![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
04/09/2020 Poorvakarma of Virechana (Dr Akshay Shetty) 15](https://image.slidesharecdn.com/poorvakarmavirechana-200904160635/85/Poorvakarma-virechana-15-320.jpg)
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Poorvakarma virechana
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.
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Poorvakarma virechana
- 1. Dr Akshay Shetty AssistantProfessor Department of Panchakarma SSRAMC&H Inchal
- 2. Contents Objectives Sambhara Samgraha Aatura Pariksha Aatura Siddhata Matra Vinishchaya SummaryReferences 04/09/2020 Poorvakarma of Virechana (Dr Akshay Shetty) 2
- 3. Objectives By the endof the presentation the students must be able to 1. Enumerate Sambhara Samgraha 2. Demonstrate Aatura Pariksha 3. Plan Aatura Siddhata 4. Asses Matra Vinishchaya 04/09/2020 Poorvakarma of Virechana (Dr Akshay Shetty) 3
- 4. • Drugs requiredfor 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. 04/09/2020 Poorvakarma of Virechana (Dr Akshay Shetty) 4
- 5. • Drugs forcounter 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 04/09/2020 Poorvakarma of Virechana (Dr Akshay Shetty) 5
- 6. समीक्ष्य दोषौषधदेशकालसात्म्याग्निसत्त्वाददवयोबलानि| बग््तिः प्रयुक्तोनियतं गुणाय ्यात ् सववकमावणण च ससद्धधमग्तत||६|| Ca.Si 3 समीक्ष्येति ज्ञानपूर्वकमर्ेक्ष्य| सर्वकमावणि चेति र्मनादीतन च दोषादीनपे क्ष्य प्रयुक्िातन गुिकराणि भर्न्ति||६|| 04/09/2020 Poorvakarma of Virechana (Dr Akshay Shetty) 6
- 7. प्रावृट् शुधचिभौ ज्ञेयौशरदूर्वसहौ 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) 04/09/2020 Poorvakarma of Virechana (Dr Akshay Shetty) 7
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- 9. • After properassessment 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 04/09/2020 Poorvakarma of Virechana (Dr Akshay Shetty) 9
- 10. • CBC • UrineRoutine • ESR • Lipid profile • Serum electrolytes • LFT • ECG • Chest X ray 04/09/2020 Poorvakarma of Virechana (Dr Akshay Shetty) 10
- 11. अर्ीणे वधवते नलानिवववबतधश्चावपर्ायते| पीतं संशोधिं चैव ववपरीतं प्रवतवते||१४|| ca si 6/14 04/09/2020 Poorvakarma of Virechana (Dr Akshay Shetty) 11
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- 13. ग््िनधात ् पात्राद्यथातोयमयत्मिेि 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 04/09/2020 Poorvakarma of Virechana (Dr Akshay Shetty) 13
- 14. ्िेह्वेदाविभ्य्य य्तु संशोधिंवपबेत ् | दारु शुष्कसमवािामे देह्त्य ववशीयवते ||४६|| Su ch 33/46 Samsodhana instituted without Oleation and Fomentation will destroy the body easily like the dried wood 04/09/2020 Poorvakarma of Virechana (Dr Akshay Shetty) 14
- 15. त्र्यहावरं स्तददिं परंतु 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 04/09/2020 Poorvakarma of Virechana (Dr Akshay Shetty) 15
- 16. • Increasing doseschedule 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 04/09/2020 Poorvakarma of Virechana (Dr Akshay Shetty) 16
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- 18. लघ्वशीतं ववरेचिम्||१८|| उग्त्मक्लष्टाल्पपकफत्मवेि क्षिप्रंदोषािः 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 04/09/2020 Poorvakarma of Virechana (Dr Akshay Shetty) 18
- 19. • Matra playsa 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 04/09/2020 Poorvakarma of Virechana (Dr Akshay Shetty) 19
- 20. Matra Vinischaya (Sh.Ut4/19) 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 04/09/2020 Poorvakarma of Virechana (Dr Akshay Shetty) 20
- 21. Summary 1.Enumerate Sambhara Samgraha 1.Demonstrate Aatura Pariksha 1.PlanAatura Siddhata Asses Matra Vinishchaya 04/09/2020 Poorvakarma of Virechana (Dr Akshay Shetty) 21
- 22. References • Charaka Samhita •Sushruta Samhita • Asthanga Hridaya • Sharangadhara Samhita • Kalyanakaraka • Vangasena 04/09/2020 Poorvakarma of Virechana (Dr Akshay Shetty) 22
- 23. THANK YOU 04/09/2020 Poorvakarmaof Virechana (Dr Akshay Shetty) 23