International Journal of Trend in Scientific Research and Development (IJTSRD)

Volume 6 Issue 3, March-April 2022 Available Online: www.ijtsrd.com e-ISSN: 2456 – 6470

Review Article on Samsarjana Krama

Dr. Madhukar1 BAMS, Dr. V. G Hiremath2 BAMS MD (Ayu),
Dr. S. V Guddad3 BAMS MD (Ayu), Dr. G. S Badarinath4 BAMS MD (Ayu)
1
PG Scholar, 2Professor, 3Associate Professor, 4Professor & HOD,
1, 2, 3, 4
Department of PG Studies in Panchakarma, Shri Vijaya Mahantesh Ayurvedic
Medical College & P.G Research centre, Ilkal, Karnataka, India

ABSTRACT How to cite this paper: Dr. Madhukar |

Panchkarma represents five therapeutic procedures of Samshodhana Dr. V. G Hiremath | Dr. S. V Guddad |
(Internal purification of the body). Samshodhana and Samshamana Dr. G. S Badarinath "Review Article on
are the two types of treatment in Ayurveda advised for the patient Samsarjana Krama" Published in
with vitiated Dosha, Dhatu, Jatharagni or Mala.Panchakarma International Journal
of Trend in
procedures comprise of Poorva Karma, Pradhana Karma and
Scientific Research
Paschat Karma. Due to Poorva Karma such as Snehana and and Development
Swedana Karma Doshas get Vilayana and comes in to Amashaya and (ijtsrd), ISSN: 2456-
after Shodana due to Shodhanaoushadhi Kshobhana leads to the 6470, Volume-6 |
Agnimandhya. To correct this Agni Samsarjana Krama is to be Issue-3, April 2022, IJTSRD49739
followed. The sequential order of administration of Pathya Ahara is pp.1402-1407, URL:
followed in Peyadi Samsarjana Krama, Tarpanadi Krama, Rasadi www.ijtsrd.com/papers/ijtsrd49739.pdf
Samsarjana Krama as per classics. After the administration of
Vamana Karma or Virechana Karma, a special diet regimen is to be Copyright © 2022 by author (s) and
followed called as Samsarjana Krama which means a proper International Journal of Trend in
sequential diet regimen of Peya, Vilepi, Kritakrita Yusha and Scientific Research and Development
Journal. This is an
Kritakrita Mamsarasa. When samyak śuddi occurs samsarjana
Open Access article
krama may be started on the same day. It is used to increase the Agni distributed under the
and to provide sequential nourishment to the patient i.e. from light terms of the Creative Commons
diet to normal diet. The importance of Samsarjana Krama is to Attribution License (CC BY 4.0)
increase the strength of weakened Agni and body after Samshodhana (http://creativecommons.org/licenses/by/4.0)
Karma.
KEYWORDS: Panchākarma, Samsarjana krama, Peyādi, Tarpana,
Rasa samsarjana krama, Agni

INTRODUCTION:
The term “Panchkarma” represents five therapeutic Kritakrita Mamsarasa. The word Samsarjana is
procedures of Samshodhana (internal purification of derived from the combination of two words i.e Sama
the body) by evacuation of accumulated morbid means Samyak (proper) and Sarjana means the act of
Dosha from the body through the nearest possible creating or formation. Here formation refers to the
route. Samshodhana Karma can be categorized as formation of body tissue from nutrition derived
Poorva Karma, Pradhana Karma, Pashchata Karma. through the intake of meals. Krama means sequence
Poorva Karma includes Deepana, Pachana, Snehana, here specialized type of sequential administration of
and Swedana, Pradhana Karma includes; Vamana, nutrients in the diet of an individual. Here we
Virechana, Niruha Basti, Anuvasana Basti, Nasya introduce Aahara from Laghu to Guru Aahara. This
and Raktamokshna, Paschata Karma; includes Peyadi will help to increase the Agni and stabilize the Agni.
Samsarjana Krama, Rasayanadi Karma and
Due to elimination of the Doshas from the body after
Shamana Prayoga. After Panchkarma (mainly
Shodhana Karma, Agni will be hampered. So to
Vamana and Virechana) Jatharagni get disturbed and
correct this Agni Peya or Tarpana or Rasa
diminished and patient is likely to be weakened. In
Samsarjana Krama should be followed.1 Acharya
this condition, after the administration of Vamana Charaka has given one simile to understand the
Karma or Virechana Karma a special diet regimen is importance of Samsarjana Krama. As a small spark
followed called as Samsarjana Krama which means a of fire gets gradually ignited by putting little quantity
proper sequence of Peya- Vilepi- Kritakrita Yusha-

