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Dr. Akriti Sharma/Afr.J.Bio.Sc.6.12(2024) ISSN: 2663-2187
https://doi.org/10.48047/AFJBS.6.12.2024.4459-4471
EXPLORING THE ROLE OF SHANKH-PRAKSHALAN IN PURISH-
VEGA AS ADHARNIYA VEGA
Dr. Akriti Sharma1 ,Dr. Kirti R. Bhati2,Dr. Sanjay Anant Dhurve3
1MD Scholar, Dept of Swasthavritta and Yoga, Bharati Vidyapeeth (Deemed to be
University),College of Ayurved, Pune, Maharashtra, India.https://orcid.org/0000-0003-0490-
5192
2Professor&HOD, Dept of Swasthavritta and Yoga, Bharati Vidyapeeth (Deemed to
beUniversity), College of Ayurved, Pune, Maharashtra, India.
http://orcid.org/0000-0002-8478-2497
3 M.D., Ph.D., Associate Professor, Department of Kayachikitsa.Bharati Vidyapeeth (Deemed to
Be) UniversityCollege ofAyurved, Pune, Maharashtra, India
https://orcid.org/0009-0000-6126-2045
Corresponding Author:Dr. Kirti R. Bhati, Professor and HOD, Dept of Swasthavritta and
Yoga, Bharati Vidyapeeth (Deemed to beUniversity), College of Ayurved, Pune, Maharashtra,
India Email.ID kirti.bhati@bharatividyapeeth.edu
Article History
Volume 6, Issue 12, 2024
Received: March 10, 2024
Accepted: May19, 2024
Published: July 23, 2024
doi:
10.48047/AFJBS.6.12.2024.4459-4471
ABSTRACT:
Purish Vega, the urge to defecate, is considered an Adharniya Vega (non-
suppressible urge) in Ayurveda. Suppressing this urge, known as Purish
Vega Dharana, can lead to various health complications. Ayurvedic texts
and modern medicine describe these effects, including abdominal pain,
bloating, constipation, rectal pain, and disorders related to the small
intestine. The management of these complications involves addressing the
underlying cause and promoting regular bowel movements. Shankh-
Prakshalan, an easy and effective gastrointestinal cleansing technique, is
recommended for managing the adverse effects of Purish-Vega Dharana.
The study was conducted in 30 clinically diagnosed patients of purish as
adharniyavega with an objective of alleviating symptoms arising from
purishvegadharan viz- pakvashya-shoola, shiro-shoola, vata-
varchoapravartanam, adhmanam, pindiko-udveshtan& its management
was done by shankh-prakshalan.It was observed that suppressing the urge
to defecate can impact both physical and mental well-being. Defecation is
a crucial part of our daily routine, essential for eliminating waste from the
body and preventing potential illnesses.It was observed that Shankh
prakshalanhas demonstrated noteworthy outcomes in alleviating
symptoms arising from purishvegadharan.
Dr. Akriti Sharma/Afr.J.Bio.Sc.6.12(2024) Page 4460 of 13
KEYWORDS: Purish, Adharniya
Vega, Shankh Prakshalan,
Ayurveda, Swasthayarakshan, Vyadhimukti, Asanas, Dhauti Karma,
Hatha yoga.
