INTRODUCTION TO INTRODUCTION TO YUKTIVYAPASHRAYA AND YUKTIVYAPASHRAYA AND

ANTAHPARIMARJANA ANTAHPARIMARJANA --SAMSHODHANA CHIKITSASAMSHODHANA CHIKITSA

Dr.Dr.Madhav DiggaviMadhav DiggaviM.D.(M.D.(AyuAyu) ) JamnagarJamnagar, , PhPh.D(.D(SchSch))

LecturerLecturerDepartment of Department of Kayachikitsa Kayachikitsa & & PanchakarmaPanchakarma

T.G.A.M.C. BellaryT.G.A.M.C. BellaryPhone : 98440 94290Phone : 98440 94290

ChikitsaChikitsa

Vyadhiharini KriyaVyadhiharini KriyaDhatu Samya KriyaDhatu Samya KriyaNa Yogaireva KevalamNa Yogaireva KevalamPurusham purusham VeekshyaPurusham purusham VeekshyaSthaanam jayet Sthaanam jayet hi hi purvampurvamSamprapti vighatanamevaSamprapti vighatanamevaTrividham Aushadham DaivaTrividham Aushadham Daiva--yuktiyukti--satvavajayasatvavajaya

Yuktivyapashraya ChikitsaYuktivyapashraya Chikitsa

# # Second of Second of Trividha AushadhamTrividha Aushadham## AharaAhara--AushadhaAushadha--Dravyanam Yojana Dravyanam Yojana ## MatraMatra and and Kala AshrayaKala Ashraya## Vaidya adheenaVaidya adheena# # Three TypesThree Types

-- AntahparimarjanaAntahparimarjana-- BahiparimarjanaBahiparimarjana-- Shastra PraneedhanaShastra Praneedhana

Antah parimarjana ChikitsaAntah parimarjana ChikitsaYat aushadham antah shareeramanupravishya Yat aushadham antah shareeramanupravishya Ahaara Jataah Vyadheen pramarshtiAhaara Jataah Vyadheen pramarshti..Nirama dehasya Nirama dehasya hi hi BheshajaaniBheshajaaniDoshaanam KshayamDoshaanam Kshayam,,VruddhimVruddhim, , SamatvamSamatvam, , avaranam avaranam vijnyasyavijnyasya..yadeerayet bahirdoshaanyadeerayet bahirdoshaanPravruttaan Doshaan Praakato UpekshetPravruttaan Doshaan Praakato Upekshet..

Langhana UpakramaLanghana UpakramaApataspana UpakramaApataspana UpakramaSamshodhana ChikitsaSamshodhana Chikitsa

A Special A Special Pharmacotherapeutic Pharmacotherapeutic modality modality unparallel unparallel to any medical to any medical system system -- limitations are to be justified.limitations are to be justified.

Yuktivyapashraya AushadhaYuktivyapashraya Aushadha

Antah Parimarjana ChikitsaAntah Parimarjana Chikitsa

Langhana Langhana / / ApatarpanaApatarpana

SamshodhanaSamshodhana

PradhanaPradhana GounaGouna

BastiBasti VirechanaVirechana VamanaVamana ShirovirechanaShirovirechana

Raktamokshana

SamshodhanaSamshodhana1.1. Shareerajaanam VikaranamShareerajaanam Vikaranam

Bastir vireko vamanam Bastir vireko vamanam || || VaVa

2.2. Chatushprakara SamshuddhihiChatushprakara Samshuddhihi……. || Ca. || Ca

3.3. Yadeerayet bahirdoshanYadeerayet bahirdoshan………… || || VaVa..

4.4. Taan upasthita Doshanam Panchakarmani Taan upasthita Doshanam Panchakarmani KarayetKarayet ……. || Ca.. || Ca.

5.5. Chaya eva jayet DoshamChaya eva jayet Dosham…….. || .. ||

Sarvakope seshaDosha avirodhatahaSarvakope seshaDosha avirodhataha…… ||||

SamshodhanaSamshodhana## Purva Purva karmakarma -- Preparation of Patient.Preparation of Patient.

## Pradhana Pradhana Karma Karma -- BastiBasti--VamanaVamana--VirechanaVirechana

## Paschat Paschat Karma Karma -- Peyadi SamsarjanaPeyadi Samsarjana

Mode of Adaptation of Samshodhanaa. Pachanaihi

DeepanaihiSnehaihiTaan svedaischa parishkrutaan

YathaasannamKaaleYathabalam

Shodhayet….. || || VagbhataVagbhata

B.B. Vaktrena Amashaya Malaan HaretVaktrena Amashaya Malaan Haret

Ghranena Urdhva JatrusthaanGhranena Urdhva Jatrusthaan

Gudena PakvaadhaanatGudena Pakvaadhaanat

C.C. Utklishtaan AdhahUtklishtaan Adhah--urdhvam va Hareturdhvam va Haret

Pravruttan doshaan praagato Pravruttan doshaan praagato upekshetupekshet..

Note :

Na Nirharet

Saamaan Doshaan

Sarvadeha Prasrutaan

Dhaatushu Leenaam

Anutklishtaan

Praksheena Balam Yasya

Anatomical Limitations of Samshodhana Aushadhi

* Oral Cavity --- Pylorus (Kaphasthana)

* Pylorus---- Ileocecal junction (Pittasthana)

* Ileocecal junction---Anal canal (Vatasthana)

In Antahkostha

* Vamana Aushadhi works upto pylorus

* Virechana Aushadhi works upto Ileocecal junction.

* Basti Aushadhi works upto anal canal / sigmoid colon.

Karyakshetra of active principles of Samshodhana

* all over the body

* through Sthulanu Srotas

* Agni Modulated.

“Samoshodhana is successful and

complete only after proper samsarjana

karma”

Peya -- more liquid , laghu, easy energizer.

Vilepi - Shukadhanya, CHO rich, Semi solid, energizer

Akruta Yusha / Mamsarasa --> shimbi, Protein food,

Dhatu Tarpana.

Kruta yusha / Mamsarasa--> Ghrita etc., Fats & Oils.

Samshodhana & Ashtangayurveda~ Bala Roga - Stanya pradoshaja,

Parigabhika,Talukantaka etc.,

~ Graha Roga - Revatee , Pootana,

Visha Tantra - Sarpadamsha, Sthaavara Visha

~ Urdhvanga- Vata abhishyanda, Adhimantha, Puyalasaka.

~ Shalya Tantra - Vrana, Bhagna, Arsha

~ Rasayana -Vajeekarana-Shodhana as

purvakarma.

Samshodhana Or Panchakarmaa. As risk as surgery.

b. wrongly popularised upakarmas

c. vamana karma - major operation without incision.

d. specialty and monopoly of Ayurveda compared to modern medicine.

e. Useful in Antarashraya Vyadhis.

f. expelling out endotoxins.

g. seasonal, voluntary, preventive & prophylactic therapy.

h. 0% Recurrence Casu 16/20

i. Shodhana in its remote effect is shamana as well as Rasayana.

j. Proper understanding, learning and practicing samshodhana under

strict and skilled supervision is a must.