This presentation deals with Causes,Clinical features and management of Virechana Vyapat

1. VIRECHANA
VYAPAT
DR. AKSHAY SHETTY
ASST. PROFESSOR
DEPT OF PANCHAKARMA
SSRAMCH INCHAL

2. Contents
Objectives
Introduction to Virechna vyapat
Causes of each Virechna vyapat
Clinical features of each Virechana vyapat
Treatment of each Virechana vyapat
Summary
References
2

3. Objectives
By the end of the presentation the learners must be
able-
1. Enumerate Introduction of Virechana vyapat.
2. Illustrate causes of each Virechana vyapat.
3. Quote Clinical features of each Virechana vyapat.
4. Plan treatment of each Virechana vyapat.
3

4. Introduction
The word 'Vyapada' originated from 'the root Vyapad' meaning to fall away,
to fall into misfortune (M W).
So the word 'Vyapada' indicates the meanings like destruction, ruin, death
(M W) or Sankatam (Su Ci 34/1), Anyatha Apatti (Su Su 15/2).
Simply “Vyapada” are the symptoms which are produced other than
Samyaka Laksana, causing harm to the patient & increasing the symptoms
of the disease
25/09/2020 VIRECHANA VYAPAT (DR AKSHAY SHETTY) 4

5. Contd…
आध्मानं परिकर्तिश्च स्रावो हृद्गात्रयोर्ग्िहः|
जीवादानं सववभ्रंशः स्तम्भः सोपद्रवः क्लमः||२९||
अयोगादर्तयोगाच्च दशैता व्यापदो मताः|
प्रेष्यभैषज्यवैद्यानां वैगुण्यादातुिस्य च||३०|| Ca Si 6
25/09/2020 VIRECHANA VYAPAT (DR AKSHAY SHETTY) 5

6. Contd…
वैद्यातुिर्नममत्तं वमनं वविेचनं च पञ्चदशधा व्यापद्यते |
तत्र वमनस्याधो गर्तरूध्वं वविेचनस्येर्त पृथक्; सामान्यमुभयोः-
सावशेषौषधत्वं, जीर्णौषधत्वं, हीनदोषापहृतत्वं, वातशूलम्, अयोगो, अर्तयोगो, जीवादान
म ्, आध्मानं, परिकर्तिका, परिस्रावः, प्रवाहहका, हृदयोपसिर्णं,ववबन्ध, अङ्गप्रर्ग्ह इर्त ||३
|| Su.Chi 34
25/09/2020 VIRECHANA VYAPAT (DR AKSHAY SHETTY) 6

7. Causes of Ayoga
अस्स्नग्धास्स्वन्नदेहस्य रूक्षस्यानवमौषधम ्|
दोषानुस्त्क्लश्य र्नहितुिमशक्तं जनयेद्गदान्||३८|| Ca Si
Ayoga happens when asnigdha (under-oleated) and asvinna (under-
sudated) person with ruksha nature of the body, is administered a recipe,
which is stored for long duration. Here, the drug is unable to
remove doshas from the body by creating dosha-utklesha.
25/09/2020 VIRECHANA VYAPAT (DR AKSHAY SHETTY) 7

8. Clinical features Ayoga Vamana
vyapat
ववभ्रंशं श्वयथुं हहक्कां तमसो दशिनं भृशम ् |
वपस्ण्िकोद्वेष्टनं कण्िूमूववः सादं वववर्णिताम ्||३९|| Ca.Si 6
25/09/2020 VIRECHANA VYAPAT (DR AKSHAY SHETTY) 8

9. Treatment of Ayoga vyapat
Here the taila (oil) processed with lavana (salt) has to be applied and made to
undergo prastara and sankara kind of sudation.
Once the medicine for vamana or virechana must be administered again or
else kashaya basti (decoction enema) with cow’s urine has to be done.
After the administration of kashaya basti, food with meats of animals of arid regions
(jangala mamsa rasa) should be taken and should be followed by administration
of sneha basti. (Ca Si 6/42-44)
25/09/2020 VIRECHANA VYAPAT (DR AKSHAY SHETTY) 9

