Changes

=== Contraindications of ''virechana'' ===

=== Contraindications of ''virechana'' ===

''Virechana'' is not advised in the conditions when ''kapha dosha'' is increased because ''manda'' (''alpa'') ''kapha'' is considered as an ideal condition for proper administration of ''virechana karma''.<ref>Agnivesha, Charaka-Samhita, with the “[[Ayurveda]]-Dipika” commentary by Chakrapanidatta and Edited by Vaidya Yadavji Trikamji Acharya, Chaukhamba Surbharati Prakashan, Varanasi (India), reprint edition-2000, Page No.-678</ref>.[[Panchakarma]] is not administered in the state of indigestion.<ref>Vagbhata, Ashtanga -Hridaya, with the commentaries “Sarvangasundara” of Arunadatta and “[[Ayurveda]]-Rasayana” of Hemadri Edited by Bhishagacharya  Harishastri Paradakar Vaidya, Chaukhambha Orientalia, Varanasi (India), reprint ninth edition-2005, Page No.-261</ref>

''Virechana'' is not advised in the conditions when ''kapha dosha'' is increased because ''manda'' (''alpa'') ''kapha'' is considered as an ideal condition for proper administration of ''virechana karma''.<ref> Chakrapani, Charak. In: Vaidya Yadavji Trikamji Acharya,Editors, Charak Samhita, Reprint Ed.,Varanasi; Chaukhamba Surbharati Prakashan,2000, Page No.-678</ref>.[[Panchakarma]] is not administered in the state of indigestion.<ref>Arunadatta, Hemadri,In: Bhishagacharya  Harishastri Paradakar Vaidya,editor, Ashtanga Hridayam, 9th edition,Varanasi:Chaukhambha Orientalia,2005, Page No.-261</ref>

Chakrapani, the commentator of [[Charaka Samhita]] has interpreted the term ''subhaga kshata guda'' as ''subhaga guda'' (one who has delicate anus) and ''kshata guda'' (one who has anal injury). He has also mentioned ''subhagam'' means ''sukhasamvardhita'' (those who has never faced any hardship) according to the view of other scholars in his commentary. ''Virechana'' applied in the person having injury to anus or delicate anus causes harm to the patients. In the person who has taken the ''niruha'' type of enema, at least seven days gap is essential to perform ''virechana karma'' and vice-versa. ''Virechana'' in pregnant woman is contra-indicated up to seventh month except in emergency. In eighth month if disease is curable by ''vamana'' or ''virechana'', then ''mridu vamana'' (mild emesis) or ''mridu virechana'' (mild purgative) can be given.<ref>Agnivesha, Charaka-Samhita, with the “[[Ayurveda]]-Dipika” commentary by Chakrapanidatta and Edited by Vaidya Yadavji Trikamji Acharya, Chaukhamba Surbharati Prakashan, Varanasi (India), reprint edition-2000, Page No.-344</ref>

Chakrapani, the commentator of [[Charaka Samhita]] has interpreted the term ''subhaga kshata guda'' as ''subhaga guda'' (one who has delicate anus) and ''kshata guda'' (one who has anal injury). He has also mentioned ''subhagam'' means ''sukhasamvardhita'' (those who has never faced any hardship) according to the view of other scholars in his commentary. ''Virechana'' applied in the person having injury to anus or delicate anus causes harm to the patients. In the person who has taken the ''niruha'' type of enema, at least seven days gap is essential to perform ''virechana karma'' and vice-versa. ''Virechana'' in pregnant woman is contra-indicated up to seventh month except in emergency. In eighth month if disease is curable by ''vamana'' or ''virechana'', then ''mridu vamana'' (mild emesis) or ''mridu virechana'' (mild purgative) can be given.<ref>Chakrapani, Charak. In: Vaidya Yadavji Trikamji Acharya,Editors, Charak Samhita, Reprint Ed.,Varanasi; Chaukhamba Surbharati Prakashan,2000, Page No.-344</ref>

Vagbhata added following conditions in the list of contraindications:  

Vagbhata added following conditions in the list of contraindications: