Virechana Therapy – Right Method, Side Effects, Management

By – Dr JV Hebbar
Virechana therapy is a type of Panchakarma treatment. Here, person is made to undergo controlled purgation for a specific amount of time. It is designed to flush out body toxins. Liver detox, colon detox etc. procedures that are quite famous now-a-days are derivatives of Virechana therapy.

Stomach and intestine

Purpose of Virechana

Virechana treatment is targeted to expel increased Pitta Dosha out of the body. When Pitta dosha gets increased, it causes certain types of diseases – such as abscess, liver disorders, gastritis etc. If the extent of Pitta increased is less, then oral medicines can be given to suppress it. But if it has increased to a large extent and if it has moved from its natural place to other places, then it needs to be expelled out of the body. By expelling it out, the disease gets cured, often completely. Since Pitta is situated at the level of intestines, expelling it from the anal route is very easy. Hence, Virechana treatment is designed. To expel it out, first the Pitta Dosha needs to be forcefully brought from the extremities and different organs into the intestines, and then purgation is induced, to expel it out completely.

Effect on Tridosha

Virechan treatment is indicated in;
High Pitta conditions – like skin disorders, blisters, abscess, liver disorders etc.
Pitta associated with Kapha, where Pitta is the dominant Dosha, as in certain types of vomiting, acid peptic disorders etc.
Pitta associated with Vata, as in case of gout.

Persons suitable for Virechana

Diseases requiring purgation therapy are-
Tumors of the abdomen,
Piles – Often people suffering with piles suffer with constipation. Hence, Virechana therapy helps to correct bowel movements and aids in treating piles, indirectly. Also, as per Ayurveda, liver and Pitta are related with blood vessel health. As piles is related with blood vessels, Virechana treatment relieves piles
Anemia, non healing wounds, ulcers, Abscess, blisters, freckles, discolored patch on face, Jaundice, liver disease, Disease of the spleen, Splenomegaly, chronic fever, ascites – these diseases have Pitta Dosha involvement.
Poisoning, Chronic poisoning
blindness, Cataract
pain in the large intestine,
Diseases of male and female urogenital system
Gout, bleeding disorders of upper parts of the body (such as nasal bleeding)
Diseases of blood vitiation,
Dysuria, constipation
skin diseases
GERD, stomach acid and gases causes burning pain in my throat

Virechana for diabetes

Virechana for diabetes treatment: Diabetic patients need good blood vessel care. They also need quick wound healing. Hence, Virechana plays a very important role in them. Also, burning sensation in palms and feet, which occurs as a complication of diabetes, has Pitta involvement, which can be very well treated with Virechana treatment.
Urinary tract disorders
Goiter, tumor, fibroid
Elephantiasis, Filariasis
cough, cold of Pitta origin,
chronic respiratory tract disease, Asthma
nausea, herpes
vitiated breast milk
indigestion, Anorexia, lack of taste, obesity
eruption of pimples, urticaria, itching
lack of inclination for work, lack of co-ordination in sense organs,
laziness, Fatigue, Weakness,
foul smell of the body,
sleeplessness or excessive sleep,
drowsiness, weak sense organs,
impediment to intelligence,
loss of strength and complexion in spite of the intake of nutritious diet.

Virechana contraindications

Contra indication for Virechana
Fever of recent origin
Poor digestive activity,
Bleeding disease of lower part of the body (such as bleeding per rectum
wounds, Ulcers of the rectum
diarrhoea, dysentery
Who have been administered decoction enema,
Persons who naturally have hard bowel movement,
who have undergone excess of Oleation treatment
emaciated person – because, purgation involves water loss, which is not ideal for a person who is already debilitated.

Preparation before Virechana

Before Virechan treatment:
Before Virecahan, in most of the cases, person has to undergo Vamana therapyvomiting treatment.
After Vamana treatment, the patient is made to undergo specific diet regimen called Samsarjana, then after, again oleation treatment (wherein ghee is administered for a few days) is administered. It called as Snehakarma or oleation therapy – click to read more. After that three days of oil massage and sweating treatment is administered. Then Virechana is administered.

Virechana procedure

Virechana Vidhi- Purgation therapy procedure –
On the day of Virechana treament, If the patient has weak digestion strength (Mandagni), coated feeling in the gut, and if the digestion symptoms of previous food are not seen, then the patient is made to fast for a few hours.
The patient is ensured of good sleep in the last night.

In the morning, after Kapha time has lapsed (after around 9 – 10 am) Virechana drug is given. The kind and quantity of purgation medicine should be determining the nature of his Kostha (alimentary tract, bowels)

A person with Mrudukoshta (soft intestines), even milk will induce purgation.
For a person with Krurakoshta, (hard bowels, intestines), even Trivrit (a purgative herb) might cause purgation with great difficulty.

