Virechana karma

this is an ppt presentation by dr.b.arun kumar, who is working as a lecturer in MNR ayurvedic medical college, sangareddy, near hyderabad. in this presentation i given all details of virechana karma.

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

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

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

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

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

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

8. Virechana drugs: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 Virechana drugs by
SushritaSushrita
Su.S.Su.39-4

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

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

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

13. Some Some
important important
virechana virechana
drugsdrugs

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

16. ASHWAGOLAASHWAGOLA
•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. HARITAKIHARITAKI
•Properties—
•Rasa –Pañca rasa (except
Lavana), Kasaya mainly
•Guna -Laghu, Rüksa
•Virya- Usna
•Vipãka -Madhura
• Karma Tridosahara,
Anulömana, Rasãyana,
Prajãsthapãna, Caksusya,
Hdyã, Lekhana

18. SNUHISNUHI
•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. JAYAPAALAJAYAPAALA
•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. AARAGWADHAAARAGWADHA
•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. SWARNAPATRISWARNAPATRI
•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. DRAKSHADRAKSHA
•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 Virechana drugs by
CharakaCharaka
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 Virechana yogya by
CharakaCharaka
Yogya:Yogya:
Cha.Si.2-
13

25. Virechana yogya by Virechana yogya by
SushruthaSushrutha

26. Virechana yogya by Virechana yogya by
VagbhataVagbhata

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

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

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

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

31. Virechana procedureVirechana procedure
Virechana
procedure
Purva karmaPradhana 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 PURVA
KARMAKARMA

33. SAMBARA SANGRAHASAMBARA SANGRAHA
(preparation for the (preparation for the
procedure)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 sangrahaSambara sangraha
(preparation for the (preparation for the
procedure)procedure)
•Drugs useful when
arising complications
during the virechana
karma procedure.
•Useful medicines to
counter the
complications.
Kutaja gana vati,
Karpura ras,
Jatiphaladi chu,
Bilwadi chu,
Sanjivani vati,
Sutasekara ras,
Shankha vati,
Hingvastaka chu,
Shiva kshara pachana
chu,
Picha vasti kalpana,
Anuvasana vasti kalpana,
Phalavarthi.

35. ATURA PARIKSHAATURA 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 PARIKSHAATURA PARIKSHA
Cha.Su.15-17

37. DECIDING THE DECIDING THE
DOSAGEDOSAGE
Oushada gunas-
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 How to Decide
kosta?kosta?
Dosage decision based on the kosta.
Cha.Su.13-66

39. Virechana drug Virechana drug
Dosage Dosage
for Different kostasfor Different kostas
S.No
.
Dravya Mridu kostiMadya
kosti
Krira kosti
1 Eranda sneha ½-2 tola 2-4 tola4-10 tola
2 Trivrit, swarna patri
etc.,
1-3 masha3-6 masha½-1 tola
3 Draksha,
aragvada, haritaki
phanta, triphala kwatha
1-2 tola 21/2 -5 tola5-10 tola
4 Jayapaala,
snuhi
½ -1 ratti1-2 ratti4-8 ratti
5 Isaab gol 3 masha 3-6 masha6 masha-1
tola

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

41. Preparation of the Preparation of the
patientpatient
•Snehana
•Swedana
•Vamana karma
•Sansarjana karma
•Punah sweda
•Virechanopaga bojanadi vichara
•Sushritha-before doing virechana, vamana is must.
•Type of ahara:
Su.Chi.33-19
Cha.Si-1-8

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

43. PRADHANPRADHAN
A KARMAA KARMA

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

47. ATURA PARICHARYAATURA 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 VIRECHANA VEGA
VINIRNAYAMVINIRNAYAM
Uttama Madhyama Avara
Vegiki 30 20 10
Maniki 4 prasta 3 prasta 2 prasta
(108 tulas)
Antiki Kaphanta PittantamVit
Don’t count the two virechanas

49. SAMYAK/AYOGA/ATIYOGA SAMYAK/AYOGA/ATIYOGA
LAKSHANASLAKSHANAS
Samyak yoga Heena yoga Atiyoga
Indriya prasada
Vitpittakapha
nissara kramath
Agni vriddi
Laghutha
Vatanulomana
Kapaha prakopa
Pitta prakopa
Agnimandya
Gourava
Pratishyaya
Aruchi
Daha,kandu
Vitsanga
Supti,
angamarda,
klama,
vepathu,
balabhava,
tamahpravesha,
bhrama,trishna,
netra
praveshanam,

50. SAMYAK/AYOGA/ATIYOGA SAMYAK/AYOGA/ATIYOGA
LAKSHANASLAKSHANAS
Samyak
yoga
lakshana
HeenaYoga
lakshana
Atiyoga
lakshanas

51. VIRECHANA VIRECHANA
VYAPATH VYAPATH
AND AND
TREATMENTTREATMENT

52. VIRECHANA VYAPATH VIRECHANA VYAPATH
-TREATMENT-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 VIRECHANA VYAPATH BY
SUSHRUTHASUSHRUTHA