INTRODUCTION:
Ayurveda's purpose lies in 'Swasthayarakshan' (maintaining health) and 'vyadhimukti' (freedom
from illness). Ayurveda incorporates insights from various philosophical systems like Nyaya,
Sankhya, Yoga, Vedanta, and more (Ch. Su.30/26).1While originally grounded in philosophy and
spiritual development, contemporary experts recognize Yoga's value as a preventive measure and
treatment approach for various ailments.2The normal functioning of the natural urges is
controlled by Vata Dosha. The vegadharancauses an imbalance in the activity of Vata
Dosha.3Following Ashtang Hriday, Vata is primarily managed through practices such as
"Snighdha," "ushna Basti," and "sukhseelta." Here, "sukhsheelta" pertains to engaging in
activities that promote comfort and ease (A.H.Su. 13/2).4Purish Vega Dharan is the suppression
of the defecation reflex.3Defecation is part of our daily routine and it is necessary to excrete the
waste products out of the body to avoid various illnesses. Inhibition of the urge to evacuate the
bowel triggers stomachpain, headpain, stiffness in calves, and abdominal bloating.5The study has
shown that people use laxatives or purgatives to relieve these symptoms, which have to habituate
a tendency to the digestive system.6Hatha Yoga has mentioned Shatkarmaas a cleansing
technique and Dhautiis the cleansing technique for the gastrointestinal tract.
VarisaraAntardhauti / Shankh Prakshalan is a practice included under Dhauti Karma7.Shankh
Prakshalan(A Yogic Kriya): This technique is simple & efficient for purging the whole gut,
which means extracting the toxins found within the gut.6
REVIEW OF LITERATURE:
This economical procedure can be performed at home by patients and is highly effective in
removing auto intoxicants from the alimentary canal. Previous studies have shown that Shankha
Prakshalana significantly benefits patients with irritable bowel syndrome and anxiety neurosis.
This technique involves drinking saline water and performing specific yoga postures to cleanse
the entire gastrointestinal tract, promoting overall digestive health and well-being. By
incorporating Shankh-Prakshalana into their routine, patients can effectively manage the
complications arising from the suppression of the urge to defecate, ensuring a healthier and more
balanced digestive system.
Purishvegadharan according to brihatarya
Brihatraya
Laxanas of purishvega dharna
Chikitsa
Charak Samhita8
Pakvashayashoola,
Shiroshoola,
Vata-varchoapravartanam,
Adhmanam,
Pindiko-udveshtan
Sweda, avgaha, abhyanga,
varti (suppositories), basti
karma (herbal enema),
pramathi anna-pana
(carminative eatables and
drinks).
Sushruta Samhita9
Atopa, shoola, guda-medra-bastipeeda,
mala-avrodha, urdhavvata,
mukhenpurishvega.
Phala-vartiprayog
Vagbhatta10
Pindiko-udveshtana, pratishyaya, shiro-
ruja, urdhava-vaayu, parikartika,
hridysayo-aprodha, mukhen mala
pravritti, vatarodhajanyaroga.
Phala-varti, abhyanga,
avgahan, swedan&basti
karma.
Dr. Akriti Sharma/Afr.J.Bio.Sc.6.12(2024) Page 4461 of 13
Review of Shankh-prakshalan:
“Shankh” means “conch” because it resembles the stomach and intestines, &“Prakshalan”
means “cleansing”. Drinking water gradually – slowly upto the throat, then engage the
abdominal muscles with the help of some asanas to allow that water to pass through the whole
canal and excrete it out throughthe anus. This process will help to cleanse the whole gut and
body as well & the person will get a shinning body. According to this samhitas, this procedure
should be kept secret. “Shankh-prakshalan is helpful in Udara vikara”.5 asanas included in
shankhaprakshalanare :
Tadasana
Tiryaka-tadasana
Kati-chakrasana
Tiryaka-bhujanasana
Udrakarshan asana7
P.S Swami et. al. stated that stated thatA recent randomized controlled study done on 60 healthy
individuals, demonstrated the beneficial effects of laghushankhprakshalana in bowel health.11Dr.
Gunjan Garg et. al. stated that Shankh prakshalana and various Asana are reliable to control the
Madhumeha.12S.N Singh et. al. stated that – shankhaprakshalan is an easy and effective
technique for cleansing the gastro-intestinal canal& can also be given to patients of anxiety
neurosis with satisfactory results.13Dr. Priya Pathak stated that this yogic kriya is modified to suit
the fast-paced life and persons with weak constitution.7
AIM:
To explore the role of shankh-prakshalan in purish-vega as adharniyavega.
