Evacuation of the fecal matter and other accumulation of dosha in the lower gastrointestinal tract through the anal route are known as Virechana karma. Expulsion of the waste from the body is the verbal meaning of the word virechana. For the same reason, all eliminatory procedures are referred by the name virechana in general. In the usage of different terms like Shiro virechana, Shukra virechana, and Mutra virechana, The word virechana means mere expulsion. Though this word refers to expulsion of dosha from any route in general, in particular, elimination of dosha by way of inducing purgation is referred by the name virechana. In the present chapter, the term virechana is used to refer to the elimination of dosha from the lower gastrointestinal tract through the anal route. Among the three doshas, the morbid accumulation of pitta dosha is best eliminated by this procedure. Abnormal accumulation of Kapha dosha in the lower gastrointestinal tract.
Types Of Virechana Karma Therapy
Depending upon the degree of shodhana achieved by the virechana karma it is categorized into mridu, madhyama and tikshna virechana. A minimal amount of shodhana when achieved is known as mridu virechana. A moderate amount of shodhana is referred by the name madhyama virechana. Tikshna virechana refers to the maximal amount of shodhana. In another person, tive the virechana karma is also classified into four as anulomana, Sramana, benihana, and virechana.
This refers to the process of evacuation; in which the medicines administered cause disintegration of the mass of the fecal matter accumulated in the gastrointestinal tract as well as renders its formed (pakva) state. Haritaki (Terminalia chebula) is the best example for anulomana.
Evacuation of the waste from the gastrointestinal tract without transforming it into the formed (pakva) state is called by the name sramsana. Aragvadha (Cassia fistula), when administered orally, causes sramsana.
The oral medication that causes disintegration of hard fecal matter accumulated in the gastrointestinal tract, and then expels the same is known as bedhana. Katurohini (Picrorrhiza kurroa) is a well-known herb inducing bedhana.
The accumulation of the fecal matter in the gastrointestinal tract both in the formed state or unformed state is liquefied and then expelled out, and this process is known as virechana. Trivrit (Operculina turpenthum) is the best herb causing recana.
Depending upon the prior preparation of the client with snehana therapy, virechana is also categorized into two types as snigdha virechana and ruksha virechana.
- SNIGDHA VIRECHANA
The procedure of administering the virechana karma following abhyantara snehapana is termed as snigdha virechana. Abhyantara snehapana is done for the mobilization of morbid dosha into the gastrointestinal tract and then is expelled out by way of virechana karma. IN another perspective, the drugs possessing snigdha property like eranda (Ricinus communis) Taila when used for inducing purgation is also known as snigdha virechana.
- RUKSHA VIRECHANA
The employment of virechana karma with no or minimal prior preparation of the client with abhyantara snehana is called by the name ruksha virechana. In certain diseases like visarpa (acute bacterial infections of the dermis), shotha (edema), kamala (jaundice) etc where snehana is contraindicated; ruksha virechana is preferred instead of snigdha virechana.
INDICATIONS FOR VIRECHANA KARMA THERAPY
Following is the list of diseases where virechana is indicated as a shodhana therapy.
Jvara * Febrile illness.
Kushtha * Skin diseases*
Prameha * Diseases characterized by polyurea as well as the Abnormal character of urine.
Urdhvaga * Diseases characterized by tendency of
Raktapitta * Spontaneous bleeding from the upper routes like mouth, nostrils etc.
Bhagandara * Fistula-in-ano
Arshas * Hemorrhoids
Bradhna * Inguinal hernia.
Pliharoga * Splenic enlargement due to different causes.
Gulma * Diseases related to abdomen characterized by abdominal pain and mass.
Arbuda * Malignant tumors
Galaganda * Thyroid swelling
Granthi * Cystic swellings
Gara * Slow poisoning
Visuchika * Disease characterized by both vomiting and Diarrhoea.
Benefits Of Virechana Karma Therapy:
- Alasaka * Abnormal stagnation of the food in the Gastrointestinal tract with no sign of expulsion In the form of either vomiting or diarrhoea.
- Krimikoshtha * Worm infestation
- Mutraghata * Reduction in the urine.
- VIsarpa * Acute bacterial infection of the skin and Mucous membrane.
- Pandu * Anemia.
- Shirahshula * Head ache
- Parshvashula * Pain in the sides of the chest
- Udavarta * Abnormal upward course of morbid vata dosha in the abdomen
- Netradaha * Burning eyes.
- Asyadaha * Burning sensation in the mouth.
- Hridroga * Disorders of the heart.
- Vyanga * Pigmented spots on face
- Nilika * Bluish pigmentation.
- Aruchi * Tastelessness.
- Netrasrava * Watering of the eyes.
- Nasasrava * Nasal discharge.
- Halimaka * Chlorosis.
Procedure Of Virechana Karma Therapy
The whole procedure of virechana karma includes preparation of the client initially with snehana and svedana for certain period, followed by oral medication for purgation. After the purgation, the client is then subjected to samsarjana karma as follow up procedure. This complete procedure of virechana karma should be done and need to be followed under the guidance of experts at Parijatak Ayurveda and Panchkarma Hospital.