Strīroga–Prasūti–Bāla Cikitsā, Viṣa-haraṇa, Rasāyana, Ṛtucaryā, Pañcakarma-saṅgraha
मृदुकोष्टश्च पित्तेन खरो वातकफाश्रयात् / मध्यमः समदोषे स्यात्त्रिवृत्तिते विरेचनम्
mṛdukoṣṭaśca pittena kharo vātakaphāśrayāt / madhyamaḥ samadoṣe syāttrivṛttite virecanam
مَن كانت أمعاؤه لينة فذلك من غلبة «پِتّا» (pitta)؛ وأمّا خشونةُ الأمعاء أو صلابتها فتنشأ لاعتمادها على «ڤاتا» (vāta) و«كافا» (kapha). فإذا اعتدلت «الدوشا» (doṣa) صار الحال متوسطًا؛ وحينئذٍ تُجرى «الفِرِچَنَة» (virecana) باستعمال «تريفِرت» (trivṛt).
Lord Vishnu (in discourse to Garuda)
Dosha: Vata/Pitta/Kapha
Concept: Deha-dharma: maintaining doṣa-sāmya through appropriate śodhana (purgation) based on constitution.
Vedantic Theme: Body as an instrument (śarīra-sādhana) requiring regulation; sattva through balance and restraint.
Application: Assess koṣṭha (mṛdu/khara/madhyama) and doṣa state; choose virecana appropriately, using trivṛt when doṣas are in a balanced/moderate presentation.
Primary Rasa: shanta
Related Themes: Garuda Purana 1.172 (Ayurveda/vaidya-prakaraṇa): koṣṭha-parīkṣā, śodhana-vidhi, virecana/basti sections nearby
The verse frames virecana as a doṣa-sensitive purification method, indicating that cleansing should match constitution and balance rather than be uniformly applied.
By emphasizing doṣa-balance and disciplined purification, it supports the Garuda Purana’s broader ethic that regulated living and bodily order aid spiritual steadiness.
Use the principle of individualized care—assess constitution and balance first—and seek competent Ayurvedic supervision for any purgative regimen.