Virechan described in ayurveda as important aspect of detoxification. Pitta dushita vyadhi mainly utilizes Virechana as choice of Sodhana Chikitsa; Virechana should be performed after meal and should wear light cloth during treatment. However consideration of other problem is also important before performing Virechana. Study proved efficacy of Vata Shamaka Panchakarma (Virechana) in the management of Pakshaghata. The therapy alleviates Vata and purifies the body by removing toxins.
The best line of treatment for the Pittaj disorders is Virechan Karma which is the First measure amongst Panchakarma. Sushruta asserts that just like the flower, fruits and branches, which are destroyed at once as soon as the mother tree is rooted out, the diseases originated due to excessive Pitta are subdued after the elimination of Pitta through the process of Virechan. To prevent oneself from diseases like Amlapitta (Hypeacidity), Grahani (IBS), Khalitya (Hair Fall), Palitya (Graying of hairs) etc. A person should timely undergo Virechan karma. According to Ayurvedic classics, Virechan procedure is specified for the expulsion of Pitta Dosha. Pitta Dosha is exasperated in Sharad Rutu; hence, Virechan is specified in spring season roughly in the month of October and November .
The main procedure can be classified as:
- Purva Karma
- Pradhana Karma
- Pashchata Karma
Purva Karma (Pre-operative preparation)
Pachana and Deepana (digestives and appetizers)
Before starting snehapana Deepana and Pachana drug are given to increase Jatharagni
and lightness of body.
Pachana dravya like Trikatu Churna, PanchakolaChurna, Agnitundi Vati, Chitrakadi Vati etc. can be used for this purpose.
Abhyantara Snehana (internal oleation)
Shuddha Ghrita or Siddha Ghrita give in increase dose for three to Seven days as per the
requirement till achieving the signs and symptoms of proper Snehana.
First day – 50 ml
Second day -100 ml
Third day – 150 ml
Fourth day – 200 ml, and so on, not beyond seven days.
Abhyanga (massage) and Swedana (fomentation)
After Abhyantara Snehana on next day, do Abhyanga with Tila Taila followed by Sarvanga
Swedana. Dietetic guidelines during Purva Karma Diet during the days of Snehapana Individuals are advised to intake ample amount of liquid and warm food, easy to digest mixed with little fat. It is neither sticky nor complex. Also one is instructed to drink lukewarm water. Diet on previous day of Virechan diet like plenty of milk, spicy, sour made from black gram recommended to an individual.
Pradhana Karma (Induction of Virechan):
- Induced Virechan in the early morning.
- Snehan and sweadan has been done and then virechan has been given to patient.
- Virechan is Pittant and nearly 10 – 20 vega’s has been occurred.
Pashchata Karma (Post-operative care)
- Keep the patient under observation After Virechan Karma and put the patient on special
diet until they achieve Agnideepti and Bala.
- Advise Dhumapana and Gandusha after Samyaka Vamana.
- Wash mouth, hands and feet after Vamana and take rest for an hour.
- Advise to avoid loud speeches, sitting or standing in one position for long duration,
Excessive walk, excessive rage or excessive depression, exposure to excessive cold, heat,
Dew, to flowing winds, long journey, night waking, day sleep, to retain or provoke urges.
Frequently, untimely, excessive, less, contradictory and also avoid heavy diet.
Samsarjana Krama: (special dietetic schedule)
1st day – Thin rice gruel without spices and fat once a day.
2nd day – Thick rice gruel without spices and fat twice a day.
3rd day – Rice and liquid soup of green gram and rice without
spices and fat twice a day in moderate quantity.
4th day – Liquid soup of green gram and rice with spices and fat
twice a day in moderate quantity.
5th day – Normal diet
6th day – Normal diet
7th day – Normal diet
- Hina – 8 – 10 Vega
- Madhyama – 11 – 20 Vega
- Pravara – 21 – 30 Vega