For Pitta disease, astringent and sweet herbs should be used for purgation.
For Kapha disease, pungent herbs should be given for purgation.
For Vata, drugs with unctuous, oily, hot and salt tasting herbs are used.
The difference in the variation of Dosha, medicinal drugs, location, time strength, body diet wholesomeness, mind, constitution and age should be kept in view while administering this therapy.

Types of Virechana

Types of Virechana based on medicine administered:
Based on the Doshas involved, there can be two types of Virechana –
Snigdha Virechana –
Snigdha means oily, here, castor oil alone or castor oil along with Haritaki fruit powder is administered. It is given where, Pitta dosha is associated with Vata Dosha.
Rooksha Virechana – It is used when Pitta dosha is associated with Kapha Dosha. The most commonly used purgation medicine is Trivrit lehyam – 20 – 30 grams.
Or a simple paste of Trivrit (Operculina turpethum ) in a dose of 12 grams is administered.

If bouts of purgation do not commence, he should drink hot water and his abdomen should be fomented with warmed with palms of the hand.

Medicine for Virechana

Personalization of medicine for Virechana:
Person who is weak, who has great amount of increased Doshas develops purgation on his own – without consuming purgative Drug; he should be treated with foods which are purgative.

Persons who are weak, who have undergone purification therapy previously, who have little amount of imbalanced Doshas, who are emaciated and whose nature of the alimentary tract is not known should be given mild purgative drug in a small dose; It is better given in small doses often;

Person who have weak digestion strength, Krura koshta – hard bowels (hard natured alimentary tract), should be administered ghee processed with Kshara and Lavana (Alkalis and salts), to Augment his digestive capacity and Vanquish Kapha and Vata; afterwards he should be given purification therapies.

In persons who are dry, who have great increase of Vata, who have hard bowels, who do exercise regularly and who have strong digestion strength, the purgative drug gets digested without producing purgation; for them, an enema should be given first and then oily purgative drug such as castor oil should be given; or the faeces should be removed first by using a strong rectal suppository made from fruits; the Doshas thus initiated in their movement, the purgative drug expels them easily.

Persons who are suffering from poison , Abhighata (Trauma), Pitika (skin eruption), Kushta – skin diseases, Shopha (inflammation), Visarpa- herpes, Kamala (Jaundice), Anaemia and Diabetes, should be given the purgative therapy without too much of Snehana (oleation. Mild oleation itself is sufficient for them. All of them should be given fatty purgatives – such as castor oil, those who have had oleation earlier should be given dry- non- fatty purgatives.

Role of Virechana Therapy in prevention of skin diseases

Normal and abnormal bouts of purgation

Heenayoga – less purgation – 10 bouts of purgation or 384 grams of fecal material
Madhyamayoga – normal purgation – 20 bouts – 768 grams of fecal material
Atiyoga – excessive purgation – 30 bouts. – 1,536 grams of fecal material.

What if the number of bowel movements are less?
The number of bouts of purgation is just one among the many signs of good, moderate or bad Virechana. More than the number of bouts, the effect of Virechana on relieving your disease is more important.
If the bouts are less, then during the Virechana period itself, your Ayurveda doctor would give stronger medicine to make it successful. Or if the Virechana is over, then go along with the diet and medicine prescribed by your doctor.
Make a note of Virechana medicine given. If the disease is not getting healed, then another Virechana treatment can be planned after a month, with better medicine in stronger dose.

How to manage low bouts in Virechana Therapy?

Samyak Virechana Lakshana

Signs and symptoms of proper Virechana treatment (purgation) Samyak Virechana Lakshana –
tiredness, slimness,
lightness of the body
tiredness of sense organs
Regression of diseases,
Feeling of clarity in heart,
feeling of clarity in skin, restoration of normal skin complexion,
timely hunger and thirst
Timely initiation of natural urges. – like defecation, urination etc.
clarity in intellect, sense faculties and mind,
Movement of Vata in proper direction in the body, no bloating or fullness of abdomen.
proper digestion and metabolic activities.
At the end of proper purgation, Kapha – thick frothy materials will be expelled out. This indicates that the Virechana treatment has been successfully completed.

