Changes

*Depending upon time taken for complete digestion of this dose, the dose required as per disease severity is calculated. Generally the dose which can be digested in 12 hours is considered as moderate.

*Depending upon time taken for complete digestion of this dose, the dose required as per disease severity is calculated. Generally the dose which can be digested in 12 hours is considered as moderate.

*The quantity of fat to be administered is increased gradually till required dose is administered. Hence the dose for oleation decided on the basis of test dose is the actual quantity of fat to be administered on last day of oleation.

*The quantity of fat to be administered is increased gradually till required dose is administered. Hence the dose for oleation decided on the basis of test dose is the actual quantity of fat to be administered on last day of oleation.

*Maximum duration for oleation is seven days which is for ''krura koshtha'' and least duration is three days which is for ''mridu koshtha''.

*Maximum duration for oleation is seven days which is for ''krura koshtha'' (literally, hard guts) and least duration is three days which is for ''mridu koshtha'' (soft guts).

*Proper oleation is decided on basis of symptoms like fats in feces, oiliness in skin etc.  

*Proper oleation is decided on basis of symptoms like fats in feces, oiliness in skin etc.  

*Fomentation with whole body massage is practised in certain areas twice in one day for ''vamana'' and twice for three days in case of ''virechana'' after completion of oleation.

*Fomentation with whole body massage is practised in certain areas twice in one day for ''vamana'' and twice for three days in case of ''virechana'' after completion of oleation.

*During this period of fomentation the diet as specified above in verse 8-9 is given for better results

*During this period of fomentation the diet as specified above in verse 8-9 is given for better results.

*On the day of ''vamana'', in the morning again whole body massage with fomentation is given. Milk or any other material like sugarcane juice that helps initiating emesis is given to fill the stomach especially if the patient is weak. The quantity administered ranges from 500 ml to 1200ml depending upon patient’s gastric capacity. After that ''vamana'' drug is administered at around 7.00 a.m. (commonly used formulation- ''madanaphala pippali'' powder 5-7 gm+ ''vacha'' powder 2-3 gm+ rock salt powder 1-2 gm+ honey Q.S.) and wait and watch strategy is used for 45 minutes till emesis starts. Then ''yashtimadhu fanta'' (prepared by adding coarse ''yashtimadhu'' powder in hot water) is given continuously to induce and to facilitate the emesis till ''pitta'' is observed in bouts of vomitus. At the end of the procedure luke warm salt water is given to cleans the stomach. Medicated smoke inhalation is preferred in order to clear the ''kapha'' in upper upper respiratory tract.

*On the day of ''vamana'', in the morning again whole body massage with fomentation is given. Milk or any other material like sugarcane juice that helps initiating emesis is given to fill the stomach especially if the patient is weak. The quantity administered ranges from 500 ml to 1200ml depending upon patient’s gastric capacity. After that ''vamana'' drug is administered at around 7.00 a.m. (commonly used formulation- ''madanaphala pippali'' powder 5-7 gm+ ''vacha'' powder 2-3 gm+ rock salt powder 1-2 gm+ honey Q.S.) and wait and watch strategy is used for 45 minutes till emesis starts. Then ''yashtimadhu fanta'' (prepared by adding coarse ''yashtimadhu'' powder in hot water) is given continuously to induce and to facilitate the emesis till ''pitta'' is observed in bouts of vomitus. At the end of the procedure luke warm salt water is given to cleans the stomach. Medicated smoke inhalation is preferred in order to clear the ''kapha'' in upper upper respiratory tract.

*On day of purgation, in the morning again whole body massage with fomentation is given. Then ''virechana'' drug as per the ''koshtha'' and disease is administered at around 10.00-10.30 a.m. in the morning. This time specification is not always suitable, varies according to season, ''desha'' (place), appetite of patient etc. better to detail the concept of ''shleshmakale gate''  

*On day of purgation, in the morning again whole body massage with fomentation is given. Then ''virechana'' drug as per the ''koshtha'' and disease is administered at around 10.00-10.30 a.m. in the morning. This time specification is not always suitable, varies according to season, ''desha'' (place), appetite of patient etc. better to detail the concept of ''shleshmakale gate''