As we are aware of the fact that the five principal treatments of Ayurveda are collectively called Panchakarma.
They are as follows:
These treatments are eliminating therapies, which means they expel the initiated doshas completely from the body. Virechana is one among the panchakarma.
Virechana is the procedure by which the vitiated Doshas are eliminated through the anal route. It is the treatment of choice for Pitta-predominant conditions.
Every single thing in this universe is composed of the Pancha mahabhuta( five basic elements of the universe).
Drugs used for Virechana are Prithvi and Ap panchamahabhuta (earth and water) predominant. They have adhobhagahara property, ie, they propel the doshas in the downward direction. After procedures like oleation( use of substances like ghee, oil, etc) and perspiration, the vitiated doshas reach the kostha, ie, the alimentary canal. From here, due to the properties of the Virechana drugs, the doshas are eliminated through the anal route.
Virechana is the supreme treatment for pitta dosha predominant conditions. Therefore in conditions of pitta like gastrointestinal disorders( constipation, worm infestation, jaundice, etc), dermatological disorders like eczema, allergies, and diseases like fever, hemiplegia, bronchial asthma, etc, this procedure can be administered.
Virechana is a strong treatment and not everyone can tolerate the repercussions. Therefore pregnant women, weak patients, patients with tuberculosis, etc must not indulge in this treatment.
First and foremost, our main concern is to assess whether the patient is strong enough I tolerate the hassle of this procedure. Then selected patients to undergo first:
Snehapana for 3-7 days, then Abhyanga (massage) & Swedana( perspiration) for three days.
The medicine for purgation is to be given in the early morning at 6 AM, preferably on an empty stomach. Usually, the purgation will start after three hours. Warm water may be given in small doses when the patient feels thirsty or the urge for evacuation is not felt sufficient. Cold water should be used for drinking when the preparation of Jayapala (Croton tigliam) is used for purgation.
When the evacuation of the bowel is complete as per the Lakshana described for Samyak Virechana (optimum features), the patient is advised to take complete rest. Thereafter Samsarjana krama(diet) is to be followed as per the directions of the physician.
As we know this procedure completely evacuated the initiated doshas from the body. So when completely eliminated, seldom do these diseases recur.
Other benefits like the stimulation of digestive fire, clarity of sense organs, rejuvenation of skin, etc are also seen.
* Outcomes may vary from person to person