Analysis of Virechana karma with Danti avaleha: A retrospective study

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Journal name: Journal of Ayurveda and Integrative Medicine
Original article title: Analysis of Virechana karma with Danti avaleha: A retrospective study
The Journal of Ayurveda and Integrative Medicine (JAIM) is an open-access publication promoting collaboration between Ayurveda, traditional medicine, and biomedicine, publishing research on integrative health sciences
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Author:

Sreelakshmi Chaganti, B. S. Prasad


Journal of Ayurveda and Integrative Medicine:

(A monthly peer-reviewed publication)

Full text available for: Analysis of Virechana karma with Danti avaleha: A retrospective study

Year: 2015 | Doi: 10.4103/0975-9476.172420

Copyright (license): CC BY-NC-ND 4.0


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Glossary definitions and references:

Scientific and Ayurvedic Glossary list for “Analysis of Virechana karma with Danti avaleha: A retrospective study”. This list explains important keywords that occur in this article and links it to the glossary for a better understanding of that concept in the context of Ayurveda and other topics.

1) Madhyama (Mādhyama):
Madhyama refers to a moderate or normal condition, particularly in the context of the gastrointestinal tract (Koshta). In the study, patients categorized as Madhyama Koshta responded distinctly to the administered purgative, showing intolerance even to lower doses, highlighting the importance of individualized treatment strategies in Ayurvedic practices.

2) Krura (Krūra, Krūrā):
Krura denotes a strong or robust condition of the gastrointestinal tract. Patients with Krura Koshta tolerated higher doses of Danti avaleha, achieving superior purgative outcomes, exemplifying how different body types significantly influence treatment efficacy and outcomes in Virechana procedures, which emphasizes personalized Ayurvedic treatment.

3) Danti (Dantī, Dantin, Dānti, Damti):
Danti (Baliospermum montanum) is recognized in Ayurveda as a potent purgative drug. Its properties contribute to effective therapeutic purgation (Virechana), especially advantageous in conditions characterized by excess Kapha and Pitta doshas. The study focused on its practical application, revealing its potential alongside associated complications during treatment.

4) Drug:
In the Ayurvedic context, a drug refers to any medicinal substance used to maintain or restore health. The study examined the specific drug Danti in conjunction with its therapeutic applications, highlighting the need to critically evaluate drugs for appropriate dosages based on the patient's Koshta type and presenting ailments.

5) Vamana (Vāmana):
Vamana represents the therapeutic action of emesis or vomiting, often induced as part of Panchakarma treatments in Ayurveda. The occurrence of Vamana in the study was noted, revealing its relationship to dose tolerance and patient responses to purgative treatments, challenging practitioners to consider individual outcomes and adjustments.

6) Medicine:
Medicine in Ayurveda encompasses various formulations and treatments aimed at restoring balance to the body. The study’s focus on Danti Avaleha underscores the importance of specific medicines in therapeutic purgation, drawing attention to how individual patient characteristics affect treatment response and dosage strategies for optimal health results.

7) Study (Studying):
The study involved a retrospective analysis of patients undergoing Virechana with Danti Avaleha, aiming to assess outcomes associated with purgative effectiveness and dosage tolerance in different Koshta types. This research contributes valuable data to the clinical application and understanding of traditional Ayurvedic methodologies and their adaptations.

8) Lakshana (Lakṣaṇa, Laksana, Lakṣaṇā):
Lakshana translates to signs or indicators, primarily used to discern the effectiveness of treatments in Ayurveda. In this study, various Lakshanas such as Shuddhi (purification) were monitored post-treatment, providing essential feedback on the outcomes of administered therapies and guiding future practice adjustments based on patient responses.

9) Avara (Āvāra, Āvara):
Avara signifies the least or minimum level of effectiveness or attainment during treatment processes such as Virechana. In the study, patients experiencing Avara Shuddhi indicated inadequate purgative outcomes, emphasizing the significance of appropriate dosing and individual assessment in Ayurvedic therapies to achieve optimal results.

10) Avaleha:
Avaleha refers to a type of Ayurvedic preparation, typically a linctus or paste, used therapeutically. The study focused on Danti Avaleha as a key ingredient for purgation, showcasing how various forms of drug preparations influence clinical outcomes in Panchakarma treatments and patient tolerability.

