Article by Dr Raghuram Y.S. MD (Ay) & Dr Manasa S, B.A.M.S
Acharya Vagbhata has talked about three essential routes of administering the medicines. In the identical context he additionally speaks in regards to the routes of expelling the doshas. Then he hyperlinks each of them. In brief, this precept is a fundamental guideline for the physicians relating to the route of administration of medicines and route of expulsion of doshas. It explains – ‘medication needs to be administered during which path to remove morbid doshas during which route’? Mainly, this reference speaks in regards to the medicines given for shodhana – cleaning function.
Allow us to see what Acharya Vagbhata has to say about this.
Ref – A.Hr.Su.13/30-31
Routes of administration of medicines and Routes from which the morbid doshas should be eliminated
हन्त्याशु युक्तं वक्त्रेण द्रव्यमामाशयान्मलान्॥३०॥
घ्राणेन चोर्ध्वजत्रूत्थान् पक्वाधानाद्गुदेन च।
1. Herbs or medicines that are administered by the mouth (oral route) would expel the doshas from the abdomen and intestines. Right here we communicate in regards to the vamana – emesis and virechana – purgation. The emetic and purgative medicines are administered by the mouth together with medicines used for Deepana – medicines used to boost digestive hearth, Pachana – medicines used to digest and destroy ama and separate the morbid dosha and its affiliation with ama and snehana – oleation, that are used as preparatory medicines earlier than administration of vamana or virechana.
Grasp Vagbhata, in the identical chapter tells that the doshas on reaching the koshta i.e. abdomen / gut needs to be faraway from their nearest route. This implies to say that, if the dosha flowing to the abdomen from the tissues is kapha, it needs to be eradicated from the route nearer to abdomen (seat of kapha), i.e. by oral route by administration of vamana – emesis. If the dosha flowing to the gut from the tissues is pitta, it needs to be eradicated from the route nearer to the small gut (seat of pitta), i.e. by anal route, by administration of virechana – purgation.
Thus, it’s clear that the doshas in abdomen and gut (small gut) needs to be eliminated by administering medicines by oral route, by the use of vamana or virechana.
2. Herbs or medicines administered by the nostril (nasal route), would expel the doshas from the elements above the shoulder i.e. from head and neck.
Right here, we communicate in regards to the medicines administered by the nasal route i.e. nasya – nasal drops, nasal medicines or errhines.
Nasya medicines are administered by the nostril and the doshas are additionally eradicated by the nostril or mouth. Nostril is taken into account because the gateway of the pinnacle. The medicines administered from this route pull the doshas from the pinnacle and neck and expel them.
3. Herbs or medicines administered by the anus (rectum) will expel the doshas from the big gut (colon).
Right here, we communicate in regards to the medicines administered by the anal route i.e. basti / vasti – medicinal enemas.
Enemas are administered by the anal route (and in addition urethral and vaginal) and the doshas are additionally eradicated by the anal route itself. The administered enema, be it within the type of medicinal decoction (asthapana vasti, niruha vasti) or medicated fat (anuvasana vasti) by the anal route, would pull down the doshas by the anal route and expel them.
To sum up
The routes of administration of shodhana medicines and routes of expulsion of the doshas –
| Route of Administration of medication (for shodhana) | Expels doshas from | Route from which the doshas are expelled | Remedy included |
| Oral route | StomachSmall gut | MouthAnus | Vamana (from oral route)Virechana (from anal route) |
| Nasal route | HeadNeck | NoseMouth | Nasya – errhines, head purges |
| Anal route | Giant Gut (colon) | Anal route | Vasti / Basti – medicinal enemas |
Shamana or Shodhana
The phrase ‘Hantyashu’ within the first line of the verse means ‘rapidly destroys’. Whether it is taken as ‘rapidly destroyed’ as an alternative of ‘rapidly expels’ the shamana sort of therapy too shall be thought-about. These medicines too shall be administered by the identical route.
The medicines administered by oral route, would rapidly destroy the doshas within the abdomen and gut. That administered by nasal route would destroy the doshas within the head and neck. The medicines administered by the anal route would destroy the doshas within the colon. Right here the medicines could destroy the doshas with out expelling them and the dosha aggravation could also be minimal or reasonable. However often, we don’t administer the medicines by anal path to pacify the doshas. This can be a clue which clarifies that the verse means to elucidate ‘fast expulsion’ and never ‘fast destruction’.
