Review Article
International Research Journal of Ayurveda & Yoga
Vol. 5 (7),197-201, July, 2022
ISSN: 2581-785X;https://irjay.com/
DOI: 10.47223/IRJAY.2022.5728
Applicability of Virechana in Kamala: A Literary Review
Vikas Chauhan1 , Sonam Sharma2
1-Associate professor, Dept. of Kaya Chikitsa, Prakash Institute of Medical science and Research, Jhajjhar,
Bulandshahr, Uttar Pradesh
2-Post Graduate Scholar, Dept. of Panchkarma, Yashwant Ayurvedic Medical College, Kolhapur,Mahrashtra
Article Info ABSTRACT:
Article history: In present era, everybody is looking towards ayurveda for health care.
Received on: 12-06-2022 Panchkarma is one amongthe primary key elements of ancient documental
Accepted on: 23-07-2022 science of life. Medicated purgation, medicated emesis, medicated enema,
Available online: 31-07-2022 nasal medication and bloodletting are the five purification proceduresfor
removing accumulated toxins and other waste material in the body. As the
Corresponding author- humors and tissueare related to each other, these discharge procedures affect
Vikas Chauhan, Associate the tissue indirectly by the strong elimination of the related humors. Virechana
professor, Dept. of Kaya Chikitsa, is considered as best therapeutic measures for pitta dosa among all five
Prakash Institute of Medical measures of Panchkarma. Virechana karma is one of the important bio
science and Research, Jhajjhar, purification measures which is indicated for complete elimination of pitta dosa
Bulandshahr, Uttar Pradesh not only in pathological stage but also in physiological stage, as explained
under seasonal regimen of autumn season. Kamala is Pittaja Nanatmaja as
Email: [email protected] well as Raktapradoshaja Vyadhi. Charakacharya has considered kamala as
advanced stage of Pandu Roga. Sushrutacharya has considered kamala as a
separate disease and also may be due to further complication of Panduroga,
whereas Vagbhatacharya described kamala as a separate disease. Kamala can
be correlated with jaundice in modern medical science. In Kamala Vyadhi
acharyas has explained Virechana Karma.
Keywords: Kamala, Virechana, Pitta, Panchkarma
INTRODUCTION
In the classics the Shodhana is specially indicated in modern medicine but we can say that toxins and metabolic
bahudoshavastha as a curative measure, in rutucharya as toxic products responsible for the disease are eliminated
preventive measure and prior to Rasayana Prayoga as a from the body. Shodhana chikitsa is performed mainly by
employing panchakarma. It includes – Vamana,
promotive measure1. Acharya Charaka says that doshas
Virechanaa, Ashapana basti, Anuvasana basti and
subdued by Langhana and therapies may provoke, but in
case of shodhana, there is seldom possibility of such Nasyakarma3. In our Samhitas, Kamala is briefly
recurrence2. The Shodhana has got no parlance in the described as Pitaj Nanamataj Vyadhi. Kamala can be
correlated with Jaundice in modern medical science.
This work is licensed under a CC BY 4.0 License
Vikas et. al “Applicability Of Virechana In Kamala: A Literary Review”: 2022; 5 (7):197-201
Kamala is disease related with pitta dosha. Acharya Ghrita used in kamala vyadhi for snehapan13
Charak has considered Kamala as advance stage of Pandu
Roga when a person with Pandu Roga continues intake of 1. Kalyanaka ghrita 14
Pittakar Ahaar then he may develop Kamala4. 2. Dadimadi ghrita15
3. Danti ghrita16
Definition
4. Pathya ghrita17
1. “Tatradoshaharanam adhobhagam virechanaam
sangyakam” (Cha. Ka.1/4) The act of expelling doshas 5. Draksha ghrita18
through Adhobhagam is known as Virechanaa5. 6. Panchgavya ghrita19
2. The process of elimination of mala either in Pakva Or In 7. Mahatiktak ghrita20
Apakva Avastha but along with excessivefluid portion is 8. Haridradi ghrita21
known as Virechanaa6.
