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=== ''Vidhi Vimarsha'' / Applied Inferences===

=== ''Vidhi Vimarsha'' / Applied Inferences===

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*''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 Sangraha of Vriddha Vagbhata 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 Sangraha of Vriddha Vagbhata 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.

'''Research work on comparative study of Vamana by two different methods:'''

'''Research work on comparative study of Vamana by two different methods:'''

A comparative clinical study on standardization of Vamana Vidhi by classical and traditional methods was carried out<ref>Ranjip Kumar Dass, Nilesh N. Bhatt, Anup B. Thakar,  Vagish Dutt Shukla. Ayu. 2012 Oct-Dec; 33(4): 517–522. doi:  10.4103/0974-8520.110531 </ref>.  Total 50 patients and healthy volunteers were selected irrespective of gender, religion, occupation, etc., from O.P.D. and I.P.D. of Panchakarma Department of Institute for Post Graduate Teaching and Research in Ayurveda, Jamnagar. The patients as well as healthy volunteers were randomly divided into following two groups: One group had performed Vamana by the classical methods according to Charaka and Sushruta Samhita.  Madanphala Pippali was taken in Antarnakha Mushti (making fist) Pramana by the patient's own hand. It was then added in Yashtimadhu Kwatha and kept for one night (previous night of Vamana Karma). In the morning time, it was stirred properly and filtered. Then it was given to the patient in lukewarm state mixing with honey and Saindhav Lavana (rock salt) upto Pittanta Vamana (till bile comes). Before that in early morning, Ghritayukta Yavagu was given to the patient after Abhyanga (massage) and Swedana (fomentation).

A comparative clinical study on standardization of Vamana Vidhi by classical and traditional methods was carried out<ref>Ranjip Kumar Dass, Nilesh N. Bhatt, Anup B. Thakar,  Vagish Dutt Shukla. Ayu. 2012 Oct-Dec; 33(4): 517–522. doi:  10.4103/0974-8520.110531 </ref>.  Total 50 patients and healthy volunteers were selected irrespective of gender, religion, occupation, etc., from O.P.D. and I.P.D. of Panchakarma Department of Institute for Post Graduate Teaching and Research in [[Ayurveda]], Jamnagar. The patients as well as healthy volunteers were randomly divided into following two groups: One group had performed Vamana by the classical methods according to Charaka and Sushruta Samhita.  Madanphala Pippali was taken in Antarnakha Mushti (making fist) Pramana by the patient's own hand. It was then added in Yashtimadhu Kwatha and kept for one night (previous night of Vamana Karma). In the morning time, it was stirred properly and filtered. Then it was given to the patient in lukewarm state mixing with honey and Saindhav Lavana (rock salt) upto Pittanta Vamana (till bile comes). Before that in early morning, Ghritayukta Yavagu was given to the patient after Abhyanga (massage) and Swedana (fomentation).

   

   

In the other group B (traditional group), twenty two individuals had performed Vamana by traditional methods .  In the morning time at first after massage and sudation, milk or Ikshu Rasa was given to the patient upto Aakanthapana (fullness upto throat). Then Madanphala Pippali Churna, Vacha and Saindhav Lavana were taken in a ratio of 4:2:1 part, respectively and a paste was made with honey. It was then given to the patient directly or indirectly by mixing with any liquid media like milk or Ikshu Rasa or Yashtimadhu Phanta. Afterwards, Yashtimadhu Phanta made freshly in the morning was given upto Pittanta Vamana.  

In the other group B (traditional group), twenty two individuals had performed Vamana by traditional methods .  In the morning time at first after massage and sudation, milk or Ikshu Rasa was given to the patient upto Aakanthapana (fullness upto throat). Then Madanphala Pippali Churna, Vacha and Saindhav Lavana were taken in a ratio of 4:2:1 part, respectively and a paste was made with honey. It was then given to the patient directly or indirectly by mixing with any liquid media like milk or Ikshu Rasa or Yashtimadhu Phanta. Afterwards, Yashtimadhu Phanta made freshly in the morning was given upto Pittanta Vamana.