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 PACHANA CHIKITSA

Pachana chikitsa is indicated prior to the administration of any shodhana therapy as it helps in transformation of aphakia state of the morbid dosha into the pakva state. More over, pachana chikitsa is especially indicated as purvakarma in vamana, virechana and basti, as optimal functioning of the gastrointestinal tract is also achieved by this treatment.

Since pachana chikitsa has the curative effect it is also indicated in the following conditions:
Madhyama doshavastha:- Moderate amount of dosha vitiation
Madhyama balatura :- Clients having average physical strength
Kapha-pitta :- Morbidity of the pitta as well as kapha dosha
Chhardi :- Vomiting
Atisara :- Diarrhea
Hridroga :- Disease of the heart
Visuchika :- Disease characterized by vomiting and
diarrhea like gastroenteritis
Alasaka :- Failure of digestion leading to accumulation of
undigested food in the abdomen
Jvara :- Febrile illness
Vibandha :- Constipation
Gourava :- Feeling of heaviness in the body
Udgara :- Excessive belching

Hrillasa :- Nausea

Arochaka :- Lack of taste in the mouth

 PRESCRIPTION FOR PACHANA CHIKITSA

 For the pachana chikitsa, different herbal or herbomineral combinations may be prescribed for oral administration in different forms like tablet, decoction, infusion, or powder etc. From the following list of medicines, any one may be prescribed in accordance with palatability or availability.

MEDICINES FOR PACHANA CHIKITSA AND THEIR DOSAGE

 Panchakola phanta :- 50 ml t.i.d. preferably before meals

Citrakadi vati :- 500 mg t.i.d. along with water

Chitrakasava :- 02 ml t.i.d.
Agnitundi vati :- 250 mg t.i.d. with water
Hingvashtaka churna :- 3 grams t.i.d. along with first spoon
of food.
Dried ginger powder :- ½ to 1 gram twice daily before meals
(Zinziber officinale) with honey or milk
Pippali powder :- 3 grams t.i.d. with water
(Piper longum)
Shankha vati :- 500 mg t.i.d. with water

OBSERVATION OF THE CLIENT FOR THE EFFECT

 In the Central India, following the administration of the pachana chikitsa, it is continued for certain period till the client develops the desired effect. The therapist should observe the client regularly to appreciate the appearance of symptoms indicating the proper effect of the pachana chikitsa. As the pachana chikitsa belongs to the category of langhana chikitsa, the appearance of the following symptoms of proper langhana is also suggestive of the proper effect of pachana chikitsa.

SYMPTOMS OF PROPER LANGHANA/PACHANA

Vata visarga :- Proper passing of the flatus

Mutra visarga :- Proper evacuation of the bladder
Purisha visarga :- Proper evacuation of the bowel
Gatra laghava :- Subjective feeling of lightness in the body

Pachana Chikitsa Treatment In India Central

Hridaya shuddhi :- Feeling of clarity in the precordial region
Kantha shuddhi :- Clarity of the throat
Udgara shuddhi :- Clear belching devoid of any odor and taste
Asya shuddhi :- Clarity of the mouth
Tandra gate :- Disappearance of drowsiness
Klama gate :- Disappearance of tiredness
Svede jate :- Proper sweating
Ruchau jate :- Appearance of proper taste in the mouth
Kshutpipasa- :- Development of hunger and thirst,
sahodaye and inability to withstand the same.

 DURATION OF THE PACHANA CHIKITSA In India Central

 There is no any predetermined duration for the pachana chikitsa. In general the pachana chikitsa is continued till the client develops the above mentioned symptoms of proper effect. In an average it takes about 2 to 7 days for the development of the desired results. As this treatment belongs to the category of apatarpana chikitsa, this causes reduction in the body and most clients may not be able to tolerate this procedure for a longer period. Further, over effect of pachana chikitsa has deleterious effect on the body. Hence physician should prevent the over effect of pachana by all means. Or to say, the pachana treatment should be continued till the client shows desired effect and should be abruptly terminated if he develops any symptom of over effect.

SYMPTOMS OF OVER EFFECT OF LANGHANA/ PACHANA

Parvabedha :- Pain in joints of the fingers
Angamarda :- Body ache
Kasa :- Cough
Mukha shosha :- Dryness of the mouth
Kshutpranasha :- Absence of hunger
Aruchi :- Lack of taste in the mouth
Trishna :- Excessive thirst
Srotra daurbalya :- Impairement of hearing
Netra daurbalya :- Impairement of vision
Manasah sambhramah :- Confused state of mind
Urdhva-vata :- Reversal in the course of vata dosha
Tamo-hridi :- Discomfort in the chest
Deha-nasha :- Loss of body weight
Bala-nasha :- Loss of physical strength
Agnibala-nasha :- Loss of digestive fire

TREATMENT FOLLOWING PACHANA CHIKITSA IN INDIA CENTRAL

Ascertaining the desired effect of the pachana chikitsa, as per the predetermined course of Panchakarma, snehapana is administered from the next day onwards. In some clients sluggishness of the gastrointestinal tract may relapse by the discontinuation of the pachana chikitsa. In such situations continuing the oral medication of the pachana chikitsa along with snehapana is advisable.