OBJECTIVES
To study the health issue caused by the suppression of purishvegadharan and to analyze its
effects on physical and mental well-being.
To access the effect of Shankh Prakshalan on the management of Adharniya Vega Purish.
To study the importance of timely defecation and its benefits on health.
METHODOLOGY:
Procedure: Shankh-Prakshalan.
Type of Study: Single Arm Open Clinical Trial.It was a single-group study of 30 patients;
doingPurish Vega Dharan (voluntarily suppress the urge to defecate) for at least 1 month were
chosen for the study. ShankhPrakshalan has been practiced for 30 days.
Standard Operative Procedure:
Shankh Prakshalan was performed for 30 days.Time of Practice: Early in the morning. 6 AM
to 8 AM. Duration: 10 to 30 minutes.Requirements: Yoga Mat, Water(1.5-Ltrs), Salt: 5gms
(Saindhava).
Purvakarma
Pradhan karma
Paschat karma
1.5-liter lukewarm
water with a 5gms
of salt
(Saindhava)added
to it, which is
mildly salty.
The patient was on
Drank two glasses (200ml each) of
lukewarm saline water. (swiftly).
Performed the sequence of five asanas
actively eight times each round in
subsequent order included in
Tadasana, Tiryaka-Tadaasana, Kati-
Chakraasana, Tiryaka-Bhujanga
At the end of the
practice, the patient
will be advised to
take rest for 45
minutes, and then eat
khichdi in (semi-
liquid) form.
Dr. Akriti Sharma/Afr.J.Bio.Sc.6.12(2024) Page 4462 of 13
an empty stomach,
before the
procedure.
Asana, Udarakarshan Asana (This was
one complete round).
They didn’t takea break within the
rounds.
Drank two glasses of lukewarm saline
water & redo the 5 asanas 8 times.
If in between the rounds the patient feels
the urge to evacuate the bowel, then only
he/she was advised to use the lavatory
check to see if there was bowel movement
and if there was no such bowel movement,
then they didn’t strain and resumed the
practice.
PROCEDURE OF DATA COLLECTION:
Subjects were randomly selected from the OPD/IPD of Bharati Vidyapeeth (Deemed to be
University) College of Ayurved and Hospital.A special case paper Performa was prepared for the
study.Written informed consent was obtained from patients in accordance with ICMR (Indian
Council of Medical Research) guidelines before the clinical trials began.Findings were recorded
both before and after the clinical trials.Shankh Prakshalan training was provided for 7 days.Each
patient practiced Shankh Prakshalan for a total of 30 days, for approximately 10-30 minutes
each day.Follow-up has been done periodically for a total duration of 45 Days.
STATEMENT OF LIMITATIONS:
INCLUSION CRITERIA:
EXCLUSION CRITERIA:
● Those people who suppress the
urge to defecate voluntarily for
a long period (at least 1
month) –
Dyschezia&presenting with
symptoms induced due to
Purish Vega Dharan.
● Age between 25 to 60 years
Patients taking laxatives.
Major diseases Cardiac disorders, Respiratory
disorders, Renal Failure.Psychiatric and Seizure
Patients.
IBS, Faecal Impaction, Intestinal obstruction,
Hernia, Hypertension, Chronic & peptic ulcer,
Gastrointestinal Disease, Tuberculosis,
Hypothyroidism, Functional Constipation
(Infrequent or hard bowel movement), Uremia,
Diabetes, Colorectal cancer, Hypercalcemia,
Diverticular disease, Fissure- Fistula-
Haemorrhoids.
Pregnant& lactating mothers and menstruating
women.
Weak & debilitated person.
