Prolapse of rectum


Following are the restrictions of Panchakarma for better therapeutic results.

Soon after the administration of any Panchakarma procedure, it is essential to follow up with samsarjana krama. This follow up procedures of seven days in case of vamana and virechana karma or double the duration of course of basti karma, helps in the restoration of the optimum functioning of the digestive system as well as regaining of physical strength. In addition to this certain dietary and behavioral restriction have to be strictly followed that helps in the early recovery. This duration following the Panchakarma procedure, during which the client has to follow certain restrictions is referred as pariharya kala meaning period of avoidance. Eight major factors are enumerated for avoidance and are collectively named as ashta-mahadoshakara-bhava. This word ashta mahadosha-kara-bhava simply means eight major incriminatory factors. So to say, proper administration of the Panchakarma followed by observation of samsarjana krama and avoidance of ashta-mahadoshakara-bhava during the pariharya kala provides complete recovery of the client as well as desired effect of the shodhana procedures. Further, the assessment of the complete recovery of the client following any of the Panchakarma procedures is done on the basis of the appearance of the following symptoms.

  • Sarvakshamah :- Client becomes capable of testing any
    type Of tastes.
  • Asamsarga :- Client is comfortable to evacuate the bowel and Bladder.
  • Ratiyukta :- Client is enthusiastic and shows interest in all matters of life.
  • Sthirendriya :- Clients sense organs are capable of performing normal functions.
  • Prasannatma :- Client start feeling happy and healthy.
  • Sarvasaha :- Client is capable of tolerating the strain of routine work related to his profession.


Development of above said symptoms in a client subjected to Panchakarma procedures are indicative of complete recovery from the strain of therapy. Till the appearance of these symptoms of recovery the client has to avoid ashta-mahadoshakara-bhava, which include:

  • Uchchairbhasyam   :-  Speaking loudly
  • Rathakshobham      :-  Irritation of the body by excessive  traveling
  • Atichankramanam  :-  Prolonged walking
  • Atyasana                    :-  Continuous sitting
  • Ajirna-adhyashana :-  Consumption of the food when suffering from indigestion and consumption of excessive foods.
  • Vishamahit-ashana :-  Irregular and unwholesome food intake
  • Divasvapna                :-  Day sleep
  • Vyavaya                      :-  Sexual intercourse

If the client fails to avoid these 8 incriminatory factors during the pariharya kala, he is likely to suffer from some untoward symptoms. In such situations it has to be immediately treated with suitable upakrama. These aspects of the of ashta-mahadoshakara-bhava are narrated in the forthcoming lines.


Speaking in loud voice should be avoided during the restriction period. Or else it may predispose to following symptoms.

  • Shirastapa                  :-  Sensation of heat in the head
  • Shankha-nistoda     :-  Pricking pain in the temporal region
  • Karna-nistoda           :-  Pricking pain in the ears
  • Shrotroparodha       :-  Sense of stuffiness in the ears
  • Mukha-talu–              :-  Dryness of the mouth throat and palate
  • Kanthashosha 
  • Timira                          :-  Darkness in front of the eyes
  • Pipasa                          :- Excessive thirst
  • Jvara                            :-  Fever
  • Tamaka                       :-  Asthma
  • Hanugraha                 :-  Lock jaw
  • Manyastambha       :-  Stiffness of the sides of the neck
  • Nishthivana               :-  Excessive spit
  • Urahshula                  :-  Chest pain
  • Parshva shula           :-  Pain in the sides
  • Svarabheda               :-  Hoarseness of the voice
  • Hikka                           :-  Hiccough
  • Shvasa                         :-  Breathlessness

If the client develops any of these symptoms due to speaking in a loud voice, he should be treated with abhyanga, sveda, upanaha, dhuma nasya and snehapana procedures. The client is also advised to take milk or mutton soup as the food. In general, all the vata alleviating measures are beneficial. The client should not be allowed to speak till he completely recovers.


Excessive traveling in different motor vehicles or else the horse riding should be avoided during the restriction period. Excessive traveling may predispose to following conditions:

  • Sandhi-shaithilya               :-  Lack of stability of the joints
  • Parva-shaithilya                 :-  Lack of stability in the finger joints
  • Hanu shula                           :-  Painful temporo-mandibular joint
  • Nasa shula                           :-  Painful nose
  • Karna shula                         :-  Ear ache
  • Shirahshula                          :-  Head ache
  • Toda                                       :-  Pin prick sensation in the body
  • Kukshi Kshobha                  :-  Abdominal pain
  • Atopa                                     :-  Gurgling sound in the abdomen
  • Antrakujana                         :-  Borborrhygmi
  • Adhmana                              :-  Distension of the abdomen
  • Hridayoparodha                 :-  Sense of stiffness in the precordium
  • Indriyoparodha                   :-  Sluggish sense organs
  • Sphik vedana                       :-  Pain in the buttocks
  • Parshva vedana                  :-  Pain at the sides of the trunk
  • Vamkshana vedana           :-  Pain in the groins
  • Vrishana vedana                :-  Painful scrotum
  • Kati-prishtha vedana        :-  Pain in the back and sacral regain
  • Sandhi-daurbalya               :-  Weakness in different joints
  • Skandha-daurbalya           :-  Weakness in the shoulders
  • Griva-daurbalya                 :-  Weakness in the neck region
  • Angabhitapa                        :-  Increased warmth of the body
  • Padashopha                         :-  Pedal edema
  • Prasvapa                               :-  Numbness in the extremities
  • Padaharshana          :-  Tingling sensation in the extremities

