kshetrikaranam

1. WELCOME…
.

2. क्षेत्रीकरणम्
Dr. के जे कार्तिका
Department of R & B
GAVC, Tripunithura

3. Kshetrikaranam
श्रुणुदेवी! प्रवक्ष्यामम देवानामपि दुर्िभम्म ्
योगिनाां भम्ोियुक्तानाां देहवेधां सुरेश्वरर॥
िाचनादद प्रकु वीत िञ्चकमिपवधानत:
( आनन्दकन्द ६ ऊल्र्स देहवेधक्रम:)

4. Etymology of the word
Kshetrikaranam
क्षेत्र ् (क्षक्ष + ष्ट्रन ्) = शस्यास््युत्िपिस्थIनेके दरे.....
(वाचस्ित्यम्)
क्षेत्रां = भम्ुमम (शब्दकल्िद्रुमम्)
क्षेत्री = क्षेत्रां अस्य अस्स्त इर्त॥ (शब्दकल्िद्रुमम्)

5. 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

6. 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.
सञ्जात िञ्चकृ त्यस्य जैत्रैयि् िदनाशनम्
रसायनादौ तत्प्राज्ञै: क्षेत्रीकरणमुच्यते॥
(र.त.७/७९)

7. 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.
PANCHAKARMA PANCHA
SHODHANA
KSHETRIKARANA
Vamanam Vamanam Pachanam
Virechanam Virechanam Snehanam
Asthapanam Nasyam Swedanam
Anuvasanam Vasthi Vamanam
Shirovirechanam Rakthamoshan Virechanam

8. •Unlike in Brihatrayis the rasashastriya kshetrikarana
enumerate both poorvakarma and pradhanakarma together.
•No mention for nasya, vasthi and rakthamoshana.
•Treatise like Rasendra chintamani includes krimipatana for
pachanam.
•As per Dhanvanthari samhitha vamana is preceeded by
virechanam.

9. Kshetrikarana prakriya
आदौ तु िञ्चकमािणण कारर्यत्वा मभम्षग्वर:
िश्चात् मस्धौषधैयित्नाद्रोिशास्न्तां प्रकल्ियेत्॥
यदद बार् कृ शक्षीण: स्याद्रसायन सेवक:
तदा तु िञ्चकमािणण कारयेन्न ् मभम्षग्वर:॥
समयज्ञस्तदा युक्त्या रेचनम् कारयेन्नवा
ततस्तु मस्धभम्ैशज्यै: नीरुजञ्चापि कारयेत ्
मस्धौषधप्रयोिाच्च ् रोिशास्न्तयिदा भम्वेत ्॥
मृताभ्रमुख्ययोिाश्च तदा स्ांयोजये्मभम्षक्
(र.त.७/८०-८२)

10. •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 administered with rasayanas like abhraka bhasma,
etc.

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

12. Paachanam
र्वणादद समुस्त्क्र्ष्ट्टान ् दोषान्सम्शोधयेत्क्रमात ्
ततो जीणिरसां चा््यात््मादेवां सुरेश्वरर॥
र्घ्वाहरो ददवा भम्ुक्त्वा क्षुद्रधान्यकनािरम्
एतत्त्रयां िर्ोन्मेयां उदके ष्ट्ववर्ोडयेत ्॥
अष्ट्टावमशष्ट्टां सांक्वथ्य प्रर्तरात्रां पिबेत्त्रयहम्
अनन्तरम् वराक्वाथां िूविवस्त्त्रददनां पिबेत ्॥
इर्त िाचनमातन्यादथ स्नेहनमाचरेत ्
(आनन्दकन्दां ६/४-६)

13. •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.
•After performing paachana like this the person shall be
administered with Snehapanam.