CRITERIA OF ASSESSMENT:The results of the treatment have been assessed based on relief
in Signs and symptoms of the following criteria.10
Symptoms
Grade 0
Grade 1
Grade 2
Grade 3
Grade 4
PURISH VEGA
DHARAN9
No
suppressi
5-30 minutes
suppression
30-60
minutes
Suppression
of
Suppression
of purishvega
Dr. Akriti Sharma/Afr.J.Bio.Sc.6.12(2024) Page 4463 of 13
on of
purishve
ga,
usually
defecatio
n just
aftersens
ation.
of
purishvega
after
sensation
with mild
discomfort
suppression
of
purishvega
after
sensation
with
moderate
discomfort.
purishvega
after
sensation
with
moderate
discomfort
after sensation
with
uncomfortable
pain.
PAKVASHAYA
SHOOLA (Pain in
iliac fossa)
No pain
in the
iliac
fossa /
any other
cause
Pain in the
iliac fossa
occasionally
in the
morning
Pain in the
iliac fossa
everyday,
anytime.
Pinching
pain in the
iliac fossa
everyday,
anytime.
Whole-day
pain in the
iliac fossa
with a feeling
of heaviness
SHIROSHOOLA
(Headache)
No
Headach
e/ any
other
cause of
headache
.
Occasionally
pulsating
headache.
Headache
everyday,
anytime.
Continuous
headache
along with
less energy
to do
anything.
Continuous
headache with
heaviness in
the head.
VATA VARCHO
APRAVARTNAM
(Obstruction of
flatus &feces).
No
obstructi
on of
flatus
&feces.
Urge to
evacuate, but
not
evacuated
properly.
Urge to
evacuate
with
pinching
pain.
No urge to
evacuate &
continuous
pulsating
pain.
No urge to
evacuate &
continuous
belching
(smelly)
ADHMANAM
(Flatulence)
No
flatulenc
e /
odour-
free
farting.
Flatulence
with smelly
odor.
Flatulence
but unable to
pass
completely.
Painful
flatulence
and unable
to pass
completely.
Painful
flatulence and
unable to pass
it.
PINDIKO
UDVESHTANA
(CrampsIn Calves)
No
stiffness
in calves.
Occasional
stiffness in
the calves.
The feeling
of stiffness
everyday,
anytime.
Continuous
stiffness
with less
energy to do
anything.
Continuous
stiffness&
unable to
walk properly.
OBSERVATION &RESULTS :
Effect Of Shankh PrakshalanonDuration ofPurish Vega DharaninAdharniya Vega Purish.
Dr. Akriti Sharma/Afr.J.Bio.Sc.6.12(2024) Page 4464 of 13
Parameter
Mean
x
% of
impro
vemen
t
Negati
ve
rank
Positi
ve
rank
Tie
z
P
VAL
UE
BT
AT
DURATION
OF PURISH
VEGA
DHARAN
BT-
AT
2.6
0.7
67
1.83
70.51
%
26
0
4
-4.53
0
BT-
post
F/U
2.6
0.7
67
1.83
70.51
%
25
0
5
-4.44
0
The mean grade of DURATION OF PURISH VEGA DHARAN BT was 2.6 which was decreased
to 0.767 after treatment. The mean increment in score was 70.51% which is significant as
observed by “The Wilcoxon Test “(as p value<0.05) thus it can be said that there is a significant
increment DURATION OF PURISH VEGA DHARAN in Adharniya Vega Purish
Also here 70.51% improvement was found at post-follow-up on the DURATION OF
PURISHVEGA DHARAN in Adharniya Vega Purish.
i.e. SHANKH PRAKSHALAN was effective on DURATION OF PURISH VEGA DHARAN in
Adharniya Vega Purish.
Effect Of Shankh Prakshalan On PakvashayaShoolaInAdharniya Vega Purish.