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of cow-dung, dry gross etc….Similarly the Agni in 1. PEYADI SAMSARJANA KRAMA.
the Shodhita person gradually grows strong and Indication
become stable and capable of digesting all types of Peyadi samsarjana krama is indicated after
food by the administration of Peya etc…. Samsarjana vamana & virechana, mandagni, after langhana or
Krama2. during langhana to protect agni and the prana5.
During snehapana, after vamana, virechana &
AIMS AND OBJECTIVES
rakta mokshana, after niruha basti, agni mandhya.
1. Conceptual study of Samsarjana Krama.
Agni will be exahasted by use of very heavy
2. Study of different types of Samsarjana Krama
foods just like a small spark of fire coverd with
according to different views.
heavy fuel. It gets increased by use of little
3. Importance of different preparations used in
quantity of light food just like a spark of fire
Samsarjana Krama.
when fed by small and less quantity of fuel6.
MATERIALS AND METHODS Samsarjana krama is adopted to correct
1. Classical texts and related commentaries of agnimandhya after samshodhana,
Ayurveda. Raktamokshana, snehapana & langhana7.
2. Study materials available on internet.
Course of Peyadi Samsarjana Krama
Need of Samsarjana Krama The planning of Samsarjana Krama should be based
Due to the elimination of Dosha from the body after on the type of Shudhi i.e. Hina Shudhi, Madhyama
Samshodhana karma, Agni becomes weak. So as to Shudhi and Pravara Shudhi it is of 3 days, 5 days and
restore the strength of Agni and Prana, Peyadi 7 days respectively8.
Samsarjana Krama should be followed3. Due to more 1. Samsarjana Krama according to Bala Sushurata
quantity of elimination of Dosha from the body after mentioned the Samsarjana Krama can be
Shodhana Karma the Agni becomes weak. To protect followed by considering the strength of the
Agni and to achieve proper Shodhana Phala (benefits patient. Samsarjana Krama should be planned as
of Shodhana) Samsarjana Krama is essential. If per the Bala. The individuals having Pravara bala
Samyak Aoushadha Jeerna Lakshana occurs we start 3 Annakala are advocated, 2 Annakala for
on the day of Vamana, if not or any little Aoushadha Madhyama bala and 1 Annakala for the
remains in the body then Samsarjana Krama starts on individuals with Avara bala. Dalhana mentioned
next day morning4. that, Bala can be judged by Upchaya9.
Types of Samsarjana Krama Table No.1: Showing relation of Bala with No. of
1. Peyadi Samsarjana Krama. Annakala to be adopted
2. Tarpanadi Samsarjana Krama. Bala No. of Annakala
3. Rasa Samsarjana Krama. Pravara 3
Madhyama 2
Avara 1

