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Dr.
Department of R & B
GAVC, Tripunithura

Kshetrikaranam
!


:
( :)

Etymology of the word


Kshetrikaranam
( + ) = I.....
()
= ()
= ()

Just like how a field is set ready by proper


ploughing, irrigation ,etc in order to sow the
seeds and get a better yield and harvest , human
body , the kshetra,is prepared by various
therapies for sowing the seeds of oushadha so
that it isz properly metabolised so that we shall
harvest the yield of Arogya

Kshetrikarana swaroopam


:
(../)
The purificatory procedures adopted prior to the
commencement of a therapy is known as
kshetrikaranam.
Therapy include both swasthastha urjaskara
prayoga Rasayanam and Arthasya roganuth
prayoga.

Kshetrikaranam , Pancha
karma and Pancha shodhana
The procedures for kshetrikarana can be seen
imbibed within panchakarma therapy but all
panchakarma procedures are not adopted for
kshetrikarana.
PANCHAKARM
A

PANCHA
SHODHANA

Vamanam
Virechanam
Asthapanam
Anuvasanam

Vamanam
Virechanam
Nasyam
Vasthi

KSHETRIKARA
NA

Pachanam
Snehanam
Swedanam
Vamanam

Unlike in Brihatrayis
the rasashastriya
kshetrikarana enumerate both poorvakarma and
pradhanakarma together.
No
mention
rakthamoshana.

for

nasya,

vasthi

Treatise like Rasendra chintamani


krimipatana for pachanam.
As per Dhanvanthari samhitha
preceeded by virechanam.

and

includes

vamana

is

Kshetrikarana prakriya
:


: :
:


(../-)

Initially the body should be subjected to


panchakarma procedures.
After proper purification the patient
should
resort to proper pathya krama and then he is
administered sidhaudhadha.
Bala , krisha, ksheena are exempted from
purificatory procedures.
An experienced physician may prescribe them
rechana according to the strength of the patient.
If the patient develops any fatigue or other
clinical manifestations after rechanam , such
condition should be effectively cured using
medication and only then the patient should be

Kshetrikarana in detail
Kshetrikarana includes the following procedures:
Paachanam/krumipaathanam
Snehanam
Vamanam
Virechanam
krimipaatanam

Paachanam


( /-)

Lavana should be used for the utklesha of dosha


which should be eliminated lately followed by
intake of jeerna rasa.
Person should be administerd laghu aahara
during day time.
An ashtavashista kashaya prepared with 1 pala
of shudra, dhanyaka and nagaram should be
administered for 3 nights.
This should be followed by the administration of
triphala kwatha prepared in the same way for
another 3 nights.

Snehanam


( /-)

: :


(.. /)


( /)

Aaharam: chaga mamsa rasa along with ghee


during day time or the person can be
administered rice with ghee, mudgarasam with
ghee ,etc.
He should resort to laghu annam during day
time.
Sneha pana is done during the night with
saindhava sidha go ghritam.
Dose: 1 nishkam ( 4 g)of saindhavam + 4
nishkam (16g) of ghritam.
( Accorging to the coin system I nishkam =
320 ratti and one ratti here is .11g thus in
the context of rassashastra 1 nishka can be
35.20g 40g)
Duration = 7 days.

As per Rasahrudaya tantram


Snehapanam during day
Duration 3 days.
Saindhava sidha
the morning.

ghrita administered early in

After 3 days of snehapana administration of


ketaki mula kashaya is advised for 3 days
before shodana.
Rasendrachintamani
mentions
the
same
opinion but do not mention regarding the

Swedanam

( /)
:



:


( /-)

As per Rasahrudayatantra the most appropriate


method shall be selected for swedana as per rasa
sampradaya.
Rasendrachintamani advocate the use of both
anagneya sweda using vastradi as well as agneya
sweda.
Aananda kanda specially mentions a method of
bhaspa sweda/ kumbha sweda .
Swedana in decoction of matsya, mamsa,
masha , tila etc.

Vamanam


( /)
( /)



( /-)

( /)

2 opinion regarding vamanam: most of the


authors opine it to be done after snehapanam
but as per treatise like Rasendra chinthamani
Dhanvanthari samhitha , etc vamana is
performed after virechanam.
Vamana can be conducted by the administration
of either vachadi vamanousha as per the classical
method
or with combination containing suta
bhasma.eg,
-Nimba kwatha +
1
Madanaphalam
Patha

Add 1 karsham
sutabhasmam+vaca(12choornam
g) of pippali,
Added with 16
indrayava,
times water and
yashti, lavanam
reduce to
and consume
and filter
early in the

Pithantham vamanam should be performed.