Virechana Heena Lakshana

Signs and symptoms of inadequate purgationVirechana Heena Yoga Lakshana –
Person starts to spit frequently
chest discomfort, lack of clarity
nausea, feeling of increase (overflowing) of Kapha and Pitta
bloating, feeling of distention
anorexia, lack of taste
vomiting, weakness, lack of lightness
stiffness of hip and thighs
sense organ tiredness,
stiffness, itching, rhinitis
Obstruction of Vata
Discomfort in the region of the heart and abdomen,
anorexia, Too much of Kapha and Pitta increase in the intestines (because they are not properly thrown out of the body) or expulsion of Doshas coming out through the mouth,
burning sensation, skin eruptions, blocking of flatus and constipation

Management: If, on the day of consuming the purgative drug, the patient responds poorly, he should be allowed to take his food on that day and the purgative drugs administered again on the next day;

Virechana Atiyoga Lakshana

Signs and symptoms of excessive purgation – Virechana Atiyoga Lakshana –
Excretion of feces, Pitta, Kapha and Vata.
Excretion of liquid through anus, resembling a mix of water from blood, fat and muscle tissue.
Excretion of black colored blood without Shleshma (Kapha) and Pitta.
The patient will be afflicted with thirst and he may faint due to vitiated Vata.
After the elimination of faeces, Pitta, Kapha and vata in Succeeding order, there will be elimination of watery material which does not contain Kapha or Pitta, which is white, black or slightly red in color, resembling the water in which meat has been washed or resembling a piece of fat;
prolapse of the rectum, thirst, giddiness Sunken eyes and diseases caused by excess of vomiting- will appear.

After Virechana treatment:
After the therapy has been well-administered, the hands, feet and face of the patient should be washed with warm water
The patient should be consoled.
He should then enter into a room which is not exposed to the wind and should lie down there.

Activities to avoid

The patient should abstain from the following for the whole day –
Speaking aloud,
Excess eating,
Sitting at one place for long time,
Walking long distances,
Anger and grief,
Exposure to sun, dew and stormy wind,
Indulging in sexual intercourse,
Waking up at night, avoiding sleep
sleeping during day time,
foods with opposite qualities, wrong food combinations and
Foods that may cause indigestion,
Intake of diet exclusively having one taste, intake of diet deficient in nutritive value, or heavy or irregularly mixed up
Suppression or forcible initiation of natural urges.

Diet regimen

Diet regimen after Virechana treatment
It is also called as Samsarjana Krama. Soon after purgation, the digestive capacity of the patient is very low. Hence, all of a sudden regular diet cannot be introduced. In stead, liquid diet should be started and gradually turning to solids.
In the same evening or the next day after virechana, patient should take bath in lukewarm water.
He should be given like- warm gruel (Manda) prepared with well cooked old rice. The gruel should be very thin. This is to be given with due regard to the power of digestion, for three meal-times.
For the fourth meal- time, gruel prepared with rice (Vilepi), well-cooked, warm and devoid of oil / ghee and salt altogether or with oil / ghee and salt in small quantity is to be given. Warm water is to be taken after the intake of gruel.
The same type of diet is to be continued for the fifth and sixth meal-times.
For the seventh meal-time again, well-cooked porridge (odana) prepared with the same type of rice of two Prasruta along with a very thin green gram soup (Mudga yusha), added with oil / ghee and salt in small quantity is to be given.
Warm water should be taken after the intake of the porridge. The same diet is to be repeated for the eight and ninth meal-times. For the tenth meal-time, thin meat-soup (Mamsarasa) prepared with water and salt should be given. Warm water is to be taken after this.
This is again to be repeated for the eleventh and twelfth meal times. Thereafter, the patient should take food having different tastes and he should start taking his normal diet from the seventh night.

Another method of Samsarjana

Persons who have had the maximum, medium and minimum purificatory therapies, should consume
Peya- thin Gruel,
Vilepi- thick Gruel,
Akruta Yusa- soup not processed with fat, salt, sours etc.
Krutayusa- Soup processed with fat, salt and Sours and
Rasa- meat juice- in Successive order, for three, two and one Annakala- time of meal respectively.

Eating periods = Anna Kala.
Each day has two anna kala. – morning and evening.
If the maximum vomiting bouts were observed (Ati Yoga), Then, the patient should take Peya, Vilepi, Akruta Yusha, Kruta Yusha and Mamsarasa – three eating periods (Annakala) each. The patient will not have any food except these. Likewise, for the medium vomiting bouts, the number of eating periods Is two each and for lesser bouts (Heena Yoga), the number of eating periods (Anna kala) is one each.

Benefits of Samsarjana Karma

Just as a spark of fire after being fed by grass, powder of dry cow dung etc, gets augmented gradually and becomes great, steady, and capable of burning everything, similarly, the internal digestion fire, by the Samsarjana regimen, in the patient who has undergone virechana karma, gains strength.

Virechana for normal person
For people with Pitta body type – who sweat a lot, who have redness in palm, feet, who are short tempered etc, they should undergo Virechana therapy, quite regularly.
Even for other normal people, during autumn season, when Pitta gets aggravated naturally, due to seasonal factors, Virechana treatment is administered.

Can Virechana treatment be given without doing Vamana?
Usually Virechana is done following Vamana. But in pure Pitta imbalance disorders and when the patient’s Agni – digestion strength is strong, Virechana can be given without Vamana.

