Changes

Jump to navigation Jump to search
10 bytes removed ,  11:46, 24 January 2019
Line 471: Line 471:  
=== ''Vidhi Vimarsha'' ===
 
=== ''Vidhi Vimarsha'' ===
 
<div style="text-align:justify;">
 
<div style="text-align:justify;">
*''Ushna-Tikshna-Sukshma-Vyavayi'' and ''vikasi'' are the common properties of the ''Vamanakarma dravya''. According to Sushruta, the ''ushna'' property has ''pachana karma'' (S.Su.46/515).Chakrapani (the commentator on [[Charaka Samhita]]) states that ''ushna'' means ''ushna veeryam''. This has been cleared in AshtÁnga Sangraha by Vagabhat and the function are like ''dahana'' and ''pachana'' and having ability to decrease ''vata'' and ''kapha dosha'' <ref>Ashtang Sngraha of Vriddha Vagabhata with Shalilekha Sanskrit commentary by Indu, Chaukhambha Sanskrit Series Office, Varanasi. Sutra sthana 17/15 </ref>. Sushruta defines that ''tikshna'' as the property produces ''daha, paka'' and ''srava''<ref> Sushruta Samhita of Susruta, with the Nibandhasangraha Commentary of Sri Dlhanacharya, Edited by Vaidya Jadavji Trikamji Acharya, Published by Chaukhambha Orientalia, Varanasi, 1992 Sutra sthana 46/518</ref>. According to Charaka, ''Tikshna guna'' is ''vichchindana'' <ref> Charaka Samhita by Agnivesha revised by Charaka and Dridhabala with the Ayurveda-Dipika Commentary of Chakrapanidatta, Edited by Vaidya Jadavji Trikamji Acharya, published by Chaukhambha Sanskrit Sansthan, Varanasi, 1984. Kalpa sthana 1/5</ref>. Chakrapani clarified the word as ''vichchindayati'', means breaking down the complex morbid matter into simple molecules. The ''Sukshma guna'' reaches to minute ''srotasa'' and remove the morbid matter to bring it to reach the ''amashaya'' according to Dalhana (S.Ci..33/33). The ''Vyavayi'' drugs, when administered initiate the action immediately and thereafter bio-transformation takes place. Sushruta has clarified that ''Vikasi'' drugs causes laxity in ''dhatubandhana'' (S.Su. 46/523).Due to above mentioned properties ''Vamana'' drugs are beneficial for therapeutic emesis.  
+
*''Ushna-Tikshna-Sukshma-Vyavayi'' and ''vikasi'' are the common properties of the ''Vamanakarma dravya''. According to Sushruta, the ''ushna'' property has ''pachana karma'' (S.Su.46/515).Chakrapani (the commentator on [[Charaka Samhita]]) states that ''ushna'' means ''ushna veeryam''. This has been cleared in AshtÁnga Sangraha by Vagabhat and the function are like ''dahana'' and ''pachana'' and having ability to decrease ''vata'' and ''kapha dosha'' <ref>Ashtang Sngraha of Vriddha Vagabhata with Shalilekha Sanskrit commentary by Indu, Chaukhambha Sanskrit Series Office, Varanasi. Sutra sthana 17/15 </ref>. Sushruta defines that ''tikshna'' as the property produces ''daha, paka'' and ''srava''<ref> Sushruta Samhita of Susruta, with the Nibandhasangraha Commentary of Sri Dlhanacharya, Edited by Vaidya Jadavji Trikamji Acharya, Published by Chaukhambha Orientalia, Varanasi, 1992 Sutra sthana 46/518</ref>. According to Charaka, ''Tikshna guna'' is ''vichchindana'' <ref> Charaka Samhita by Agnivesha revised by Charaka and Dridhabala with the Ayurveda-Dipika Commentary of Chakrapanidatta, Edited by Vaidya Jadavji Trikamji Acharya, published by Chaukhambha Sanskrit Sansthan, Varanasi, 1984. Kalpa sthana 1/5</ref>. Chakrapani clarified the word as ''vichchindayati'', means breaking down the complex morbid matter into simple molecules. The ''Sukshma guna'' reaches to minute ''srotasa'' and remove the morbid matter to bring it to reach the ''amashaya'' according to Dalhana (S.Ci..33/33). The ''Vyavayi'' drugs, when administered initiate the action immediately and thereafter bio-transformation takes place. Sushruta has clarified that ''Vikasi'' drugs causes laxity in ''dhatubandhana'' (S.Su. 46/523).Due to above mentioned properties ''Vamana'' drugs are beneficial for therapeutic emesis.  
    