Due to the traveling if the client develops any of the above symptoms it should be treated by snehana, svedana, and measures to pacify vata dosha. The client should strictly avoid traveling.


Following are the symptoms that the client may develop if he does not avoid excessive walking during the restriction period following shodhana procedures:

  • Padas hula                  :-  Pain in the legs
  • Prishtha shula           :-  Low back ache
  • Shroni shula               :-  Pain in the pelvis
  • Jangha shula              :-  Pain in the legs
  • Uru shula                    :-  Pain in the thigh region
  • Janu shula                  :-  Painful knee
  • Vankshana shula      :-  Pain in the groins
  • Sakthisada                 :-  Tiredness in the extremities
  • Nistoda                       :-  Pricking sensations
  • Pindikodveshtana    :-  Painful calf
  • Angamarda                :-  Body ache
  • Amsabhitapa                      :-  Sensation of heat in the extremities
  • Sira-dhamani harsha        :- Pain in the vessels
  • Shvasa                                   :-  Breathlessness
  • Kasa                                       :-  Cough

Due to walking if the client develops any of the above symptoms it should be treated by snehana, svedana, and measures to pacify vata dosha. The client should strictly avoid walking.


Continually sitting in a single position or seat should be avoided during the restriction period. Otherwise this may predispose to symptoms similar to the one that has developed due to excessive traveling. Few examples are given in the following list:

  • Sphik vedana                      :-  Pain in the buttocks
  • Parshva vedana                  :-  Pain at the sides of the trunk
  • Vamkshana vedana          :-  Pain in the groin region
  • Vrishana vedana                :-  Pain in the scrotum
  • Kati vedana                         :-  Pain in the sacral region
  • Prishtha vedana                 :-  Back ache

Due to the continuous sitting if the client develops any of the above symptoms he should be treated by snehana, svedana, and measures to pacify vata dosha. Client should strictly avoid continuous sitting




Taking food before the digestion of the food taken earlier, or taking food frequently should be avoided. If this restriction is not followed strictly, the client is likely to suffer from the illnesses listed below:

  • Mukha shosha           :-  Dryness of the mouth
  • Adhmana                    :-  Flatulence and the resultant distension of the abdomen
  • Shula                            :-  Abdominal pain
  • Nistoda                       :-  Pin prick sensation in the abdomen
  • Pipasa                          :-  Excessive thirst
  • Gatrasada                  :-  Sense of exhaustion
  • Chhardi                       :-  Vomiting
  • Atisara                         :- Diarrhea
  • Murchchha                 :-  Transient loss of consciousness
  • Jvara                            :-  Fever
  • Pravahana                  :-  Tenesmus
  • Amavisha                             :-  Incriminatory effect of indigested foods.

Due to the irregularity in the food habit if the client develops any of the above symptoms, stomach is emptied by vomiting. Ruksha sveda is also beneficial in reliving the symptoms. Langhaniya (medicines that cause lightness of the body) pachaniya (medicines that enhance digestion), dipaniya (medicines that increase appetite) medications are advisable to rectify the functioning of the gastrointestinal tract. In general, the treatment planned should be according to the symptoms the client develops.


Consumption of foods containing ingredients having qualities that are mutually that are mutually contradictory, or else consumption of unwholesome diet must be avoided. This is a general rule and more particularly during the restriction period. If this restriction is ignored the client is likely to suffer from the following untoward symptoms:

  • Anannabhilasha                 :-  Lack of interest to take food
  • Daurbalya                            :-  Weakness
  • Vaivarnya                   :-  Abnormal coloration in the skin
  • Kandu                          :-  Itching
  • Pama                           :-  Skin disease characterized by itching as well as rashes
  • Gatravasada              :-  Sense of exhaustion in different body parts.
  • Vatadi prakopaja     :-  Provocation of vata and other dosha
  • Grahani-arsha              leading to diseases like malabsorption syndrome, hemorrhoids etc.

By the intake of unhygienic food if the client develops any of the above said untoward symptoms that should be managed with symptomatic treatment. As part of treatment the client should not be allowed to consume unhygienic food articles any more.