Dr. Akriti Sharma/Afr.J.Bio.Sc.6.12(2024) Page 4465 of 13
Parameter
Mean
x
% of
improveme
nt
Negati
ve
rank
Positi
ve
rank
Ti
e
z
P
VALU
E
BT
AT
PAKVASHA
YA SHOOLA
BT-
AT
2.36
7
0.73
3
1.6
3
69.01%
23
1
6
-
4.2
0
BT-
post
F/U
2.36
7
0.5
1.8
7
78.87%
24
0
6
-
4.3
3
0
The mean grade of PAKVASHAYA SHOOLA BT was 2.367 which was decreased to 0.733 after
treatment. The mean increment in score was 69.01% which is significant as observed by “The
Wilcoxon Test “(as p value<0.05) thus it can be said that there is a significant increment in
PAKVASHAYA SHOOLA in Adharniya Vega Purish.
Also here 78.87% improvement was found at post-follow-up on PAKVASHAYA
SHOOLA in Adharniya Vega Purish.
i.e. SHANKH PRAKSHALAN was effective on PAKVASHAYA SHOOLA in adharniya Vega
Purish.
Effect Of Shankh Prakshalan On Shiro-ShoolaInAdharniya Vega Purish
paramete
r
Mean
x
% of
improveme
nt
Negativ
e rank
Positiv
e rank
Ti
e
z
P
VALU
E
BT
AT
SHIRO-
SHOOLA
BT-
AT
0.36
7
0
0.3
7
100.00%
11
0
19
-
3.3
2
0.001
BT-
post
F/U
0.36
7
0.03
3
0.3
3
90.91%
11
1
18
-
2.8
9
0.004
The mean grade of SHIRO-SHOOLA BT was 0.367 which was decreased to 0 after treatment.
The mean increment in score was 100% which is significant as observed by the “Wilcoxon Test
“(as p value<0.05) thus it can be said that there is a significant increment in SHIRO-SHOOLA in
Adharniya Vega Purish.
Dr. Akriti Sharma/Afr.J.Bio.Sc.6.12(2024) Page 4466 of 13
Also here 90.91% improvement was found at post-follow-up on SHIRO-SHOOLA in
Adharniya Vega Purish.
i.e. SHANKH PRAKSHALAN was effective on SHIRO-SHOOLA in Adharniya Vega Purish.
Effect Of Shankh Prakshalan On Vata-VarchoApravartanamInAdharniya Vega Purish.
Parameter
Mean
x
% of
improvem
ent
Negati
ve
rank
Positi
ve
rank
Ti
e
z
P
VALU
E
BT
AT
VATA-
VARCHO
APRAVARTAN
AM
BT-
AT
2.43
3
0.53
3
1.9
0
78.08%
27
0
3
-
4.6
0
BT-
post
F/U
2.43
3
0.26
7
2.1
7
89.04%
27
1
2
-
4.5
9
0
The mean grade of VATA-VARCHO APRAVARTANAM BT was 2.433which was decreased to
0.533 after treatment. The mean increment in score was 78.08% which is significant as observed
by “The Wilcoxon Test “(as p value<0.05) thus it can be said that there is a significant increment
in VATA-VARCHO APRAVARTANAM in Adharniya Vega Purish.
Also here 89.04% improvement was found at post-follow-up on VATA-VARCHO
APRAVARTANAM in Adharniya Vega Purish.
i.e. SHANKH PRAKSHALAN was effective on VATA-VARCHO APRAVARTANAM in
Adharniya Vega Purish.
Effect Of Shankh Prakshalan On AadhmanamInAdharniya Vega Purish.
Dr. Akriti Sharma/Afr.J.Bio.Sc.6.12(2024) Page 4467 of 13
parameter
Mean
x
% of
improveme
nt
Negati
ve
rank
Positi
ve
rank
Ti
e
z
P
VALU
E
B
T
AT
AADHMAN
AM
BT-
AT
1.
8
0.76
7
1.0
3
57.41%
20
1
9
-
3.8
9
0
BT-
post
F/U
1.
