20-09-15 PK in Lifestyle Disorders

Role of Vamana & Virechana in
Lifestyle disorders
Ayurmitra Nadi Bhishak

P f KSR Prasad (Technoayurveda)
Prof KSR P d (T h d )
Professor & Head, Panchakarma, LN Ayurved College, Bhopal, MP
9290566566/9503227966 technoayurveda@yahoo.com
9290566566/9503227966 ‐ h d @ h
National Webinar On Role of Panchakarma in Lifestyle Disorders
On 15‐09‐2020 @ 2PM
Panchakarma Dept, Govt PG Ayurveda College, Varanasi
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/

Panchakarma in Lifestyle Disorders
01 Introduction
• Lifestyle diseases include
atherosclerosis, Heart disease,
atherosclerosis, Heart disease,
and stroke; Obesity and type 2
diabetes; and diseases
associated with smoking and
associated with smoking and
alcohol, drug abuse & work
pressure.
• Regular physical activity helps
prevent obesity, heart disease,
hypertension diabetes colon
hypertension, diabetes, colon
ा वासकृतमसुखमसुखानुब ं च;
cancer, and premature
ा ो िह वासो मूलमश ानां, mortality
Cha Chi 1‐4/5
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/ 34

01 Lifestyle
• A disorder which is linked with the way
a person lives can be termed as a
lif
lifestyle disease.
l di
• The Lifestyle is Swastavritta and includes
p
even the Occupational behavior also
• Ayurveda dictated Healthy Lifestyle in
many chapters in Charaka Sutra sthana –
• Swastavritta Chatushka – Matrasitiya,
Matrasitiya
Tasyasitiya, Navegandharana &
Indriyopakramana
• Apart from he discussed – Annapana
vidhi, Vividhasita peetiym at the end of
Sutrasthana reminding the importance

01 Indian Lifestyle
Indian Lifestyle
• Lifestyle Disorders in India are
Busy Life Reflections includes
Busy Life Reflections includes
heart diseases, obesity, and
g p
cancer along with depression &
anxiety
• The main causes of Lifestyle
Disorders in India are –
– no physical activities like exercising
– consumption of alcohol,
i f l h l
– smoking and drugs (Intoxication)
– Mainly the Food habits
Mainly the Food habits
01 Lifestyle Deviations
Lifestyle Deviations
मा ाशी ात् | आहारमा ा पुनरि बलापेि णी||३||
ापे
ाप या च ि भागसौिह मधसौिह ं वा गु ग णामु
णाम
पिद ते, लघू नामिप च नाितसौिह म ेयु थम् ||७||
Charaka Sutra 5 Chapter Regular Food & Exercise
• One have to consume Asita –
Khadita – Peeta – Leedha varieties
according to Agnibala Over Eating = Over Weight
• Guru Ahara consumption is limited
to ¾ or ½ where in the Laghu
Dravya is taken till satisfaction.
Massive eating ‐= Obesity

01 Listed for Regular Consumption

Listed for Regular Consumption
• Shali – Rice (note no Godhuma)
• Yava – Barley
• Mudga – Green Gram (note no Tuvardal)
षि का ािलमु ां • Sandhava – Salt (note no Iodized salt)
सै वामलके यवान्|
आ री ं पयः सिपजा लं • Amalaki – Emblica ((note no Tamarind))
मधु चा सेेत्||१२||
Charaka Sutra 5 Chapter • Sarpi – Ghee (note no Veg Fats)
• Madhu – Honey
Honey (note no Sugar)
(note no Sugar)
• Jala – Water (note no Mineral water)
• J
Jangala
l Mamsa
M – Chicken, Mutton
Chi k M tt
01 Season in Lifestyle
Season in Lifestyle
• The food according to season
consumed gives the strength
g g
and complexion
• 6 Rutu in 2 ayana with
temperature moisture wind
temperature, moisture, wind
variations influence the Food
and its Rasa combinations to
cause Dosha Vruddhi and
Disease in the body
• So, the seasonal regimen and
So the seasonal regimen and
dietetics are instructed in त ािशता ादाहारा लं वण वधते|
Ayurveda य तु सा ं िविदतं चे ाहार पा यम्||३||
Charaka Sutra 6 Chapter

