2. वस्तु निर्देश्
प्रस्तावना
व्युत्पत्ति
त्तनरुत्ति
शोधन महत्व
शोधन गुण
शोधन लाभ
शोधन काल
स्वस््य शोधन &
दोषानुसार शोधन
शोधन वृक्ष
शोधन योग्य
शोधन अयोग्य
वर्जयय त्तवषय
दुवयल पुरुष शोधन
शोधनोिर त्तित्तकत्सा
शोधन अत्ततयोग प्रत्ततकार
3. CONT...
CRITERIA TO SELECT A PATIENT FOR SHODHANA
IMPORTANCE OF PURVA KARMA BEFORE SODHANA
IMPORTANCE OF PASCHAT KARMA AFTER SODHANA
PROBABLE MODE OF ACTION OF SHODHANA
PROCEDURES
DIFFERENCE BETWEEN SHODHANA &PANCHAKARMA
DISCUSSION
CONCLUSION
4. प्रस्तावना
निनित्सा:
यात्तभिः त्तियात्तभर्ाययन्ते शरीरे धातविः समािः ।
सा त्तित्तकत्सा त्तवकाराणाां कमय तत्तिषर्ाां स्मृतम् ॥
(ि.सू-१६/३४)
The procedure by which Dhatus are brought into
equilibrium condition is termed as Chikitsa.
5. CONT...
In a broader sense Chikitsa is divided into two
category –
1. Shodhana
2. Shamana
6. CONT...
शोधि:
शोधनां यत् कु त्तपतान् दोषान् त्तनिःसायय बत्तहिः
रोगोशमनां करोत्तत ॥ (अ.सं,सू-इन्र्दु -१/३७)
Shodhana is the method of eliminating the
vitiated doshas from the body to pacify the
disease.
7. CONT...
शमि:
ि शोधयनत ि द्वेनि समाि् र्दोषांस्तथोद्धताि् ।
समीिरोनत नवषमाच्शमिं तद्यथा अमृता (श.पू-४/२)
The drug which brings the normalcy of doshas without
elimination & aggravation is known as Shamana.
8. व्युत्पनि
शोधि = शुध् + निि् + ल्युट् (शब्र्दिल्पम)
शुध् = शौि (Clean)
Shodhana is derived from ‘Shudh’ (clean)
9. त्तनरुत्ति
यनर्दरयेद्बनिर्दोषाि् पञ्िधा शोधिञ्ि तत् ।
निरूि वमिं िायनशररेिो आस्रनवस्रुनत (अ.हृ,सू-१४/६)
Sodhana is the procedure by which doshas (vitiated)
are expelled out from the body. There are 5 types of
Shodhana - Niruha, Vamana, Kaya reka, Shiro reka
& Asra visruti.
10. CONT...
यर्दौषधं वातानर्दिन्तः नस्थताि् वनिरीरयेत निपेत् तत्
शोधिम् । तच्ि पञ्िधा, पन्िनवधम् । (अरुिर्दि)
By which procedure vitiated Vatadi doshas are
removed from body is known as Shodhana.
11. CONT...
स्थािाद्वनििनयेर्दुर्धवनमधो वा मलसञ्ियम् र्देिसंशोधिं
तत्साद्देवर्दानल फलं यथा (शा. पू – ४/८)
The procedure which detaches the accumulation of
Mala from their respective places & expel upwards or
downwards, is known as Samshodhana.
eg – Devadali.
12. CONT...
--------- प्रिु नपत स्थािात् मलसञ्ियं र्दोषार्दीिां सस्थािात
उर्धवनमधो वा वनििनयेत् वनि: िरोनत तद्देिे शरीरे शोधिं
िनथतम् । (र्दीनपिा,आढ् मल)
The Prakupita Dosha leads to Mala sanchaya
(accumulated in their respective places), by
administering or giving the Shodhana therapy,the
accumulated Malas expells out & by this process
Sharir shuddhi takes place
14. CONT...
The doshas which have been mitigated by
Langhana & Pachana, are likely to aggravate
once again. But those doshas conquered by
Shodhana therapy will never increase again.
16. CONT...
The main root cause which is treated by
Shodhana, never occurs again. By Langhana,
Pachana also the doshas can be treated but
sometimes the may aggravated.
17. CONT...
ये पूिः संशोधिः शुद्धस्तेषां ि पुिरुद्भव: -
उत्थािं ि भवनत । (अरूिर्दि)
Doshas which are expelled out by Shodhana
karma will not aggravate again.
