This document outlines the principles and practices of 'Virechana Karma,' a therapeutic process in Ayurveda for purging excess dosha through the rectum. It catalogues various Virechana drugs, their properties, indications, and methodologies for preparation and administration. Additionally, it details the prerequisites, potential complications, and post-treatment care involved in the process.

1. VIRECHANA
KARMA
By
Dr. B. ARUN KUMAR
MD (Ay)

2. Virechana Vyutpatti
Vi +Rich+ Nichu, Lyut pratyaya-मलादोः िनससरणम्
Virechanam (Na pumsaka lingam)
Meanings ----Removal of dosha through anus.
A.H.Su 27-4

3. Virechana-Dravya
Gunas :
Gunas of Virechana drugs: 1.Ushna
2.Teekshna
3.Sukshma
4.Vyavavi
5.Vikasi
6.Adho baga hara

4. Gunas of Vamana drugs:
Ushna Teekshna Sukshma Vyavavi Vikasi Adhobaga
hara
Agneya it does dosha It enters into Prithvi+Ja
daha, paka, srotas la
guna srava
Katu-amla- Immediat Akasha+v
lavana effect ayu+tejas
Pachana, It does Due to its anu
swedana, pranava guna it
dosha brings doshas
vishyandana pachana, into kosta
chedana
it has It displaces
kostabimukh the dosha
a property

5. Virechana drugs:
• Mula drugs:
• Phalini drugs:

6. Virechana
Lavanas: drugs:
Kshira virechanas:
Virechana drugs in pakvashaya gata dosha:

7. Virechana
drugs:
Bhedaniya drugs:
Virechanopaga drugs:
Purisha virajaniya drugs:

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. Virechana drugs by
Sushrita
Su.S.Su.39-4

10. Virechana drugs by
Vagbhata
A.H.Su-15-3

11. Virechana Bhedas
Sha.S.Pur 4-3,4,5,6

12. Prayoga bheda of
Virechana drugs
Su.S.Su-90-89,90

13. Some
important
virechana
drugs

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. TRIVRITH
• Properties—
• Rasa- Tikta, Katu
• Virya- Usna
• Guna- Laghu, Ruksa,
Tiksna
• Vipãka- Katu
• Karma- Kapha-pittahara,
vrecana

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. 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. 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. 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. 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. 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. 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. Virechana drugs by
Charaka
S.No. Dravya kalpanas Yogas.
1. Trivrith 112
2. Chaturangula 12
3. Tilvaka 16
4. Sudha 20
5. Saptala, Shankhini 39
6. Danthi, Dravanthi. 48
Total no.of Virechana yogas. 245

24. Virechana yogya by
Yogya: Charaka
Cha.Si.2-
13

25. Virechana yogya by
Sushrutha

26. Virechana yogya by
Vagbhata

27. Virechana Ayogya by
Charaka
Cha.Si.2-11

28. Virechana Ayogya by
Sushrutha
Su.Chi.33-28-30

29. Virechana Ayogya by
Vagbhata
A.H.Su.18-7

30. Ayogyas & their
complications
Cha.Si.-2-12

31. Virechana procedure
Virechana
procedure
Purva karma Pradhana karma Paschat karma
Sambara sangraha Virechana yoga sevana ------------
Atura pariksha Atura paricharya Pariharya vishayas
Decide the Dosage of Virechana vega nirnaya Sansarjana krama
Atura siddata Samyak/hina/ati sympt. Santarpana chikitsa
Virechana vyapath-treat. Virechnotar shodana
Bojanam
Sneha/sweda
Manasopachara

32. PURVA
KARMA

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. Sambara sangraha
(preparation for the
procedure)
• 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. ATURA PARIKSHA
1. Avirechya/Virechya
2. Is he suffereing from any avirechya disease
3. Asta stana pariksha
4. Physical/psychological fitness
5. Dasha vida pariksha
6. Dosha
7. Saamavasta
8. Dosha ashraya-kosta/shaka
9. Dosha –swatantra/paratantra
10. Stana –swastana/para stana
11. Dosha quantity-alpa/madyama/utkrista
12. Rogi avasta-baala/yavana/vridda
13. Desha –jangala/anupa/sadarana
14. Kala –rutu bheda-swasta/atura

36. ATURA PARIKSHA
Cha.Su.15-17

37. DECIDING THE
Oushada gunas- DOSAGE
Be cautious for giving virechana to these persons-
1.Durbala
2.After vamana
3.Alpa dosha patient
4.Krisha patient
5.Ajnata koshta patient.

38. How to Decide
kosta?
Cha.Su.13-66
Dosage decision based on the kosta.

39. Virechana drug
Dosage
S.No
for Different kostas
Dravya Mridu kosti Madya Krira kosti
. kosti
1 Eranda sneha ½-2 tola 2-4 tola 4-10 tola
2 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 kwatha
4 Jayapaala, ½ -1 ratti 1-2 ratti 4-8 ratti
snuhi
5 Isaab gol 3 masha 3-6 masha 6 masha-1
tola

40. Anupana for
Different
doshas
Sha.Uttara.4-18,19

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. Preparation of the
Type of Virechana:
patient
Ruksha virechana indications: by charaka

43. PRADHAN
A KARMA

44. PRADHANA KARMA
Virechana yoga sevana.
Preparation of Virechana oushada:
Draksha-1 tola
Aragvada-1 tola +water 16 tola Make 4 tola
Haritaki-1 tola Virechana Kashaya
Katuka-1/2 tola

45. PRADHANA
Take 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. METHODS FOR THE GIVING
VIRECHANA DRUG
Methods for the
giving
virechana drugs
For krura kosta give
For Madya kosta give
For Mridu kosthi give Virechana kashaya
Virechana kashaya
Virechana Kashaya +2 tola Eranda taila
+2 tola Eranda taila
+Ichabedi ras 4 ratti.

