Evacuation of fecal matter and vitiated Doshas through anal route (Adhomarga) are known as Virechana Karma. It is the most widely used purification procedure because of its simplicity, eliminating the Doshas in more quantity.
Indications
Fever (Jwara)
Diabetes (Prameha)
Piles (Arsha)
IBS (Granthi)
Burning sensation in the eyes (Netradaha)
Heart disease (Hrudroga)
Migraine (Shirashoola)
Contra-Indications
Diarrhea (Atisara)
Pregnancy (Garbhini)
Procedure
Deepana-pachana: In general the Deepanapachana is continued till the patient develops the symptoms of proper pachana. On an average It takes about 3 to 7 days for the development of the desired results.
Snehapana: It will be administered at early morning time when the diet taken on the previous night is completely digested and there is no sensation of appetite for the next meal.
Abhyanga and Swedana: Abhyanga and Swedana should be done for three days i.e. 2 days previous to Virechana (on gap days) and on Virechana day before administration of Virechana drugs.
Time of Drug Administration: Virechana drugs are given in the empty stomach. For Virechana digestion of the drug is essential, so it occurs better in the empty stomach.
After Care
Warm Water Bath: After completion of Samyaka Virechana, patient is advised to take warm water bath.
Investigations: All necessary pathological investigations will be carried out after Virechana Karma and Sansarjana Karma.