01 Vega Dharana & Lifestyle disorders

Vega Dharana & Lifestyle disorders
• Bhashpa Nigrahana causes the
Hrudroga
g – to avoid it sleep or
p
hearing the music or watching
TV
• Sharama Nishwasa Dhjarana
cause – Hrudroga – to avoid
have good sleep & Basti Karma
• Nidra Nirodha Cause Obesity
Cause Obesity
and Heaviness in the Body – to
avoid undergo Massage and
good sleep
good sleep.
• Always Vyayama is Good as
prophylaxis in any Lifestyle
disorders
01 Vyayama ‐ Exercise
Exercise
शरीरचे ा या चे ा थैया • Regular exercise induces
था बलविधनी| . . .
लाघवं कमसाम थैैय lightness in the body ability
lightness in the body, ability
दु ःखसिह ु ता [१] | to do the work, strength,
दोष योऽि वृ ा
यामादपजायते
यामादु पजायत||३२||
||३२|| capability of withstanding in
capability of withstanding in
Charaka Sutra 7 chapter tough situations,
Normalization of Dosha and
digestion improvement.

01 Suggestions to Good Health

Suggestions to Good Health
• Rules for food selection, Making,
Consumption are many –
Consumption are many –
• Many rules and dictums are told for
healthy living
healthy living
• Making mind and body healthy with
behavior and food of Sadvritta and
Sadachara makes devoid of Lifestyle
नार पािणना ातो नोपहतवा Disorders like Hrudroga and Sthoulya
सा नाजिप ा .. .
नाितसमयं ज ात्, न िनयमं • Every one has to under go Rutu
िभ ात्, न न ं नादे शे चरे
त् , . . . .
Sandhi Shodhana regularly as
Charaka Sutra 8 chapter prophylaxis
prophylaxis
01 Shodhana
• Vamana and Virechana are
Porna Shodhaka and Vasti and
and Vasti and
Nasya are Ardha Chikitsa and
Ardha Shodhaka
• Out of Virechana is easy to
p p y
adopt as the role of physician is
limited
• Easy level Koshta Shuddhi
y is
possible for all age groups and
economical groups

01 Most common Lifestyle Issues

Most common Lifestyle Issues
Top lifestyle disorder are –
• Hypertension & Over Weight – Obesity
• The sequence is well explained by Charaka as –
All the bodily Dosha are vitiated due to the
Nind a Vir ddha Asatm a Apak a
Nindya, Viruddha, Asatmya, Apakwa,
Adhyasana, Parushita Bhojana, excess of
Madya, mamsa and Stree.
• There by Mamsa looseness, Sandhi
subluxation, Rakta over combustion,
li
liquefaction of fats appears
f ti ff t
• Fat doesn’t reach bones to nourish and Sukra
सव शरीरदोषा भव ा ाहाराद लवणकटु क . .
doesn’tt functions
doesn functions रोगाणामिध ानभू
ानभतोतो न सवमायु
सवमायरवा
रवा ोित| Charaka
h k
Chikitsa 1‐2/3 sloka

01 Development of Lifestyle disorder

Development of Lifestyle disorder
• As the Kaliyuga entered people started
eating as they are wealthy.
• Because of over eating they develop
inability of physical activity there by
lethargy ultimately made them to do
ultimately made them to do
िित तु कृतयुगे के षािि द ा
दानात् सा ि कानां स ानां money accumulation
शरीरगौरवमासीत् , शरीरगौरवा • As the money is acived they got
मः
मः, मादाल म् म, आल ा
त् स यः, स यात् प र हः, प attachment to it and develop peevishness.
र हा ोभः ादु रासीत् कृते| With that they got cunningness and
तत ेतायां लोभादिभ ोहः, अ become liar & Cheeters.
become liar & Cheeters.
ि ोहानृ
िभ ो तवचनम्, अनृतवचना
त् काम ोधमान े षपा ािभ • With that they are exposed to Kama,
घातभयतापशोकिच ो े गादयः Krotha, Mana, Dwesha, Parushata,
व ााः||
वृ
Charaka Vimana 3/24 Abhighata, bhaya, taapa, shoka udreka, etc.
01 Result of deviated Lifestyle

Result of deviated Lifestyle
• The best managements offered by
Ayurveda are –
• Virechana for all Cardiac Issues
• Vamana
V f
for all over weight issues
ll i ht i
01 Diagnose Lifestyle Level

Diagnose Lifestyle Level
• Education – High – Medium – Low
• Level off Education
i – Skilled
S i – Unskilled
i
• Food habits - Vegetarian / Mixed Diet
• Bowl Movements – Regular – Irregular
• Sleep
– - Patterns – Sound – Disturbed
• Addictions
– – Alcohol – Smoking – Drug – etc
• Sexual Satisfaction
– –Best – Better - Good–
d Nil
il
01 Diagnose Lifestyle Level

