Virechana

For pitta – Virechana (Purgation) is Shodhana and Ghee is Shamana.

— Astanga Hridaya Sutrasthan, Ayushkameeya Adhyaya

Suppression of vomiting: वसपकोठकु ठ अ सकास वास क डूपा वामय वराः लास य ग वयथवो वमेः १७ Suppression of vomiting causes Visarpa – Herpes, spreading skin disease Kotha – allergic skin rashes Kushta – skin diseases Akshi Roga – eye disorders Kandu – itching sensation Pandu – Anemia, intial stages of liver diseases Jvara – fever Kasa – cough, cold Shwasa – Asthma, COPD, wheezing, breathing difficulty Hrullasa – nausea – vomiting sensation Vyanga – Pigmented patches on face Shvayathu – oedema, in

— Astanga Hridaya Sutrasthan, Roganutpadaniya

It should not be consumed by person undergoing Virechana (purgation) panchakarma therapy It should be avoided by hungry person Wines which are very strong or very weak, which are very clear (like water) or very turbid and those which are spoilt, should not be used for drinking.

— Astanga Hridaya Sutrasthan, Drava Vigyaniya Drinkables

For both these conditions the patient should be administered Vamana (emesis) and Virechana (purgation therapies), followed by Nasya (nasal medication), Anjana (collyriums) and drinking of decoction prepared from Haridra – Turmeric Rhizome – Curcuma Longa, and Daruharidra (Berberis aristata), Katabhi – Celastrus paniculata, Guda- jaggery, Sinduvarita, Nispava, Baspika, Sataparvika, roots of Tanduliyaka, Kukkutanda – hen’s egg and Avalguja – Psoralea corylifolia to relieve the effect of poison.

— Astanga Hridaya Sutrasthan, Anna Raksha Vidhi

All the post Virechana procedure and treatment should be given to the patient.

— Astanga Hridaya Sutrasthan, Food habits &

Herbs for therapeutic purgation.

— Charaka Samhita, Sutra Sthana — Fundamental Principles, Chapter 2: Dehusked Seeds of Apamarga & Panchakarma (Apamarga Tanduliya Adhyaya / अपामार्गतण्डुलीय अध्याय)

In case of Visuchika, treatment should start with langhana measures (therapy that reduces heaviness in the body) and specific dietary regimen as followed after therapeutic purgation.

— Charaka Samhita, Vimana Sthana — Specific Medical Principles, Chapter 2: Three Types of Gastric Capacity (Trividhakukshiya Vimana / त्रिविधकुक्षीय विमान)

Hence udara should be treated by regular virechana (therapeutic purgation).

— Charaka Samhita, Chikitsa Sthana — Therapeutic Principles, Chapter 13: Abdominal Diseases Treatment (Udara Chikitsa / उदरचिकित्सा)

The patient who is debilitated, aged, children, having delicate constitution, minimal morbidity of dosha and dominant vitiation of vata and unfit for virechana karma (therapeutic purgation) should be treated by palliative (shamana) measures.

— Charaka Samhita, Chikitsa Sthana — Therapeutic Principles, Chapter 13: Abdominal Diseases Treatment (Udara Chikitsa / उदरचिकित्सा)

Physically strong patients suffering from pittodara should be treated by virechana karma (therapeutic purgation) at the outset [68].

— Charaka Samhita, Chikitsa Sthana — Therapeutic Principles, Chapter 13: Abdominal Diseases Treatment (Udara Chikitsa / उदरचिकित्सा)

Virechana (therapeutic purgation) using a combination of hepatoprotective herbs.

— Sharangadhara Samhita, Parishishtam, Chapter 1: Diseases of the Liver (Yakrit Roga Adhikara)

Virechana (therapeutic purgation) using a combination of hepatoprotective herbs.

— Sharangadhara Samhita, Parishishtam, Chapter 1: Diseases of the Liver (Yakrit Roga Adhikara)

Snehapana (oleation therapy), Sveda (sudation), Vamana (emesis), Virechana (purgation), followed by Snehabasti (oil enema), and then Niruhana (decoction enema).

— Sharangadhara Samhita, Purva Khanda, Chapter 1: Paribhashakathana (Definitions)

Virechana (purgation) from the sixteenth year;

— Sharangadhara Samhita, Purva Khanda, Chapter 6: Aharadigatikathanam (Description of Food Processes etc.)

In such cases, one should administer fasting (Langhana), sudation (Sveda), and purgation (Virechana) as indicated.

— Sharangadhara Samhita, Uttara Khanda, Chapter 1: Snehapana Vidhi (Oleation Therapy)

Chikitsa Sthana continued: (31) Rasayana (Rejuvenation), (32) Sneha-upayogika (Use of Oleation/Oils), (33) Sveda (Fomentation/Sweating), (34) Vamana (Emesis), (35) Virechana (Purgation), (36) Vaman-Virechana Vyapat-chikitsa (Management of Complications of Emesis and Purgation), (37) Netra-basti-vibhagika (Classification of Enema Administration), (38) Netra-basti-vipat-siddha (Complications and Success of Enemas), (39) Uttara-basti (Upper/Urethral Enema), (40) Niruha-krama (Decoction Enema Proced

— Sushruta Samhita, Sutra Sthana, Chapter 3: Adhyayana Sampradaniya Adhyaya - Method of Study and Teaching

The patient should be properly treated with basti (enema), snehana (oleation), and virechana (purgation), followed by tarpana (eye nourishment), putapaka (medicated poultice), dhuma (fumigation), and ashchyotana (eye drops).

— Sushruta Samhita, Uttara Tantra, Chapter 9: Vatabhishyanda Pratishedha Adhyaya (Chapter on Treatment of Vata-type Conjunctivitis)

for Pitta-type, purgation (virechana) is prescribed.

— Sushruta Samhita, Uttara Tantra, Chapter 39: Jvarapratishedha

For removing heaviness and pain of the head and awakening the senses, when the head is overwhelmed by Kapha, nasal purgation (Murdha Virechana) should be performed.

— Sushruta Samhita, Uttara Tantra, Chapter 39: Jvarapratishedha

The drugs for downward purification (purgation/virechana) are: vivrita, shyama, danti, dravanti, saptala, shahlini, vishanika, gavachi, chagalantri, snuha, suvarna, chiri, chitraka, kinihi, kushakashi, tvaka, kampillaka, ramyaka, patala, puga, haritaki, amalaki, bibhitaka, nilini, chaturangula, eranda (castor), putika, mahavriksha, saptachhada, and jyotishmati.

— Sushruta Samhita, Sutra Sthana, Chapter 39: Shodhanasanshmaniya Adhyaya - On Purification and Pacification