© STM Journals 2021. All Rights Reserved 1 ISSN: 2278-2214 (Online) ISSN: 2321-6484 (Print) Volume 10, Issue 3, 2021 DOI (Journal): 10.37591/JoAYUSH STM JOURNALS Journal of AYUSH: Ayurveda, Yoga, Unani, Siddha and Homeopathy http://medicaljournals.stmjournals.in/index.php/JoAYUSH/index Case Study JoAYUSH Analysis of Virechana Karma with Trivritta Avaleha: A Retrospective Study Satyajit Pandurang Kulkarni 1, *, Shivananda S. Tonde 2 , Yashwant R. Patil 3 Abstract The Virechana (therapeutic purgation) is one of the popular Panchakarma procedures which has been performed to maintain the health and treat various ailments such as constipation, skin diseases, menstrual disorders etc. The ancient classical texts have described the procedure of Virechana Karma in detail, but, it becomes practically difficult to perform the Virechana Karma as the drugs mentioned for Virechana Karma in the classical texts are either not available in the market or the dose mentioned in the texts is not in present terminology. Trivritta (Operculina turpethum) is such a drug which is used in the form of Trivritta Avaleha available in the market. The Trivritta is mentioned as the best drug for Virechana (therapeutic purgation). But analysis of Virechana Karma with Trivritta Avaleha is not studied yet. Therefore, it becomes difficult to decide the dose of Trivitta Avaleha for Virechana Karma. Chaganti and Prasad carried out analysis of Danti Avaleha, which is another drug for Virechana, however such kind of study of Trivritta Avaleha has been not carried out yet. Therefore, the present study was carried out. In this case series, total 13 healthy individuals were observed from the initiation of the course to end with special reference to the dose of Trivirtt Avaleha and outcome of Virechana. It was observed that out of 13 individuals, eight had Pravara (excellent) Shuddhi, four had Madhyama (medium) Shuddhi and one individual having Avara (minimum) Shuddhi. In the end, it was concluded that 25 g is the minimum effective dose of Trivritt Avaleha for Virechana in Madhyama Koshtha and it is 30 g in case of Krur Koshtha. Keywords: Virechana Karma, Trivritta Avaleha, Virechak Dravya dose, Koshtha, Uttam Shuddhi INTRODUCTION The first aim of Ayurveda is to prevent the disease. The Virechana is an important Panchakarma followed among the healthy individuals for the prevention of the diseases. It is also useful to treat a variety of the diseases including Madumeha [1], Kushtha [2]. In Ayurveda, there are various measures such as Dincharya, Ritucharya. Among them, the Panchakarma are very important measures to prevent the diseases and keep the health intact. Ayurveda recommended undergoing the Panchakarma after every three months to prevent the diseases. Virechana is advised in Sharad Ritu (October–November) for the healthy individuals to maintain the health and for the diseased individuals, it can be performed any time when the disease appears. According to Acharya Charaka, Trivritta (Operculina turpethum) is regarded as the most *Author for Correspondence Satyajit Pandurang Kulkarni E-mail: satyajitkulkarni2001@gmail.com 1 Professor and HOD, Department of Panchakarma, Manjushree Research Institute in Ayurvedic Science, Piplaj, Gandhinagar, Gujarat, India 2 Associate Professor and HOD, Department of Swasthavritta, Ayurved Seva Sangh’s Ayurved Mahavidyalay, Panchvati, Nashik, Maharashtra, India 3 Dean and Professor, Department of Swasthavritta, Government Ayurvedic College, Vazirabad, Nanded, Maharashtra, India Received Date: July 15, 2021 Accepted Date: September 28, 2021 Published Date: November 29, 2021 Citation: Satyajit Pandurang Kulkarni, Shivananda S. Tonde, Yashwant R. Patil. Analysis of Virechana Karma with Trivritta Avaleha: A Retrospective Study. Journal of AYUSH: Ayurveda, Yoga, Unani, Siddha and Homeopathy. 2021; 10(3): 1–6p.