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

55. Virechana vyapath Virechana vyapath
&Treatment&Treatment
Parikartika:

56. Virechana vyapath Virechana vyapath
&Treatment&Treatment
Parisrava:

57. Virechana vyapath Virechana vyapath
&Treatment&Treatment
Parisrava:

58. Virechana vyapath Virechana vyapath
&Treatment&Treatment
Hridgraham
:

59. Virechana vyapath Virechana vyapath
&Treatment&Treatment
Hridgraham:

60. Virechana vyapath Virechana vyapath
&Treatment&Treatment
Angagraham:

61. Virechana vyapath Virechana vyapath
&Treatment&Treatment
Jivadaanam:

62. Virechana vyapath Virechana vyapath
&Treatment&Treatment
Jivadaanam:

63. Virechana vyapath Virechana vyapath
&Treatment&Treatment
Vibramsha:

64. Virechana vyapath Virechana vyapath
&Treatment&Treatment
Stambha:

65. Virechana vyapath Virechana vyapath
&Treatment&Treatment
Upadrava:

66. Virechana vyapath Virechana vyapath
&Treatment&Treatment
Klama:

67. AYOGA TREATMENTAYOGA 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 ATIYOGA
TREATMENTTREATMENT
Treatment for Atiyoga:
•Vamana
•Parisheka
•Avagaha
•Rakapitta Treatment
•Amlapitta treatment
•Jwara treatment
Drugs:
Sanjivani vati 2 ratti
Shankodara ras 1 ratti
Nagakesara chu 2 ratti
Chandra kala ras 2 ratti
Jatiphaladi chu 4 ratti
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 Ajirna/ Jirna
oushada oushada
lakshanaslakshanas
Ajirna oushada
•Klama
•Daha
•Angamarda
•Bhrama
•Murcha
•Shirah shula
•Arati
•Dourbalya
Jirna oushada
•Vatanulomana
•Swastha anubhava
•Thrist/appetite
•Sharira utsaha
•Manah prasannata
•Indriya laghava
•Shudda
dakara(eructation)

70. PASCHYAPASCHYA
TT
KARMA KARMA

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

72. PARIHARYA PARIHARYA
VISHAYASVISHAYAS

73. SANSARJANA SANSARJANA
KRAMAMKRAMAM

74. TABLE OF TABLE OF
SAMSARJANA KRAMASAMSARJANA KRAMA
Day
Annak
ala
1
st
 
day 
Even
ing
2
nd
 
day 
Mor
2
nd
 
day 
Even
ing
3
rd
 
day 
Morn
ing
3
rd
 
day 
Even
ing
4
th
 
day 
Morn
ing
4
rd
 
day 
Even
ing
5
d
 
day 
Morn
ing
5
rd
 
day 
Even
ing
6
rd
 
day 
Morn
ing
6
rd
 
day 
Even
ing
7
rd
 
day 
Morn
ing
7
rd
 
day 
Even
ing
Pradan
shuddi
Peya
Peya
Peya
Vilep
i
Vilep
i
Vilep
i
Akrit
a
yush
a
Krita
yush
a
Krita
yush
a
Akrit
a
mam
sa
rasa
Krita
mam
sa
rasa
Krita
mam
sa
rasa
Sama
nya
bojan
a
Madya
shuddi
Peya
PeyaVilep
i
Vilep
i
Akrit
a
yush
a
Krita
yush
a
Akrit
a
mam
asa
rasa
Krita
mam
sa
rasa
Sama
nya
bojan
a
X X X X
Avara
shuddi
PeyaVilep
i
Krita
akrita
yush
a
Krita
krita
rasa
Sama
nya
boha
na
X X X X X X X X

75. SANTARPANA SANTARPANA
CHIKITSACHIKITSA
Charaka:

76. SHAMANA OUSHADA SHAMANA OUSHADA
&VIRECHANOTTARA &VIRECHANOTTARA
SHODANASHODANA
•Start Shamana chikitsa after 6 days. It he does not require
any further panchakarma.
•If you want to give basti karma, at 9
th
day Anuvasana vasti
then niruha vasti.
•Don’t give basti before 7
th
day. If given, it aggravates Vata.
•Before Niruha vasti Gritha pana is not required.
•At 9
th
day give Anuvasana vasti after that mamsarasadi
bhojana for 3 days then Niruha vasti.
Cha.Si-1-26

77. VIRECHANOTTARA VIRECHANOTTARA
SHODANASHODANA
•Sushrith mentioned that virechana should be given
after 15 days of vamana, basti should be given after
7
th
day of virechana.
•Dalhana mentioned that after 7
th
day/8
th
day/9
th
day
basti can be given.After virechana within 7days u
should not give any type of basti.
Su.Chi.36-51

78. VIRECHANVIRECHAN
A DRAVYA A DRAVYA
KARMUKATKARMUKAT
AA

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

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

81. Virechana dravya Virechana dravya
karmukatakarmukataUshna,
Tikshna,
Sukshma,
Vyavayi,
Vikashi,
Sara(Sus)
Hridayam
Dhamani Stula/Sukshma
srotas
Ushna-Vishyandam
Tikshna-Chedana
Kosta AagamanaJala+Prithvi buta
Adobhaga hara prabha
Guda
Virechana
Prabhava
Ex:Danti/Chitra
Rasa/Vipaka-Katu,Ushna virya
Danti-Virechana,Chitraka-no

82. Virechana dravya Virechana dravya
karmukatakarmukata
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 Virechana dravya
karmukatakarmukata
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 VIRECHANA
DRAVYASDRAVYAS
S.No.ANULOMANA SRANSANAM BHEDANA RECHANA
1 IT does mala pakaIt doesn’t mala
paka
It doesn’t
mala paka
It doesn’t
mala paka
2 It breaks the malaIt separates mala
from intestines
It throughs
mala in ghana
rupa
It liquifies the
mala
3 It moves mala to
downwars
It moves mala to
downwars
It moves
mala to
downwars
It moves
mala to
downwars
4 With comfort, it
does vatanuloman
Sometimes it
gives pain
Pain gives
with motion
Sometimes it
gives pain
with motion.

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

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

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