Diagnose Lifestyle Level
• Work style – Manual – Intellectual – Sedentary
• Whether Career – Life oriented
• Work Stress – Heavy – Moderate – Minimal -
None
• Work Movement – Always in Traffic with own
vehicle – Public Transport – No movement
• Financial Needs – High – Moderate - Low
• Medicinal Exposure – Frequently – often –
seldom – Never
• Females : Menstrual / Pregnancy – Abasement
etc
01 Pulse as Tool
Pulse as Tool
a
Pulse is Good
c
e
Tool to
Tool to
diagnose
Hidden
d
Lif t l
Lifestyle
b
a,b,c,d,e wave of five component
Disorders
Kapha Urdhwa (Bodhaka, tarpaka)
h dh ( dh k k ) C
PittaUrdhwa (Sadhaka, Alochaka) B
Vata Urdhwa (Prana, Udana)
Vata Urdhwa (Prana, Udana) A
Vata Adho (Samana, Apana) X
Pitta Adho (Pachaka, Ranjaka) Y
Kapha Adho (Kledaka, Avalambaka) Z
Dr. K. Shiva Rama Prasad, at http://technoayurveda.wordpress.com/ 19

01 Lifestyle Management
Lifestyle Management
• Common Managements of Lifestyle
disorders are according to Dosha
disorders are according to Dosha
• Most common are Hypertension (Rasa‐
Rakta vaha srotas) and Cardiac issues
Rakta vaha srotas) and Cardiac issues
are Pitta disorders require Virechana
Karma
• The Overweight and Obesity (Medo
vaha srotas) is the route cause of many
di
diseases like Madhumeha (Mamsavaha
lik M dh h (M h
srotas) which are Kapha predominant
requires Vamana Karma
requires Vamana Karma
01 Vamana Karma
Vamana Karma
• Before to Vamana it is must to
liquefy Fats through Abhyantara
liquefy Fats through Abhyantara
Snehapana
• Bahya Sneha – Abhyanga is done
along with Sweda karma to bring
l i hS d k bi
in to Koshta
• Vamana according to Kapha
Vamana according to Kapha
predominance addition of Vacha
and Other Vamanopaga Dravya
is necessary
• Sansarjana Krama has to be
followed
followed
01 Virechana Karma
Virechana Karma
• Choose wisely Anulomana, Sramsana, Bhedana
& Rechana according to patient
g p
• Best used for the Respiratory diseases, Diabetes,
Hypertension, Obesity, & psychological disorders.
• It can be prescribed even as prophylaxis for all
b b d h l f ll
lifestyle disorders
• Advantage is No need of separate Snehena
Advantage is No need of separate Snehena – it it
can be added even along with Virechana
Medicine
• Vata = Snigdha Lavana Virechana
• Pitta = Madhura Kashaya Virechana
• Kapha
K h = KatuK T k h Kshara
Teekshna Kh Vi h
Virechana
01 Virechana in HTN
Virechana in HTN
• 21 patients were given
TrivritaYoga Haritaki
TrivritaYoga , Haritaki,
Aragvadha and Eranda taila
f
for Virechana followed by
f y
Ghanavati of Shankhapuspi,
Ramesh Bhayal, Role Of Jatamansi, Arjuna, Amalaki,
Vi h
Virechana Karma And
K A d
Shamana Chikitsa In The Guduchi, Gokshura and
Management of
Uccharaktachapap ((EHT),
)
Punarnava
PG Dissertation submitted • 52.94% patients of Group A
to Gujarat Ayurved
University, Jamanagar, showed excellent response
2003
2003.

01 Virechana in HTN
Virechana in HTN
• Virechana Kashaya: 1) Trivrita:100gm
2) Aaragwadha: 50gm
) g g 3) Eranda
)
Taila:70 ml Sahapana: Draksha
Hima:100 ml
• Shamana: Arjunadi
Shamana: Arjunadi Ghana Vati: 2tab
Ghana Vati: 2tab
X 2 times (500mg each) in
Gyanenndra Datta Shukla, Vyanaudanou (after meal) for 30
Comaparative Study Of
Efficacy Of Virechana And days Anupana‐Luke
days, Anupana Luke warm water.
warm water
Basti Karma With Shamana • Effect of therapy was recorded as
Therapy In The Management 12.5% control relief, marked relief in
of Essential Hypertension, PG
of Essential Hypertension, PG
Dissertation submitted to
18 75% moderately improved
18.75%, moderately improved
Gujarat Ayurved University, 43.75% and mildly improved 18.75%
Jamanagar, 2010. and no relief was found in 6.25% of
patients
patients
01 Trivrut Churna in HTN
Churna in HTN
• Manju Mohan et.al, Efficacy of Nitya Virechana with Trivrit Churna in the Management of
Stage 1 Essential Hypertension – A Pilot Study, International Journal of Ayurvedic
M di i V l 11 (2), 249‐254
Medicine, Vol 11 (2) 249 254
– Nitya Virechana with 10 gms of Trivrit Churna

