Virechana Procedure

Virechana (Therapeutic Purgation  ) –

Part 3 on 15  Nov 15, Sunday

Virechan Procedure-

Pretreatment-

•      Vaman is carried out which is followed by Sansarjan Krama and again Snehan &  Swedan is done before the Virechan

•      However Virechan can directly performed without Vaman.

•      Internal snehan is done for 3,5 & 7 days till the onset of optimal oleation symptoms.( Samyak Snigdna Lakshan)

•      As per the morbidity and diseases,  the oil or ghee are chosen for Internal Snehan.

•      Dadimadi Ghee, Yashtimadhu ghee is preferred in GI disorders like hyperacidity for Snehan

•      Tiktak Ghee, Mahatiktak ghee, Aragvadhmahatiktak ghee are used in skin diseases for Snehan

•      Usually the dose starts from 25-30 ml.( Can be measured by measuring cylinder)

•      The dose is advised to increase by 25 to 30 ml every day in a practice.

•      After proper oleation the gap of 2 days is maintain & within  this period the External body massage & fomentation is performed.

•      The massage is done with oil for two days. For the external oleation we can use Tila tail, Sahachar tail, Triphala tail, Balaguduchyadi oil. Most of the time tila tail is preferred.

•      It is followed by the fomentation in a Steam box.

Main procedure-

•      The Virechan drug is given on an empty stomach with lukewarm water. The cold water may produce spasmodic abdominal pain.

•      Usually the Ashwakanchuki Ras ,Icchabhedi Ras, Narach Ras , Abhayadi modak, Triphala, Trivritta Leha ( 50 Gm bottle)  are used as the Purgative drugs.

•      Ashwakanchki Ras (Jayapal 1 part )  is mild purgative ,Icchabhedi is the moderate  purgative(3 part ), Narach Ras is the strong  purgative (5 part ), and others are mild in effect. Trivritta or Nishottar is the main content of abhayadi modak.

•      Jayapal is the main ingredient of  these purgative combinations.

•      After having the purgative drugs the patient should live in a warm room devoid of breeze.

•      Purgative drug is given at the end of Kapha period of the morning. Hence it given around 8-9 am.

•      There is difference of opinion ,about time of Administration of Virechana drug .Some give early in the morning at 5 to 6 am .Some other vaidyas prefer to give in Pitta kala i.e around 12 noon

•      Different opinions are there about the exact period of purgative drug administration.

•      With Icchabhedi Ras, it has been observed that 10-15 motions take place till 3 -4 pm.

•      Patient is advised to take the warm water during this period to avoid the dehydration.

•      Patient is not allowed to lie down till the process of virechana is going on. Also he is not allowed to eat anything till virechana gets  complete. 

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

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

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