After Snehapana, during the rest period, can head bath be taken?
If head massage is done, then head bath (hair wash) can be done.

Sadhyo virechana

In Sadya Virechana is the purgation treatment is given on an immediate basis. It can be given without Snehana or Swedana. Or it is given by following snehana (high dose of ghee) and swedana for a short period of 1 – 3 days.
Sadya Virechana is given
a. During emergency – as in case of poisoning
b. When the Doshas are in the Koshta – the digestive tract itself, hence, eloborate Snehana and Swedana are not required.

Kaphanta Virechana

By Dr Raghuram Y.S. MD (Ay) & Dr Manasa, B.A.M.S

Virechana means therapeutic purgation. It is a part of Panchakarma cleansing therapies. Virechana targets expulsion of morbid pitta or pitta predominant doshas from the body. But it is said that the purgation therapy should be given until the kapha is eliminated in the feces. If purgation is the best remedy for pitta and if we are administering it to expel excess pitta from the body or to effectively treat the pitta predominant disease then why should we look for kapha to get expelled at the end of purgation therapy?
Read – Virechana Therapy – Right Method, Side Effects, Management

Kaphanta means ending with kapha. Kaphanta Virechana means purgation should be administered until kapha is seen in the feces. When kapha is seen in the feces, the purgation therapy should be stopped immediately. Therefore the sight of kapha is a sign of completion of emesis therapy successfully. It is also an indication to the physician that no more purgation should be administered.

To understand this we shall first understand the regional anatomy of the doshas.

Kapha, Pitta and Vata are located above the navel, in the region of the navel and below the navel respectively. So, kapha is located in the upper portion, pitta in the middle portion and vata in the lower portion of the body. The zone of pitta is thus located between the kapha region above it and vata region below it.  We need to remember that these doshas are located everywhere in the body and the mentioned anatomical regions are their regions of predominance.

Amashaya which means stomach is said to be the seat of both kapha and pitta. But the term can be used to include the upper part of the intestine also. Amashaya can be divided into Urdhwa Amashaya i.e. the upper region of stomach which is the anatomical stomach and Adho Amashaya i.e. the region below the anatomical stomach i.e. the upper part of small intestine. Thus kapha is predominantly present in the upper part of the stomach and pitta in its lower part.

When purgation therapy is administered the pitta in the stomach / intestine are pushed downwards due to the effect of the medicine and is expelled through the anal route. Once pitta has been totally expelled, the kapha located in the upper stomach is pulled downwards due to the effect of purgation medicine. When this kapha is seen in the feces, the purgation is said to be completed and pitta is said to be expelled totally. Therefore the physician should carefully observe for the appearance of kapha in the feces towards the end of purgation therapy.
Read – 37 Ayurveda Home Remedies For Diarrhea And Dysentery

How to know that kapha is coming down through the feces at the end of purgation?

In therapeutic purgation urine, feces, pitta, purgation medicine, kapha and vata are eliminated in that order. Only when they are eliminated in this order it will be considered as signs of properly done purgation therapy.

In purgation, only the sight of kapha at the end is desired, but not the complete evacuation of kapha. If kapha is expelled in excess at the end of purgation or when purgation is not stopped at the sight of kapha many complications will arise and may prove threat to life.

Kapha will be seen as mucus or mucoid material being expelled at the end of the purgation. The patient may experience slimy things coming out of his anus.
Read – Kapha Increase Symptoms – Kapha Vruddhi Lakshana

Is expulsion of kapha the ultimate sign of comprehensive purgation?

Purgation is said to be comprehensive and fruitful if kapha is seen at the end of the purgation. Along with this, the number of bouts and quantity of purged material should be in accordance to the type of purgation administered i.e. major cleansing, moderate cleansing or minor cleansing. Also signs of proper purgation should be present.

Shuddhi – type of cleansingSigns of cleansing
Maniki – quantity of vomited materialVaigiki – number of bouts of emesisLaingiki – symptoms of proper emesis (common for all types of cleansing)Antiki – dosha seen at the end of emesis
1. Pradhana – major cleansing4 prastha – 2592 grams30 boutsTimely expulsion of doshas Expulsion of feces, pitta, purgation medicine, kapha and vata in that order Purification of channels and sense organs Lightness of body Kindling of digestive fire Suppression / cure of diseases for which purgation was administered Downward movement of vata Absence of signs of incomplete evacuation or excessive evacuationKaphanta – expulsion of kapha at the end of purgation
2. Madhyama – moderate cleansing3 prastha – 1944 grams20 boutsKaphanta – expulsion of kapha at the end of purgation
3. Avara / Jaghanya – minor cleansing2 prastha – 1296 grams10 boutsKaphanta – expulsion of kapha at the end of purgation

Headache during Virechana

Q: What should do if the patient has headache on virechan day?
Dr JV Hebbar
If the headache is ahead of Virechana medicine administration –
Due to Pitta prakopaka food given the previous day, some people may get mild headache. Check the BP. If the BP is normal, then virechana can be given.
If headache is severe, associated with nausea and dizziness, better to avoid virechana on that day.

