Swaccha tarpana
Laja (roasted rice) [ 1 part ] + water [ 14 part ] = more liquied & less solid
❖ Ghana tarapana
Laja (roasted rice) [ 1 part ] + water [ 4 part ] = solid portionmore than swachh tarpan

46. Deep
prajapati
3.Rasa samsarjana krama
• During "Annasamsarjana krama", there are chances of dosas getting excited due to augmented Agni.
• To prevent such increase, doshas are mitigated by arranging "Taste of the recipes" in such a series that the chances of
increase will be lessened. It is elaborated by "Dalhana" and Chakrapani.
संसगेण वववृरद्धेऽग्रौ िोषकोप भयाद्भर्ेि्। प्राक् स्वािुतिक्िौ न्द्स्नग्य आम्ल लवणान् कटुक
ं ििः ।।
स्वाइिल लवणान् भूयः स्वािु तिक्िाविः पिम्। न्द्स्नग्ध रूक्षान् िसांश्िैव व्यत्यासाि् स्वस्र्वविः ।।
(Su.Chi. 39/19-20)
अन्द्ग्नसंधुक्षणार्ां िु पूवज पेयादिना भभषक् । िसोविेण उपििेि् क्रमेण क्रमकोवविः ।।
न्द्स्नग्य आम्ल स्वािु इद्यातन ििोऽमनलवणी िसी। स्वािुतिक्िी ििो भूयः किाय कटुको ििः।।
अरयो ऽरयग्रत्यनीकानां िसानां न्द्स्नग्ध रूक्षयोः। व्यत्यासाद् उपयोगेन प्रकृ तिं गमयेद्भभषक् ।।
(Cha.Si 12/6-8)
• Here, unctuous & dry properties should be used alternatively in appropriate manner.
• Chakrapani says that these properties can be planned through the means of Taste (Rasa). When the taste having
unctuous property is applied, then the taste having dry property can be planned & the same pattern is followed;
further unctuous & dry properties are mentioned here as representatives.
• One can arrange heavy & light properties, and furthermore in the same manner

47. Probable effect of dosha & agni
Charaka Shushruta
Swadu / madhura, amla,
hridya, snigdha
Swadu / madhura & tikta 1. To pacify Vata Pitta & to balance Agni
2. To pacify vata situated in pakwashaya
Amla & lavana Snigdha, amla, lavana, katu 1. To increase Agni Bala
2. To pacify Vata & Kapha and to augment Agni in the
Upper site
Swadu / madhura & tikta Swadu / madhura, amla,
lavana
1. To pacify Pitta
2. To pacify Pitta & Vata
Kashaya & katu Swadu / madhura & tikta To pacify kapha pitta situated in the upper region