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. VIRECHANA VEGA
VINIRNAYAM
Uttama Madhyama Avara
Vegiki 30 20 10
Maniki 4 prasta 3 prasta 2 prasta
(108 tulas)
Antiki Kaphanta Pittantam Vit
Don’t count the two virechanas

49. SAMYAK/AYOGA/ATIYOGA
LAKSHANAS
Samyak yoga Heena yoga Atiyoga
Indriya 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. SAMYAK/AYOGA/ATIYOGA
LAKSHANAS
Samyak
yoga
lakshana
HeenaYoga
lakshana
Atiyoga
lakshanas

51. VIRECHANA
VYAPATH
AND
TREATMENT

52. VIRECHANA VYAPATH
-TREATMENT
Vyapath are divided into two types 1.Atiyoga vyapath(red marked
vyapaths)
2.Ayoga vyapath
Sushrutha mentioned 15 vamana/virechana vyapaths, vatashula,
jirnoushadavta, oushasda savasheshatva, vibandha,hina
doshapaharana

53. VIRECHANA VYAPATH BY
SUSHRUTHA

54. Virechana vyapath
&Treatment
Adhmanam:
Cha.Si-6-58,59

55. Virechana vyapath
&Treatment
Parikartika:

56. Virechana vyapath
&Treatment
Parisrava:

57. Virechana vyapath
&Treatment
Parisrava:

58. Virechana vyapath
&Treatment
Hridgraham
:

59. Virechana vyapath
&Treatment
Hridgraham:

60. Virechana vyapath
&Treatment
Angagraham:

61. Virechana vyapath
&Treatment
Jivadaanam:

62. Virechana vyapath
&Treatment
Jivadaanam:

63. Virechana vyapath
&Treatment
Vibramsha:

64. Virechana vyapath
&Treatment
Stambha:

65. Virechana vyapath
&Treatment
Upadrava:

66. Virechana vyapath
&Treatment
Klama:

67. AYOGA TREATMENT
Reasons for Ayoga:
Treatment:
Sutasekara ras 2 ratti+Shankha basma 4 ratti + Pravala pisti 2
Ratti 3 times with honey.
Drink luke warm water.

68. ATIYOGA
TREATMENT
Treatment 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. Ajirna/ Jirna
oushada
lakshanas
Ajirna 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. PASCHYA
T
KARMA

71. PASCHYAT
Dhumapana: KARMA
• It is not required for virechana karma.
• Sansarjana krama
• Tarpana/Shamana oushada
• Pariharya vishayas
• Virechana uttara karma vichara

72. PARIHARYA
VISHAYAS

73. SANSARJANA
KRAMAM

74. TABLE OF
SAMSARJANA KRAMA
Day 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 ing
Pradan Akrit
shuddi 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
rasa
Madya Akrit
shuddi 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
rasa
Avara
shuddi Krita Sama
Peya Krita
Vilep akrita nya
krita X X X X X X X X
i yush boha
rasa
a na

75. SANTARPANA
Charaka: CHIKITSA

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. 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. VIRECHAN
A DRAVYA
KARMUKAT
A

79. Virechana dravya
karmukata
Ushna Dosha vilayanam,
Tikshna Dosha chinna/ bhinna,
Anupranava bhava Enter into Amashayaja
Jala/Prithvi Adhobagahara sevana
Apanavata preritha Virechana

80. Virechana dravya
karmukata
Virechana Guna karmas:
Cha.Su-15-22
Su.Chi.33-26,27

81. Virechana dravya
Ushna, karmukata
Tikshna,
Sukshma,
Hridayam Dhamani Stula/Sukshma
Vyavayi,
Vikashi, srotas
Sara(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. Virechana dravya
karmukata
Virechana drugs by charaka 1.Mrudu Ex:Aragvada
2.Sukha Ex:Trivrith
3.Tikshna Ex:Snuhi/Danti
Another 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. Virechana dravya
karmukata
PURGATIVES 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. VIRECHANA
S.No. ANULOMANA
DRAVYAS SRANSANAM BHEDANA RECHANA
1 IT does mala paka It doesn’t mala It doesn’t It doesn’t
paka mala paka mala paka
2 It breaks the mala It separates mala It throughs It liquifies the
from intestines mala in ghana mala
rupa
3 It moves mala to It moves mala to It moves It moves
downwars downwars mala to mala to
downwars downwars
4 With comfort, it Sometimes it Pain gives Sometimes it
does vatanuloman gives pain with motion gives pain
with motion.

85. Virechana dravya
karmukata
Vishistha 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. Virechana dravya
karmukata
Pitta-
It was mentioned as
madyama shuddi
lakshana.
In Shakasraya
kamala by removing k
avarodha it reaches to
kosta.

87. Therapeutics of
Virechana drugs
Ashwakanchuki Abhayadi Ichchabhedi ras Rechaka vati Hingutriguna
ras modaka taila
Kajjali, S.Parada 10gm, Ichabedi ras
S.Tankan, Gandhaka 20gm, 10gm,
S.Hartal S.tankan40gm,
S.Visha, Jayapaal,cheeni,tri Haritaki60gm, Reval cheeni 20 Hingu,
vrith,trikatu,amla,h gm
Trikatu, maricha30gm, Saindava lavana
aritaki,pippali
Triphala, mula,dalchini,tejapa shunti50gm, Lashuna*,
S.Jayapala* tra,nagaramoth Jayapala120gm Eranda taila**
Bhringaraja Nimbu ras Chedu puchcha
swarasa(21) rasa

88. THANK
YOU