*''Vamana'' (emesis) is one of the five physio-therapeutic procedures to eliminate impurities through gastro-oral route emerged due to aggravated ''kapha'' in human body. It is to be noted for vitiation of each ''dosha'' viz. ''kapha, pitta'' and ''vata,'' three therapeutic procedures ''vamana, virechana'' and ''basti'' are recommended respectively.
 
*''Vamana'' (emesis) is one of the five physio-therapeutic procedures to eliminate impurities through gastro-oral route emerged due to aggravated ''kapha'' in human body. It is to be noted for vitiation of each ''dosha'' viz. ''kapha, pitta'' and ''vata,'' three therapeutic procedures ''vamana, virechana'' and ''basti'' are recommended respectively.
Line 485: Line 485:  
*Evacuated ''doshas'' never reoccur, if they are subdued with evacuation therapy. ''Vamana karma'' is considered the best line of therapeutic procedure for all the diseases having ''kaphaja'' origin (Ca.Su. 33/19).  
 
*Evacuated ''doshas'' never reoccur, if they are subdued with evacuation therapy. ''Vamana karma'' is considered the best line of therapeutic procedure for all the diseases having ''kaphaja'' origin (Ca.Su. 33/19).  
   −
*''Sharngadhara'' in ''Sharngadhara Samhita'' stated that ''apakva pitta'' and ''kapha'' are forcefully expelled out through the upward route. Thus ''vamana'' is the best for vitiated ''kapha'' and ''apakva pitta'' <ref> Sharangadhara Samhita of  Sharangadhara with the commentary of Addhmala’Dipika commentary , Chaukhambha Orientalia, Varanasi-221001, Third Edition-1983.Purva khanda 8/7 </ref>.
+
*''Sharngadhara'' in ''Sharngadhara Samhita'' stated that ''apakva pitta'' and ''kapha'' are forcefully expelled out through the upward route. Thus ''vamana'' is the best for vitiated ''kapha'' and ''apakva pitta'' <ref>Sharangadhara Samhita of  Sharangadhara with the commentary of Addhmala’Dipika commentary , Chaukhambha Orientalia, Varanasi-221001, Third Edition-1983.Purva khanda 8/7 </ref>.
    
*Phytochemistry:
 