If the headache occurs after administering Virechana medicine, then as per Charaka Siddhisthana, 6th chapter, it could be due to indigestion of Virechana medicine.

Signs of residual Drugs (Shesha Aushadha):
क्लमो दाहोऽङ्गसदनं भ्रमो मूर्च्छा शिरोरुजा| अरतिर्बलहानिश्च सावशेषौषधाकृतिः||२७||
klamo dāho’ṅgasadanaṃ bhramo mūrcchā śirorujā| aratirbalahāniśca sāvaśeṣauṣadhākṛtiḥ||27||

If the drugs of the recipe are not fully digested, and a part remains undigested, then this gives rise to the following signs:
Klama (mental fatigue), Daha – Burning sensation,
Anga Sadana – Prostration of limbs, Bhrama, Murcha – Giddiness, Fainting,
Shiroruja – Headache,
Arati, Balahani Disliking for everything around and, Diminution of strength. [27]

Remedy for it is –
Indigestion of recipe

पीतौषधो न शुद्धश्चेज्जीर्णे तस्मिन् पुनः पिबेत्| औषधं न त्वजीर्णेऽन्यद्भयं स्यादतियोगतः||३५||
pītauṣadho na śuddhaścejjīrṇe tasmin punaḥ pibet| auṣadhaṃ na tvajīrṇe’nyadbhayaṃ syādatiyogataḥ||35||

If the medicine taken for emesis and purgation does not produce the appropriate cleansing effects, then after its digestion, the therapy is administered again (on the same day). Before the digestion of the earlier recipe, the therapy should not be administered. Repetition of the therapy may lead to AtiYoga (excessive action). [35]

82 comments on “Virechana Therapy – Right Method, Side Effects, Management

  • sudhit pandey

    16/10/2014 - 9:58 pm

    Very nice.

    Reply to comment
  • Prani

    03/11/2014 - 7:17 am

    Hi,Jenny.Really I impressed.

    Reply to comment
  • sakhawat

    13/12/2014 - 11:55 pm

    is virechana same as laghoo shankhaprakshalana? what are the benefits of laghoo shankhaprakshalana?

    Reply to comment
  • Manjunath SN

    03/04/2015 - 4:21 pm

    I found this article very beneficial as I am undergoing vamana and virechana for psoriasis. It guided me on each and every step.

    Reply to comment
  • Dr J V Hebbar MD(Ayu)

    24/04/2015 - 7:55 pm

    Castor oil / Trivrit Lehyam / Avipathikara Choornam

    Reply to comment
    • Sheva

      26/04/2015 - 12:58 am

      What would be a suggested virechana dosage and duration for using
      Castor oil / Trivrit Lehyam / Avipathikara Choornam at the end of a 7day Ghee Snehakarma? Can Avipathikara Choornam be used alone, dosage?

      Reply to comment
      • Dr J V Hebbar MD(Ayu)

        26/06/2015 - 9:25 pm

        It depends on many factors, mainly – Koshta – digestion strength of the patient. Some may have purgation with only 5 – 10 grams of Trivrit Lehyam but some may not get even with 30 grams.

        Reply to comment
  • R_Kumar

    23/05/2015 - 7:03 pm

    Thanks for the detailed information! Very, very useful.
    I’ve a few questions:
    -Is one day’s Virechan enough in Vata-Pitta conditions?
    -In usual practice, how many Virechans are given in succession?
    -If more than one Virechanas are given, then are they given on consecutive days?
    -Similarly, in usual practice, how many VamanaKarmas are given in Panchakarma therapy?

    Reply to comment
  • kamal kumar

    09/07/2015 - 9:18 am

    quite informative artical sir thanks sir !

    Reply to comment
  • dr.kinjal thumar

    10/09/2015 - 10:55 am

    Its good but explain with modern mechanism aspect

    Reply to comment
  • Dr J V Hebbar MD(Ayu)

    16/09/2015 - 11:40 pm

    The Virechana dose depends on digestion strength. It varies from 30 – 120 ml. But such a high dose, without medical supervision will be very dangerous. Read more about castor oil details –

    Reply to comment
  • Shilpa Rao

    13/10/2015 - 12:06 am

    Thankuuuuuuuu soooooo much.

    Reply to comment
  • chris

    17/10/2015 - 2:06 pm

    Hi, I suffer from mild-stark acne, and thouht that doing a virechana would be useful.
    Do you agree or are there other things to do?

