Virechana : Purgatives and Laxatives.

The use of purgatives virechana is helpful in treating pitta imbalance, which involves inflammation or irritation. Excess secretion of bile accumulated in the gallbladder, liver, or small intestine may cause allergic rash or skin inflammation (e.g., acne, dermatitis) as well as chronic fever or jaundice.

A number of substances can be used for this treatment, including triphala, senna, psyllium, castor oil, or even cow's milk with ghee (clarified butter). Purgatives should not be given to persons with acute fever, diarrhea, severe constipation, or bleeding from the rectum or lungs.

Other contraindications include patients with emaciation, weakness, or prolapsed rectum.