Virechana or purgation therapy facilitates the elimination of vitiated Pitta from the body. As it is essential that the vitiated Kapha be expelled,the patient should have undergone Vamana before this is carried out .

Oleation-internal and external-and sweating are to be done even if the patient has undergone those before Vamana. An interval of atleast 15 days is necessary between the two therapies.

Virechana acts on the main domain of Pitta dosha-the stomach,especially the small intestine.

On the morning of the day of the Pradhanakarma – Virechana, the physician should examine the patient to ensure that all of the food previously eaten has been properly digested and that the patient has slept well. He/she should then be given the purgative and asked to rest.

Aragvatha, Harithiki, Trivrit and Vacha are some of the popular purgatives. Hot water may be given,if necessary , to promote bowel movement. The sequence of discharge will be faeces first,the Pitta and lastly Kapha. Excessive bowel movement may be controlled with the same medication used for diarrhoea. The diet regimen followed after this treatment,Peyadikarma is the most important aspect of post-treatment care.

Virechana is not recommended for patients suffering from consumption,diarrhoea,fever or digestive problems.

Oleation, internal as well as external , liquefies the amam trapped deep in the dhatus. After three to seven days of oleation , the skin of the patient becomes shiny and oil appears even in the urine and faeces. These and some others are considered good indications or samyagyoga. Excessive oleation is known as atiyoga , and insufficient oleation is known as ayoga. If either of these occurs, the patient is not allowed to proceed to the next stage,sudation. The Atiyoga has to be mitigated. To remedy ayoga the oleation is continued till Samyagyoga is achieved.

Sudation dilates the body’s subtle channels and allows the liquefied amam to move to the koshtha. When the body is thus prepared properly,emesis becomes painless and effortless.

The night before the vamana,the patient is give foods like black gram soup,yogurt and warm licorice tea to stimulate the Kapha. The next morning,gruel with rock salt and milk or porridge of wheat and milk are given to promote a watery secretion. An emetic consisting of extracts of Vacha or Madana is then administered.

After half an hour , the patient starts vomiting. Drinking moderate quantities of diluted milk at intervals can stimulatefurther vomiting. In an uttama shuddhi or successful emesis,the vomitus is more in quantity than the quantity of fluids taken in. The patient may be soothed by gently massaging with upward strokes around the navel and downward strokes on the back.

Soon after emesis,the patient is asked to clear his throat and mouth by gargling. Then complete rest is recommended for a specific period.

Vamana is an effective treatment for chronic colds,bronchial asthama,hormonal disorders like PCOD and Thyroid disorders

Virechana​ Indications

  • Bronchial Asthma
  •  Acid Peptic Disorders
  •  Skin Disorders Allergy
  •  Psoriasis Paralysis
  •  Hepatic Disorders
  •  Infertility
  •  Obesity
  •  Hormonal Disorders

Virechana​ Benefits

  • Increase in appetite
  • Improved immunity
  • Reduction of weight
  • Reduction of cholesterol and triglycerides
  • Reduction of repeated attacks of burning and acidity


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