:


(- /)
A person with fear of panchakarma therapies,
who is sukumara,need not be administered
vamana , instead they need to be given
rechanam
followed by oushadha sevana
assuming that the doshas are expelled

Virechanam
,( /)


()
:
(.. /)

Virechana is performed before or after vamana


as per the condition of the patient.
Ichabhedi ras
and simillar combinations are
indicated for virechanam at a dosage of 2 gunja
( 250mg).
Rasahrudaya tantra indicate the
katurohini kashayam for the same.

use

of

Practicaly the virechanoushadhi can be selected


according to the condition of the person.
As such no mention on the aanthiki, vegiki or
maniki shudhi for virechana. Thus classical

Certain treatise like Rasendrachintamani have


not considered paachanam as the rasashastriya
pancharkma instead
they have incorporated
kitaapathanam or krumi paatanam as the 5th
procedure.
Anadakanda do not include krumipathanam
among 5 but have elaborated and indicated the
procedure after virechanam.
can be considered as an additional precaution to
prevent any chances of drug malabsorption.
Since it is not considered by all practically it may
be adopted as per the condition of the patient.

Krumipaatanam

( /)



( )

As per Rasendrachintamani the kitapatanam can


be achieved by the administration of modaka
prepared from palasha bija, vidanga and guda.
Aanandakanda advocates administration of the
combination
containing
vacha,
vidanga,
palashabija, and indrayava taken 1 karsha(12g)
each mixed with 1 karsha of jaggery.
Consumed for 3 days
Anupanam :ushnajalam
Time of administration : early morning( praata:)
per oral

Pathya
: :

:
( /)


( /-)

After Kshetrikarana one should resort to a diet


containing shalyodanam, jangalamamsarasam,
mudgarasam,etc.
Rasahrudayatantram
mentions
the
administration of ghritayukta yaavakam for 3
days .
In the same treatise administration of a
shodhana choornam
is mentioned after
virechanam so that the shareera become parihata
samsargadosha bali.
Content: trikatu,thiphala, guda, vidanga, vacha,
rajani saindhavam
Consumed with hot water for 3 days starting

Apathya

: :
( . . /)

Prayogas after
kshetrikarana
Arota bandha parada and khota badha
parada
Abhrak prayoga patrabhraka prayoga is
strictly contraindicated and also administration
of abhrakam with kanjika.
Suradaru prayoga: eg :devadaru tailam +
ghritam+ triphalakashaya in equal quantity kills
nayanamaya
Bhasma prayoga: Hata/ jeerna parada with
1,2,3,or 4 among the following bhasmas can be

Dose of badha rasa after


kshetrikarana
Shatavedhi 1 gunja
sahasravedhi
Laksha vedhi rathi
Koti vedhi one sarshapam
Special pathya to be followed consumption of
processed mecurry.

PATHYA

APATHYA

Shashtika
shali,
mudga
rasam,mamsa
rasam,
yava,
godhuma,goksheera
m, mastu,
Akshara
and
madhura
jala
for
paanam
processed
with
chaturjatam
and karpooram.
Sukhambu snanam

Madhyam,
aaranalam, tailam,
dadhi.
Abhyangam with
katutailam
Paryushitha phala,
moola,bhakshya, etc.
Langhanam
taking food with in
one yaama of
previous meal,
chinta, kopa,
No uchatanam of
graha, rakshasa,

Need for Kshetrikaranam


:
: :
(.. /)





( )


:







(../-)

Even if the quality of seed is high, it cant flourish


well in a saline or alkaline field. Similarly the
effect of a potent medicine administered to a
person without performing
kshetrikarana
become fruitless .
There wont be proper kramana of rasa
throughout the body there by aggravating doshas
in the whole body.
We can also see measures to deplete lavana,
kshara and amladosha of our body in
Anandakanda.

Rasashastra will be the medicine of future thus it


is essential to practice the science abiding by all
its principles.
Shodhana exclusively mentioned
consideration of pharmacokinetics .

with

due

Rasachikitsa is comparitively most recent


advancement thus the shodhana methods will be
more practical and updated with time.
Krumipatana is highlighted only in Rasashastriya
panchakarma.
In disease conditions we shall also adopt the
drugs mentioned in respective contexts and

Conclusion
Kshetrikarana is a shodhana prakara comprising
of pachana, snehana, swedana, vamana,
virechana and krumipatana performed exclusively
to convert out body to an ideal kshetra for the
drug to perform its action in am optimum way.
Though the procedure id always neglected , let us
join hands to perform Rasachikitsa
in its
authentic way.

THANKYOU

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