Changes

Evacuation of the fecal matter and other accumulated ''dosha''(vitiated factors) in the lower gastrointestinal tract through the anal route is known as ''virechana karma''(Ch. Ka.1/4). Among the three ''dosha'' the morbid accumulation of ''pitta dosha'' is best eliminated by this procedure. Abnormal accumulation of ''kapha dosha'' in the lower gastro-intestinal tract or ''pitta sthana'' (place) is also treated by the ''virechana karma''. This also includes treatment of vitiated ''dosha'' of the stomach, small intestine, liver and gall bladder, as well as a method of bringing them to the gastro-intestinal tract for their eventual expulsion from the body through rectum. This process not only eradicates the diseases of ''pitta'' and blood, but also it helps in rejuvenating all the tissues and organs in the abdomen, improving skin complexion, imparting longevity and increasing immunity.[Ca.Su.15/23; Su.Ci.33/18](Cha. Su. 15/23; Su. Chi. 33/18).

Evacuation of the fecal matter and other accumulated ''dosha''(vitiated factors) in the lower gastrointestinal tract through the anal route is known as ''virechana karma''(Ch. Ka.1/4). Among the three ''dosha'' the morbid accumulation of ''pitta dosha'' is best eliminated by this procedure. Abnormal accumulation of ''kapha dosha'' in the lower gastro-intestinal tract or ''pitta sthana'' (place) is also treated by the ''virechana karma''. This also includes treatment of vitiated ''dosha'' of the stomach, small intestine, liver and gall bladder, as well as a method of bringing them to the gastro-intestinal tract for their eventual expulsion from the body through rectum. This process not only eradicates the diseases of ''pitta'' and blood, but also it helps in rejuvenating all the tissues and organs in the abdomen, improving skin complexion, imparting longevity and increasing immunity.[Ca.Su.15/23; Su.Ci.33/18](Cha. Su. 15/23; Su. Chi. 33/18).

The selection of medicines for purgation depends upon, softness or hardness of bowel movements and constitution of the patient. Among the plants for purgation, ''Trivrit'' (Operculina turpethum) is considered the best because it causes comfortable evacuation. [Ca.Su.25/40].<ref> www.ijpbs.net/issue-4/Ph-53.pdf </ref>[ ]

The selection of medicines for purgation depends upon, softness or hardness of bowel movements and constitution of the patient. Among the plants for purgation, ''Trivrit'' (Operculina turpethum) is considered the best because it causes comfortable evacuation. [Ca.Su.25/40].<ref> www.ijpbs.net/issue-4/Ph-53.pdf </ref>

Operculina turpethum has anthraquinone glycoside also known as emodin. Unabsorbed in the small intestine, they are passed to the colon where bacteria liberates the active form, which either acts locally or is absorbed into circulation and gets excreted in bile to act on small intestine. The active principle is believed to work on myenteric plexus to increase peristalsis and decrease segmentation.

Operculina turpethum has anthraquinone glycoside also known as emodin. Unabsorbed in the small intestine, they are passed to the colon where bacteria liberates the active form, which either acts locally or is absorbed into circulation and gets excreted in bile to act on small intestine. The active principle is believed to work on myenteric plexus to increase peristalsis and decrease segmentation.

Cassia fistula’s laxative action comes from a group of well documented compounds called anthraquinones that are found in all cassia and senna plants in varying degrees.

Cassia fistula’s laxative action comes from a group of well documented compounds called anthraquinones that are found in all cassia and senna plants in varying degrees.

''Eranda'' (Ricinus communis) is used widely as purgative. It mainly contains triglyceride of ricinoleic acid which is a polar long chain fatty acid. It is hydrolysed in the ileum by lipase to ricinoleic acid and glycerol. It is believed to irritate the mucosa and stimulate intestinal contractions.<ref> florajournal.com/vol1issue3/aug2013/21.1.pdf </ref> [ ] [ verse 9-10]

''Eranda'' (Ricinus communis) is used widely as purgative. It mainly contains triglyceride of ricinoleic acid which is a polar long chain fatty acid. It is hydrolysed in the ileum by lipase to ricinoleic acid and glycerol. It is believed to irritate the mucosa and stimulate intestinal contractions.<ref> florajournal.com/vol1issue3/aug2013/21.1.pdf </ref>[ verse 9-10]

==== Herbs used in enema ====  

==== Herbs used in enema ====