was given with lukewarm water at empty
was given with lukewarm water at empty
stomach around 6 a.m. for consecutive 15
days
days

01 Few Past HTN Researches

Few Past HTN Researches
• Role of Virechana karma and Virechana was given with
shamana chikitsa in Hypertension
w s r t uccha raktachapa by
w.s.r.t. uccha by Trvrut lehya 10 to 15 gm
10 to 15 gm
Bhayan Ramesh, 2003. depending upon the koshta of
• A Literary research on pts. After observing shuddhi
R kt h dhik t in Ayurveda
Raktachapadhikyata i A d l
laxanas samsarjana
j k
karma was
and the Effect of Virechana – an advised.
Observational Study by Sashidhar
H Doddamani 1999
H. Doddamani, 1999.
• G.H.Ananthasayana,
Management Of Essential
Hypertension In Ayurvedic
Hypertension In Ayurvedic
Perspectives, Department Of Post
Graduate Studies In Kayachikitsa,
Government Ayurveda Medical
Government Ayurveda Medical
College, Mysore. 2010
01 Virechana in HTN
Virechana in HTN

01 Virechana in HTN
Virechana in HTN
• Snuhi bhavit Katuki Virechana
Karma done for 10 patients
Karma done for 10 patients
• 35% patients showed excellent
improvement 35% patients
improvement, 35% patients
Pragna Shah, Role Of
showed marked improvement
Virechana With
Virechana With
Snuhibhavit Katuki In
The Management Of
Essential Hypertension,
PG Dissertation
submitted to Gujarat
Ayurved University,
Jamanagar, 2005.
Jamanagar, 2005.

01 Vamana in Over Weight

Vamana in Over Weight
• All diseases like Diabetes,
Atherosclerosis, etc lifestyle disorders
, y
starts with Overweight only – which
is Rasa nimitta
• Rasa dushti
Rasa dushti not only occur because of
not only occur because of
Over eating but also with the
Irregularities of Food intake and sleep
disturbances
• The Virechana either Ado or Urdhwa
is best for this situation to regulate
is best for this situation to regulate
• The first priority is Vamana as it is
p j Vyadhi
Kaphaja y

01 Vamana in Obesity
Vamana in Obesity
• 25 years old male gaining weight
gradually since 2 years Symptoms like –
– Bhara Vriddhi (weight gain),
– Chalasphik Udara, Stana (Excessive
movement of abdomen, breast and gluteal
region)
– Atikshudha (excessive appetite),
Pratik D. Bahute
D. Bahute et.al.
et.al. – Swedabadha ((excessive perspiration),
p p ),
Management of sthoulya – Dourbalya (weakness),
(obesity) through vamana
karma ‐ a case study, – Dourgandhya ( foul smell ).
I t l f •
International Journal of
ti lJ He lost after Snehapana 4.3 kgs
He lost after Snehapana 4 3 kgs weight
weight
Health Sciences and and after Madanaphala Vamana totla 8.4
Research (www.ijhsr.org)
y
Vol.10; Issue: 7; July
kgs weight in 19 days.
2020, 87=90 • BMI changed 31.8 to 28.7
h d
01 Vama inObesity
• 15 obesity Patients were
administered for Vamana
administered for Vamana
karma with madanaphala
pippali yoga in classical way
yoga in classical way
and 5.14% weight
Jyoti “Clinical
Clinical study on effect of
study on effect of reduction observed in the
Vamana and Udvartana karma
in the management of Sthoulya
Group

01 Virechana in Obesity
Virechana in Obesity
Chougule • Maximum Trivruta Leha dose of 50 gms
Paresh. Role of for 20 Sthoulya patients with different
Virechana
i h BMI
BMI.
Karma in the • Maximum weight was 108 Kg and
Management Minimum weight was 62.2 kg before
of Sthoulya,
y , treatment. After treatment maximum
treatment. After treatment maximum
IJAPR | July weight was 105.4, while minimum
2016 | Vol 4 | weight was 60 kg.
Issue 7 89‐92