10. Causes of atiyoga vyapat
अर्ततीक्ष्र्णं क्षुधातिस्य मृदुकोष्ठस्य भेषजम ्|
हृत्वाऽऽशु ववट्वपत्तकफान् धातूस्न्वस्रावयेद्द्रवान्||४५|| Ca.Si 6
When a patient who is with mridukoshtha, who is affected with hunger, is
provided with an exceedingly strong vamana or virechana, it results in the
quick elimination of not only the faecal matter, pitta and kapha, but also
the drava-dhatu
25/09/2020 VIRECHANA VYAPAT (DR AKSHAY SHETTY) 10

11. Clinical features Atiyoga
vyapat
बलस्विक्षयं दाहं कण्ठशोषं भ्रमं तृषाम ्| Ca Si 6 /46
25/09/2020 VIRECHANA VYAPAT (DR AKSHAY SHETTY) 11

12. Treatment of Atiyoga
vyapat
In such a condition, it is preferable to eliminate the residual drug in the koshtha using the drugs
of madhura gana.
If ati-yoga happens like this during attempting vamana, the residual doshas are eliminated by
initiating a virechana and vice-versa.
The following remedies need to be instituted fast for stambhana.
By providing parishekam and avagaaham
By providing foods, drinks and medicine which are sheeta , kashaya (astrigent) and madhura.
By following appropriate regimens prescribed for rakta-pitta, atisaara, daaha and jwara. (Ca Si
6/49-51)
25/09/2020 VIRECHANA VYAPAT (DR AKSHAY SHETTY) 12

13. Causes of Adhmana vyapat
बहुदोषस्य रूक्षस्य हीनाग्नेिल्पमौषधम ्|
सोदावतिस्य चोस्त्क्लश्य दोषान्मागािस्न्नरुध्य च||५८|| Ca .Si 6
If medicine with low potency and in small quantity is given in patients with
excessively vitiated dosha, excess dryness in body, low digestive power
and udavarta then it leads to further aggravation of dosha resulting in
obstruction in channels,
25/09/2020 VIRECHANA VYAPAT (DR AKSHAY SHETTY) 13

14. Clinical features of
Adhmana vyapat
भृशमाध्मापयेन्नामभं पृष्ठपाश्विमशिोरुजम ्|
श्वासववण्मूत्रवातानां सङ्गं कु यािच्च दारुर्णम ्||५९|| Ca.Si 6
25/09/2020 VIRECHANA VYAPAT (DR AKSHAY SHETTY) 14

15. Treatment of Adhmana
vyapat
This condition shall be treated
with abhyanga, swedana , varti (use of
suppositories), niruha along with anuvasana and all the
treatment that cure udavarta. [58-60]
25/09/2020 VIRECHANA VYAPAT (DR AKSHAY SHETTY) 15

16. Causes of Parikatika vyapat
स्स्नग्धेन गुरुकोष्ठेन सामे बलवदौषधम ्|
क्षामेर्ण मृदुकोष्ठेन श्रान्तेनाल्पबलेन वा||६१|| Ca.Si 6
If potent medicine is given in properly oleated patients, with guru koshtha,
in cases of ama dosha, body being lean with mridu koshtha .
25/09/2020 VIRECHANA VYAPAT (DR AKSHAY SHETTY) 16

17. Clinical features of
Parikatika
तीव्रशूलां सवपच्छास्रां किोर्त परिकर्तिकाम ्||६२||
25/09/2020 VIRECHANA VYAPAT (DR AKSHAY SHETTY) 17

18. Treatment of Parikatika
vyapat
In amadosha or sama conditions, langhana, pachana,
rukshana, should be done and easily digestible and hot
food must be taken.
For those whose body is emaciated,
every brimhana measure like food with madhura
rasa dominance must be taken. [61-63]
25/09/2020 VIRECHANA VYAPAT (DR AKSHAY SHETTY) 18