8
0.36
7
1.4
3
79.63%
26
1
-3
-
445
0
The mean grade of AADHMANAM BT was 1.8 which was decreased to 0.76 after treatment. The
mean increment in score was 57.41% which is significant as observed by the “Wilcoxon Test
“(as p value<0.05) thus it can be said that there is a significant increment in AADHMANAM in
Adharniya Vega Purish.
Also here 79.63% improvement was found at post-follow-up on
AADHMANAMinAdharniya Vega Purish.
i.e. SHANKH PRAKSHALAN was effective on AADHMANAM in Adharniya Vega Purish.
Effect Of Shankh Prakshalan On Pindika-UdveshtanaInAdharniya Vega Purish
parameter
Mean
x
% of
improveme
nt
Negati
ve
rank
Positi
ve
rank
Ti
e
z
P
VALU
E
BT
AT
PINDIKA-
UDVESHTA
NA
BT-
AT
0.63
3
0.03
3
0.6
0
94.74%
17
0
13
-
3.8
5
0
BT-
post
F/U
0.63
3
0.06
7
0.5
7
89.47%
16
0
14
-
3.9
0
The mean grade of PINDIKA-UDVESHTANA BT was 0.633 which was decreased to 0.33after
treatment. The mean increment in score was 94.74% which is significant as observed by “The
Wilcoxon Test “(as p value<0.05) thus it can be said that there is a significant increment on
Pindika-Udveshtana in Adharniya Vega Purish.
Also here 89.47% improvement was found at post-follow-up on Pindika-Udveshtana in
Adharniya Vega Purish.
i.e. SHANKH PRAKSHALAN was effective on Pindika-Udveshtana in Adharniya Vega Purish.
Dr. Akriti Sharma/Afr.J.Bio.Sc.6.12(2024) Page 4468 of 13
OVERALL IMPROVEMENT
From the above diagram, we found that Shankh Prakshalanhas a significant effect on the
Management of Adharniya Vega Purish.
RESULTS :
After carefully and thoroughly analyzing the results of the study the following conclusions
are drawn :
Shankh prakshalanhas demonstrated noteworthy outcomes in alleviating symptoms
arising from purishvegadharan viz-pakvashya-shoola, shiro-shoola, vata-
varchoapravartanam, adhmanam, pindiko-udveshtan.
The observed effects are likely attributed to the regulation of apaanvaayu through
shankhprakshalan, contributing to the pacification of vata dosha.
The feces which becomes dry and has difficulty passing naturally, becomes more
streamlined with water intake during the shankhprakshalanpractice. It then moves
effortlessly, emptying the rectum and intestines through this yogic technique.
Thus theavrodhaofMala (obstruction of feces) and Pratilomagati(reverse movement)of
apanavaayuare enhanced.
Symptoms arise from the increasedvata dosha in thepurish-vahastrotaspacifywiththe
practice ofshankhprakshalan.
Abdominal massaging asanas tadasana-tiryaktadasana-bhujangasana-
tiryakbhujangasana-udrakarshanasana had demonstrated a reduction in symptoms
caused by purishvegadharan as substantiated by statistical analysis.
Consistent practice of shankh-prakshalan over an extended period is essential to reap the
benefits & these benefits endure for an extended duration.
Based on this research study, it can be concluded that particular abdominal massaging
asanas within shankhprakshalan play an efficacious therapeutic role in alleviating
symptoms associated with purishvegadharan.
Dr. Akriti Sharma/Afr.J.Bio.Sc.6.12(2024) Page 4469 of 13
Individuals aged 30-40 experience higher rates of purishvegadharan due to busy work schedules
and the perception that defecation should only occur in the morning, causing them to neglect
natural urges throughout the day. This highlights the complex relationship between lifestyle,
work commitments, and bodily function perceptions in this age group. The occurrence of
purishvegadharan is higher in males (53%) due to extended working hours, late mornings, and
time constraints for defecation, with work-related stress further contributing to this increase.
