Virechana In Clinical Practice

Virechana (Therapeutic Purgation  ) –

Part 6 on 18 Nov 15, Wednesday

Another classification of virechana-

Snigdha virechana –

Purgation induced by oily substances is known as snigdha virechana. It is used in Jaundice, anemia, Arthritis.e.g. Erand (Ricinus communis)

Ruksha virechana –

•      Purgation induced by non-oily substances is known as ruksha virechana.Trivrit powder (Operculina terpethum). , Abhayadi modak, Icchabhedi rasa

Drug Formulations-

•      Icchabhedi Ras ---  250 mg with warm water.

•      Erand Taila (Castor oil) ---- 15 ml for Mrudu Koshtha,25 ml for moderate and 40 ml for Krur Koshtha.

•      Combination of Trivrit (Operculina turpethum) & Swarnaparni (Cassia angustifolia) --- 3-10 Gm

•      Aragvadh Kapila Vati ---- 250-500 mg

•      Narach Ras ---- 250 mg

•      Ashwakanchuki Ras- 120-250 mg.

•      Abhayadi modak – 255 mg

Virechana In Clinical Practice-

1)  Virechana is used in Amavata(RA) ,reduces Relapse rate & Intensity of Joint pain

2)  Virechana is benefical in Sciatica.

3)  In Obesity --- Shodhan like Virechana is given in the beginning to Detox body .This is followed by Tripod Management with Diet + Exercise + Internal Medicines like Triphala Guggulu or Medohar Guggulu

4)  In worms – Kampillak is used for this(AragVadh Kapila Vati tablets are available)

5)  In Burn wounds ---- Roses powder, dried grapes, Jeshthamadh, Bahava decocution is used for this patient. Within the a week period the wounds heal.Local application of Shatadhouta Ghee is also used with this.

6)  Virechan in the acne --- Virechan shows  wonderful result in Acne vulgaris ,which is most common problem of youngsters . Panchatiktak gruta is used for internal oleation or Snehapan ,prior to Virechana

A Case Study-

A 30 years old male C/O Arthritis. His RA factor was positive. It was started after falling down in the bathroom. Patient was operated. Laminectomy  had done. The deformity in the posture was appeared after the surgery. He used to take analgesics almost every day to get rid of his joints pain.

He travelled Kerala twice for specialized Ayurveda Treatment but got temporary relief for the short period. Then he was advised for Virechana.Dadimadi Ghruta was given for Snehan.

•      After the optimal Snehan (7-days) the two days massage with Bala Guduchydai oil was done for 45 minutes in the  evening period.Swedan was done after the oil massage

•      Icchabhedi Ras (Baidynath) 1 tablet was given with water; in the morning at 8 am.He had 12 motions till 4 pm.He was advised to follow the dietary regimen for 5 days.Patient got relief from pain and had not taken any analgesic tablet in the three months period.His  weight was also improved. Overall quality of life was improved.However it is necessary to monitor the patient for the next 1-2 years to observe the relapse.

•      Prof.Dr.R.R.Deshpande --- 9226810630

•      Dr.Sachin Sarpotdar -------- 9822795363

•      Dr,Mayura Shinde ---------- 7276866831