3. The term Kamala can be defined as “A pathological state In kamala, acharya Charaka state that “Kamali tu
in which hunger and appetite for food is diminished, all the virechane” virechana should be done by tikta andmrudu
malas get vitiated and decolorates (peeta, haridra) the dravya, following are advised 22 :
whole body” especially Mala Sthanas.
1. Abhyadi modaka
Nirukti of Kamala (Etymology)
2. Icchabhedi rasa
Kamala is a compound word Kama + la means lust or
desire. Kamala is a Pittaja Nanatmaja vyadhi7 and 3. Avipattikar choorna
Raktapradosaja vyadhi8. 4. Gandharvahastadi taila
5. Trivrit leha
Kamala Hetu
Charak Samhita- according to charak Samhita, kamala is Mode of action of virechana23 Flow chart 2
a clinical identity which develops after the pandu.
DISCUSSION
Table 1: Hetu of kamala9 Table 2: Ruddhapatha kamala hetu
In Charak samhitas acharya explains Kamala as one
among Nanatamaj vikara where involvement of pitta and
Classification10
rakta get vitiated. Kamala comes in existence as a
According to Acharya Charaka it is classified into two swatantra and partantra roopa( Swantantra where without
types – Shakhasraya Kamala and Kosthaasray kamala. pandu rog and Alpa avastha of pitta, partantra in which
Shakhasraya Kamala may manifest without pandu rog, if excess aggravation of pitta takes place or after pandu rog if
person consumes pitta aggravating factors but in this type patient still continue nidan sevan (bahu pitta ). Few
of kamala, pitta is less aggravated. That’s why sour and acharaya’s consider Kamala as upadrava of Pandu roga
pungent things are prescribed for the treatment of also. While explaining the treatment of kamala kostha
Shakhasraya Kamala. Patients to bring dosas from sakha sudhi to be done first to restore the pitta in its own
to the kostha. However, kosthaasray kamala manifest due place. Virechana not onlyremoved the vitiated pitta also
to excess aggravation of pitta (bahu pitta). does srotosmukha vishodhana where kapha got
accumulated and cause discoloration and obstruction to
Virechna pitta. During the virechana expulsion of vita, Pitta, Kapha
And vata takes places. And once the obstruction gets
Virechana therapy is a type of panchkarma. Virechana removed the normal pitta brings the luster to body and agni
means administration of purgative for the purpose of to swa-sthana.
eradicating dosha from the anus region. It is mainly done
to eradicate the aggravated pitta dosha in the body. Before CONCLUSION
virechana karma snehan should be done as purva karma. Virechana is prime treatment modality for the pittaja
For snehapana, medicated tiktarasatmaka ghrit should be Vikaras, where pitta and rakta are involved. And in kamala
used. due to kapha margavrodha pitta starts moving to sakha
rather than kostha. Virechana cause removal of this
198
Vikas et. al “Applicability Of Virechana In Kamala: A Literary Review”: 2022; 5 (7):197-201
margvarodh and brings the pitta to kostaha and proves the 9; Chaukhambha Bharti Academy, Varanasi, Reprint
Kamali tuvirechane. 2013.pp.488
10. Bvadgi P.S, A textbook of Kayachikitsa published by
Acknowledgement: Nil Chaukhambha Sanskrit sansthan edition 1st 2014 pp.506.
Financial support: Nil 11. Acharya YT, Charak Samhita Chakrpani tika,
Chaukhambha subharati prakashan, Varanasi reprint
Conflict of Interest: Nil
2013.pp. 528.
12. Acharya YT, Charak Samhita Chakrpani tika,
ORCID Chaukhambha subharati prakashan, Varanasi reprint 2013
Vikas Chauhan , https://orcid.org/ pp. 528-532.
13. Acharya YT Acharya, Charak Samhita Chakrpani tika,
0000-0003-2862-6972
Chaukhambha subharati prakashan, Varanasi reprint 2013.
pp. 529.
REFERENCES 14. Shastri R.D, Charak Samhita Vidyotini tika published by
1. Acharya YT, Charak Samhita of Agnivesha elaborated by Chaukhambha Vishwabharti pandu roga adhyay reprint
Charak and Dridh bala by Chakrapani Dutt, Sutrasthana 2012.pp.494.
