Changes

==== Effect of oleation and fomentation therapy (verse 7-8) ====

==== Effect of oleation and fomentation therapy (verse 7-8) ====

Vitiated dosha as explained by acharya can be considered to be the morbid matter adhering at cellular levels thus obstructing normal functioning of the micro-functional units of the body. Sneha consumption causes oleation of all body parts including cell membrane and other microcellular components. Cell membrane is basically made up of phospholipid bilayer. Thus due to oleation sneha goes inside easily clearing the channels and dissolving impurities into it. These impurities along with fats are removed out of cell and other organic systems of the body by fomentation that increases the body temperature, opens up all channels and facilitate the transfer of dosha towards bowel.

Vitiated ''dosha'' as explained by Charaka can be considered to be the morbid matter adhering at cellular levels thus obstructing normal functioning of the micro-functional units of the body. ''Sneha'' consumption causes oleation of all body parts including cell membrane and other microcellular components. Cell membrane is basically made up of phospholipid bilayer. Thus due to oleation ''sneha'' goes inside easily clearing the channels and dissolving impurities into it. These impurities along with fats are removed out of cell and other organic systems of the body by fomentation that increases the body temperature, opens up all channels and facilitate the transfer of ''dosha'' towards bowel.

Diet before shodhana and reasons for vamana and virechana working in opposite ways: [verse 8-10]

 

In vamana ‘kapha utklesha’(excited) is expected which is evident by excess salivation, nausea etc. these factors plays an important role in  induction of vomiting. The vagal and enteric nervous system inputs transmit information regarding the state of the gastrointestinal system. Irritation of the GI mucosa by any drug or distension activates the 5-HT3 receptors of these inputs. Thus if kapha is not aggravated then the key mechanism of distension of stomach, excess salivary secretions and nausea fails to initiate vomiting thus drug passes to the intestine and causes purgation. On contrary if kapha is highly aggravated then drug for purgation may lead to vomiting due to above said mechanism. This is the probable reason for specific diet before cleansing processes.

==== Diet before ''shodhana'' and reasons for ''vamana'' and ''virechana'' working in opposite ways (verse 8-10) ====

 

In ''vamana'', ''kapha utklesha''(excited) is expected which is evident by excess salivation, nausea etc. These factors plays an important role in  induction of vomiting. The vagal and enteric nervous system inputs transmit information regarding the state of the gastrointestinal system. Irritation of the GI mucosa by any drug or distension activates the 5-HT3 receptors of these inputs. Thus if ''kapha'' is not aggravated then the key mechanism of distension of stomach, excess salivary secretions and nausea fails to initiate vomiting thus drug passes to the intestine and causes purgation. On contrary if ''kapha'' is highly aggravated then drug for purgation may lead to vomiting due to above said mechanism. This is the probable reason for specific diet before cleansing processes.

==== Post therapeutic measures (samsarjana krama) (verse 11-12) ====

==== Post therapeutic measures (samsarjana krama) (verse 11-12) ====