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==== Indications of ''vamana'' ====
 
==== Indications of ''vamana'' ====
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''Virechana'' is considered the best therapy to purify ''pitta dosha'' especially. [15]
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''Virechana'' is considered the best therapy to purify ''pitta dosha'' especially. <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.-131</ref><ref>Vriddha Vagbhata, Ashtanga -Sangraha with “Shashilekha”commentary by Indu, Edited by Dr. Shivprasad Sharma, Chaukhamba Sanskrit Series Office, Varanasi (India), 2nd edition-2008,
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Page No.-9</ref><ref>Vagbhata, Ashtanga -Hridaya, with the commentaries “Sarvangasundara” of Arunadatta
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and “Ayurveda-Rasayana”of Hemadri Edited by Bhishagacharya  Harishastri Paradakar
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Vaidya, Chaukhambha Orientalia, Varanasi (India), reprint ninth edition-2005, Page No.-16</ref>
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''Virechana'' eliminates ''pitta'' or ''kapha pitta'' situated in ''pittashaya''. [16]
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''Virechana'' eliminates ''pitta'' or ''kapha pitta'' situated in ''pittashaya''. <ref>Agnivesha, Charaka-Samhita, with the “Ayurveda-Dipika”commentary by Chakrapanidatta
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and Edited by Vaidya Yadavji Trikamji Acharya, Chaukhamba Surbharati Prakashan, Varanasi
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(India), reprint edition-2000, Page No.-413</ref>
    
''Virechana'' treatments are of many types such as ''mridu virechana'', ''sukha virechana'' and ''tikshṇa virechana''. All the persons are not treated by the same medicines. So the application depends upon the nature of ''koshtha'', nature of the disease, strength of the person, age, season and many other considerable issues. ''Mridu virechana'' is not appropriate for the person having ''krurakoshtha'' and ''tikshna virechana'' is not suitable for ''mridu koshtha''. ''Tikshna virechana'' is advised in ''mrittika bhakshanajanya pandu roga'' and ''baddhodara'' in [[Charaka Samhita]] but it cannot be given to the patient suffering from the heart disease. ''Mridu virechana'' is advised in ''kamala roga'' . [17] ''Virechana'' given to the patients suffering from ''paittika'' disorders cannot be given to those suffering from ''pitta shlaishmika'' disorders. Again ''virechana'' medicines are of two types i.e. ''snigdha virechana'' and ''ruksha virechana''. ''Snigdha virechana'' is used in the person having dryness in the body and ''ruksha virechana'' is used in the persons who have unctuousness in the body. For example ''snighdha virechana'' is advised in ''vatodara''. [18] ''Tikshna vamana'' and ''virechana'', and other painful procedures are generally not advised in children and old, if required then ''mridu vamana'' and ''virechana'' should be administered .[19]  ''Virechana karma'' should be administered in ''Sharad ritu'' (autumn season) in healthy individuals because the aggravation of ''pitta-dosha'' takes place in this season naturally. Generally it should not be administered in peak of summer and peak of winter season as it may lead to ''atiyoga'' and ''ayoga'' respectively. [20]
 
''Virechana'' treatments are of many types such as ''mridu virechana'', ''sukha virechana'' and ''tikshṇa virechana''. All the persons are not treated by the same medicines. So the application depends upon the nature of ''koshtha'', nature of the disease, strength of the person, age, season and many other considerable issues. ''Mridu virechana'' is not appropriate for the person having ''krurakoshtha'' and ''tikshna virechana'' is not suitable for ''mridu koshtha''. ''Tikshna virechana'' is advised in ''mrittika bhakshanajanya pandu roga'' and ''baddhodara'' in [[Charaka Samhita]] but it cannot be given to the patient suffering from the heart disease. ''Mridu virechana'' is advised in ''kamala roga'' . [17] ''Virechana'' given to the patients suffering from ''paittika'' disorders cannot be given to those suffering from ''pitta shlaishmika'' disorders. Again ''virechana'' medicines are of two types i.e. ''snigdha virechana'' and ''ruksha virechana''. ''Snigdha virechana'' is used in the person having dryness in the body and ''ruksha virechana'' is used in the persons who have unctuousness in the body. For example ''snighdha virechana'' is advised in ''vatodara''. [18] ''Tikshna vamana'' and ''virechana'', and other painful procedures are generally not advised in children and old, if required then ''mridu vamana'' and ''virechana'' should be administered .[19]  ''Virechana karma'' should be administered in ''Sharad ritu'' (autumn season) in healthy individuals because the aggravation of ''pitta-dosha'' takes place in this season naturally. Generally it should not be administered in peak of summer and peak of winter season as it may lead to ''atiyoga'' and ''ayoga'' respectively. [20]