Built from passages of the source by the curated extraction. Pending human review.
Names and synonyms
- Sanskrit
- विरेचनविरेक
- Hindi
- विरेचनजुलाबदस्त कराना
- English
- Therapeutic purgationtherapeutic purgationpurgationvirechanalaxative therapy
- Romanized
- virechanajulab
What the text says
Each statement reports the source, with its chapter, page and verse. Traditional descriptions are not presented as proven medical facts.
Definition1
After a purgative, flatus, urine, stool, pitta, the medicine and kapha are said to come out in order; when the doshas have left the body and vata moves downward (anulomana), purgation has gone well.
Signs and symptoms1
The well-cleansed person is described as tired and languid, light in body, content in mind, thirsty, very lean and with an increased digestive fire.
Indications2
Purgation is said to sharpen the sight, strengthen the senses, increase intelligence, bodily strength and the digestive fire, prolong life and remove diseases from faults of stool and urine, worm infestation, kushtha and other bowel diseases.
Even patients for whom purgation was forbidden may be purged mildly if they are tormented by strongly aggravated pitta, have heavy worm infestation of the abdomen or retention of urine.
Treatment principle4
For vata aggravated in the colon, purgation is advised after the body has been prepared by oleation and sudation.
For a person with weak digestive fire (and, the commentary adds, a hard bowel) a sharp medicine is used after oleation; given to someone with a soft bowel (and bright fire), a sharp purgative moves the bowels quickly but cannot clear all the doshas.
In a weak person whose doshas are greatly increased and moving, they should be removed little by little and repeatedly; if the moving doshas are slight they should be pacified.
Doshas that are ripe and moving should be removed completely, whether the patient is weak or strong, because doshas not fully removed are said soon to destroy the body.
Preparation1
For purgation, pleasant and attractive drugs are to be used, the opposite of the repellent drugs used for emesis.
Regimen1
A medicine drunk in the morning that is digested by midday and clears all the doshas is considered best; the text gives this as the view of the eternal Jaina scripture (Jinagama).
Cautions3
Purgation is said to be especially beneficial after emesis, so upward cleansing comes first; if purgation is given without prior emesis, kapha goes down, spreads through the whole abdomen and covers the digestive fire, and many diseases soon beset the person.
Once the purgative is taken, a coming bowel urge must not be held back, and if no urge comes the patient must not strain.
Those who habitually hold back the urge to pass stool (people around the king and servants from fear, women from shyness, merchants from greed, the sensual and others careless of their own good), and also the very dry and the chronically constipated, are said to be hard to purge; they should be oleated and sweated well before purgation.
Contraindications2
Purgation is not to be given to those afflicted by grief or fear, the very thin, the very dry, the greatly agitated, the exhausted, fatigued or thirsty, those with indigestion or bloody diarrhoea, children, the old, pregnant women, drinkers of alcohol, or those not prepared by oleation and sudation.
If a person who has drunk much fat then drinks an unctuous purgative (purgative ghee), the doshas loosened from their seats by the excess fat are said to become settled and fixed again because of that fat; so he is first made thoroughly dry before purging (the commentary marks its own rendering with a query).
Where else is this mentioned?
Named 195 times on 103 pages. These are automatic name matches, so a few may refer to something else with the same name.