*Phytochemistry:
Line 517: Line 517:     
From the above study it was observed that average no. of Vega and Upavega (i.e., 7.41 and 12.41) were found in by the classical method as compared to traditional methods (i.e., 6.91 and 8.77). Because Vega had come out easily from deeper part of the stomach with viscous matter in group A than the group B as the particles of Madanphal Pippali were present in Yashtimadhu Kashaya (decoction) till end, for which individual had felt more exertions earlier but got more relief later on. The average quantity of every Vega in traditional method was measured more as compared to classical method, as more Kshudra or Madhyama and Khandit Vega had come in this method may be due to less intake of Vamana Kashaya (probably due to more thickened solution). Maximum percentage (i.e., 68.2%) of Pravara Shuddhi was observed in group A as compared to group B (i.e., 59.1), whereas more percentage of Madhyama and Avara Shuddhi were seen in group B most probably due to earlier expulsion of Vamana Yoga with vomitus. As MSI of group B (i.e., 2.86) was lesser than group A (i.e., 4.91) more drug output (more Dosha Shuddhi) were there in group B as compared to group A. Furthermore, more mucous (i.e., Kapha like viscous matter) were expelled in group A than group B, whereas Pitta Darshan was seen easily with a lesser time in group B as compared to group A. The average time taken to complete the Vamana (vomiting) by the classical method (58.36 min) was lesser than the time taken for traditional method (64.91 min), may be due to quick expulsion of vitiated matter, as Madanaphala Pippali was properly diluted in the Vamana Kashaya or may be due to quick appearance of Antiki Lakshanas, which leads the procedure to an end point. Clinically more percentage of individuals had marked improvement in group A, whereas more percentage of individuals got moderate improvement in group B, most probably because of more Shuddhi obtained by the classical method than the traditional. As we know that Vamana Karma is a stressful work, which is done in early morning (i.e., Kaphaja Kala). Likewise, according to modern science the plasma cortisol level also rises in early hours of morning and in any stressful stimuli. So Plasma Cortisol level was tested just before and after Vamana Karma, where a rise in Cortisol level was observed in classical methods. By physical analysis of vomited material, acidic pH was found in earlier stage and alkaline pH was seen in last stage (i.e., when Accha Pitta comes). More value of Specific gravity was found in vomitus of classical method as compared to the vomitus of traditional method. By biochemical quantitative analysis of vomitus (i.e., Hexosamine Test); mucopolysaccharide content of vomitus was found more in group A (669.64 μg/ml) in comparison to group B (480.68 μg/ml), as more viscous matter was expelled during Vamana. From the present clinical study, it can be concluded that the method mentioned in the classics are very much beneficial from every point of view in comparison to the method which has been used traditionally as it is very easy, safe, less time-consuming, and clinically as well as statistically the most effective method.Madanphala Pippali, which was taken in Antarnakha Musti Pramana (By patient's own hand) in case of the classical method measured about average 13.51 g, which should be mixed in 4 l of Yastimadhu decoction for proper dilution. So this proportion can be taken as a standard ratio for Vamana Karma. In concern to Vaigiki Shuddhi, it indicates that more no. of Vega and Upavega come by the classical method as compared to the traditional methods. Measurements of drug inputs and drug outputs (i.e., vomitus) are necessary as Maniki Shuddhi may guide towards proper judgment regarding purification and provide some clues regarding the results obtained. By physical analysis of vomited material, “pH” of the vomitus can be used as an indicator to guide oneself towards “end point” (as Antiki Shuddhi). As acidic pH was found in earlier stage and alkaline pH was seen in last stage (i.e., when Accha Pitta comes), it may help to cease the Vamana at particular point. According to Laingiki Shuddhi, more Pravara Shuddhi is achieved in Vamana by the classical methods in comparison to traditional methods. However, all the Shuddhi have equal role in assessing the proportion of purification and predicting any type of result from it. Regarding the duration of Vamana, it can be said that the time taken to complete the Vamana by the classical method is lesser than the time taken for traditional method. Significant more reduction in FBS and lipid profile test (S. Cholesterol, HDL and S. Triglyceride level) by the classical method (despite of the consumption of a huge amount of Ghee during Snehapana) indicates that classical Vamana improves the internal homeostasis more easily in comparison to traditional method. By comparing the improvements in the symptoms obtained after Vamana with the purification done earlier, it can be said that more expulsion of vitiated matter might be there in the classical method in comparison to traditional methods.
 
