Changes

The physician's decision to continue or to stop emesis therapy primarily depends on observation of the vomitus. The following are endpoints of vamana:  

The physician's decision to continue or to stop emesis therapy primarily depends on observation of the vomitus. The following are endpoints of vamana:  

*The appearance of [[pitta]] in vomitus [Cha.Sa.[[Siddhi Sthana]] 1/14] or  

*The appearance of [[pitta]] in vomitus [Cha.Sa.[[Siddhi Sthana]] 1/14] or  

*Expulsion of medicine [A.S. Sutra Sthana 27/23] or  

*Expulsion of medicine [A.S. Sutra Sthana 27/23]<ref name=Sangraha/> or  

*Reduction in the amount of [[kapha]] in vomitus [A.S. Sutra Sthana 27/13]

*Reduction in the amount of [[kapha]] in vomitus [A.S. Sutra Sthana 27/13]<ref name=Sangraha/>

In a study conducted on 30 healthy volunteers, 66.7% of participants completed the therapeutic emesis by expelling [[pitta]].<ref name=GuptaB6>Gupta B, Mahapatra SC, Makhija R, et al. Observations on Vamana procedure in healthy volunteers. Ayu. 2011;32(1):40-45. doi:10.4103/0974-8520.85723</ref> In another study on 60 participants, more than half of them (56.52%) expelled [[pitta]] in the final bout of vomiting.<ref name=Bhatted7>Bhatted S, Shukla VD, Thakar A, Bhatt NN. A study on Vasantika Vamana (therapeutic emesis in spring season) - A preventive measure for diseases of Kapha origin. Ayu. 2011;32(2):181-186. doi:10.4103/0974-8520.92562</ref> The person may experience bitterness in the mouth or a burning sensation in throat by [[pitta]]'s expulsion.<ref name=Patel8>Patel JR, Bhatted S. A comparative study on Vamana Karma with Madanaphala and Krutavedhana in Ekakushtha (Psoriasis). Ayu. 2011;32(4):487-493. doi:10.4103/0974-8520.96121</ref> A pH scale can be used to monitor the changes in vomitus. The pH of vomitus is reported as 6 – 6.5.<ref name=GuptaB6/> As the emesis progresses the acidic pH changes into slightly alkaline and by the expulsion of [[pitta]] it becomes alkaline. 7.61 was the average pH recorded at the end of the emesis therapy during a study conducted on 29 individuals.<ref name=Sachin9>Chandaliya Sachin S. A clinical study on standardization of Vamana Karma w.s.r to antiki, vaigiki, maniki and laingiki criteria.[MD Dissertation]. Jamnagar:  IPGT&RA  Gujarat Ayurved University; 2003</ref> In another study conducted on 22 individuals 5.5 pH during the initial bouts of vomiting changed to 8.06 in final bouts.<ref name=Dass4/>

In a study conducted on 30 healthy volunteers, 66.7% of participants completed the therapeutic emesis by expelling [[pitta]].<ref name=GuptaB6>Gupta B, Mahapatra SC, Makhija R, et al. Observations on Vamana procedure in healthy volunteers. Ayu. 2011;32(1):40-45. doi:10.4103/0974-8520.85723</ref> In another study on 60 participants, more than half of them (56.52%) expelled [[pitta]] in the final bout of vomiting.<ref name=Bhatted7>Bhatted S, Shukla VD, Thakar A, Bhatt NN. A study on Vasantika Vamana (therapeutic emesis in spring season) - A preventive measure for diseases of Kapha origin. Ayu. 2011;32(2):181-186. doi:10.4103/0974-8520.92562</ref> The person may experience bitterness in the mouth or a burning sensation in throat by [[pitta]]'s expulsion.<ref name=Patel8>Patel JR, Bhatted S. A comparative study on Vamana Karma with Madanaphala and Krutavedhana in Ekakushtha (Psoriasis). Ayu. 2011;32(4):487-493. doi:10.4103/0974-8520.96121</ref> A pH scale can be used to monitor the changes in vomitus. The pH of vomitus is reported as 6 – 6.5.<ref name=GuptaB6/> As the emesis progresses the acidic pH changes into slightly alkaline and by the expulsion of [[pitta]] it becomes alkaline. 7.61 was the average pH recorded at the end of the emesis therapy during a study conducted on 29 individuals.<ref name=Sachin9>Chandaliya Sachin S. A clinical study on standardization of Vamana Karma w.s.r to antiki, vaigiki, maniki and laingiki criteria.[MD Dissertation]. Jamnagar:  IPGT&RA  Gujarat Ayurved University; 2003</ref> In another study conducted on 22 individuals 5.5 pH during the initial bouts of vomiting changed to 8.06 in final bouts.<ref name=Dass4/>