11) Pravara (Pravāra, Prāvara, Prāvāra):
Pravara denotes an excellent or optimum state of Shuddhi achieved after therapeutic interventions like Virechana. This classification, observed in some Krura Koshta patients, illustrates the significance of individualized treatment approaches and the potential for superior health outcomes based on tailored Ayurvedic practices.

12) Dravya:
Dravya translates to 'substance' or 'matter' and refers to any medicinal agent used in Ayurvedic treatments. The study highlights Dravya in the context of Danti as a purgative, stressing the importance of understanding the properties and actions of various Dravyas to optimize therapeutic interventions tailored for individual needs.

13) Kapha:
Kapha represents one of the three doshas in Ayurveda, associated with qualities like moisture and heaviness. The study's findings demonstrate that appropriate management of Kapha conditions involved careful selection of purgatives like Danti to address imbalances effectively, underscoring the relevance of dosha considerations in treatment planning.

14) Table:
Table refers to a graphical representation of data in the study, summarizing key outcomes such as Shuddhi levels and patient responses. Visual data presentation aids in comprehending complex results, facilitating a clearer understanding of treatment efficacy and varying individual responses to purgative therapies across differing Koshta types.

15) Vega (Vegā):
Vega denotes the purgative bouts or the frequency of evacuation following treatment. In the context of the study, understanding the number of Vegas achieved by patients helped in assessing treatment effectiveness and establishing correlations between dosage, Koshta type, and overall purgative outcomes in Virechana.

16) Udara (Udāra):
Udara translates to abdomen or stomach, but in this context, it refers to Udara shoola, or spasmodic abdominal pain. The study noted complications like Udara shoola in patients, emphasizing the need for careful assessment of treatment approaches and their potential side effects, guiding further therapeutic decisions.

17) Dosha (Dosa, Doṣa, Dosā, Doṣā, Ḍosā):
Dosha represents the fundamental energies within the body, comprising Vata, Pitta, and Kapha, each governing physiological and psychological functions. The study emphasizes the recognition of Dosha imbalances in patient ailments, crucial for determining appropriate treatment strategies and recognizing the therapeutic role of purgatives in management.

18) Sign:
Sign refers to observable indicators relevant to the effectiveness of a treatment. In this study, patient outcomes were assessed through specific signs or symptoms post-Virechana, allowing clinicians to evaluate treatment success and make informed adjustments based on patient reactions to purgative interventions.

19) Ayurveda (Āyurveda, Ayus-veda):
Ayurveda is a traditional system of medicine originating from India, focused on holistic health and well-being. The study utilizes Ayurvedic principles in assessing the therapeutic efficacy of Danti in Virechana, contextualizing the practice within a framework emphasizing individualized care and the importance of Dosha balance.

20) Snigdha (Snigdhā):
Snigdha refers to the quality of being unctuous or oily, significant in Ayurvedic treatments. The study monitored the attainment of Snigdhata, essential for preparing the body before administering potent purgative treatments, revealing its importance in ensuring patient readiness and optimizing therapeutic outcomes of Virechana.

21) Pain (Paiṇ):
Pain is a critical symptom often associated with digestive tract disturbances. In this study, the relationship between treatment with Danti and the emergence of pain, such as Udara shoola, was explored, drawing attention to the need for careful dosing and patient assessment in therapeutic contexts to mitigate discomfort.

22) Vata (Vāṭa, Vaṭa, Vāta, Vaṭā):
Vata is one of the three doshas in Ayurveda, characterized by qualities like dryness and mobility. In the study, recognizing the predominance of Vata among patients helps explain individual responses to treatments and the necessity of balancing this dosha in achieving optimal therapeutic outcomes in Virechana.

23) Kaphadosha (Kaphadoṣa, Kapha-dosha):
Kapha-dosha is a specific reference to the Kapha energy in Ayurveda, crucial for understanding patient conditions related to moisture and stability. The study's focus on managing diseases associated with Kapha emphasizes the need for targeted purgative therapies to restore balance and alleviate excess Kapha-related symptoms.

