Virechana is a procedure in which the prakupita doshas are expelled through gudamarga by the administration of medicines through oral route. Medicines are used in different forms like choorna, kwatha, sneha, lehya etc, depending on the condition of the patient.
Materials required: Virechana oushadha
Common Drugs and dosage
1. Avipatti Choorna with honey 20-40 gm
2. Bahushala guda
3. Trivrut lehya 20-40 gm
4. Manibadra guda
5. Patolamooladi kwatha up to 90-180ml
6. Eranda taila preparations 25-50 ml
Luke warm water
Pre operative procedures
Samyak bahya & abyantara snehana and swedana should be ensured.
Swedana is done generally in the form of abhyanga and ooshma sveda for three days.
Food regimen of drava ushna dhanwokta rasa should be followed
Asta mahavarjya bhavas should be avoided.
On the day of Virechana, the following things should be ensured before administering the medicine
1. Proper sleep in the previous night
2. Proper digestion of previous days food
3. Proper elimination of natural urges
Time of administration: After sleshma kala, i.e. three and half hours after sun rise.
Procedure
Virechana oushadha is administered in empty stomach. if needed virechana drugs can be given in divided doses which should be completely administered in 15 mts.
Proper anupanas like ushnodaka, madhu, milk, triphala kashaya, patoladi kashaya, draksha rasa, ikshu rasa etc. are used.
Patient is advised to wash face with cold water and mouth with luke warm water and is advised to smell substances like lemon, cardamom etc to prevent vomiting .
Patient is advised to take rest in the bed and wait till the urge for defecation occurs.
The patient should not force or hold the urge and should use warm water for all purposes.
Whenever he feels thirsty, he should drink little quantity of warm water sip by sip till vegas appear.
Each vega should be observed keenly and should be informed to the doctor.
He can take rest, but shouldnt sleep in between the Vegas.
Physician should record the vital data of the patient at regular intervals.
Patient is observed for the samyak Virechana lakshana like
1. Initial expulsion of stools followed by Pitta (observed as golden yellow colored viscous fluid with a characteristic bilious odour)and at last Kapha (mucous)
2. Lightness of the body
3. Subsiding of Vega by itself without causing excessive weakness( even if kaphanta is not seen)
If the patient doesnt get any urge for defecation, after the previous Vega for a long time, hot water drink and mild local abdominal fomentation is advised.
After ensuring jeernoushadhalakshanas, subsiding of Vegas, the patient is advised to take bath in lukewarm water followed by samsarjanakrama.
Enough quantity of water is to be administered to avoid dehydration
Post- operative procedure
After getting proper appetite, samsarjana krama should be done according to satmya & vyadhi ranging from laghu drava aharas to guru ahara, as per suddhi and digestive power. Kanji with more water kanji with less water rice with mudga yusha if non veg rice with meat soup is advised for 3/2/1 annakala depending on shuddhi. Three annakalas are practiced per day if agnibala is good.
Complication and management:
1. Nausea and vomiting
It may occur at the time of intake of medicine and during the procedure. To avoid the feeling of nausea, the patient is advised to smell lemon.
2. Feeble pulse, Giddiness, Collapse.
Sidhamakaradhwajam with honey and betel juice, Drakshadi kashaya, Dhanwantharam gulika can be given in this condition.
3. Adhmanam
Swedana should be done locally at abdominal region.
4. Apravrithi of Vega
Ushnajalapana, Swedana.
5. Kandu
Thrikatu with sitha is given
6. Udarasoola
Ushnajalapana, Swedana. Hinguvachadi Choorna can be given if necessary.
7. Dehydration: tender coconut water.
8. Electrolyte imbalance: tender coconut water, chincha pani, lime juice with sugar & salt. Avoid coloured ORS solution since it cause gastritis.
Precautions:
The selected medicine should be made palatable by adding proper adjuvant.
Intake of kaphothklesakara ahara should be avoided on the previous day
Virechanoushadha can be administered in divided dose within very short duration to avoid immediate vomiting if necessary.
Time of administration should be immediately after kaphakala
Indulgence in any other activity should be strictly avoided like watching TV, excessive talking etc.
