Changes

##'''Facilities'''- The building should have all the necessary facilities for indoor patients, with good source for light, water, ventilation, kitchen, and sanitation (toilet, bath, etc).  

##'''Facilities'''- The building should have all the necessary facilities for indoor patients, with good source for light, water, ventilation, kitchen, and sanitation (toilet, bath, etc).  

##'''Staff requirements'''- For smooth running of the hospital, adequate staff support should be made available.  The attendants should possess necessary nursing skills, good conduct, hygiene, character, devotion, and compassion and be conversant in the administration of therapies.

##'''Staff requirements'''- For smooth running of the hospital, adequate staff support should be made available.  The attendants should possess necessary nursing skills, good conduct, hygiene, character, devotion, and compassion and be conversant in the administration of therapies.

##'''Recreational measures'''- The fact that various forms of recreation such as  music, poetry, and drama were suggested, made available or arranged within hospices or healthcare facilities shows how elaborate and extensive the field of healthcare management was within [https://en.wikipedia.org/wiki/Ayurveda Ayurveda]. Today, hospices or healthcare services providers arrange for televisions and music system in the rooms of patients.  

##'''Recreational measures'''- The fact that various forms of recreation such as  music, poetry, and drama were suggested, made available or arranged within hospices or healthcare facilities shows how elaborate and extensive the field of healthcare management was within [https://en.wikipedia.org/wiki/[[Ayurveda]] [[Ayurveda]]]. Today, hospices or healthcare services providers arrange for televisions and music system in the rooms of patients.  

##'''Drugs, equipments and other resources''': Kitchen appliances and utensils of varied sizes should be available within the kitchen. Arrangements should be made for the availability of bedding with appropriate furnishings (bedsheet and pillow), towel, clean cloths, cotton, wool and various other equipments for smooth induction of oleation, massage, sudation, emesis, purgation, medicated enema, and ''nasya'' to the patients. There should also be grinding stones with pestle, knife, smoking pipes, weighing scale, enema tubes and measuring vessels. Food articles like ''ghee'', oil, muscle fat, honey, salt, gruel, various types of wine and ''dhanyamla'' should be available in the hospital. Various drugs like ''shali'' (rice), ''mudga'' (pulses), ''tila'', ''kullattha'', ''parushaka'', and ''triphala'' should be made available, along with drugs to treat complications arising during procedures. This is akin to having a pharmacy within the premises of a hospital.

##'''Drugs, equipments and other resources''': Kitchen appliances and utensils of varied sizes should be available within the kitchen. Arrangements should be made for the availability of bedding with appropriate furnishings (bedsheet and pillow), towel, clean cloths, cotton, wool and various other equipments for smooth induction of oleation, massage, sudation, emesis, purgation, medicated enema, and ''nasya'' to the patients. There should also be grinding stones with pestle, knife, smoking pipes, weighing scale, enema tubes and measuring vessels. Food articles like ''ghee'', oil, muscle fat, honey, salt, gruel, various types of wine and ''dhanyamla'' should be available in the hospital. Various drugs like ''shali'' (rice), ''mudga'' (pulses), ''tila'', ''kullattha'', ''parushaka'', and ''triphala'' should be made available, along with drugs to treat complications arising during procedures. This is akin to having a pharmacy within the premises of a hospital.

#'''General plan of treatment'''- The patient should be admitted in the hospital for administration of therapeutic emesis and purgation procedures. Before application of these cleansing procedures, the patient should undergo some pre-therapeutic procedures such as ''langhana-pachana'' (restricted diet and improving digestion), ''snehana'' (oleation) and ''swedana'' (sudation). Their importance and mode of action is enumerated below:

#'''General plan of treatment'''- The patient should be admitted in the hospital for administration of therapeutic emesis and purgation procedures. Before application of these cleansing procedures, the patient should undergo some pre-therapeutic procedures such as ''langhana-pachana'' (restricted diet and improving digestion), ''snehana'' (oleation) and ''swedana'' (sudation). Their importance and mode of action is enumerated below:

F. Samsarjana karma [The rehabilitative post therapeutic diet]:

F. Samsarjana karma [The rehabilitative post therapeutic diet]:

It is necessary to restore the strength of agni and prana (vitality) after administering any therapeutic procedure. A sequential order of various dietary recipes prepared from rice and green gram should be followed. Vamana process mainly takes place in amashaya, which is the site for kledaka kapha, pachaka pitta and saman vayu. These are the prime factors that control all processes in this part of the gastro-intestinal tract. During the process of vamana, potent emetics stimulate the udan vayu and provoke expulsion of toxins through the mouth. At the end of emesis, the digestive power is weakened and so is the strength of the patient. Therefore in order to provide nourishment and restore proper digestive capabilities in the patient, a regimen that is easy to digest and rich in nutritive value is prescribed - for seven days (in case of good  strong emesis), for five days (in moderate emesis), and three days (in mild emesis). This differs according to the frequency of taking meals. [16]

It is necessary to restore the strength of agni and prana (vitality) after administering any therapeutic procedure. A sequential order of various dietary recipes prepared from rice and green gram should be followed. Vamana process mainly takes place in amashaya, which is the site for kledaka kapha, pachaka pitta and saman vayu. These are the prime factors that control all processes in this part of the gastro-intestinal tract. During the process of vamana, potent emetics stimulate the udan vayu and provoke expulsion of toxins through the mouth. At the end of emesis, the digestive power is weakened and so is the strength of the patient. Therefore in order to provide nourishment and restore proper digestive capabilities in the patient, a regimen that is easy to digest and rich in nutritive value is prescribed - for seven days (in case of good  strong emesis), for five days (in moderate emesis), and three days (in mild emesis). This differs according to the frequency of taking meals. [16]

The diet can be started on same day of purification therapy after taking bath. At first, the patient should be given lukewarm gruel prepared with shali (rice). This gruel should be very thin (manda) in nature, no spices are added to it. The quantity is to be given according to the digestive power of the patient. This is repeated for 2nd and 3rd meal time. Now a days people eat usually 3 times a day inspite of 2 times as advocated in Ayurveda. Hence a regimen with two meal times is quite insufficient and people always feel hungry; so we should redesign our diet schedule and plan according to three meal times per day. Thereafter the diet became thick rice like vilepi with salt and little spices as per taste for next three meal times. Then yusha (very thin soup of green gram) added with unctuous substance like ghee/oil, salt and above mentioned rice should be given for next 3 consecutive meal times. From the 10th meal time, meat soup should be given with rice, but for a vegetarian person it should be replaced by khichari, thin and thick. Thereafter the patient should be advised to take his normal diet from 7th night onwards.  

The diet can be started on same day of purification therapy after taking bath. At first, the patient should be given lukewarm gruel prepared with shali (rice). This gruel should be very thin (manda) in nature, no spices are added to it. The quantity is to be given according to the digestive power of the patient. This is repeated for 2nd and 3rd meal time. Now a days people eat usually 3 times a day inspite of 2 times as advocated in [[Ayurveda]]. Hence a regimen with two meal times is quite insufficient and people always feel hungry; so we should redesign our diet schedule and plan according to three meal times per day. Thereafter the diet became thick rice like vilepi with salt and little spices as per taste for next three meal times. Then yusha (very thin soup of green gram) added with unctuous substance like ghee/oil, salt and above mentioned rice should be given for next 3 consecutive meal times. From the 10th meal time, meat soup should be given with rice, but for a vegetarian person it should be replaced by khichari, thin and thick. Thereafter the patient should be advised to take his normal diet from 7th night onwards.  

The preparation of diet recipes is as below:  

The preparation of diet recipes is as below:  

a. Peya/ Yavagu: Rice in lesser quantity with more water (1 part rice :14 times water)

a. Peya/ Yavagu: Rice in lesser quantity with more water (1 part rice :14 times water)