Table No.2: Showing Plan of Peyadi Samsarjana Krama according to charaka

DAYS PRAVARA MADHYAMA AVARA
1st day Evening Peya Peya Peya
Morning Peya Peya Vilepi
2nd Day
Evening Peya Vilepi Akrita Yusha / Krita Yusha
Morning Vilepi Vilepi Akrita Mamsa Rasa / Krita Mamsa Rasa
3rd Day
Evening Vilepi Akrita Yusha Normal Diet
Morning Vilepi Krita Yusha
4th day
Evening Akrita Yusha Akrita Mamsa Rasa
5th day Morning Kruta Yusha Krita Mamsa Rasa
Evening Kruta Yusha Normal Diet
Morning Akruta Mamsa Rasa
6th day
Evening Kruta Mamsa Rasa
Morning Kruta Mamsa Rasa
7th day
Evening Normal Diet
Sushruta also suggested adopting the Samsarjana Krama after considering quantity of Dosha expelled by
Samshodhana. Expelled Dosha are in three Pramana i.e. 1 Prastha, ½ Adhaka and 1 Adhaka. Among them 1

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Prastha is Avara, ½ Adhaka is Madhyama and 1 Adhaka is Pravara or Uttama. In 1 Prastha Pramana of
Dosha,Yavagu made by adding little amount of rice one time is given to the patient. In ½ Adhaka Pramana of
Dosha, Peya should be given to the patient twice. In 1 Adhaka Pramana of Dosha, Peya should be given for
three times10.
Table no.3: Showing level of Shudhi in realtion with quantity of Dosha eliminated
Dosha Pramana Level of shudhi
1 Adhaka Pravara
½ Adhaka Madhyama
1 Prastha Avara
Table No.4: Showing Plan of Peyadi Samsarjana Krama according to Sushruta
DAYS PRAVARA MADHYAMA AVARA
1st day Evening Peya Peya Peya
Morning Peya Peya Vilepi
2nd Day
Evening Peya Vilepi Akrita Yusha /
Morning Vilepi Vilepi Krita Yusha
3rd Day
Evening Vilepi Akrita Yusha Mamsa rasa of lava, harina
Morning Vilepi AKrita Yusha Normal Diet
4th day
Evening Akrita Yusha krita Yusha
5th day Morning AKruta Yusha krita Yusha
Evening AKruta Yusha Mamsa Rasa
Morning kruta Yusha Mamsa Rasa
6th day
Evening Kruta Yusha Normal Diet
Morning Kruta Yusha
7th day
Evening Mamsa Rasa
Morning Mamsa Rasa
8th day
Evening Mamsa Rasa
th
9 day Morning Normal Diet
Table No.5: Ahara Kalpana and it’s Prepartion.
AHARA KALPANA PREPARATION
Peya 1: 14 (Rice : water)
vilepi 1: 4 (Rice : water)
Odana 1: 5 (Rice : water)

TARPANADI KRAMA
Indications of Tarpanadi Krama11
1. The patients with increased Kapha and Pitta Dosha.
2. When Kapha and Pitta are eliminated in a smaller quantity during Samshodhana.
3. In the alcoholic patients.
4. The patients having Vata and Pitta Prakriti.
In above condition peyadi samsarjana krama is contraindicated because it causes abhishayndata in Shodhita
person. According to Chakrapani, Svaccha Tarpana can be given instead of Peya and Ghan Tarpan instead of
Vilepi. Preparation of Svaccha Tarpana: 1part Laja + 14 parts water. Ghana Tarpana : 1 part Laja + 4 parts of
water.
Table No. 6: showing different opinion regarding Tarpanadi Samsarjana Krama.
Authors 1st Annakala 2nd Annakala 3rd Annakala
12
Dalhana Laja Saktu Yusha Bhakta
Arunadatta13 Laja Saktu Odana Mamsarasa + Odana
Parameshwar14 Laja Saktu Yusha + Odana Mamsarasa + Anna
Different Tarpana yogas indicated in different conditions.
In Urdvaga Raktapitta– Laja churna + Adhika matra gruta + Madhu15. .
In Madatyaya condition Draksha rasa tarpana will be indicated16.