    Reply to comment
  • Preethy

    14/11/2015 - 10:11 pm

    Thank you doctor. In the end you mentioned for a normal person with Pitta body type they need to undergo regular virechana especially during fall. How often should that person do virechana and which months. Thank you

    Reply to comment
    • Dr J V Hebbar MD(Ayu)

      25/01/2016 - 10:38 pm

      At least on once a year. in the month between September – october

      Reply to comment
  • Rahul

    27/11/2015 - 5:31 pm

    thanks for the useful information.

    How often one can go for virechana? (because psoriasis is reoccurring even after virechana)

    Reply to comment
    • Dr Malini Bhat

      04/01/2016 - 12:35 pm

      Dear sir, Would advise you to take expert suggestion in this regard. The Ayurvedic physician will assess you and lay down the treatment for you based on the severity of psoriasis, the kostha , bala and Age.

      Reply to comment
  • hema

    14/01/2016 - 10:38 pm

    I have dermal pigmentation due to lichen plannus on face. Will virechana be helpful?

    Reply to comment
  • asha

    15/04/2016 - 2:34 pm

    Very informative thank you. This week iam taking virechana treatment tomorrow I will be taking 90ml of the medicated ghee and have to go for body massage and the following day I will be taking the leghyam. Can you tell me what kind of massage will be given to me tomrrow. Iam taking this treatment for allergy rashes

    Reply to comment
    • Dr J V Hebbar MD(Ayu)

      27/04/2016 - 10:03 pm

      Hi, general full body oil massage (Abhyanga) with skin benefitting oil such as Eladi taila / Manjishtadi taila / Nalpamaradi oil etc may be given to you. The choice of oil rests with the doctor.

      Reply to comment
  • Dr Malini Bhat

    02/06/2016 - 10:38 am

    Namaste Sir, Virechana Treatment should be done under medical supervision only and cannot be done at home.

    Reply to comment
  • colleen

    26/06/2016 - 6:10 pm

    I have an allergy to tomatoes ashwagandha is nightshade and related to tomatoe will this affect me taking the ashwagandha. Thank you

    Reply to comment
    • Dr J V Hebbar MD(Ayu)

      27/06/2016 - 3:57 pm

      Hi, unlike other nightshades, root of Ashwagandha is used. Hence, people who have nightshade allergy can take Ashwagandha.

      Reply to comment
  • rajat

    12/07/2016 - 8:44 am

    Sir sebrrohoiec dermatitis(vicharika) k liye kuch tips btaiye

    Reply to comment
  • Dr J V Hebbar MD(Ayu)

    09/08/2016 - 5:33 pm

    Triphala is mild, compared to Trvrit Lehya. Hence, it is best to take it before night, after food
    If the purgative quantity is less, increase the dose of churna at that night.
    If it is more, than kutaja ghanavati tablet – 2 tablets 2 or 3 times a day after food needs to be taken.

    Reply to comment
  • Ravi

    10/08/2016 - 11:03 pm

    Sir ,Would the candidate go through the same multiple vegas (10 or more) when the purgative is consumed a night before the virechana day as one would have in the morning of the virechana day ?

    Reply to comment
    • Dr J V Hebbar MD(Ayu)

      14/08/2016 - 2:00 pm

      If it is with Triphala, a night before, there may be only 3 – 4 Vegas.

      Reply to comment
  • Ramkumar Nagara

    27/09/2016 - 6:13 pm

    Even after virechana, i still have the same fartin, belching issues. What next mate?

    Reply to comment
  • Ravi

    15/10/2016 - 12:10 am

    How can we use Milk as a mild laxative ? How often can the milk as a laxative be used ?

    Reply to comment
    • Dr J V Hebbar MD(Ayu)

      17/10/2016 - 4:14 pm

      If someone has Mrudukoshta (soft, sensitive colons), milk alone or milk + sweet raisins act as laxative. This can be used once in two days time, as laxative.

      Reply to comment
  • Swati

    31/10/2016 - 10:33 pm

    Hello, I have uterine fibroids and did virechana therapy and the next menses were heavy, purple, thick and had clots. Is this normal?

    Reply to comment
  • Concerned mother

    08/11/2016 - 10:36 am

    My son has undergone both Vaman and verechan therapy for his skin ailment(eczema). In the process he has lost 15kg weight due to diet restriction. Is it all right?

    Reply to comment
  • Mounish

    19/11/2016 - 9:54 pm

    Sir After taking vemana treatment
    Is virechana treatment compulsory?

    Reply to comment
    • Dr J V Hebbar MD(Ayu)

      23/11/2016 - 5:08 pm

      No. It is not compulsory.

      Reply to comment
  • Preeti

    20/02/2017 - 6:45 pm

    I am a pcod patient,can virechana be helpful to treat infertility?

