Virechana Indication and Contraindication

In Ayurveda Virechana is the administration of purgative substances for the cleansing of pitta through the lower pathways.This therapy is recommended basically for imbalanced Pitta Dosha and removes excess pitta through increasing bowel movements Give virechana 3 days after vamana, or directly if vamana is not indicated for a particular individual. In either case, it is necessary to firstly do 3 days of internal oleation, and preferably both snehana (oleation) and svedana (sweating), which are purva karma. Virechana cleanses blood toxins, the sweat glands, kidneys, stomach, small intestine, colon, liver, spleen, and rakta vaha srotas.

Indications for Virechana

Contraindications for Virechana

Most pittagenic disorders Childhood and Old age
Skin diseases Acute fever
Chronic fever Diarrhea
Hemmorroids (piles) Dehydration
Abdominal tumors (gulma) Debility and Weakness
Spleenomegaly Emaciation
Hepatomegaly and Jaundice

Bleeding from rectum or lung cavities

Worms Excess snehana or svedana

Foreign body in the stomach


Immediately after vamana or basti

Glaucoma Low agni or indigestion
Attention Deficit Disorder (ADD) Prolapsed rectum

Severe, chronic constipation with hard stool

  Ulcerative colitis
Substances for Virechana  
Castor oil  
Senna (Sona mukhi)  
Sat Isabgol (Psyllium Seeds)  
Cow’s milk  
Cow’s milk and 2 tsp. ghee  
Aloe Vera  
Bhumi Amalaki  
Black Sesame Seeds  
Dandelion root  
Nishottara (Jaipal or Croton seed)  
Yellow Thistle (Suvarnaskshiri)  
Kutki (Hellbore)  
Cow’s urine  
Mango juice  

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