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RASA SAMSARJANA KRAMA
During Samsarjana Krama, there are chances of provocation of Dosha due to augmented Agni. By arranging
taste of the recipe in such a proper sequence the chances of increase of Dosha will be lessened. Chakrapani 15
and Dalhana16 elaborated this as follows
Table no: 7 showing different opinion regarding Rasa Samsarjana Krama
Sequence of Rasa Charaka Sushruta
1 Snigdha,Amla,Swadu and Hridya Swadu and Tikta
2 Amla and Lavana Snigdha, Amla, Lavana and Katu
3 Swadu and Tikta Swadu, Amla and Lavana
4 Kashaya and Katu Swadu and Tikta

Snigdha, Amla, Svadu — Vata prashamanarta

Amla, Lavana — Agni Sandhukshanartha.
Svadu, Tikta — Pitta Samanarta..
Kashaya, katu — Kapha Prashamanarta.
If any vitiation Vata & Pitta – Svadu tikta rasa
If any vitiation of Vata & Kapha – Svadu,Amla, Lavana and Katu
If virechana karma is not intended to be given after vamana to get bala & prakruti there we give rasa
samsarjana krama.
Acco to some author’s ingredients of different rasa are to be used while preparing peya etc….
Then the ingredients having different rasa and guna used alternatively
Ex snighda and ruksha etc…
Table No 8: Difference between Peyadi and Tarpanadi Krama
Feature Peyadi Krama Tarpanadi Krama
Use Most commonly used Less common
Indication Pravara and madhyama Shodhana Avara Shodhana
Vata-Pitta Pradhanyata, Kapha-Pitta
Dosha Kshina Kapha
Alpa Shodhana
Lajja Svaccha tarpana- Lajja
Pathya Kalpana Peya-Vilepa, Yusha-Mamsarasa
Ghana Tarpana- Yusha
Special indication - Madhyapa

DISCUSSION The Samsarjana Krama is given with two aims;

Why Only Ahara kalpana for Agni to give time to stomach/intestine to replenish
sandhukshanarta? औषध and ahara are two Agni during the Samshodhana procedures and to
options for the increase Agni of the patient. Due slowly increase the acidic and alkaline secretions
to samshodana karma patient become shunyadeha in the stomach and intestine. Sudden increase in
and Pratikaraasahishnuta i.e. intolerance to acidic/ alkaline will damage the mucosa and
adverse situation patient may not be able to digest the organ muscles leading to gastritis and
tolerate the virya of Oushadha that’s why ulcers.
Acharya explained Samsarjana krama like peya The sequence followed is Peya, Vilepi, Akrita
vilepi etc..… Yusha, Krita Yusha, Akrita Mamsarasa, Krita
Why samsarjana krama is limited to vamana and Mamsarasa. Shodhana is a complex process
virechana because in niruha basti the Agni which involves many steps like Rukshana,
Mandya is mild it is not that much like in vamana Pachana, Deepana, Snehana, Swedana, Abyanga,
and virechana hence here need not to follow the Doshaavasechana and also it is a strenuous
peyadikrama. In niruha basti they given different process where one has to follow proper diet in
ahara like If vata –jangaladesha mamsa rasa, Pitta each step to protect Agni and to achieve proper
–kshira, Kapha–yusha. In Nasya also they said Shodhanaphala (benefits of bio purification).
take Anabhishandi ahara . In Raktamokshana we After Shodhana Agni becomes weak, this can be
use laghu Deepak ahara. understood as reduction in the amount of enzymes
which is required for digestion. Hence forth food

