Introduction: One of the baffling problems of mankind since time immemorial is the skin disease. Shvitra (Vitiligo) may become; a psychologically devastating disorder when it typically occurs in exposed areas. Aim: To evaluate and compare the efficacy of the Vamana and Virechana Karma in the management of the Shvitra (Vitiligo). Materials and Method: In this study total 92 patients of Shvitra were registered at Panchakarma dept. of I.P.G.T. and R.A. Hospital, Jamnagar. Patients were randomly divided in three groups by lottery random sampling method. In Group A - Vamana Karma and in Group B - Virechana Karma was given. After Shodhana in both Groups and in Group C Oral administration of Darvigomootra Ghanavati 6g/day with the Apamarghkshara Lepa for 8 weeks was given. Result: In VASI Score 2.16% and 4.61% relief was found in Group A and B respectively which was statistically highly significant. While in Group C 0.38% relief was found which were statistically insignificant. Conclusion: Any kind of Shodhana therapy either Vamana or Virechana play a key role in the management of Shvitra. For long far and sustainable effect of the therapy Shodhana should be performed priorly.

Dhumapana is very effective treatment for upper clavicular diseases (Urdhvajatrugata Roga). It is also effective in coughing (Kasa Roga) and in induction of emesis. However it is not widely practiced. The curative aspect of Dhumapana is somewhat known in clinicians but its preventive and promotive aspect is neither much known nor practiced. Different types of Dhumapana are mentioned in Ayurvedic classics, made from different Dhumavarti, using different drugs; according to the need of action. It works on Vata and Kapha Dosha. It can be used for Shamana and Shodhana Karma. It can be advised at different stages of treatment to achieve these Karma. In this article an effort has been made to elaborate the preventive, promotive and curative aspect of Dhumapana.

A 36 year old female patient came to P. D. Patel Ayurvedic Hospital, Nadiad with confirmed diagnosis of Intra Cranial Hypertension (IIH). The patient presented with chief complaint of headache (more over left side), transient vision loss and ear ache. Clinical findings showed bilateral papilloeodema (Lt>Rt). MRI showed possibilities of Idiopathic Intracranial Hypertension. The menometry showed the pressure of CSF-360 mm of water. After clinical evaluation Ayurvedic treatment was started and significant improvement was seen. The treatment during the hospitalization of one month included Sarvanga Abhyanga, Sarvanga Swedana, Niruha Basti, Marsha Nasya and oral medication. Later on after 19 days Shirodhara was started. During the stay patient was followed up for papilloeodema. As a result of the treatment the severity of the headache was decreased and papilloeodema started resolving. The menometry showed significant reduction in the pressure of CSF. The medicines were continued after discharge.

In recent era Panchakarma has got prominent place in the management of the diseases through Ayurveda, because Panchakarma is only hope in patients who are bushed after all the Shamana treatments. Panchakarma expels the Doshas from their causative roots so diseases cannot revert after; like tree cannot grow without its root. Without proper Poorvakarma physician cannot get truly result though Shodhana procedure (like Vamana/Virechana) performed well, because without Poorvakarmas Doshas cannot be changed in particular forms through which they can be expelled out from the body. The present paper is focused on explanation of the principle that how Poorvakarma is essential for Shodhana therapy, how they change Dosha’s form and elucidate the Kala and Matra of Poorvakarma particular in Snehapana.

The concept of Agni is basic concept of Ayurveda. Agni is believed to be the agency for any kind of transformation. Maharshi Vagbhatta says that each of the Dosha, Dhatu, Mala etc. have their own Agni. This is how the number of Agni cannot be limited. Though each and every Agni has its own importance, Dehagni or Jatharagni is the most important one as all other Agnis are depended upon Dehagni. Acharya Vagbhatta says that proper function of every Dhatvagni is depended on the Jatharagni. Increase or decrease of Jatharagni directly affects the function of Dhatvagni. Thus, Maharshi Charaka established functional relationship among Jatharagni and other Agnis. Maharshi Vagbhattta goes one step ahead of Maharshi Charaka by using word “Amsha” means; moieties of Kayagni, located to in its own place, are distributed to and permeate to all the Dhatus. A decrease of it (below the normal) makes for an increase of the Dhatus, while an increase of it (above the normal) makes for a decrease of a Dhatus. This shows structural relationship too, between Jatharagni and Dhatvagni as “Amsha” always indicates Murtatva or material form. Further more all these Agnis are connected with each other and due to this relationship, vitiation of Jatharagni results in vitiation of all the other Agnis.