24) Fixation:
Fixation in this context refers to the determination of appropriate dosage for Ayurvedic drugs such as Danti. The study highlights the challenges associated with dose determination based on Koshta types, reflecting the vital importance of personalized medicine approaches in optimizing treatment effectiveness and patient outcomes.

25) Bhedana:
Bhedana is a term that signifies the action of breaking down or dispelling doshic imbalances in Ayurveda. In the study, the attribute of Bhedana observed in Danti illustrates its role in promoting effective purgation, thereby addressing excess doshas and contributing to the overall rejuvenation and detoxification of the body.

26) Disease:
Disease refers to any pathological condition impairing normal bodily functions. The study analyzed various diseases in patients receiving Virechana treatment, establishing the connection between specific dosha imbalances and the efficacy of purgative interventions, vital for crafting tailored management strategies in Ayurveda.

27) Medium:
Medium in this context relates to the category of 'Madhyama' or moderate characteristics of patients' gastrointestinal tracts. The study demonstrated that patients with medium Koshta exhibited unique responses to dosing regimens, emphasizing the necessity to tailor treatments according to specific patient characteristics for optimizing therapeutic efficacy.

28) Sneha:
Sneha refers to internal oleation or oil preparations used in Ayurvedic treatments. The study emphasized the significance of Sneha in preparing patients for Virechana, particularly in achieving appropriate Snigdhata prior to administering purgatives, ensuring optimal readiness for the treatments while minimizing potential complications.

29) Guna (Guṇa, Gūna):
Guna signifies the intrinsic qualities or attributes of substances in Ayurveda that determine their effects on the body. The study evaluated how specific Guna of Danti influenced its efficacy as a purgative, underscoring the importance of understanding drug properties in tailoring treatment approaches for individual patients.

30) Purification:
Purification in Ayurveda, represented by Shuddhi, refers to the process of cleansing the body of doshas and toxins. The study's evaluation of Shuddhi outcomes monitored the effectiveness of Danti in achieving desired therapeutic results, reinforcing the necessity of detoxification as a foundational principle in Ayurvedic therapies.

31) Snigdhata (Snigdhatā):
Snigdhata, an aspect of oiliness or unctuousness, is vital for patients undergoing purgative therapies in Ayurveda. The study carefully documented the attainment of Snigdhata as a preparatory step before administration of Danti, illustrating its crucial role in ensuring readiness for effective purgation and minimizing adverse reactions.

32) Abhyanga (Abhyaṅga, Abhyamga):
Abhyanga refers to the practice of external oleation through application of oils on the skin, used in Ayurvedic therapies to promote circulation and detoxification. The study included Abhyanga as part of pre-Virechana preparations, accentuating its value in enhancing patient readiness and optimizing the overall therapeutic process.

33) Vomiting:
Vomiting, or Vamana, is described as an adverse effect following the administration of certain purgative substances in Ayurveda. The study documented the incidence of vomiting in patients receiving Danti, emphasizing the need for careful patient selection and personalized dosing strategies to mitigate side effects during treatment.

34) Bashpa (Bāṣpa):
Bashpa refers to a method of sudation or steam therapy employed in Ayurvedic practices. The study incorporated Bashpa in the preparatory phase before Virechana, demonstrating its benefit in enhancing absorption and relaxation, which can contribute to smoother purgation processes and improve overall patient comfort.

35) Nature:
Nature pertains to the intrinsic qualities and characteristics of individuals or substances. The study's differentiation of patient Koshta reflects the recognition of each individual's unique nature, integral for tailoring Ayurvedic treatments to enhance therapeutic efficacy while accommodating variations in treatment response and tolerability.

36) Pitta (Pītta, Piṭṭā):
Pitta is one of the three primary doshas in Ayurveda associated with metabolic processes and transformations within the body. The study's focus on managing Pitta-related disorders, alongside other Doshas, illustrates the importance of balancing these energies to achieve health and well-being through targeted purgative treatments.

37) Ayoga (Āyoga, Ayas-ga):
Ayoga signifies improper or inadequate purgation in the context of Ayurvedic treatments. The study noted instances of Ayoga, which signify the necessity for careful monitoring and adjustments of dosing practices as reflected in patient experiences, ensuring optimal therapeutic interventions and outcomes.