18. शोधन गुण
मलापिं रोगिरं वलविनप्रसार्दिम ।
नपत्वा संशोधिं सम्यगायुषा युज्यते निरम् (ि.सू - १५/२२)
Elimination of mala
Complete cure of disease
Increase strength
Increase complexion of skin
To get long life
20. CONT...
If the shodhana therapies are taken properly, then
these benefits are achieving –
Increase intelligence
Strengthen the sense organs
Stability of the tissues
Increase digestive power
Increase longevity
22. CONT...
If anyone take the proper sodhana therapy in
proper time, then should get these –
Elimination of vitiated dosha from Kostha
Increase digestive power
Curing disease
Restoring the normal health
23. CONT...
Strengthen the sense organs
Nourishes of mind, intelligence &
complexion
Gaining of strength, nourishment, virility
Not affecting by old age & increasing
longevity
24. शोधि िाल
शरत्िाले वसन्ते ि प्रावृट िाले ि र्देनििाम् ।
वमिं रेििं िव िारयेतु िु शलो नभषि् (शा. उ. – ३/१)
Vamanadi karmas should be done during Sharad,
Vasanta or Pravrit rutu.
25. CONT...
शीतोद्भवं र्दोषियं वसन्ते नवशोधयत् ग्रीष्मिमरकािाले ।
घिात्यये वानषनिमाशु सम्यि् प्राप्िोनतरोगािृतुिान्ि िातु
(अ.हृ,सू – ४/३५)
The accumulation of dosha arising from Sisir rutu should be
expelled out during Vasanta rutu, that arising from Grishma
rutu should be expelled out during Abhrakala, that arising
from Varsa rutu should be expelled out during Ghanatyaya
rutu.
28. CONT...
These three seasons are suitable for the administration
of Shodhana therapies. After determining the exact
months constituting these above mentioned seasons,
the Bhishak should give the appropriate Shodhana
therapy to a healthy person. However for a patient, the
appropriateness of the time determined on the basis of
the nature of the vyadhi.
33. वर्जयय त्तवषय
अष्ट महादोष :
उच्िभानष्यं रथिोभमनतिंक्रमिासिे ।
अिीिोनित भोज्ये ि नर्दवास्वप्ि समथुिम् (ि.नस – १२/१०)
Some factors have the harmful effect to human body. These
factors should be avoided for healthy persons as well as
diseased person. So these factors also be avoided after
Shodhana therapy.
34. उच्िभानष्य (loud speech) – causes pain in upper part of the body
रथिोभ (riding wooden cart) – causes pain all over the body
अनतिंक्रमि (traveling long way) – causes pain in lower part of
the body
अनत आसि (constant sitting) – causes pain middle part of the
body
अिीिन भोिि (indigestion) – formation of ama
अनित भोिि (unwholesome food) – aggravates different Doshas
नर्दवास्वप्ि (sleep during daytime) – increased kapha
मथुिम् (sexual intercourse) – kshaya of the body
37. दुवयल पुरुष शोधन
र्दुबनलस्य र्दोषािल्पािल्पाि् पुिः पुिः ।
िरेत् प्रभुतािल्पांस्तु शमयेत प्रच्युतािनप (सु.नि-३३/३७)
In a week person, Doshas which are copious &
moving should be expelled in a small quantity
again and again; & doshas if less, should be
mitigated through moving.
39. CRITERIA TO SELECT A PATIENT FOR
SHODHANA
समीक्ष्य र्दोषौषधर्देशिालसात्म्याननिसत्त्वानर्दवयोबलानि ।
बनस्तः प्रयुिो नियतं गुिाय स्यात् सवनिमाननि ि
नसनद्धमनन्त (ि.नस – ३/६)
40. To achieve success in the administration of Shodhana
& to obtained the desired effects, Shodhana should be
administered keeping in view the factors like the
nature of Dosha, Oushadha, Desha, Kaala, Satmya,
Agni, Sattva; & the vaya and bala of the patient.
In Bahu Doshavastha Shodhana therapy should
administered.
41. IMPORTANCE OF पूवयकमय IN शोधन
प्राि् पाििं स्िेिनवनधस्ततच्ि स्वेर्दस्ततः स्याद्वमिं नवरेिः ।
निरुििान्वासिवनस्तिमन िस्यक्रमश्चेनत नभषनवरािाम्
(निनित्सािानलिा)
42. येषां िस्यं नवधातव्यं वनस्तश्चव नि र्देनििाम् ।
शोधिीयाश्च ये िे नित् पूवं स्वेद्यास्तु ते मताः
(सु.नि-३३/१७)
Person who are to be administered Nasya, Basti adi
Shodhan therapies, for them Swedadi purva karma
should be done before Shodhana.
44. Those who are not given Snehana & Swedana
before Shodhana therapy, their body destroyed
just as a dry piece of wood when made to
bend.
Doshas which are made to move by Snehana
& Swedana therapy, increased by the use of
Snigdha rasa & which have come into kostha
are easy to expelled out by Shodhana
therapies.