- Book page 16Chapter 2×2… ात, पित्त, व कफ के द्वारा क्रम से पीडित उदराग्नि को वैद्य बस्तिकार्य, विरेचन, योग्य वमन व नस्यों से यथाक्रम चिकित्सा करें। समाग्नि के रक्षाणोपाय 1 …
- Book page 34Chapter 3… रभैषजयविधानमिष्टं॥ 43॥ भावार्थ : स्थूल शरीर वाले को (कृश करने के लिए) विरेचन के नाना प्रकार का योग, रूक्ष, कषाय, कटु, तिक्तादिक औषधिवर्ग, व तत्सदृ …
- Book page 35Chapter 3×2… ना चाहिए, वर्षाऋतु में बस्तिकर्म का प्रयोग करना चाहिए एवं शरत्काल में विरेचन देना चाहिए। इस प्रकार मध्यम शरीर वाले के स्वास्थ्य की रक्षा करनी चाहि …
- Book page 46Chapter 4… ्रकार संचित दोषों को इनके प्रकोप समय में वात को बस्तिकर्म से पित्त को विरेचन से, कफ को वमन से शोधन करना चाहिए। अन्यथा तत्तद्रोषों से अनेक व्याधियो …
- Book page 76Chapter 6… , जो जवर से पीडित हो, जिसे क्षयरोग हो गया हो जो अत्यन्त कृश हो, जिसको विरेचन दे दिया हो, अतिसार रोग से पीडित हो, क्षुधा व तृषा से बाधिक हो, उन्माद …
- Book page 84Chapter 6… िए। बरसात का मैसम निकल जाने के बाद इसको निकाल लेवें। तत् पश्चात् वमन, विरेचन आदि पंचकमोँ के द्वारा शरीर की शुद्धि व प्रयत्नपूर्वक दान करके, देवपूज …
- Book page 87Chapter 6×3… से के समान वार-बार केवल ठणडा पानी पीवें। उसके बाद उसे अच्छी तरह वमन व विरेचन होकर कोष्ट की शुधिद होती है। इस प्रकार जिस के शरीर से मल, दोष आदि निक …
- Book page 96Chapter 7… रव्य, क्षेत्र, काल और भाव का अनुसरण करके यथायोग्य स्नेहन, स्वेदन, वमन विरेचन आदि कमोँ को तथा छेदन-भेदन आदि के योग्य रोगों में छेदन, भेदन आदि क्रिय …
- Book page 112Chapter 8… िधि इस प्रकार है। शरीर में पित्त की अधिकता से मृदुकोष्ठ, कफ की 1. वमन विरेचन आदि प्रत्येक पंचकमोँ को करने के पहले स्नेहन और स्वेदन क्रिया करनी चाह …
- Book page 116Chapter 8×3… से अन्नपान विधिपूर्वक रोगी का उपचार करना चाहिए। पक्वाशयगत वात के लिए विरेचन अथ प्रकुपितेःनिले विदितभूरिपक्वाशये। स्नुहित्रिाकटुदुग्धकल्कपयासा विप …
- Book page 117Chapter 8×9… के साथ व शक्कर पीपल, निसोत के कल्क व चूर्ण को तेल के साथ सेवन करने से विरेचन होकर पक्वाशयगत वात दूर हो जाता है। विरेचन फल सुट्टष्टिकरमिष्टमदिं्रिय …
- Book page 123Chapter 8… रा किए जाने वाले नस्य के अवपीडन3, प्रधमन4 इस प्रकार दो भेद हैं। चँूकि विरेचन बृंहण आदि जो नस्य के भेद हैं के सभी उपरोक्र स्नेह व रूक्ष पदाथोँ द्वा …
Questions and answers
Into which two kinds does the text divide treatment, and what does external treatment consist of?
Internal treatment, which is dharma, and external treatment, which is only an auxiliary cause; external treatment means oleation, sudation, emesis, purgation and, where suitable, excision and incision, chosen according to substance, place, time and condition.
Detailed answer and sourcesWhy should purgation be given only after emesis?
Because purgation is especially beneficial for one already given emesis; if purgation is given without emesis, kapha goes down, spreads through the abdomen and covers the digestive fire, and many diseases soon follow.
Detailed answer and sourcesHow is the dose of a purgative matched to the kind of bowel?
A soft bowel (from pitta) gets a mild dose, a hard bowel (from vata and kapha) a sharp dose and a medium bowel (balanced doshas) a medium dose.
Detailed answer and sourcesAll references
Every page and verse of the source that this entry draws on.
- Chapter 8 · p. 116 · v. 40
- Chapter 8 · p. 117 · v. 42
- Chapter 8 · p. 117 · v. 43
- Chapter 8 · p. 117 · v. 44
- Chapter 22 · p. 503 · v. 36
- Chapter 22 · p. 505 · v. 42
- Chapter 22 · p. 506 · v. 45
- Chapter 22 · p. 506 · v. 46
- Chapter 22 · p. 507 · v. 49
- Chapter 22 · p. 508 · v. 50
- Chapter 22 · p. 508 · v. 51
- Chapter 22 · p. 514 · v. 67
Quick facts
- Content type
- Therapy
- Categories
- Panchakarma
- Source pages with records
- 8
- Pages naming it
- 103
- Chapters
- Chapter 8Chapter 22
- Extraction tasks
- T05, T24
- Record id
- method_virechana