    Reply to comment
  • Dr J V Hebbar MD(Ayu)

    10/03/2017 - 11:18 pm

    You will have to consult an Ayurveda doctor. Do not self-do Virechana. It can be very dangerous.

    Reply to comment
  • Dr J V Hebbar MD(Ayu)

    15/03/2017 - 2:06 pm

    No. Please go ahead.

    Reply to comment
  • Peadeep

    17/03/2017 - 10:14 pm

    Can BP patient take virechan therapy

    Reply to comment
  • kiran

    04/04/2017 - 4:23 pm

    Im going through virechana therapy today…but i gone through only 3 motions n its stop automatically….is it ok

    Reply to comment
  • Dr J V Hebbar MD(Ayu)

    11/04/2017 - 10:40 pm

    Vamana, followed by Virechana is more useful.
    Read remedies here

    Reply to comment
  • Mohini

    13/04/2017 - 10:11 pm

    Doctor, for 7 days i drank ghee and other 2 days snehan. Now today drank senna as purgative. But it is not working. I am not able to clean my stomach. Does it mean i need to drink more of senna? I feel hungry though. During ghee drinking time i used to have diarrhea. Thank you!

    Reply to comment
  • Dr J V Hebbar MD(Ayu)

    14/04/2017 - 11:24 pm

    Hi, it is fine to stop at 150 ml.
    Usually protein rich drink is given as an alternative to meat juice.

    Reply to comment
  • Dr J V Hebbar MD(Ayu)

    14/04/2017 - 11:29 pm

    Please consult an Ayurveda doctor.

    Reply to comment
  • Puza

    14/05/2017 - 10:25 am

    Hi doctor,

    In the course of panchksrma treatment, I was treated with shirodhara for 3 days after that I coul.not go out because of excess heat. When I faced heat, felt dizzy and weak. Doctors gave me aswagandha churns, godanti bhasma, prabal panchamruit, mukhtar sukti bhasma, jahar mohara pisti with panch tikta kwath. Again they are giving me enema and I am feeling better. Instead of shirodhara they gave me takradhara. It is helping but not completely. I can not tolerate heat at all I have excess pitta in my body. What should I do in this case? I did birechan in February. I would like to do proper birechan next time. How should I go for best result? I have burning sensation on my back. Extremely Looking forward to hearing from you. Thank you so much.

    Reply to comment
  • sunil kumar

    16/06/2017 - 12:29 pm

    Sir my digestive system is very weak..please tell me whats treatment is better for me

    Reply to comment
  • Puja

    26/06/2017 - 1:56 am

    Hi, is virechana useful for rosacea?

    Reply to comment
  • Krithikaa

    19/07/2017 - 3:59 pm

    I have psoriasis.I had undergone vamana and now i am undergoing virechana.vamana had improved my condition.i had oil massage and steaming all days.the diet i am following is normal except to avoid tamarind and curd.will this alone cure psoriasis as i have lesions in 10 -15% of my body?

    Reply to comment
    • Dr J V Hebbar MD(Ayu)

      20/07/2017 - 11:41 am

      Hi, usually Vamana and Virechana treatments, followed by Ayurvedic medicines are very useful. Please go ahead as per your doctor’s advice.

      Reply to comment
  • Tejal

    22/07/2017 - 8:18 am

    I passed through virechana bedore 6 days… 9-10 motions only I did… after virechana day I didn’t go for motion yet… I m on liquid diet for first three days… afterward I started with boiled vegetables… I m worried if virechana improves digestive system so why still no any motion passed away???… is it normally happened or something is wrong sir??

    Reply to comment
  • Reshma

    10/09/2017 - 11:27 pm

    Is virechana treatment useful on fibrosis? Can fibroids completely removed or it will only shrink In their sizes..

    Reply to comment
  • Niharika khera

    15/09/2017 - 2:18 pm

    I took uptil 12 tea spoon ghee till day 4, day 5 I felt like vomiting, I couldn’t take more than 3, and I got my periods now which is at least a week in advance why ? And what shall I do now ?

    Reply to comment
  • Niharika khera

    15/09/2017 - 2:19 pm

    Also I am constipated from day it normal

    Reply to comment
    • Dr J V Hebbar MD(Ayu)

      15/09/2017 - 5:40 pm

      After Virechana therapy?

      Reply to comment
  • Ravi

    19/09/2017 - 3:02 pm

    Respected Sir,
    I am sharing a link with you. I am sharing it to have your opinion on the liver cleansing method which I think is VIRECHANA with olive oil and the process seems to be rather easy and super safe.Do you find any harm in following this method.
    Sir what is “EPSOM SALT” called in Ayurveda ?

    Reply to comment
    • helpaieee

      20/09/2017 - 12:19 pm

      I live in jaipur rajasthan.I a reday to go elsewhere if I can have better places.First preference is obviously jaipur then north india and then south india.

