Changes

Duration of post therapeutic measures varies with type/quality of cleansing. This is directly related to the extent of changes brought by cleansing the digestive system and duration required to regain its normal functioning. Mucosal layer in the digestive tract plays important functions like barrier to protect from acids,  maintaining optimal immune function, proper digestion and assimilation of food and nutrients etc. Also the bacterial flora residing in intestine is also responsible for some functions like fermentation of undigested carbohydrates and the subsequent absorption of short-chain fatty acids, plays a role in synthesizing vitamin B and vitamin K as well as metabolising bile acids, sterols and xenobiotics. Vomiting and purgation leads to cleansing of entire tract that causes removal of unhealthy bacterial flora and also inflammation and damage to the mucosal barrier. Thus till regeneration of new flora and proper mucosal barrier, the diet needs to be light and gradually increasing in thickness. Fats and some spices are given at later phases as they require proper mucosal functioning for absorption. Moreover this regimen facilitates the gradual induction of carbohydrate, vegetable protein, fat and meat protein as digestion improves gradually.

Duration of post therapeutic measures varies with type/quality of cleansing. This is directly related to the extent of changes brought by cleansing the digestive system and duration required to regain its normal functioning. Mucosal layer in the digestive tract plays important functions like barrier to protect from acids,  maintaining optimal immune function, proper digestion and assimilation of food and nutrients etc. Also the bacterial flora residing in intestine is also responsible for some functions like fermentation of undigested carbohydrates and the subsequent absorption of short-chain fatty acids, plays a role in synthesizing vitamin B and vitamin K as well as metabolising bile acids, sterols and xenobiotics. Vomiting and purgation leads to cleansing of entire tract that causes removal of unhealthy bacterial flora and also inflammation and damage to the mucosal barrier. Thus till regeneration of new flora and proper mucosal barrier, the diet needs to be light and gradually increasing in thickness. Fats and some spices are given at later phases as they require proper mucosal functioning for absorption. Moreover this regimen facilitates the gradual induction of carbohydrate, vegetable protein, fat and meat protein as digestion improves gradually.

==== Characteristics of Three types of emesis and purgation (verse 13-15) ====

==== Characteristics of three types of emesis and purgation (verse 13-15) ====

Yellowish-greenish vomiting along with bitter taste in mouth indicates that the pyloric valve is open and bile is flowing into the stomach from the duodenum. This is considered as end point of emesis and called ''pittanta vamana''. In case of ''virechana'', mucosal layer gets removed partially at the end point that can be considered as ''kaphanta virechana''. Continuing cleansing beyond these endpoints may cause deleterious effects on the health.

Yellowish-greenish vomiting along with bitter taste in mouth indicates that the pyloric valve is open and bile is flowing into the stomach from the duodenum. This is considered as end point of emesis and called ''pittanta vamana''. In case of ''virechana'', mucosal layer gets removed partially at the end point that can be considered as ''kaphanta virechana''. Continuing cleansing beyond these endpoints may cause deleterious effects on the health.

===== Symptomatic evaluation of cleansing processes (verse 15-20) =====

===== Symptomatic evaluation of cleansing processes (verse 15-20) =====

Properly administered cleansing processes causes lightness in the body, feeling of happiness, clarity of heart region and sense organs etc. Both ''vamana'' and ''virechana'' clear digestive tract that is filled of morbid matter and bulky food, fluid etc. Hence causes feeling of lightness. Sense organs respond to the stimuli either internal or external thus any adherence of morbid matter in these organs is responsible for ill functioning. Especially in ''vamana'' cleansing of nasal cavity, oral cavity is directly evident whereas skin is affected during oleation and fomentation. Removal of ''dosha'' causes blood purification which is responsible for health and proper functioning of skin.

Properly administered cleansing processes causes lightness in the body, feeling of happiness, clarity of heart region and sense organs etc. Both ''vamana'' and ''virechana'' clear digestive tract that is filled of morbid matter and bulky food, fluid etc. Hence causes feeling of lightness. Sense organs respond to the stimuli either internal or external thus any adherence of morbid matter in these organs is responsible for ill functioning. Especially in ''vamana'' cleansing of nasal cavity, oral cavity is directly evident whereas skin is affected during oleation and fomentation. Removal of ''dosha'' causes blood purification which is responsible for health and proper functioning of skin.

Improper administration of emesis causes itching, urticaria etc. which can be considered as allergic reaction in response to the allergen in the form of emetic drug. The protein in the food is the most common allergic component. Some proteins or fragments of proteins are resistant to digestion and those that are not broken down in the digestive process are tagged by the Immunoglobulin E (IgE) causing allergic reaction. Possibility cannot be ruled out that the drug administered for emesis may irritate gastric mucosa, increases intracellular space due to transient inflammation thereby escaping into circulation directly without digestion and acts as a trigger for allergy.

Improper administration of emesis causes itching, urticaria etc. which can be considered as allergic reaction in response to the allergen in the form of emetic drug. The protein in the food is the most common allergic component. Some proteins or fragments of proteins are resistant to digestion and those that are not broken down in the digestive process are tagged by the Immunoglobulin E (IgE) causing allergic reaction. Possibility cannot be ruled out that the drug administered for emesis may irritate gastric mucosa, increases intracellular space due to transient inflammation thereby escaping into circulation directly without digestion and acts as a trigger for allergy.

Similarly in case of purgation if drug fails to give proper effect of evacuation then it remains inside the body and gives an allergic reaction which is evident in the form of coryza.  

Similarly in case of purgation if drug fails to give proper effect of evacuation then it remains inside the body and gives an allergic reaction which is evident in the form of coryza.  

In Ayurvedic parlance, the probable reason for these symptoms is that when drug fails to attain desired cleansing and it is not removed from the body it act as a trigger for aggravation or excitement of dosha but is unable to throw them outside the body; thus either the disease gets aggravated or symptoms of dosha vitiation are evident.  

In Ayurvedic parlance, the probable reason for these symptoms is that when drug fails to attain desired cleansing and it is not removed from the body it act as a trigger for aggravation or excitement of ''dosha'' but is unable to throw them outside the body; thus either the disease gets aggravated or symptoms of ''dosha'' vitiation are evident.

==== Time to anuvasana (unctuous enema) or oleation after cleansing process (verse 20-22) ====

==== Time to anuvasana (unctuous enema) or oleation after cleansing process (verse 20-22) ====