2/7-15. Chaukhambha subharati prakashan, Varanasi 15. Shastri R.D, Vidyotini tika published by Chaukhambha
2009.pp.24-25. Vishwabharti pandu roga adhyay reprint 2012 pp.494.
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Charak and Dridh bala by Chakrapani Dutt, Sutrasthana Vishwabharti pandu roga adhyay reprint 2012 page 494.
2/7-15. Chaukhambha subharati prakashan, Varanasi 17. Shastri R.D, Vidyotini tika published by Chaukhambha
2009.pp.97. Vishwabharti pandu roga adhyay reprint 2012 pp.494.
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Charak and Dridh bala by Chakrapani Dutt, Sutrasthana Vishwabharti pandu roga adhyay reprint 2012 pp.494.
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2009.pp.24-25. Vishwabharti pandu roga adhyay reprint 2012 pp.494.
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Chaukhambha subharati prakashan, Varanasi reprint Vishwabharti pandu roga adhyay reprint 2012 pp.494
2013:.pp.528. 21. Shastri K, Charaka Samhita of Agnivesha elaborated
5. Acharya YT, Charak Samhita of Agnivesha elaborated by Vidyotini hindi commentary Part 2, Kalpa Sthan;1/5
Charak and Dridh bala by Chakrapani Dutt, Kalpsthan ¼. Chau-khambha Bharti Academy, Varanasi, Reprint
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7. Ibid. Maharogadhyay, 20/14, Chaukhambha prakashan,
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8. Acharya YT, Charak Samhita part-1 Vividhasitapeeta How to cite this article: Chauhan V, Sharma S
adhyaya 28/11-12 Varanasi chaukhambha Bharti academy, “Applicability Of Virechana In Kamala: A Literary
2011.pp.571 Review” IRJAY.[online]2022;5(7); 197-201.
9. Shastri K, Charaka Samhita of Agnivesha elaborated Available from: https://irjay.com
DOI link- https://doi.org/10.47223/IRJAY.2022.5728
Vidyotini hindi commentary, Part 2, Chikitsa Sthan; 16/7-
199
Vikas et. al “Applicability Of Virechana In Kamala: A Literary Review”: 2022; 5 (7):197-201
Table 1: Hetu of kamala9
Aharaja Viharaja Mansika
Kshara Divashayana Kama
Amla Ati vyayam Krodha
Lavana Ati maithuna Shoka
Ushna Ahara Vega dharana Chinta
Asatmya Ahara Bhaya
Masha
Tila taila
Table 2: Ruddhapatha kamala hetu
Excessive intake of ruksha guna ahar
Sheeta, guru, Madhur, rasa ahar
Ati vyayam
Veg dharan
Flow chart 1
Samprapti of Shakhashrita Kamala11 Nidana sevana, Vata Samprapti of Koshthashrita Kamala12 Pandu Rogi takes
and Kapha gets PrakopaVitiated Vata and Kapha circulate Pitta Ahara-Vihara
through the Pittavaha Srotas
Increased Ushna Tikshna gunaDushta Ahara Rasa
Avarodha of Pittavaha srotas by the vitiated Kapha Pachaka Pitta Dushti and Rasa
Margavrodha of Pitta occurs
Dushti Rakta and MamsaYakrutagamana
Tilapishtha-nibha mala pravrutti
Koshthashrita Kamala
Pitta begins to accumulate in liver and causesyellow
discolouration of eyes, skin, nails etc.
Shakhashrita Kamala
200
Vikas et. al “Applicability Of Virechana In Kamala: A Literary Review”: 2022; 5 (7):197-201
Flow Chart 2 Mode of action of virechana23
Virechana drugs (Ushna, Tikshna, Sukshma, Vyavayi, Vikasi properties)
Due to their Veerya and Prabhava, move to Hridaya
Circulate through the micro and macro channels due to its Sukshma and Vyavayi properties
Act over the vitiated complexes over the body With Ushna property, liquefy the Dosha
Samghata (Vishyandana) With Tikshna property, break them down into several particles
Liquefied matter then glides through various unctuous channels towards Shakha to Koshtha (Pravana bhava of
Sukshma guna)
Due to Prithvi and Jala Mahabhuta Move in downward direction
Expelled out through Guda marga
Virechana
201