45. शाखागतस्यानप र्दोषस्य िोष्ठाियििेतु: स्िेिः , स्वेर्दः
िोष्ठमागतस्य सुखेि प्रवृनििरश्चेनत र्दशनयन्िाि – स्िेिस्वेर्द-
प्रिनलता इत्यानर्द । (डल्िि)
Before Shodhana therapy Snehana & Swedana
Should be given. It helps to bring the Doshas from
Shakha to Kostha.
46. स्िेिमग्रे प्रयुञ्िीत ततः स्वेर्दमिन्तरम् ।
स्िेिस्वेर्दोपपन्न्स्य संशोधिमथेतरत्
(ि.सु – १३/९९)
Snehana therapy is required to be administerd first,
then the swedana therapy is to be applied. Finally
the Shodhana therapy is to be administerd after the
administration of of Snehana & swedana.
47. IMPORTANCE OF PASCHAT KARMA
AFTER SODHANA
शोधिेि र्दोषिय तथा धातुिय प्रनतिार
भेषििनपते पथ्यमािाररेव वृंििम् ।
घृतमांसरसिीरहृद्ययुषोपशंनितः
अभ्यङ् गोत्सार्दिः स्िािनिनरूिः सािुवासिः ।
तथ स लभते शमन युज्यते िायुषा निरम्
(ि.सू -१६/२३)
49. वमि
AYURVEDIC CONCEPT (ि.ि – १/५)
Vamaka drugs possessing the properties like
Usna, Tiksna, Suksma, Vyavayi, Vikasi
and with their ‘Swavirya’
Move to ‘Hridaya’
50. From there, through various ‘Dhamanis’ lead to micro
and macro channels in the body
Act over the vitiated complexes in the body
(i) With 'Agneya Property' - liquify the complexes
(ii) With 'Tiksna property' - Break them down into
several particles
51. Liquefied matter then glides through various unctuous or
smooth channels towards Kostha
Enter 'Amasaya' and then stimulated by 'Udana Vayu“
Having the dominance of 'Agni' and 'Vayu' elements in the
constitution along with self disposition (Prabhava)
52. Move in upward direction towards oral cavity
Expelled to outside through it
VAMANA
53. PROBABLE MODERN CONCEPT
Upper GIT Electrical Stimuli for Psychic Stimuli
when full of contents administration of drugs direct
stimulation
Over distended & CTZ stimulation Stimulates
Over excitable hypothalamus
Stimulates Vomiting center
54. Automatic motor reaction
Motor impulses are transmitted from vomiting centre
through
5th,7th,9th,10th,12th Cranial nerves Spinal nerves
Upper GIT Diaphragm & abdominal muscles
Initiates VOMITING
55. नवरेिि
AYURVEDIC CONCEPT (ि.ि – १/५)
Virechaka drugs possessing the properties like
Usna, Tiksna, Suksma, Vyavayi, Vikasi
and with their ‘Swavirya’
Move to ‘Hrdaya’
56. From there, through various ‘Dhamanis’ lead to micro
and macro channels in the body
Act over the vitiated complexes in the body
(i) With 'Agneya Property' - liquify the complexes
(ii) With 'Tiksna property' - Break them down into
several particles
57. Liquefied matter then glides through various unctuous or
smooth channels towards Kostha
Enter 'Amasaya' and then stimulated by 'Udana Vayu“
Having the dominance of ‘Prithivi' and ‘Jala' mahabhuta in
the constitution along with self disposition (Prabhava)
59. PROBABLE MODERN CONCEPT
Ingestion of Virechana drug
Irritation of gastric mucosa
Sensory signal goes to defecation centre in Medulla oblongata
Motor response from defecation center
Through ganglionic plexus Through vagus
60. Increased peristalsis Secretion of various enzymes from
...............................Gall bladder, pancreas,bruner’s gland
Reduced absorption .................. Fluid accumulationin the gut
Increased hydrostatic pressure
61. Irritation of sacral & lumber plexus
Relaxation of ileo caecal & anal sphincters
Virechana
62. बत्तस्त
AYURVEDIC CONCEPT
1. POSITION – According to Parashara, Guda is the Mula of the
body where all the siraas are located. When basti dravyas
administered through the guda, it reaches all over the body.
Basti should given to the patient lying on left lateral side as as
the Grahani & Guda are situated on the left side of the body.
(cha,si- 3/24)
63. 2. PAKVASAYA – (cha. Si-7/64)
The given Basti when enters into the pakvasaya,
by its virya ,draws the morvid dosha loddged in
the entire body from foot to head, just as the sun
situated in the sky sucks up the moisture from the
earth. (cha. Si-7/64)
64. 3. Grahani – (su,kal-4/40) (su,su-32/12)
Basti dravya reaches first to pakvasaya & the to the Grahani.
