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                                    This karma aims to eliminate doshas that cannot be removed by Vamana karma such as the kidneys, lungs and sweat glands. 
                                     
                          Elimination of vitiated doshas through rectum is called
                          Virechana. It cleanses the small intestine and the organs, which are pitta dominant. For example, the liver and the gall bladder in the mid-zone of the body. 
                                     
                          It may be given three days after emesis therapy, or given directly when emesis is not indicated. But it must be practiced only after Poorva karma has been
                          administerd.  
                                     
                          The drugs used for virechana karma (purgation therapy) vitiate the doshas and bring them into the koshta (abdomen). From there, they are expelled through rectum. 
                                     
                          Purgative drugs are dominant in earth and water elements and have downward movement. 
                                     
                          The synonyms of virechana are rechan and praskandhan. 
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                        | Following are the diseases for which Virechana karma can be given | 
                       
                      
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                            - Fever
 
                            - Skin diseases
 
                            - Haematemesis
 
                            - Epistaxis
 
                            - Fistula
 
                            - Haemorrhoids
 
                            - Splenic disorders
 
                            - Tumors
 
                            - Goiters
 
                            - Lymphadenitis
 
                            - Artificial poisoning
 
                            - Cholera
 
                            - Retention of urine
 
                            - Worm infestation
 
                            - Anaemia
 
                            - Headache
 
                            - Burning eyes
 
                            - Lacrimation
 
                            - Asthma
 
                            - Jaundice
 
                            - Cough 
 
                            - Rhinitis
 
                            - Epilepsy
 
                            - Insanity
 
                            - Gout
 
                            - Gynaecological disorders
 
                            - Seminal disorders
 
                            - Ascitis
 
                            - Anasarca
 
                            - Elephantiasis
 
                            - Leprosy
 
                            - Diabetes
 
                            - Inguinal swelling
 
                            - Intestinal torpor
 
                            - Cardiac disorders
 
                            - Rheumatic conditions
 
                            - Anorexia
 
                            - Vomiting
 
                                
                           
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