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The word ‘vireka’ or ‘virechana’ means purging or evacuation.<ref>Monier-Williams, Monier-Williams Sanskrit- English Dictionary, 1st edition; Oxford University Press, Vireka, Page 983</ref> It is one of the five purification procedures ([[panchakarma]]). Virechana is the best treatment to expel the vitiated [[pitta dosha]].[Cha.Sa.[[Sutra Sthana]] 25/40] This procedure is indicated for therapeutic purpose. The purges are induced after administration of medicine and stopped after effect is over. This procedure is different from pathological diarrhea caused due to disease pathogens. The elimination of waste materials can be done through the upper and lower routes. The word ‘shirovirechana’ is used to denote evacuation of morbid [[dosha]] from supraclavicular region by intra nasal administration of medicine. However, in a broader sense the term ‘virechana’ is used to denote the elimination of [[dosha]] from large bowels i.e. therapeutic purgation. [Cha.Sa.[[Kalpa Sthana]] 1/4] This article focuses on therapeutic purgation. The word ‘purge’ is used to indicate a bout of defecation caused by purgative medicine.
    
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The word ‘vireka’ or ‘virechana’ means purging or evacuation.<ref>Monier-Williams, Monier-Williams Sanskrit- English Dictionary, 1st edition; Oxford University Press, Vireka, Page 983</ref> It is one of the five purification procedures ([[panchakarma]]). Virechana is the best treatment to expel the vitiated [[pitta dosha]].[Cha.Sa.[[Sutra Sthana]] 25/40] This procedure is indicated for therapeutic purpose. The purges are induced after administration of medicine and stopped after effect is over. This procedure is different from pathological diarrhea caused due to disease pathogens. The elimination of waste materials can be done through the upper and lower routes. The word ‘shirovirechana’ is used to denote evacuation of morbid [[dosha]] from supraclavicular region by intra nasal administration of medicine. However, in a broader sense the term ‘virechana’ is used to denote the elimination of [[dosha]] from large bowels i.e. therapeutic purgation. [Cha.Sa.[[Kalpa Sthana]] 1/4] This article focuses on therapeutic purgation. The word ‘purge’ is used to indicate a bout of defecation caused by purgative medicine.
      
==Etymology and derivation==
 
==Etymology and derivation==
 
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The word virechana is derived by adding ‘vi’ prefix and ‘lyut’ suffix to the Sanskrit root ‘rich’ [vacaspatyam]. It means evacuation of waste materials (mala nissaranam).<ref name=VCP>Patil V C. Chap.12 Virechanakarma (Purgation therapy), In: Principles and practice of Pancakarma. Reprint ed. New Delhi: Chaukamba publications;2016</ref>
 
The word virechana is derived by adding ‘vi’ prefix and ‘lyut’ suffix to the Sanskrit root ‘rich’ [vacaspatyam]. It means evacuation of waste materials (mala nissaranam).<ref name=VCP>Patil V C. Chap.12 Virechanakarma (Purgation therapy), In: Principles and practice of Pancakarma. Reprint ed. New Delhi: Chaukamba publications;2016</ref>
  

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