38) Ulcer:
Ulcer, representing a pathological condition affecting the gastric or intestinal mucosa, poses significant health risks. The study highlighted the exclusion of patients with ulcers before administering Virechana to prevent complications, stressing the importance of comprehensive patient assessments in Ayurvedic treatment protocols for safety and efficacy.

39) Kala (Kālā, Kalā, Kāla):
Kala refers to time or cycles, which play a significant role in determining the suitability of treatments in Ayurveda. The study's findings suggest that the timing of purgation procedures did not significantly influence outcomes, indicating a more complex interplay between Koshta type, drug action, and individual patient variability.

40) Bronchial asthma:
Bronchial asthma is a chronic respiratory condition characterized by airway inflammation and constriction. The study references previous research showcasing Virechana's effectiveness in managing asthma-related conditions, illustrating Ayurvedic approaches in addressing respiratory disorders by restoring balance among Doshas and improving overall health.

41) Kaishoraguggulu (Kaiśoraguggulu, Kaishora-guggulu):
Kaishora-guggulu is a classical Ayurvedic formulation known for its detoxifying and rejuvenating properties. The study mentions it potentially containing Danti as an ingredient, discussing the significance of such formulations in addressing systemic imbalances and the multidimensional approach Ayurveda employs in holistic healing.

42) Pharmacological:
Pharmacological refers to the study of drugs and their effects on biological systems. In the context of the study, analyzing the pharmacological actions of Danti informed clinical decisions about its use in Virechana, providing essential insights into the efficacy and safety of Ayurvedic treatments in practice.

43) Candraprabha (Candraprabhā, Candra-prabha):
Chandraprabha is another Ayurvedic formulation noted for its broad therapeutic applications, often used to balance the doshas. In this study, references to Chandraprabha highlight the variety of treatments available within Ayurveda that may complement the purgative approach and provide holistic care to patients.

44) Phytochemical:
Phytochemical refers to bioactive compounds derived from plants. The study discusses the role of phytochemicals in Danti’s action and their potential impact on individual responses to therapeutic dosages, underscoring the importance of phytomedical research in understanding and optimizing Ayurvedic treatment modalities.

45) Observation:
Observation involves the systematic examination of patients' responses to treatments within this study. Careful observation of patient outcomes after Danti administration guided further adjustments and evaluations, emphasizing the critical role of monitoring in achieving successful Ayurvedic treatment outcomes.

46) Tilataila (Tila-taila):
Tila-taila refers to sesame oil, often used in Ayurvedic therapies for its beneficial properties. The inclusion of Tila-taila in various treatments such as Abhyanga suggests its value in soothing, nourishing, and preparing patients for subsequent therapeutic interventions, thereby enhancing overall treatment efficacy.

47) Kaphapitta (Kapha-pitta):
Kaphapitta refers to a constitutional type or disease state characterized by a combination of Kapha and Pitta doshas. The study documented instances of Kaphapitta among patients, revealing the complexities of dosha interactions while emphasizing the need for holistic management of such conditions through Ayurvedic principles.

48) Vatarakta (Vātarakta, Vata-rakta):
Vatarakta describes a condition analogous to gout in Ayurveda, marked by joint pain and swelling. The study's connection to Vatarakta indicates that Virechana, particularly with Danti, may be beneficial in alleviating such symptoms, demonstrating the relevance of individualized cleansing therapies in managing complex disorders.

49) Yoniroga (Yoni-roga):
Yoni-roga encompasses a variety of gynecological disorders in women. The study featured patients with Yoni-roga presenting with specific symptoms, highlighting the significance of Ayurvedic purgation techniques such as Virechana in addressing women's health issues and rebalancing dosha energies for restorative health.

50) Suffering:
Suffering refers to the physical or psychological distress experienced by patients due to imbalances or pathological conditions. The study aimed to alleviate suffering through Ayurvedic practices, underscoring the impact of effective treatments on enhancing patients' quality of life and promoting holistic well-being.

51) Shodhana (Śodhana, Sodhana):
Shodhana indicates the process of purifying or detoxifying the body in Ayurveda. The study focused on the Shodhana aspect of Virechana with Danti, highlighting how this cleansing mechanism removes excess doshas and toxins, thereby preventing disease and promoting health in a holistic manner.