      Reply to comment
      • Dr J V Hebbar MD(Ayu)

        21/09/2017 - 1:08 pm

        Please visit Hospital attached to National Institute of Ayurveda, Jaipur.

        Reply to comment
  • helpaieee

    19/09/2017 - 4:11 pm

    Hi Doctor which are the best places to undergo panchkarma in India?

    Reply to comment
    • Dr J V Hebbar MD(Ayu)

      20/09/2017 - 11:21 am

      Tell me your convenient places. I will try to give best suggestions

      Reply to comment
  • Ravi

    20/09/2017 - 3:20 pm

    How deep seated pitta could this method pull out in your opinion sir ?
    Could we replace olive oil with ghee in this ?

    Reply to comment
  • Ravi

    22/09/2017 - 10:46 pm

    Have you heard of some experiences or information about stones coming out during Virechana vegas ?

    Reply to comment
  • Shweta

    28/09/2017 - 11:47 am

    Hello sir,
    I want to know steps and ingredients for kaadha
    For purgation ( krura kostha).

    Reply to comment
    • Dr J V Hebbar MD(Ayu)

      09/10/2017 - 1:09 pm

      Castor oil or Trivrit Lehya is used.
      Purgation treatment cannot be done by yourself. Please consult an Ayurveda doctor directly.

      Reply to comment
  • Dr J V Hebbar MD(Ayu)

    19/10/2017 - 2:41 pm

    Hi, the purpose of virechana is to expel out toxins from all parts of body through the gut. The oil massage helps in loosening these toxins and bringing them to the gut.
    Coconut oil is a coolant and does not stimulate movement. Hence, sesame oil based herbal oils are more suited. If they are bad smelling, a pinch of camphor can be added to the oil to make the smell tolerable.

    Reply to comment
  • Ravi

    29/10/2017 - 1:55 pm

    Respected Doctor,
    You have mentioned the use of PURGTIVE FOODS if the internal snehan itself starts loose motions. What are those purgative foods that should be taken if the virechan starts at the internal oleation stage ?

    Reply to comment
  • Ravi

    29/10/2017 - 1:59 pm

    Can the virechana loose motions be stopped midway through the vegas by some means if the atiyoga symptoms are begining to appear but havenot fully appeared ? Does stopping the warm water drinking stops the vegas ?

    Reply to comment
  • Sumesh

    02/01/2018 - 4:49 pm

    I have read almost all your articles .All of them are very clear and you have made all efforts to make the language simple for a layman to understand . Kudos to you Doctor .. Happy New Year and God Bless !

    Reply to comment
  • vaishnavi warkad

    21/02/2018 - 3:39 pm

    Namste Sir
    Kya virechna kriya krnese luecodurma thik hota he…
    Aur weight gain ke liye virechna helpful he

    Reply to comment
  • Niviya

    28/02/2018 - 10:51 pm

    Sir is there any objective parameters to assess the quality of virechana?

    Reply to comment
  • Garima Majithia

    09/08/2018 - 1:37 pm

    hi doctor..
    appreciable efforts u r doing sir .. really impressive..
    just wanna know bit about sadhya virechan.

    Reply to comment
  • Neelesh

    22/09/2018 - 10:16 am

    Appreciate the kind of effort you have put in to write so many articles. Keep up with the good work God Bless.

    Reply to comment
  • Mohit Sharma

    01/08/2019 - 6:32 pm

    Hi Doctor,
    You mentioned in the article that vamana has to be followed by virechana. Can virechana be taken alone, without preceding vamana?

    Reply to comment
    • Dr J V Hebbar MD(Ayu)

      02/08/2019 - 12:41 pm

      Usually Virechana is done following Vamana. But in pure Pitta imbalance disorders and when the patient’s Agni – digestion strength is strong, Virechana can be given without Vamana.

      Reply to comment
  • Dr Md Arif Mirzanaik

    03/04/2020 - 4:07 am

    Please provide some information on SADHYOVIRECHANA.

    Reply to comment
    • Dr J V Hebbar MD(Ayu)

      12/05/2021 - 11:31 pm

      In Sadya Virechana is the purgation treatment is given on an immediate basis. It can be given without Snehana or Swedana. Or it is given by following snehana (high dose of ghee) and swedana for a short period of 1 – 3 days.

      Reply to comment
  • Chetan Kumar G

    07/12/2020 - 6:00 am

    Dear Doctor,

    I wish to thank you for the efforts you have put in to provide so much information to the reader/seeker. It cleared so many doubts I had regarding Virechana. Now, I have the courage to undergo this process. I wish to reduce my weight from 90 Kgs to at least about 80 Kgs. Hope this will make me more active and alert.

    Reply to comment
  • rajesh

    26/09/2022 - 3:16 pm

    reference for sadyo virechana?

    Reply to comment

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