Expulsion of vitiated body humor (Pitta dosha) form the body through the anal route is called as Virechana karma.

This purgation therapy is indicated in Fever, Skin diseases, Bleding disorders, Piles and Fistula, Spleen enlargement, Cancer, Food poison, Micturition problem, Herpis, Worm infestation, Anemia, Distention of abdomen, Jaundice and Bronchial asthama.

The steps are same as in Vamanakarma

Pre operative procedure:

• Administration of medicated ghee as explained in Vamanakarma
• Rest for two days during which full body massage and steam bath to be given
• Next day purgation. Trivritta lehyam is the best and safest purgative medicine.
• Decide the dose according to the strength of the patient

Operative procedure:

• Administer the purgative medicine as decided earlier
• Wait for the purgation
• During which check Blood pressure, Pulse rate, Signs of de hydration and general condition
• Advice to drink hot or lukewarm water
• 8 to 10 times purgation may be seen

Post operative procedure:

Advice the patient to take rice gruel

Basthi Karma (Rectal administration)

Administration of medicine through anal route and expulsion of vitiated Vata from anal route is called as Basti Karma. It is indicated in Backache, Joints pain, Arthritis, Shoulder pain, Paralysis, General debility, Kidney stones etc.