01 Virechana in Metabolic Syndrome

Virechana in Metabolic Syndrome
Sharma Priyanka, Role
of virechana karma in
• 22 patients of Metabolic Syndrome with
metabolic syndrome
metabolic syndrome‐ hypertension, dyslipidemia, insulin
hypertension, dyslipidemia, insulin
Clinical trial,
Environment
resistance treated with Virechana Karma
Conservation Journal, in 2 consecutive sitting with a gap of 15
20(SE) 25 29 2019
20(SE) 25‐29, 2019
d
days in between
i b t

01 Virechana in Overweight
Virechana in Overweight
Magdum Rahul
Ravindra, Clinical Study
To Evaluate The Efficacy
• 20 patients of overweight
Of Virechana Karma In
Of Virechana Karma In
Sthaulya W.S.R. TO
treated with Virechana Yoga of
treated with Virechana Yoga of
OVERWEIGHT,
Department Of
Pippali, Nagar, Kshara,(each
Panchakarma In P.G.
Studies. S.D.M. College
g ) y
4gm) Shyama Trivritta ((10gm) &
g )
Of Ayurveda, Kuthpady,
Udupi 2010‐11
Madhu(Q.S).

01 Ruksha Poorva Vamana Virechana
Poorva Vamana Virechana
S Jagadesh Kumar, Shreyas, DM, Kiran
M. Goud. Rookshana Poorvaka Vamana
• Vamana with Madanaphala
Karma and Rookshana Poorvaka
Karma and Rookshana Poorvaka Pippali (n
(n=10)
10) & Virechana
& Virechana
Virechana Karma in the management of with Trivrut Avalehya (n=10)
Sthoulya vis‐a‐vis Obesity ‐Comparative
given after Rooksha Poorva
Clinical Study. J Ayurveda Integr Med
Sci 2020;3:20‐26. karma
karma.
BMI • It can be summarized that both
Vamana and Virechana Karma
cause marked reduction in
various parameters of Obesity.
• 3.09 BMI reduction with
3 09 BMI reduction with
Vamana and
Vamana • 1.49 BMI reduction with
Virechana
i h
Virechana was recorded
01 Conclusion
• Hypo & Hyperthyroidism, Various Skin
diseases of allergy and Pratishyaya, many
gy y y , y
Sankramika roga like HIV, Leprosy, Jwara
including pandemic COVID‐19 are also to be
considered as Lifestyle disorders
considered as Lifestyle disorders.
• The best way to prevent these Lifestyle
disorders is to follow Shodhana in Rutu
sandhi – Vasanta Vamana, Sharad Virechana,
etc through Self Pulse Diagnosis
• Apart from the seasonal Dosha elimination
Apart from the seasonal Dosha elimination
“Koshta Shuddhi” with Virechana is
necessary along with Stress releasing
Techniques like Shirodhara periodically
01 Conclusion
We need to pay attention towards –
– What we eat
– How we eat
– Where we eat
– Wh
When we eat t
– How much we eat
– Do we CLEAN our body & mind regularly
y g y
– if not to start doing it
– Are we provide proper REST to Body
(sleep) & Mind (Relaxation)
(sleep) & Mind (Relaxation)
• Maintain sound Lifestyle with
precautions our Physical, Psychological,
Professional, Social, Spiritual Health
Thank You
01 Thank You

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Role of Vamana & Virechana in

Ayurmitra Nadi Bhishak

Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/

Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/ 34

Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/ 33

Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/ 31

01 Listed for Regular Consumption

Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/ 29

01 Vega Dharana & Lifestyle disorders

Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/ 27

01 Suggestions to Good Health

Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/ 25

01 Most common Lifestyle Issues

Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/ 24

01 Development of Lifestyle disorder

01 Result of deviated Lifestyle

01 Diagnose Lifestyle Level

01 Diagnose Lifestyle Level

Dr. K. Shiva Rama Prasad, at http://technoayurveda.wordpress.com/ 19

Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/ 15

– Nitya Virechana with 10 gms of Trivrit Churna

Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/ 13

01 Few Past HTN Researches

Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/ 11

Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/ 10

01 Vamana in Over Weight

Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/ 9

Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/ 7

Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/ 6

01 Virechana in Metabolic Syndrome

Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/ 5

Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/ 4

Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/ 0

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