14. Snehanam
घृतेन छािरसां ददवाभम्ुञ्जीत मात्रया
आज्यान्न ्ां वा मु्िरसां र्घ्वाशी स्या्ददने सुधी:॥
रत्रौ पिबेत् घृतां िव्यां पिबेत् घृतां सैन्धवेन समस्न्वतां
र्नष्ट्कमेकां सैन्धवां च घृतां र्नष्ट्क चतुष्ट्टयम्॥
भम्ृङ्िामर्क तैर्ेन सवािङ्िममभम्षेचयेत ्
एवां सप्तददनां कु याित ् स्नेहनां िरमां दहतम्॥
(आनन्दकन्दम् ६/७-९)
आदौ प्रात: प्रात: सैन्धवयुक्तां घृतां पिबेस्त्त्रददनां
तादनु क्वाथां त्रत्रददनां युञ्जीयात ् के तकी तनुजम्॥
(र.हृ.त १९/२)
स्स्नग्धां प्रातस्स्त्रददनां घृतसैन्धविानेन
(रसेन्द्रैगचन्तामणण ३/१८३)

15. •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.
•Abhyanga is indicated with bringa aamalaka taila during this
time.

16. As per Rasahrudaya tantram
• Snehapanam during day
•Duration 3 days.
•Saindhava sidha ghrita administered early in the
morning.
•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 ketaki mula kashayapanam.

17. Swedanam
स्स्वन्नम ् वस्त्राददिुटवस्ननना
( रसेन्द्रैगचन्तामणण ३/१८३)
मत्स्यमाांसां माषर्तर्जामर्क सक्तव:
सविमेतत् भम्वेत् प्रस्थां एकाष्ट्ठीर्ािरुबर्ा
रास्स्नाव्यघ्रीघनाित्रां कौमशकार्तपवषार्नशा
सविमेत््वयिर्ां तक्रक्षीरम्बु कास्ञ्जकां ॥
्वयाढके र्नक्षक्षिेत्सवं मृत्िात्रेक्वाथयेत्सुधी:॥
कु याित् तस्योष्ट्मणा िात्रां स्स्वन्नां ्पवघदटकावगध
एवम ् सप्तददनां कु याित् स्वेदनां िरमां दहतम्
(आनन्दकन्दां ६/१०-१३)

18. •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.
•Duration :2 ghatika( 48 minutes) for 7 days.

19. Vamanam
तदनु शु्धादूर्ध्वं श्र्ेष्ट्मान्ते रेगचते सकर्म्
(रसहृदयतन्त्रम् १९/४)
वान्तां वचाददरसेन ( रसेन्द्रगचन्तमणण३/१८३)
मदनस्यफर्ांचैकां िठा षोडमशकां जर्ां
िादावमशष्ट्टां सांक्वाथ्य तज्जर्े वस्त्रशोगधते॥
पिप्िर्ीन्द्रयवा यस्ष्ट्ट र्वणां कषिमात्रकम्
र्नक्षक्षिेञ्च पिबेत्प्रातवािन्तस्स््यात्सविरोिहा॥
( आनन्दकन्दम ् ६/१४-१५)
र्नम्बाक्वाथां भम्स्मसूतां वचाचूणियुतां पिबेत ्
पििान्तां वमनां तेन जायते क्र्ेशवस्जितां॥
(रसेन्द्रगचन्तामणण ३/१८४)

20. 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 + sutabhasmam+vaca choornam
1 Madanaphalam
Patha
Added with 16
times water and
reduce to ¼ and
filter
Add 1 karsham (12 g)
of pippali, indrayava,
yashti, lavanam and
consume early in the
morning

21. Pithantham vamanam should be performed.
िञ्चकमिभम्यत्रस्तै: सुस्कु मरैनिरैररह
रेचनान्ते इदां सेव्यां सवािदोषािनुिये॥
(रासेन्द्रगचन्तामणण- ३/१८५)
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 completely by
rechanam

22. Virechanam
पवररक्तममच्छाभम्ेददना,( रसेन्द्रगचन्तामणण६/१८३)
सूतटङ्कणिन्धाश्म त्रत्रकटु त्रत्रफर्ाां समम्
एतैस्समां तु जयिार्ां श्ल्क्ष्णां तत्िररमदियेत ्॥
िुञा्पवतयमात्रां तु िुडेनसह भम्क्षयेत ्
पवरेचनममर्तप्रोक्तां सविव्यागधपवनाशनम्॥
(आनन्दकन्दां)
क्वगथतां कटुरोदहन्या: सांशोधनमनुप्रयुञ्जीत
(र.हृ.त १९/३)

23. •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 use of katurohini kashayam
for the same.
•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 considerations from bruhatrayis
shall be adopted.