Intake of excess water should be avoided
Ensure proper subsidence of vega before administering paschath karma.
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- Revolved Head-to-Knee Pose
- Revolved Side Angle Pose
- Revolved Triangle Pose
- RF
- Rhamnaceae
- RHF
- RIF
- RLQ
- Rolfing
- ROM
- Root
- Root bark
- Root Bond
- Root tuber
- Rosaceae
- Rosales
- RTI
- Rubiaceae
- Ruja
- Ruksha
- Rutaceae
- RV
- Rx
- S
- S1
- Sadhananga acchasnehapana
- Sakrt viandha
- Salabhasana
- Salamba Sarvangasana
- Salamba Sirsasana
- Salicaceae
- Salutation Seal
- Salvadoraceae
- Sama sula
- Sama-vritti
- Samydaceae
- Sandhivathahara
- Sandigata vata
- Sandra
- Sannipatika Jwara
- Santalaceae
- Sapindaceae
- Sapotaceae
- Sarppa Visha
- Sarva atisara
- Sarva charddhi
- Sarva grahani
- Savasana
- Saxifragaceae
- Scale Pose
- SCC
- Scerophulariaceae
- Sclerology
- Scrophulariaceae
- SD
- Seated Forward Bend
- Seed
- Seed kernel
- Seetkari Pranayama
- Seitai
- Self-hypnosis
- Self-Inquiry Meditation
- Setu Bandha Sarvangasana
- Seven star
- Sharngdhara Samhitha
- Shashtika Pinda Sweda
- Shatapushpadi Varga (Dhanvantari Nighantu)
- Shatapushpadi Varga (Sodala Nighantu)
- Shatprakara grahini
- Sheersharujahara
- Sheetali Pranayama
- Sheetha
- Sheetha
- Shiatsu
- Shirovasti
- Shophahara
- Shoulder-Pressing Pose
- Shramahara (Charaka Samhitha)
- Shukla kshaya
- Shukrastambhan
- Shyamadi
- Siddha Medicine
- Side Crane (Crow) Pose
- Side Plank Pose
- Side-Reclining Leg Lift
- Simaroubaceae
- Simhasana
- Single Nostril Breath
- Sinusitis
- Sirasoola
- Sitaram Ayurvedic Pharmacy Ltd
- Sivananda Yoga
- Skull Shining Breath
- Slaksha
- Slashana
- SMR
- Snigdha
- SOB
- Sodhahara
- SOF
- SOH
- Solanaceae
- Solanales
- Sonopuncture
- Sopha
- sos
- Sosha
- Sound therapy
- Spastic colon
- Spermatophyta
- Sphinx Pose
- Spiritual Mind Treatment
- Sprue
- Srava arsas
- Srava udara
- Sri Sri Ayurveda
- Sri Sri Tattva
- Sroni sula
- Staff Pose
- Stambhan
- Stamens
- Standing Forward Bend
- Standing Half Forward Bend
- Standing Split
- Stanya dosa
- STD
- Stem
- Sterculiaceae
- Sthira
- Sthula
- Stomatitis
- Stoulya
- Streptophyta
- Stress
- STS
- Sukhasana
- Sukrasthambana
- Sula
- Summer diarrhoea
- Supported Headstand
- Supported Shoulderstand
- Supta Baddha Konasana
- Supta Padangusthasana
- Supta Virasana
- Surya Bhastrika prāṇāyāma
- Surya Bhedana Pranayama
- Surya Chandra Bhastrika prāṇāyāma
- Susrutha Samhitha
- Sutika tapa
- Sutikopadrava
- Svara Yoga Pranayama
- SVC
- Svedahara
- SVF
- SVT
- Swasa
- Swayathu
- Swedala
- Swedopaga (Charaka Samhitha)
- Sweta pradara
- Sx
- SXR
- Symplocaceae
- T0
- T1 to T12
- T1, T2, T3, T4
- Tadasana
- TAH
- Tai Chi Chuan
- Takra dhara
- Tamaricaceae
- Tantric Yoga
- Tapa
- Taxaceae
- TBL1
- tds (tid)
- TDT
- Teeskhsna
- TFT
