Aims to eliminate those doshas that cannot be removed by emesis or through other channels as kidneys, lungs and sweat glands. It is highly effective in cases of fever, skin diseases, bleeding from the mouth & nose, piles, worms, gout, vaginal diseases, anal problems, fistulas, anemia, glandular swellings and loss of appetite.
A systematic therapy for the elimination of pitta and pitta–kapha performed through the anus using mediums as laxatives, mild purgatives and strong purgatives, it must be practiced only after Poorva Karma. However, it is not suitable for children, the old, the infirm and pregnant woman. And strictly avoided under conditions of bleeding of the lower channels, weaknesses or diarrhea.