Day sleep is not advisable during the restriction period. If the client indulges in day sleep it may precipitate the following disease conditions:

  • Arochaka          :-  Tastelessness
  • Avipaka             :-  Lack of digestion
  • Agninasha                  :-  Loss of appetite
  • Staimitya                    :-  Stiffness in the body
  • Pandutva                    :-  Pallor
  • Kandu                          :-  Pruritus
  • Pama                           :-  Skin eruption associated with itching
  • Daha                            :-  Burning sensation
  • Chardi                          :-  Vomiting
  • Angamarda                :-  Body ache
  • Hritstambha              :-  Tightness in the precordial region
  • Jadya                           :-  Laziness
  • Tandra                         :-  Drowsiness
  • Nidraprasanga                   :-  Sleeplessness
  • Granthi janma           :-  Appearance of cystic swellings
  • Daurbalya                  :-  Debility
  • Rakta mutra              :-  Reddish urine
  • Akshi lepa                   :-  Coating of the eyes with secretions
  • Talu lepa                     :-  Coating in the palate

Due to day sleep if the client develop any of the above symptoms it may be treated with measures like dhumapana (therapeutic smoking), langhana (treatment that reduces the body), vamana (therapeutic emesis), shirovirechana (nasal administration of medicine for purification),vyayama (physical exercise), meals with out added oil or ghee, deepana
(medicines to improve appetite), pachana (medicines to improve digestion), pragharshana (a kind of massage), mardana (a specific type of massage), parishechana (a type of sudation procedure) and all other kapha alleviating procedures. These are carried out in accordance with the symptom development.


Sexual intercourse should be prohibited during the restriction period. Indulgence of sex during the restriction period may lead to the following conditions:

  • Ashu bala nasha       :-  Spontaneous reduction in the physical strength
  • Uru sada                     :-  Sense of exhaustion in the thighs
  • Shiro ruja                    :-  Head ache
  • Basti ruja                    :-  Hypogastric pain
  • Guda ruja                    :-  Pain in the anal region
  • Medhra ruja              :-  Pain in the penile organ or vulval region
  • Vankshana ruja         :-  Painful groins
  • Janu shula                            :-  Pain in the knee joints
  • Jangha shula                       :-   Painful legs
  • Pada shula                           :-  Pain in the feet
  • Hridaya-spandana             :-  palpitation
  • Netra pida                           :-  Painful eyes
  • Anga-shaithilya                  :-  Lack of stability in the body parts.
  • Shukra marga shoni–         :-  Bloody ejaculation tagamana
  • kasa                                       :-  Cough
  • Shvasa                                   :-  Breathlessness
  • Rakta-shthivana                 :-  Haemoptysis
  • Svaravasada                        :-  Hoarseness of the voice
  • Kati-daurbalya                            :-  Weakness in the pelvic region
  • Ekanga roga                        :-  Monoplegia
  • Sarvanga roga                    :-  Different neurological deficits involving the whole body
  • Mushka shvayathu            :-  Swollen scrotum
  • Vata sanga                          :-  No passing of flatus
  • Mutra sanga                       :-  Retention of the urine
  • Varcha sanga                      :-  Constipation
  • Shukra visarga                    :-  Untimely ejaculation
  • Jadya                                     :-  Laziness
  • Vepathu                                :-  Tremor
  • Badhirya                               :-  Deafness
  • Vishada                                 :-  Grief
  • Avalupyata iva gudah      :-  Severe cutting pain in the anal region
  • Tadyata iva medhram      :-  Severe hammering pain in the penis
  • Avasidativa manas            :-  Anxiety
  • Vepate hridayam               :-  Palpitation
  • Pidyante sandhayah         :-  Joint pain
  • Tamah praveshyata            :-  Darkness in front of the eyes.

– Due to indulgence in sex if the client develop any of the above symptoms, he should be treated with milk or ghee processed with drugs of jeevaniya group, consumption of milk and ghee. Svedana procedures are beneficial to alleviate vitiated vata dosha. Other procedures like abhyanga, upanaha sveda, nutritious food that improves libido, snehapana, yapana, basti and anuvasana basti should be carried out as per the requirement. If the abnormality of mutra or pain in the bladder is present then it should be treated with uttara basti prepared out of herbs belonging to the vidarigandhadi gana. Or even uttara basti with milk and meat soup processed with jivaniya gana drugs may be given.

When the client is subjected to any of the Panchakarma procedures it is true that it leads to some amount of physical and mental stress. In such a state of stress, any of the above major incriminatory factors are likely to further irritate the body, or increase the stress. Hence there is every risk of developing serious complications. Therefore it is recommended that the client must follow these restrictions during the restriction period. As a result one can achieve complete cure of the illness with no any untoward complication during the follow up period. This is the most safe, effective practice of Panchakarma treatment.

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