In this detoxification therapy, all vitiated doshas and toxins are eliminated through the return. It includes intake of Ayurvedic and herbal medicines which reduce doshas and toxins from the body and collect them to the abdomen. Mainly, Pitta is situated at the level of intestine. So, it is the best way to expel it through the anal route. The Ayurvedic medicines which are used for the procedure may vary from person to person depending patient's digestion strength.
Virechana Karma is the second procedure in the sequence of Panchakarma, mainly aimed at morbid Pitta Dosha. In simple words Virechana is that procedure which expels out the Doshas through Anal passage. Virechana is mainly intended for Pitta Dosha but it eliminates also Kapha Dosha.
Purgatives eliminate excess Pitta from its site in the liver, gall bladder, and small intestine (it does not deal with the large intestine). The bitter purgatives like rhubarb, senna, or aloe also clean the liver and gall bladder decongest bile and remove obstructions to its flow.
it is performed because the doshas which are supposed to be eliminated from our body are scattered throughout the body, those doshas come in stomach which is considered a headquarter (moolsthan) of kapha dosha due to this pre-procedure.
Patient is also mentally and physically prepared by this pre-procedure. It is the procedure of consuming a given amount of Medicated Ghruta in the morning ( Abhyantar Snehan) and whole body massage & Steaming in a clinic (Bahya Snehan - Swedan)
Poorvakarma is the preparatory procedures. It includes Deepana and Pachana followed by snehapana (oral intake of medicated ghee) for 3-7 days as per the condition of the patient. This is followed by Abhyana (external use of oil) and swedana (sudation) for 3 days.
Pradhanakarma is the administration of the drug of virechana as per disease. The drug used for virechana is Triphala prepared from Haritaki, Vibhitaki, and Amalaki. Castor oil is also added 30-35 ml according to the requirement.