Females, with a recorded incidence of 47%, often neglect their health while prioritizing family
care, revealing how work demands, time constraints, and health priorities affect
purishvegadharan prevalence in both genders. Students show a higher prevalence at 40%, likely
due to academic activities, outdoor engagements, assignment stress, and limited awareness of
timely defecation, with other affected groups including housewives (23%), shopkeepers (10%),
IT workers (10%), teachers (7%), nurses (7%), and doctors (3%). Among patients, 23% had
Vata-Pitta prakriti, 13% had Vata-Kapha, 7% had Kapha-Vata, 13% had Pitta-Vata, 13% had
Pitta-Kapha, 14% had Kapha-Pitta, and 17% had Kapha-Pitta-Vata, indicating that those with
Vata-Pitta are more prone to worry and anxiety, which can lead to digestive issues and affect
excretion when Vata is imbalanced, especially with Pitta. Out of 30 patients with
purishvegadharan, 44% were identified with Madhyam Agni, 43% with Visham Agni, and 13%
with Sama Agni, likely influenced by the impact of vitiated Vata dosha, which disrupts the Agni
(digestive fire). Among these patients, 50% were found to have Madhyam Koshtha, 47%
exhibited KrurKoshtha, and 3% showed Mridu Koshtha, with the presence of KrurKoshtha,
combined with purishvegadharan, potentially exacerbating the condition. Additionally, 60% of
patients with purishvegadharan consume a mixed diet of both vegetarian and non-vegetarian
Dr. Akriti Sharma/Afr.J.Bio.Sc.6.12(2024) Page 4470 of 13
foods, potentially intensifying the condition and increasing susceptibility to constipation, while
the remaining 40% adhere to a vegetarian diet.
PAKVASHAYA-SHOOLA
69.01% of Patients showed relief in pakvashayashoola, as purishvega is initiated by apana-
vaayu when apana gets pratilomagati, mala is reverted to the intestine where the liquid part of
mala gets dried and difficulty in the defecation is being felt, it gives rise to pakvashya-shoola,
Shankh-prakshalanhelps to achieve the anulomanofapana-vaayu which further results in the
relief in pakvashya-shoola.
SHIRO-SHOOLA
100% of patients showed relief in shiro-shoola,shiro-shoola is found in a few patients but after
treatment, it shows 100% improvement. Due to suppression of the urge to defecate, people used
to get Vatajashiro-shoola& by doing shankh-prakshalan When Apana-Vata attains its
anulomagati, there is a relief in shiro-shoola
VATA-VARCHO APRAVARTANAM
78.08% of patients showed relief in vata-varchoapravartanam, which is the sangha of mala
&apana-Vaayu in the intestines. Vata has properties like gati (chanchal-swabhava), when its
gati is voluntarily suppressed it gets vikritttaand results in mala &apana-Vaayu sangha. Shankh-
prakshalan corrects the gatiofvikrittavaayu and the sangha of mala &Vayuis also removed by
doing so.
ADHMANAM
57.41% of the patients showed relief in adhmanam, as purishvegais initiated by apana-Vaayu
when apanavaayu gets pratilomagati, mala is reverted to the intestine where the liquid part of
mala gets dried & starts producing gases by doing shankh-prakshalananulomanof Apana vaayu
is achieved and hence results in the shaman of adhmanam.
PINDIKO-UDVESHTAN
94.74% of the patients showed relief in pindikoudveshtan, which is a VatajaNanatamajavyaadhi,
when Apana-Vaayu pacifies the body, this symptom simultaneously gets relieved.
CONCLUSION:
Suppressing purishvegacan result in imbalances within the doshas and lead to various illnesses
and it does havean impact on both physical and mental well-being.Shankh Prakshalanhas a
significant effect on the Management of Adharniya Vega Purish.In this study, we have
discovered that suppressing the urge to defecate can have implications on both physical & mental
well-being. Given that defecation is a crucial element of our daily routine, it is vital for
eliminating waste from the body and preventing potential illnesses.
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