Snehana (Massage)	Swedan (Fomentation)	Vamana
Virechana	Basti	Nasya
Rakta Mokshana	Dhara (Shiro Dhara – Sarvanga Dhara )	Pizhichil
Hrud Basti	Agnikarma	Ksharkarma
Netra Tarpan	Uttar Basti	Kati Basti And Janu Basti
Lepan	Udwartan

Virechana-Purgatives Virechana means elimination of Dosha through the faces by increasing bowel movements. To whom Virechana should be given ? Chronic fever Jeerna jwara Skin diseases Kushta Urinary enomalies of metabolic origin Prameha Piles Arsha Fistula Bhagandara Diseases of spleen Pleeha roga Tumours Arbuda Goiter Galaganda Glandular enlargement Granthi Obstruction in urination Mutraghata Worms Krimi Erisepalus Visarpa Anaemia Pandu Headache, Backache   Heart disease Hridroga Asthama Swasa Cough Kasa Jaundice Kamala Epilepsy Apasmara Mental diseases   Gout Vata Rakta Deformities of sperms   Abdominal enlargements Udar including Ascites Constipation Vibandha Oedema Shotha Tympanitis Anaha Filaria Shleepada Deformities of mother’s milk   Abscess Vidradhi Pitta predominant diseases   Before conception to have a healthy child.   Some common medicine which are used Eranda Bhrista Hritaki churna mild Avipattikara churna mild Triphala churna mild Sramsana churna mild Dina dayala churna mild Draksha Aragawadha haritaki kwatha Katuki kwatha – medium Triphala Kwatha – mild Eccha Bhedi rasa – Very powerful Jalodarari rasa – Very powerful Ashwa Kanchuki rasa – Very powerful How to Give ? Virechana medicine is always given on empty stomach. Mild virechana like Haritaki, triphala etc. can be given in night at bed time with hot water. They all produce one or two motions in morning in mild dose. All drastic purgatives can be given in morning between 7 to 8 A. M. with ordinary water. Nothing by mouth should be given after virechana until satisfactory result. What is to be done during Virechana ? Patient should be instructed to watch his stool for number, colour and frequency and consistency. Watch for Ayoga and Atiyoga lakshana If patient is very weak, give him bed pan. Watch for complications and treat them accordingly. Usefulness of virechana : It is very useful to irradicate pitta and rakta doshaja diseases. It is useful to reduce fat and bulk of body. Useful in joint and marrow diseases. Useful in disorders of mother’s milk, and seminal fluid as well as ovum and its disorders. It strengthens muscle and body. Increases intelligency Benificial for colour complexion Increases life span Promotes agni ( apetite / pachan shakti ) It is useful for genetic disorders and healthy progeny. What should be done after Virechana Karma ? Complete rest in bed including mouna – no talk Samasarjana karma from evening Shamana medicine Proceed for next therapeutics

Samsarjana Karma To restore agni functions light diet is given after Shodhana known as samsarjana karma. It is as follows : The day Time of diet Pravara Shuddhi Maddhya Shuddhi Avara Shuddhi First Morning Evening - Peya - - Second Morning Evening Peya Peya Peya Vilepi Peya Akrita or krita yusha Third Morning Evening Vilepi Vilepi Akrita Yusha Krita Yusha Akrita or krita Mansa rasa Normal diet Fourth Morning Evening Vilepi Akrita yusha Krita Yusha Akrita Mansa Rasa Akrita or krita Mansa rasa Normal diet Fifth Morning Krita Yusha Normal diet - Sixth Morning Evening Akrita mansa Rasa Krita mansa Rasa - - - - Seventh Morning Normal diet - - What is peya : Peya is one kind of yavagu. Take rice about 50g. mix it with 400 ml. water and cook it. After rice is cooked take the water portion only. It is peya. What is Vilepi : 50g. of rice is cooked with 4 times i.e. 200 ml. of water, and semi liquid part can be used. It is called vilepi. What is Yusha : Mung beans, masura dal etc. are cooked in water and kept as semiliquid. This is called yusha. When it is mixed with trikatu, pippali, maricha, salt etc. it is called krita yusha. About 40-50 g. mung is cooked in about 500 to 600 ml. water. What is Mansa Rasa : Mutton juice 300 g. mutton is cooked in 600 ml. water which is called heavy (gadha). 240 g. mutton cooked in 600 ml. water is called medium (Maddhyama) and 150 g. mutton cooked in 600 ml. water is called liquid (Patala). Only Mansa Rasa that is liquid portion of mutton (juice) is taken to drink. When it is mixed with salt, maricha, jeeraka etc. (condamen) it is called krita mansa rasa.