Purvakarma (preparatory procedures):
Purvakarma begins with a proper diet and regimen prescribed by your doctor after your initial assessment. If required, your doctor may give you medicines to boost your metabolism and digestion. Then you will be administered Snehapana which is the intake of a special medicated ghee (clarified butter) everyday, early in the morning for about 5 days, in ascending doses. This is done with the intention to lubricate the internal body systems and loosen up the toxins, even at the cellular level. These toxins are expelled in the main procedure of Virechana.
Subsequent to Snehapana is the procedure of Abhyanga and Swedana (fomentation) conducted for about two to three days. Abhyanga is a relaxing and rejuvenating full body oil massage with warm, medicated, herbal oils. This is followed by Swedana which involves a full-body, steam bath using a special herbal steam. The night before the main procedure a specific meal is prescribed for the patient.
Pradhana Karma- Virechana:
On the Virechana day, after assessing the patient’s condition, the prescribed Virechana medicine is administered on an empty stomach in the morning. You may be advised to drink warm water intermittently. The action of the medicine induces bowel movements. This purgation will occur several times in episodes called Vegas. This may last for about 6-12 hours. Care is taken during the procedure to ensure you are as comfortable as possible. The doctor will check your condition at intervals.
Paschat Karma – Post-Virechana procedure:
Once your condition has been assessed, you will be given a special diet regimen to follow over the next few days known as the Samsarjana Krama. This regimen is adjusted for each individual by the doctor. Follow up medications may also be advised.