19. Causes of Parisravi vyapat
अल्पं तु बहुदोषस्य दोषमुस्त्क्लश्य भेषजम ्| Ca.Si 6
In the patients with excessively vitiated doshas, when only a small dose of
medicine is given, the dosha get aggravated and discharged out in little
quantity frequently.
25/09/2020 VIRECHANA VYAPAT (DR AKSHAY SHETTY) 19

20. Clinical features of Parisravi
vyapat
अल्पाल्पं स्रावयेत् कण्िूं शोफं कु ष्ठार्न गौिवम ्||६८||
कु यािच्चास्ग्नबलोत्क्लेशस्तैममत्यारुचचपाण्िुताः| Ca.Si 6
25/09/2020 VIRECHANA VYAPAT (DR AKSHAY SHETTY) 20

21. Treatment of Parisravi
vyapat
In this condition, the aggravated dosha must either be
alleviated or removed out by emesis. Otherwise after oleation,
potent virechana medicine can be given again for purification
after which arishta processed with drugs that enhance agni
can be used. [68-70]
25/09/2020 VIRECHANA VYAPAT (DR AKSHAY SHETTY) 21

22. Causes of Hridgraha vyapat
पीतौषधस्य वेगानां र्नर्ग्हान्मारुतादयः|
कु वपता हृदयं गत्वा घोिं कु विस्न्त हृद्र्ग्हम ्||७१|| Ca.Si 6
25/09/2020 VIRECHANA VYAPAT (DR AKSHAY SHETTY) 22

23. Clinical features of
Hridgraha
स हहक्काकासपाश्वािर्तिदैन्यलालाक्षक्षववभ्रमैः|
स्जहवां खादर्त र्नःसञ्ञो दन्तान ् ककहटककटापयन ्||७२|| Ca.Si 6
25/09/2020 VIRECHANA VYAPAT (DR AKSHAY SHETTY) 23

24. Treatment of Hridgraha
vyapat
In this case, without getting confused, the physician must immediately make the patient to vomit.
For pitta murchita , madhura rasa medicines need to be used and for kapha murchita , katu rasa need
to be used.
Digestive medicines shall be given to digest remaining dosha and sequential rehabilitation to re-
instate agni and strength of the body shall be done.
If there is excessive vomiting because of vitiation of vayu leading to chest congestion, then it shall be
treated with unctuous, sour and salty medicines.
If there is increase in kapha and pitta, those opposite to unctuous, sour and salty properties that is un-
unctuous, bitter and pungent tastes need to be taken
25/09/2020 VIRECHANA VYAPAT (DR AKSHAY SHETTY) 24

25. Causes ,C/F & treatment of
Angagraha Vyapat
पीतौषधस्य वेगानां र्नर्ग्हेर्ण कफे न वा|
रुद्धोऽर्त वा ववशुद्धस्य गृहर्णात्यङ्गार्न मारुतः||७६||
स्तम्भवेपथुर्नस्तोदसादोद्वेष्टनमन्थनैः|
तत्र वातहिं सवं स्नेहस्वेदाहद काियेत् ||७७||Ca.si 6
25/09/2020 VIRECHANA VYAPAT (DR AKSHAY SHETTY) 25

26. Causes of Jivadana vyapat
अर्ततीक्ष्र्णं मृदौ कोष्ठे लघुदोषस्य भेषजम ्|
दोषान् हृत्वा ववर्नमिथ्य जीवं हिर्त शोणर्णतम ्||७८|| Ca.Si 6
25/09/2020 VIRECHANA VYAPAT (DR AKSHAY SHETTY) 26

27. Clinical features of Jivadana
vyapat
तेनान्नं ममचश्रतं दद्याद्वायसाय शुनेऽवप वा|
भुङ्क्ते तच्चेद्वदेज्जीवं न भुङ्क्ते वपत्तमाहदशेत्||७९||
शुक्लं वा भाववतं वस्त्रमावानं कोष्र्णवारिर्णा|
प्रक्षामलतं वववर्णं स्यात् वपत्ते शुद्धं तु शोणर्णते||८०||
तृष्र्णामूच्छािमदातिस्य कु यािदामिर्णात् कियाम ्|
25/09/2020 VIRECHANA VYAPAT (DR AKSHAY SHETTY) 27