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is administered in sequence of Carbohydrates, [3] Agnivesha. Charaka Samhita, Ayurveda dipika
Proteins and Fats. Peya and Vilepi consists of - commentary of Chakrapanidatta Revised by
carbohydrates. Peya is in liquid form requires charaka and drudabala,edited by vaidya yadvaji
very less amount of HCL for the digestion and trikamji acharya, Choukambha orientalia
carbohydrates are absorbed easily by the intestinal Varanasi edition-2015, Siddhistahana 6/57.
lumen in this form. Vilepi contains higher amount
[4] Agnivesha. Charaka Samhita, Ayurveda dipika
of carbohydrates compared to previous - commentary of Chakrapanidatta Revised by
preparations respectively. Yusha prepared from
charaka and drudabala,edited by vaidya yadvaji
cereals and pulses contains proteins administered trikamji acharya, Choukambha orientalia
after carbohydrate diet. Cereals and Pulses are
Varanasi edition-2015, sutra stana 15/16.
plant source of proteins which are simple
proteins. Later complex proteins in the form of [5] Agnivesha. Charaka Samhita, Ayurveda dipika
meat are administered. Adding spices and fats is - commentary of Chakrapanidatta Revised by
for stimulating bile and helping the digestion. In charaka and drudabala,edited by vaidya yadvaji
this way all form of food is introduced. trikamji acharya, Choukambha orientalia
Varanasi edition-2015, Siddhistahana 6/57.
Even though great importance had been given to
Samsarjana Krama since ancient period, now [6] Sushruta Samhita with nibandasangraha
days it has been neglected. Shodhana benefits will commentary edited by vaidya yadvaji trikamji
be achieved only after completion of Samsarjana acharya, Choukambha orientalia Varanasi
krama. Now a day’s Samarjana Krama is blindly edition-2019 Chikitsa stana 39/3-4.
practiced without assessing the Avastha of [7] Edited by Harishastri Paradkar, Ashtanga
disease. Samsarjana Krama is different from Hridaya commentary by Arunadatta and
person to person disease to disease according to Hemadri, Sutra Sthana: Chapter 18 Verse 45-46
level of Shodana. It is duty of wise doctor to : Chaukambha Krishnadas academy, 2009; 268.
select such a Samsarjana which acts as
Vyadhihara and Agni Deepaka. [8] Agnivesha. Charaka Samhita, Ayurveda dipika
- commentary of Chakrapanidatta Revised by
CONCLUSION charaka and drudabala,edited by vaidya yadvaji
Samsarjana Krama is the sequential diet regimen trikamji acharya, Choukambha orientalia
followed after Vamana and Virechana Karma to Varanasi edition-2015, siddhistana 1/11.
enhance the Jatharagni (digestive power or capacity
of the digestive system of the body). Samsarjana [9] Dr. Kewal Krishan Thakral, SushrataSamhita ,
Krama is the need for every Samshodhita Purusha. It Chaukhamba Orientalia, Revised Edition,
helps to regularize the Jatharagni which is weakened Dalhana onSu.Ci.39/17-18.
due to Shodana procedures and to overcome the [10] Dr. Kewal Krishan Thakral, SushrataSamhita ,
Doshakshaya and Dhatukshaya (depletion). Benefits Chaukhamba Orientalia, Revised Edition,
of Samsarjana Krama in Panchkarma are; it Su.Ci.39/6.
normalizes the Jatharagni and Vayu, provides
nutrition and helps to normalize the body tissues, [11] Agnivesha. Charaka Samhita, Ayurveda dipika
which are weakened due to Samshodhana, by - commentary of Chakrapanidatta Revised by
arranging such plans, the diet comprised of all the charaka and drudabala,edited by vaidya yadvaji
tastes can be served through meals (Annakala) and trikamji acharya, Choukambha orientalia
Dosha becomes normal. Varanasi edition-2015, siddhistana 6/25.

REFERENCE [12] Sushruta Samhita with nibandasangraha

[1] Agnivesha. Charaka Samhita, Ayurveda dipika commentary edited by vaidya yadvaji trikamji
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charaka and drudabala,edited by vaidya yadvaji edition-2019 Chikitsa stana 39/13.
trikamji acharya, Choukambha orientalia [13] Edited by Harishastri Paradkar, Ashtanga
Varanasi edition-2015, Siddhistahana 6/24. Hridaya commentary by Arunadatta and
[2] Agnivesha. Charaka Samhita, Ayurveda dipika Hemadri, Sutra Sthana: Chapter 18 Verse 46:
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