24. •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.

25. Krumipaatanam
िर्ाशबीजपवडङ्ििुडमोदकभम्क्षणात्कीटिातनमपि कतिव्यम्
(रसेन्द्रगचन्तामणण ३/१८३)
वचापवडङ्ििर्ाशबीजशक्रप्रकषिकम्
कषं िुडञ्चतत्सवं भम्क्षयेत ् उष्ट्णवाररणा च
पिभम्ेत्प्रातस्स्त्रददवसां भम्वेत ् तत ् कृ ममिातनम्॥
(आनन्दकन्दां ६)

26. •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

27. Pathya
इर्तशुधोजातबर्:शाल्योदनजाङ्िर्ाददमु्िरसै:
क्षेत्रीकृ तर्नजदेह:कु वीत रसायनां मर्तमान ्॥
(रसेन्द्र गचन्तामणण३/१८८)
यावकिथ्यांत्रत्रददनां घृतसदहतां तत््युञ्जीत॥
( रसहृदयतन्त्रम् १९/५-७)

28. •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 from one
yaama after virechana samsarjana.
•Yavaka consumed after attaining shareera shodhana by the
above yoga.

29. Apathya
वस्जित काांस्जकशाकां ियसा शाल्योदनां च युञ्जीत
्पव चतु:शट्िर्मानां मात्राऽधममर्ध््मज्येषठ:॥
( र. हृ.त १९/१५)

30. 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 administered:-
I,e. Abhraka, sasyaka, Makshika, Rasaka, Darada, vimala,
vajra, girija,vaikranta,kantalauha, tikshan lauha, swarna,
rajata, tamra.

31. Dose of badha rasa after kshetrikarana
Shatavedhi – 1 gunja
sahasravedhi – “
Laksha vedhi – ½ rathi
Koti vedhi – one sarshapam
Special pathya to be followed consumption of processed
mecurry.

32. PATHYA APATHYA
•Shashtika shali, mudga
rasam,mamsa rasam,
yava,
godhuma,goksheeram,
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, bhutani and
mathrudevi

33. Need for Kshetrikaranam
अकृ तक्षेत्रीकरणे रसयनम् येन: प्रयुञ्जीत
तस्यक्रामर्त न रस: स रस: सविङ्ि दोषकृ त्॥
(र.हृ.त १९/८)
अभम्ूमौयोस्जत्स्सूतो न प्ररोहर्त कु त्रगचत्
तस्मात्क्षेत्रमकृ त्त्वैव योजये्यस्तु सूतकम्॥
न प्ररोहेदशु्धस्य शुभम्ां बीजममवोशरे
(आनन्दकन्दम् ६)
क्षेत्रीकृ त्य र्नजां देहां सेवेतेह रसयनां
पवगधना ममतिथ्याशी देहमस्गधां दह पवन्दर्त॥
रसयनां य: कु रुते क्षेत्रीकरणमन्तरा
देहमस्गधनि तस्य स्यात् प्रत्युत क्र्ेशकृ ्भम्बेत्॥
सुबीजमपि सांस्कृ तम् कृ पषपवधनदक्षैररह
प्ररोहर्त न कदहिगचत्सुपवततोषरोप्तां यथा॥
तथेव सुमभम्षग्वरैरकृ तिञ्चकमिक्रमे
नरो दह न रसयनां फर्र्त जातुसांयोस्जतां
(र.त.७/७६-७९)

34. •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.

35. •Rasashastra will be the medicine of future thus it is essential
to practice the science abiding by all its principles.
•Shodhana exclusively mentioned with due consideration of
pharmacokinetics .
•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 conduct the procedure.

36. 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.

37. THANKYOU