52) Apasmara (Apasmāra):
Apasmara relates to seizure disorders or epilepsy in Ayurveda. The study discusses the significance of purgative treatments in managing such conditions, showcasing how Virechana can contribute to overall neurological health by balancing doshas and addressing the underlying causes of disturbances in mental functions.

53) Upadrava:
Upadrava refers to complications or adverse effects arising from treatments in Ayurveda. The study's documentation of Upadrava, such as Udara shoola and Vamana, emphasizes the importance of careful monitoring and individualized approaches to minimize side effects while maximizing the effectiveness of therapeutic interventions.

54) Hridroga (Hṛdroga, Hrid-roga):
Hridroga describes conditions related to heart diseases in Ayurveda. The study’s exploration of Virechana outcomes highlights its applicability in various systemic disorders including Hridroga, emphasizing the integral connection between gastrointestinal health and other bodily systems prevalent in Ayurvedic medicine.

55) Prakriti (Prakṛti):
Prakriti signifies the inherent constitutional type of an individual, influencing health and disease susceptibility. The study acknowledges the role of Prakriti in defining patient responses to Virechana treatments, advocating for tailored Ayurvedic approaches that consider these fundamental characteristics to enhance therapeutic efficacy.

56) Aushadhi (Auṣadhi, Aushadhin, Auṣadhin):
Aushadhi refers to medicinal herbs and drugs used in Ayurveda. The study focused on Danti as a specific Aushadhi for therapeutic purgation, highlighting the importance of understanding different Aushadhi qualities and appropriate applications in achieving optimal patient outcomes in traditional Ayurvedic practices.

57) Epilepsy:
Epilepsy represents a neurological disorder characterized by recurrent seizures. The study connects therapeutic purgation techniques like Virechana to the management of epilepsy, revealing Ayurveda's holistic approach in restoring balance, alleviating symptoms, and enhancing overall cognitive health through individualized treatment modalities.

58) Guggulu:
Guggulu is a traditional Ayurvedic formulation known for anti-inflammatory and detoxifying properties. The study's mentions of Guggulu refer to its usage in conjunction with purgative therapies, emphasizing the role of multifaceted Ayurvedic treatments in addressing different pathological conditions through synergistic applications.

59) Granthi (Gramthi):
Granthi describes cysts or abnormal growths in the body according to Ayurvedic terminology. The study addresses Granthi in the context of Virechana, highlighting the effectiveness of purgative treatments in alleviating symptoms associated with such growths, advocating for a comprehensive therapeutic approach to treatment.

60) Prameha:
Prameha represents a category of diseases akin to diabetes. The study's exploration into the efficacy of Virechana suggests its potential role in managing metabolic disorders like Prameha, emphasizing the importance of personalized treatments to regulate metabolic functions and restore health through Ayurvedic practices.

61) Purisha (Purisa, Puriṣa, Purīṣa):
Purisha refers to the excreta or stool, playing a pivotal role in Ayurvedic diagnostics and treatment outcomes. The study emphasized the significance of observing Purisha characteristics post-treatment to gauge the effectiveness of Virechana interventions and adapt future therapeutic approaches based on excretion results.

62) Pittaja (Pitta-ja):
Pittaja signifies disorders primarily caused by an imbalance in Pitta dosha, which governs metabolic processes. The study’s references to Pittaja disorders reinforce the essential role of purgatives like Danti in addressing these imbalances, illustrating the direct benefits of therapeutic interventions in restoring Pitta equilibrium.

63) Samana (Śamana, Samāna, Samaṇa, Samanā, Śāmana, Sāmana, Shamana, Samānā):
Shamana refers to palliative treatments in Ayurveda aimed at providing symptom relief. The study contrasts Virechana with Shamana therapies, emphasizing the superiority of purgative methods in achieving deeper detoxification and systemic restoration, showcasing Ayurveda's commitment to holistic healing approaches.

64) Quality:
Quality pertains to the inherent properties and characteristics that define substances in Ayurveda. In this study, understanding the quality of Danti and similar drugs is crucial for appreciating their efficacy and ensuring that appropriate choices are made in line with patient-specific requirements during treatments.