- TH
- Thalapotichil
- Thalassotherapy
- THDSO
- The Himalaya Drug Company
- Theaceae
- Therapeutic horseback riding
- Therapeutic Touch
- THR
- Thrissur Ayurveda Cluster
- Thrt
- Thymelaeaceae
- TIA
- Tibetan eye chart
- Tibetan Medicine
- Tikta
- Tiliaceae
- TIS
- Tittibhasana
- TKR
- TLC
- Tolasana
- Tongue diagnosis
- Tongue diagnosis
- Tonsilitis
- TOP
- Tracheobionta
- Tracheophyta
- Traditional Chinese Medicine
- Traditional Japanese medicine (TJM)
- Traditional Mongolian medicine
- Traditional Tibetan medicine
- Trager approach
- Transcendental meditation
- Travel sickness
- Tree Pose
- Trichomoniasis
- Trichup
- Trigger point
- Triphala (Sushruta Samhitha)
- Trushnahara
- TSS
- TTS
- Tuberculosis
- Tuberculosis
- TUD
- Tui Na
- TURP
- TX
- Typhoid
- UA
- Udara
- Udara Sula
- Udarda prashamana (Charaka Samhitha)
- Udavartta
- Uddiyana Bandha
- Udgita pranayama
- Ugra hikka
- Ujjayi Pranayama
- Ulcerative colitis (UC)
- Ulcers in Vagina
- Umbelliferae
- Unani Medicine
- Underground rhizomes
- Unisexuales
- Unmarggaga Vatasanjaya
- Upavistha Konasana
- Upward Abdominal Lock
- Upward Bow (Wheel) Pose
- Upward Facing Two-Foot Staff Pose
- Upward Plank Pose
- Upward Salute
- Upward-Facing Dog Pose
- Urakshata
- Urdhva Dhanurasana
- Urdhva Hastasana
- Urdhva Mukha Svanasana
- Urdhva Prasarita Eka Padasana
- Urdhwagati swabhawa kapha vikara
- Urinary Tract Infection (UTI)
- Urine therapy
- URQ
- URT
- URT
- Urticaceae
- Uru stamba
- Ushna
- Ushna
- Ustrasana
- Utharavasthi (male)
- UTI
- UTI
- Utkatasana
- Uttana Shishosana
- Uttanasana
- Uttaravasthi (Female)
- Utthita Hasta Padangustasana
- Utthita Parsvakonasana
- Utthita Trikonasana
- Vachadi Gana
- Vaidyaratnam Oushadhasala
- Valerianaceae
- Vamana
- Vamkshanasraya anaha
- Vamnopaga (Charaka Samhitha)
- Vandhyata
- Varnya
- Vasisthasana
- Vata
- Vata vinigraha
- Vatadi Varga (Bhav prakasha)
- Vatahara
- Vatala
- Vatasrahara
- Vathakaphahara
- Vayasthapana gana (Charaka Samhitha)
- Vayuvaishamya
- VC
- Vedanasthapaka
- Verbenaceae
- VF
- VHD
- Vibhagiya pranayama
- Vicco Group
- Vidradhi
- Vikasi
- Viloma pranayama
- Viniyoga
- Violaceae
- Viparita Karani
- Vipassana
- Virabhadrasana I
- Virabhadrasana II
- Virabhadrasana III
- Viral diseases in stomach
- Viral Neuropathy
- Virasana
- Virecanopaga Varga (Charaka Samhitha)
- Virechana
- Visama vṛtti
- Visarpahara
- Vishada
- Vishada
- Vishada
- Vishada
- Vishada
- Vishahara
- Vishucika
- Vitaceae
- Vitbandha
- Vrana
- Vrksasana
- VT
- Vyavay
- Vyavay
- Warrior I Pose
- Warrior II Pose
- Warrior III Pose
- Water borne diseases
- Water cure (therapy)
- WBC
- Whole plant
- Wide-Angle Seated Forward Bend
- Wide-Legged Forward Bend
- Wild Thing
- WNL
- Worm infestation
- Yakshma
- Yoga of Sound Breath
- Yoni sula
- Zero balancing