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==([[Siddhi Sthana Chapter 6, Chapter on Management of complications of improper therapeutic emesis and purgation)==
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==([[Siddhi Sthana]] Chapter 6, Chapter on Management of complications of improper therapeutic emesis and purgation)==
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=== Abstract ===
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Abstract:
   
The chapter deals with complications due to improper administration of purification therapies vamana (therapeutic emesis) and virechana( therapeutic purgation). Adequate dosage according to agni(digestion power) and koshtha (bowel habit), proper quality of medicine, time of administration, follow up diet regimens are important to prevent complications.  Observation of status of patient during purification therapy with the signs of proper, inadequate, excess elimination, causes and management of complications are described in detail in this chapter. The ten common complications like aadhmana (distension of abdomen), parikartika (fissure in ano), srava (excess discharge), hrid-graha (congestion in cardiac region), gatra-graha (body stiffness), jeevaadana (bleeding), vibhramsha (prolapse of rectum), stambha (body stiffness), upadrava (complications) and klama (fatigue without exertion) are elaborated. The causes behind this include incompetency either of the attendant, or drug, or physician or the patient.
 
The chapter deals with complications due to improper administration of purification therapies vamana (therapeutic emesis) and virechana( therapeutic purgation). Adequate dosage according to agni(digestion power) and koshtha (bowel habit), proper quality of medicine, time of administration, follow up diet regimens are important to prevent complications.  Observation of status of patient during purification therapy with the signs of proper, inadequate, excess elimination, causes and management of complications are described in detail in this chapter. The ten common complications like aadhmana (distension of abdomen), parikartika (fissure in ano), srava (excess discharge), hrid-graha (congestion in cardiac region), gatra-graha (body stiffness), jeevaadana (bleeding), vibhramsha (prolapse of rectum), stambha (body stiffness), upadrava (complications) and klama (fatigue without exertion) are elaborated. The causes behind this include incompetency either of the attendant, or drug, or physician or the patient.
 
Keywords: Vamana (therapeutic emesis), Virechana (therapeutic purgation), Vyapad (complications), Shodhana (purification therapy).
 
Keywords: Vamana (therapeutic emesis), Virechana (therapeutic purgation), Vyapad (complications), Shodhana (purification therapy).
Introduction:
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=== Introduction ===
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The chapter Vamana-virechana vyapad siddhi explains the complications of improper administration of shodhana karma and their effective management. Three earlier chapters dealt with complications of basti (therapeutic enema). In same sequence of describing complications of purification therapies, those of therapeutic emesis and purgation are described in this chapter.
 
The chapter Vamana-virechana vyapad siddhi explains the complications of improper administration of shodhana karma and their effective management. Three earlier chapters dealt with complications of basti (therapeutic enema). In same sequence of describing complications of purification therapies, those of therapeutic emesis and purgation are described in this chapter.
 
Earlier in Sutra sthana 15th chapter, Upakalpaneeyam adhyaya, the procedure of vamana and virechana are explained in detail. Their further specifications like signs and symptoms of proper, inadequate and excess actions are explained in first chapter (Kalpana siddhi) of this section. The indications and and contra-indications are described in the second chapter panchakarmeeya siddhi. The remaining details of therapeutic emesis and purgation are explained in the present chapter.  
 
Earlier in Sutra sthana 15th chapter, Upakalpaneeyam adhyaya, the procedure of vamana and virechana are explained in detail. Their further specifications like signs and symptoms of proper, inadequate and excess actions are explained in first chapter (Kalpana siddhi) of this section. The indications and and contra-indications are described in the second chapter panchakarmeeya siddhi. The remaining details of therapeutic emesis and purgation are explained in the present chapter.  

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