Vamana: Difference between revisions
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|title=Therapeutic emesis (Vamana) | |title=Therapeutic emesis (Vamana) | ||
|titlemode=append | |titlemode=append | ||
|keywords=Vamana, Vamana in Ayurveda, Vamana meaning, Vamana Definition, Charak samhita, carakasamhitaonline, Indian System of medicine, emesis therapy | |keywords=Vamana, Vamana in Ayurveda, Vamana meaning, Vamana Definition, Charak samhita, carakasamhitaonline, Indian System of medicine, emesis therapy, chhardi, emetic treatment, emesis in ayurveda | ||
|description=Therapeutic emesis intended for treatment of kapha disorders | |description=Therapeutic emesis intended for treatment of kapha disorders | ||
|image=http://www.carakasamhitaonline.com | |image=http://www.carakasamhitaonline.com/resources/assets/ogimgs.jpg | ||
|image_alt=carak samhita | |image_alt=carak samhita | ||
|type=article | |type=article | ||
}} | }} | ||
<p style="text-align:justify;">The word vamana means the act of vomiting.<ref>Monier-Williams, Monier-Williams Sanskrit- English Dictionary, 1st edition; Oxford University Press, Vamana, Page 920</ref> It is one of the five purification therapies ([[panchakarma]]). It is the best preventive measure and treatment for disorders due to vitiation of [[kapha]] [[dosha]]. [Cha.Sa.[[Sutra Sthana]] 25/40] The [[dosha]] accumulated in the upper part of the body (trunk and supraclavicular region) is evacuated by therapeutic emesis. [Cha.Sa.[[Sutra Sthana]] 20/19][Cha.Sa.[[Kalpa Sthana]] 1/4] 'Vamana' is also a therapeutic procedure to expel vitiated [[dosha]] by administration of medicine to induce vomiting. On the other hand, 'Chhardi' is a disease with a predominant feature of vomiting due to various underlying pathologies. The present article deals with vamana, i.e., therapeutic emesis. | |||
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{{Infobox | {{Infobox | ||
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|label2 = Authors | |label2 = Authors | ||
|data2 = Aneesh E.G., Deole Y.S. | |data2 = Aneesh E.G., [[Yogesh Deole|Deole Y.S.]] | ||
|label3 = Reviewed by | |label3 = Reviewed by | ||
|data3 = Basisht G. | |data3 = [[Gopal Basisht|Basisht G.]] | ||
|label4 = Affiliations | |label4 = Affiliations | ||
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|data5 = carakasamhita@gmail.com | |data5 = carakasamhita@gmail.com | ||
|label6 = Date of first publication: | |label6 = Publisher | ||
| | |data6 = [[Charak Samhita Research, Training and Development Centre]], I.T.R.A., Jamnagar, India | ||
| | |||
| | |label7 = Date of first publication: | ||
|data7 = November10, 2020 | |||
|label8 = DOI | |||
|data8 = [https://doi.org/10.47468/CSNE.2020.e01.s09.032 10.47468/CSNE.2020.e01.s09.032] | |||
}} | }} | ||
==Etymology and derivation== | ==Etymology and derivation== | ||
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The Sanskrit root 'vam' means ejection, giving out, oozing, stream, etc.The word 'vamana' is derived from the root 'vama' and adding a suffix 'lyut'. It has four meanings, | The Sanskrit root 'vam' means ejection, giving out, oozing, stream, etc.The word 'vamana' is derived from the root 'vama' and adding a suffix 'lyut'. It has four meanings, | ||
*Destroying, crushing (mardane) | *Destroying, crushing (mardane) | ||
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#Post therapeutic measures (pashchatkarma) | #Post therapeutic measures (pashchatkarma) | ||
===Pre therapeutic measures ( | ===Pre therapeutic measures (purva karma)=== | ||
The pre-emesis procedure aims to prepare the body for emesis and to bring toxins to gut for expulsion. | The pre-emesis procedure aims to prepare the body for emesis and to bring toxins to gut for expulsion. | ||
Pachana (digestive) therapies are administered to correct digestion and detach the microcellular toxins (ama). | Pachana (digestive) therapies are administered to correct digestion and detach the microcellular toxins ([[ama]]). | ||
Unction (snehana) is prescribed in a suitable dose for a duration until proper unction features are observed. This is generally done for three to seven days. | Unction ([[snehana]]) is prescribed in a suitable dose for a duration until proper unction features are observed. This is generally done for three to seven days. | ||
Therapeutic massage (abhyanga) and fomentation therapy (swedana) are generally advised for three sessions after completing internal unction therapy. | Therapeutic massage ([[abhyanga]]) and fomentation therapy ([[swedana]]) are generally advised for three sessions after completing internal unction therapy. | ||
The day of therapeutic emesis is decided only after observing proper unction and fomentation features in an individual. [A.Hr. Sutra Sthana 16/36]<ref name=Hridaya>Vagbhata. Ashtanga Hridayam. Edited by Harishastri Paradkar Vaidya. 1st ed. Varanasi: Krishnadas Academy;2000.</ref> This can be continued for two or three days. [Cha.Sa.[[Kalpa Sthana]] 1/14] | The day of therapeutic emesis is decided only after observing proper unction and fomentation features in an individual. [A.Hr. Sutra Sthana 16/36]<ref name=Hridaya>Vagbhata. Ashtanga Hridayam. Edited by Harishastri Paradkar Vaidya. 1st ed. Varanasi: Krishnadas Academy;2000.</ref> This can be continued for two or three days. [Cha.Sa.[[Kalpa Sthana]] 1/14] | ||
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The following table shows various dose patterns advised in patients.[table 2] | The following table shows various dose patterns advised in patients.[table 2] | ||
{| class="wikitable" | {| class="wikitable" | ||
|+ Table 2: Dose patterns for therapeutic emesis | |+ Table 2: Dose patterns for therapeutic emesis | ||
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The procedure is continued till the appearance of signs of adequate emesis or bile ([[pitta]]) in the vomitus. | The procedure is continued till the appearance of signs of adequate emesis or bile ([[pitta]]) in the vomitus. | ||
===Post therapeutic measures ( | ===Post therapeutic measures (pashchat karma)=== | ||
After completion of procedure and bouts of emesis end,the patient is then advised medicated smoke inhalation (dhumapana) which helps to remove the remaining [[kapha]] adhered to the body channels. [A.S.Sutra Sthana 27/21]<ref name=Sangraha/> [Su.Sa.Chikitsa Sthana 33/10]<ref name=Susruta/> The patient is advised to take complete rest in a room and avoid direct exposure to wind. The patient is advised to take hot water bath and follow specific dietary pattern (samsarjana krama), when he feels hungry. | After completion of procedure and bouts of emesis end,the patient is then advised medicated smoke inhalation (dhumapana) which helps to remove the remaining [[kapha]] adhered to the body channels. [A.S.Sutra Sthana 27/21]<ref name=Sangraha/> [Su.Sa.Chikitsa Sthana 33/10]<ref name=Susruta/> The patient is advised to take complete rest in a room and avoid direct exposure to wind. The patient is advised to take hot water bath and follow specific dietary pattern (samsarjana krama), when he feels hungry. | ||
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The list of references for Vamana in Charak Samhita can be seen [[Media:Reference_of_word_Vamana_in_Charaka-converted.pdf|here]] | The list of references for Vamana in Charak Samhita can be seen [[Media:Reference_of_word_Vamana_in_Charaka-converted.pdf|here]] | ||
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==References== | ==References== | ||
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