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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/mediawiki-1.32.1/resources/assets/ogimgs.jpg | + | |image=http://www.carakasamhitaonline.com/resources/assets/ogimgs.jpg |
| |image_alt=carak samhita | | |image_alt=carak samhita |
| |type=article | | |type=article |
| }} | | }} |
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| + | 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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| |label6 = Date of first publication: | | |label6 = Date of first publication: |
| |data6 = November10, 2020 | | |data6 = November10, 2020 |
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| |label7 = DOI | | |label7 = DOI |
− | |data7 = Under process | + | |data7 = [https://doi.org/10.47468/CSNE.2020.e01.s09.032 10.47468/CSNE.2020.e01.s09.032] |
| }} | | }} |
− | <div style='text-align:justify;'>
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− | 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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| ==Etymology and derivation== | | ==Etymology and derivation== |
− | | + | <div style='text-align:justify;'> |
| 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) |
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− | ===Pre therapeutic measures (purvakarma)=== | + | ===Pre therapeutic measures (purva karma)=== |
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| 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. |
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− | 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]]). |
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− | 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. |
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− | 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. |
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| 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] |
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| {| 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. |
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− | ===Post therapeutic measures (pashchatkarma)=== | + | ===Post therapeutic measures (pashchat karma)=== |
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| 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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