28. Treatment of Jivadana vyapat
Here all treatments for impending death, all kinds of pitta nashaka treatments and
treatments told in atiyoga must be done. For those whose jeeva-rakta is getting
evacuated immediately, the blood of deer, cow, buffalo, goat etc. need to be given orally.
That will sustain life because blood of animals gets immediately transformed to the
human.
The same blood can be used for basti by adding churna of darbha (Desmostachya
bipinnata).
Basti, coolant in nature, using milk processed with drugs
like shyama , kashmari , badara , durva dactylon), usheera need to be done. Or
coolant pichchha basti or sneha basti with ghrita manda is effective. [78-84]
25/09/2020 VIRECHANA VYAPAT (DR AKSHAY SHETTY) 28

29. C/F & treatment of Vibhramsha vyapat
गुदं भ्रष्टं कषायैश्च स्तम्भर्यत्वा प्रवेशयेत्|
साम गान्धविशबदांश्च सञ्ञानाशेऽस्य काियेत्||८५||
यदा वविेचनं पीतं वविन्तमवर्तष्ठते|
वमनं भेषजान्तं वा दोषानुस्त्क्लश्य नावहेत्||८६||
तदा कु विस्न्त कण््वादीन् दोषाः प्रकु वपता गदान्|
स ववभ्रंशो मतस्तत्र स्याद्यथाव्याचध भेषजम ्||८७|| Ca.Si 6
25/09/2020 VIRECHANA VYAPAT (DR AKSHAY SHETTY) 29

30. Causes, C/F & Treatment of Stambha
vyapat
पीतं स्स्नग्धेन सस्नेहं तद्दोषैमािदिवाद्वृतम ्|
न वाहयर्त दोषांस्तु स्वस्थानात् स्तम्भयेच्च्युतान्||८८||
वातसङ्गगुदस्तम्भशूलैः क्षिर्त चाल्पशः|
तीक्ष्र्णं बस्स्तं वविेकं वा सोऽहव लङ्र्घतपाचचतः||८९||
25/09/2020 VIRECHANA VYAPAT (DR AKSHAY SHETTY) 30

31. Causes, C/F & Treatment of Upadrava vyapat
रूक्षं वविेचनं पीतं रूक्षेर्णाल्पबलेन वा|
मारुतं कोपर्यत्वाऽऽशु कु यािद्धोिानुपद्रवान्||९०||
स्तम्भशूलार्न घोिाणर्ण सविगात्रेषु मुहयतः|
स्नेहस्वेदाहदकस्तत्र कायव वातहिो ववचधः||९१||
25/09/2020 VIRECHANA VYAPAT (DR AKSHAY SHETTY) 31

32. Causes, C/F & Treatment of Klama
vyapat
स्स्नग्धस्य मृदुकोष्ठस्य मृदूस्त्क्लश्यौषधं कफम ्|
वपत्तं वातं च संरुध्य सतन्द्रागौिवं क्लमम ्||९२||
दौबिल्यं चाङ्गसादं च कु यािदाशु तदुस्ल्लखेत्|
लङ्घनं पाचनं चात्र स्स्नग्धं तीक्ष्र्णं च शोधनम ्||९३||
25/09/2020 VIRECHANA VYAPAT (DR AKSHAY SHETTY) 32

33. Summary
Enumerate
Introduction of
Virechana vyapat..
Illustrate causes of
each Virechana
vyapat.
Plan treatment of
each Virechana
vyapat
Quote Clinical
features of each
Virechana vyapat.
25/09/2020 VIRECHANA VYAPAT (DR AKSHAY SHETTY) 33

34. References
Charaka Samhita
Sushruta Samhita
25/09/2020 VIRECHANA VYAPAT (DR AKSHAY SHETTY) 34

35. THANK YOU
25/09/2020 VIRECHANA VYAPAT (DR AKSHAY SHETTY) 35