Article by Dr Raghuram Y.S. MD (Ay) & Dr Manasa S, B.A.M.S
Shodhana means cleaning. The physique wants a daily cleaning and it’s performed by way of the Panchakarma Therapies. The 4 sorts of Shodhana, besides Anuvasana Vasti, which is mainly a nourishing remedy are thought-about underneath Langhana therapies – the therapies which result in lightening / lightness of the physique, thoughts and senses. They’re – Vamana, Virechana, Asthapana and Shirovirechana. Grasp Vagbhata contains Raktamokshana too underneath Langhana, making it 5 sorts of Shodhanas which could be included underneath Langhana.
Shodhana is unquestionably wanted as a first-hand strategy and necessary cleaning process for many who are diseased. The morbid doshas first must be expelled out of those folks. In any other case, the ailments brought on by morbid doshas won’t be cured, nor the medicines and food plan will likely be efficient of their physique. The purpose of Shodhana in these folks is ‘healing’.
Then again, wholesome folks can even take periodic Shodhana with the steering of an skilled Ayurveda Doctor. Right here, the aim is to have the doshas in a state of steadiness and in addition to forestall recurrences of ailments or aggravation of doshas. Typically, Shodhana in wholesome folks is completed in seasons favorable for his or her aggravation. Instance – Vamana – therapeutic emesis is ideally administered in Vasanta Rtu i.e. Spring Season as a result of that is the season favorable for aggravation of Kapha and when shodhana is run on this season, it will likely be simpler to expel the aggravated dosha with out inflicting any complication. The identical rule is relevant for the opposite doshas additionally.
Now allow us to see the remedy rules of administering shodhana in diseased and wholesome people as enumerated by Acharya Vagbhata.
Ref – A.Hr.Su.13/34-36
Guidelines for Shodhana in wholesome people
अत्युष्णवर्षाशीता हि ग्रीष्मवर्षाहिमागमाः॥३४॥
सन्धौ साधारणे तेषां दुष्टान् दोषान् विशोधयेत्।
स्वस्थवृत्तमभिप्रेत्य
Greeshma Rtu i.e. summer time season could have an excessive amount of warmth. Varsha Rtu i.e. wet season could have an excessive amount of rain. Equally, Hemanta Rtu – winter season could have an excessive amount of chilly. That is the pure habits of those seasons.
Subsequently, these vitiated doshas ought to be eradicated within the interval between these seasons and never in seasons meant for aggravation for specific doshas, when the seasons will not be excessive however are reasonable.
This rule is relevant for administering cleaning therapies in wholesome people.
So, in wholesome people, the best time interval for administering shodhana is –
a. In between summer time and wet season
b. In between wet and winter seasons and
c. In between winter and summer time seasons
Guidelines for Shodhana in diseased people
व्याधौ व्याधिवशेन तु॥३५॥
कृत्वा शीतोष्णवृष्टीनां प्रतीकारं यथायथम्।
प्रयोजयेत्क्रिया प्राप्तां क्रियाकालं न हापयेत्॥३६॥
Acharya Vagbhata says that shodhana ought to be administered within the diseased circumstances as and when the ailments are manifested.
Earlier than administering Shodhana, the doctor ought to see that the affected person has overcome the consequences of chilly, sizzling and wet seasons suitably, by following appropriate protecting strategies as defined in Rtucharya – seasonal routine of every season. This rule is relevant for the season during which shodhana is being administered.
After the consequences of seasons are overcome, correct shodhana therapies as appropriate to the aggravated dosha / doshas ought to be administered. Therapies ought to be administered in accordance with the manifested Kriyakala. This entails bearing in mind the suitable time for administering remedy, deliberate in accordance to the successive levels of dosha aggravation and illness formation. Therapies given on this method, checks the dosha from progressing to the following stage of pathogenesis (kriyakala) and won’t enable the additional development of the illness.
The underside line is that the factors of selecting to manage shodhana in diseased circumstances is ‘the manifestation of illness itself’. If the illness has loads of morbid doshas in its backdrop and if the illness and illness suits into the ‘eligibility of shodhana’ the doctor mustn’t suppose twice in administering shodhana.