From the above study it was observed that average no. of Vega and Upavega (i.e., 7.41 and 12.41) were found in by the classical method as compared to traditional methods (i.e., 6.91 and 8.77). Because Vega had come out easily from deeper part of the stomach with viscous matter in group A than the group B as the particles of Madanphal Pippali were present in Yashtimadhu Kashaya (decoction) till end, for which individual had felt more exertions earlier but got more relief later on. The average quantity of every Vega in traditional method was measured more as compared to classical method, as more Kshudra or Madhyama and Khandit Vega had come in this method may be due to less intake of Vamana Kashaya (probably due to more thickened solution). Maximum percentage (i.e., 68.2%) of Pravara Shuddhi was observed in group A as compared to group B (i.e., 59.1), whereas more percentage of Madhyama and Avara Shuddhi were seen in group B most probably due to earlier expulsion of Vamana Yoga with vomitus. As MSI of group B (i.e., 2.86) was lesser than group A (i.e., 4.91) more drug output (more Dosha Shuddhi) were there in group B as compared to group A. Furthermore, more mucous (i.e., Kapha like viscous matter) were expelled in group A than group B, whereas Pitta Darshan was seen easily with a lesser time in group B as compared to group A. The average time taken to complete the Vamana (vomiting) by the classical method (58.36 min) was lesser than the time taken for traditional method (64.91 min), may be due to quick expulsion of vitiated matter, as Madanaphala Pippali was properly diluted in the Vamana Kashaya or may be due to quick appearance of Antiki Lakshanas, which leads the procedure to an end point. Clinically more percentage of individuals had marked improvement in group A, whereas more percentage of individuals got moderate improvement in group B, most probably because of more Shuddhi obtained by the classical method than the traditional. As we know that Vamana Karma is a stressful work, which is done in early morning (i.e., Kaphaja Kala). Likewise, according to modern science the plasma cortisol level also rises in early hours of morning and in any stressful stimuli. So Plasma Cortisol level was tested just before and after Vamana Karma, where a rise in Cortisol level was observed in classical methods. By physical analysis of vomited material, acidic pH was found in earlier stage and alkaline pH was seen in last stage (i.e., when Accha Pitta comes). More value of Specific gravity was found in vomitus of classical method as compared to the vomitus of traditional method. By biochemical quantitative analysis of vomitus (i.e., Hexosamine Test); mucopolysaccharide content of vomitus was found more in group A (669.64 μg/ml) in comparison to group B (480.68 μg/ml), as more viscous matter was expelled during Vamana. From the present clinical study, it can be concluded that the method mentioned in the classics are very much beneficial from every point of view in comparison to the method which has been used traditionally as it is very easy, safe, less time-consuming, and clinically as well as statistically the most effective method.Madanphala Pippali, which was taken in Antarnakha Musti Pramana (By patient's own hand) in case of the classical method measured about average 13.51 g, which should be mixed in 4 l of Yastimadhu decoction for proper dilution. So this proportion can be taken as a standard ratio for Vamana Karma. In concern to Vaigiki Shuddhi, it indicates that more no. of Vega and Upavega come by the classical method as compared to the traditional methods. Measurements of drug inputs and drug outputs (i.e., vomitus) are necessary as Maniki Shuddhi may guide towards proper judgment regarding purification and provide some clues regarding the results obtained. By physical analysis of vomited material, “pH” of the vomitus can be used as an indicator to guide oneself towards “end point” (as Antiki Shuddhi). As acidic pH was found in earlier stage and alkaline pH was seen in last stage (i.e., when Accha Pitta comes), it may help to cease the Vamana at particular point. According to Laingiki Shuddhi, more Pravara Shuddhi is achieved in Vamana by the classical methods in comparison to traditional methods. However, all the Shuddhi have equal role in assessing the proportion of purification and predicting any type of result from it. Regarding the duration of Vamana, it can be said that the time taken to complete the Vamana by the classical method is lesser than the time taken for traditional method. Significant more reduction in FBS and lipid profile test (S. Cholesterol, HDL and S. Triglyceride level) by the classical method (despite of the consumption of a huge amount of Ghee during Snehapana) indicates that classical Vamana improves the internal homeostasis more easily in comparison to traditional method. By comparing the improvements in the symptoms obtained after Vamana with the purification done earlier, it can be said that more expulsion of vitiated matter might be there in the classical method in comparison to traditional methods.
      
=== References ===
 
=== References ===

Navigation menu