Introduction-
Virechana is a process in which prakupita doshas (vitiated doshas) are expelled through adhomarga (rectum/ anus) by the administration of medicine through oral route. Medicines are used in different form like choorna (powder), kwatha (decoction), sneha (medicated oil/ ghee), lehya etc., depending on the condition of the patient.
Procedure-
- Snehapana- Proper Snehapana (oral intake of medicated ghee or oil) with appropriate sneha (ghee or oil) to be given before Virechana for 3-7 days. After completing snehapana, Abhyanga (external oleation- oil massage) and Bashpasweda (herbal steam) is given for 1-2 days.
- Virechana- After proper poorva karma oral medicines (Virechana oushadha) is given in prescribed time along with suitable adjuvant. Patient has to take rest and drink hot water to stimulate virechana vega. The patient is advised to drink lukewarm water after each vega to avoid dehydration. Generally virechana vega starts after 60 to 90 minutes after medicine intake. Patient is supported by experienced therapists. All precautions and safety measures will be followed to avoid any complication.
- Samsarjana Krama- Some dietary regimen and guidelines will be followed according to Doctor’s advice for 3-5 days.
Duration-
For classical Virechana 5 to 10 days are required which includes preoperative and operative procedure. After Virechana some dietary regimen will be advised and followed for 3 to 5 days.
Indications-
Virechana shows very good effect in Pitta predominant diseases like Jaundice, Acne, Hairloss and premature graying, Psoriasis and some skin diseases, Gout, Piles, Obesity, Anorexia, and Hyperacidity etc.