65) Kamala (Kamalā, Kāmalā, Kāmāla, Kama-la):
Kamala translates to jaundice, a condition associated with liver dysfunction. The study highlights how Ayurvedic purgation techniques like Virechana can aid in addressing Kamala by effectively balancing the doshas involved, promoting detoxification, and facilitating better liver health through traditional practices.

66) Vyanga (Vyaṅga, Vyamga):
Vyanga refers to skin pigmentation disorders in Ayurveda. The study references conditions like Vyanga to underscore the potential effectiveness of Virechana in purging toxins contributing to skin issues, showcasing the integral connection between detoxification and skin health within Ayurvedic treatment frameworks.

67) Srotas (Śrotas, Shrotas):
Srotas refers to the channels or pathways in the body through which bodily substances flow. The study's emphasis on Srotas analysis indicates the importance of addressing pathways while deploying treatments like Virechana, advocating for the comprehensive understanding of how these channels impact overall health outcomes.

68) Nirama (Nirāma):
Nirama denotes a state of being free from toxins or impurities. The study’s focus on achieving Nirama before the administration of purgatives highlights the significance of initial detoxification steps, ensuring optimal conditions for effective Virechana and enhanced patient resilience to therapies.

69) Vyadhin (Vyādhī, Vyādhi, Vyadhi, Vyādhin):
Vyadhi translates to disease or ailment in Ayurveda, representing variances in balance within the doshas. The study explores the connection between Vyadhi and effective purgation methods, emphasizing the need for differential treatment approaches based on individual disease presentations and dosha imbalances.

70) Vikasin (Vikāsin, Vikāśin, Vikāṣin, Vikasi, Vikashin):
Vikasi signifies the ability to relieve obstruction or stagnation in the body. In the study, Danti's Vikasi properties underline its role in facilitating detoxification processes during Virechana, showcasing the potency of traditional Ayurvedic medicines in promoting bodily harmony and function.

71) Powder:
Powder refers to the physical form in which some Ayurvedic drugs are prepared. Although not the primary focus of the study, recognizing the various forms, including powder or linctus, reinforces the importance of drug formulation principles in ensuring appropriate administration methods and enhancing treatment effectiveness.

72) Gulma:
Gulma denotes the presence of abnormal growths or tumors within the body. The study indicates that conditions like Gulma could benefit from Virechana, underscoring the approach of cleansing and purging to alleviate symptoms related to different pathologies through targeted Ayurvedic interventions.

73) Taila (Tailā):
Taila translates to oil and is a common medium in Ayurveda for various applications, including massage and internal oleation. The study highlights the role of Taila in enhancing the therapeutic process prior to Virechana, drawing attention to its supportive roles in achieving desired patient outcomes.

74) Ushna (Uṣṇa, Uṣṇā):
Ushna denotes heat or hot qualities of substances in Ayurveda. The study’s insights into the Ushna quality of Danti illustrate its effectiveness in addressing excess Kapha and Pitta conditions due to its strong, penetrating nature, exemplifying the tailored use of drug properties in practice.

75) Mridu (Mṛdu):
Mridu refers to a mild or soft quality in the context of Ayurvedic Doshas. The study's discussions on Mridu Koshta patients underline the necessity of adjusting purgative therapies according to individual characteristics, advocating for a more nuanced understanding of diverse patient responses within treatment protocols.

[Note: The above list is limited to 75. Total glossary definitions available: 89]

Other Ayurveda Concepts:

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Discover the significance of concepts within the article: ‘Analysis of Virechana karma with Danti avaleha: A retrospective study’. Further sources in the context of Ayurveda might help you critically compare this page with similair documents:

Vamana, Shuddhi, Rechana, Pachana, Snehapana, Madhyama koshta, Krura koshta, Deepana, Pravara Shuddhi, Udara Shoola, Bashpa Sweda, Madhyama shuddhi, Avara shuddhi, Ayoga Lakshanas, Annavaha Srota, AbstractVirechana, Virechaka dravyas, Danti avaleha, Samyak Kaphaantiki Lakshana, Teekshana Virechana, Vegiki, Kaphaantiki, Danti dravya.

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