Pakvasaya is the site of purishdhara kala & Grahani is the site
of pittadhara kala. Acharya Dalhana says that purishdhara
kala & asthi dhara kala is same and pittadhara kala & majja
dhara kala is same.So from these we say that basti has direct
action on asthi & majja dhatu. Majja is present in the asthi.
Also mastulanga is considered as mastaka majja is the seat of
vata. So in this way basti is act in CNS.
65. PROBABLE MODERN CONCEPT
The mode of action of basti can be understand in the
following way –
Drug is administered through anal region
It gets absorbed in intestinal mucosa & works by 4
mechanism
By absorption mechanism
By system biology mechanism
By neural stimulation mechanism
By excretory mechanism
66. ABSORPTION MECHANISM
Hyper osmosis takes place
From colon cell to lumen
Absorption of endotoxins
Irritation of Large intestine (due to irrtant property)
Elimination
67. SYSTEM BIOLOGY MECHANISM
Drug is administered through anal region
It gets absorbed in intestinal mucosa
Lipid soluble Water soluble
Passive diffution Active diffution
68. By these diffusion mechanism the Basti drugs goes to
epithelial cell. Then it goes to the capillaries. Then goes to
cell after that molecules.
69. NEURAL STIMULATION MECHANISM
Drug given
ENS is stimulated
Excites mysentric plexus & sub mucosal plexus
Neurotransmitters carries information to CNS
CNS acts independently to produce the GUT feeling
70. EXCRETORY MECHANISM
The sigmoidal, rectal & anal region of large intestine
are considerably better supplied with parasympathetic
nerve fibers than other part of intestine.
They are mainly stimulating in action & functions
especially on defecation reflexes.
71. नस्य
AYURVEDIC CONCEPT (अ. स, सू – २९/३)
Nasa is the gateway of Shira
Drug administerd through the nostrils
Drug reaches in Srungataka marma
Spreads in the Murdha taking marma of netra, karna, kantha,
siramukha
72. Scratches the morbid doshas in supra clavicular region
Expels the vitiated dosha from uttamanga
73. PROBABLE MODERN CONCEPT
The drug is administered through Nostrils
Goes to the nasal cavity
It passes through the Crebiform plate (found in nasal cavity
floor)
It transverse by olfactory neurons of the Receptor cells
74. It excites the middle cephalic fossa
It is connected with 3rd,4th,5th, 6th crenial nerves & optic nerve
Pituitary gland can also be approached trans nasal route
Thus the drug acts on brain
75. रि मोक्षण
AYURVEDIC CONCEPT
Raktaprasadana – This occurs by the stimulation of Yakrit
& Pleeha, which r the root of Raktavaha Srotas. When these
Organs are corrected, then the whole Raktavaha Srotas get
Corrected. Raktamokshana decrease the workload on
Raktavaha Srotas & thus the Yakrit & Pleeha. The Sandrata
(prithivi mahabhuta), Dravata (jala mahabhuta) & Pressure
(vayu mahabhuta) are corrected.
76. Pitta Shodhana – Rakta is the seat of Pitta. So Rakta-
mokshana helps in the Shodhana of pitta.
77. PROBABLE MODERN CONCEPT –
1. Reduces the work load on liver & spleen; stimulates the
liver & spleen to perform their normal functions; removes
the old & damaged blood cells & helps in formation of
new blood cells.
2. Reduces blood pressure, so useful in HTN.
3. Reduces the viscosity of blood & thus prevents the
thrombus formation, so useful in DVT, thrombo embolism
etc.
78. DIFFERENCE BETWEEN SHODHANA &
PANCHAKARMA
SHODHANA PANCHAKARMA
5 types – Vamana,
Virechana, Basti, Nasya,
Raktamokshana
5 types – Vamana,
Virechana, Anuvasana
basti, Niruha Basti,
Shirovirechana
It is under in Langhana
Chikitsa
It acts both Langhana &
Brumhana
79. DISCUSSION
Is there any major difference in efficacy of
Classical Shodhana procedures & Modified
Shodhana procedures?
What are the consequences if proper
Shodhana Kala are not Maintain in Acute
condition of the patients ?
80. CONCLUSION
Shodhana acts as Preventive, Curative & Health
promotive aspects –
Preventive aspect :
Shodhana therapy ideally suits for those person who is
tend to go through a disease. Thus the sufficient
prevention is maintained for the occurrence of the
pathogenesis.
81. CURATIVE ASPECTS :
When the disease has actually taken place to the vital,
to break the pathogenesis, the vital mode of treatment
is Shodhana therapy
82. HEALTH PROMOTIVE ASPECT :
Not only preventive & curative aspects, it also
helps in rebuilding the health.