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The chapter [[Vamana Virechana Vyapat 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 Vyapat 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.
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Earlier in [[Sutra Sthana]] 15th chapter ([[Upakalpaniya 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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Earlier in [[Sutra Sthana]] 15th chapter ([[Upakalpaniya 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 ([[Panchakarmiya Siddhi]]). The remaining details of therapeutic emesis and purgation are explained in the present chapter.  
The suitable seasons for shodhana, proper timing for the administration of snehana (oleation) and swedana (sudation) are required because doshas get naturally vitiated in specific seasons and are associated in case of disease. Specific pre-requisites for adequate purification are to be considered prior to the procedure. Assessment of vitiation of dosha, agni (digestive power), koshtha (bowel) and unctuousness of patient are most important factors for administration of purification therapy. Proper diet and digestion of previous day meal, stable mental state of patient is important to get benefits of purification  
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The physician should keenly observe the patient during purification therapy for assessing signs of eliminating doshas otherwise complications may arise. The physician shall be well versed with diagnosis and management of these complications.
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The suitable seasons for ''shodhana'', proper timing for the administration of ''snehana'' (oleation) and ''swedana'' (sudation) are required because ''doshas'' get naturally vitiated in specific seasons and are associated in case of disease. Specific pre-requisites for adequate purification are to be considered prior to the procedure. Assessment of vitiation of ''dosha, agni'' (digestive power), ''koshtha'' (bowel) and unctuousness of patient are most important factors for administration of purification therapy. Proper diet and digestion of previous day meal, stable mental state of patient is important to get benefits of purification.
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The physician should keenly observe the patient during purification therapy for assessing signs of eliminating ''doshas'' otherwise complications may arise. The physician shall be well versed with diagnosis and management of these complications.
    
===Sanskrit text, Transliteration and English Translation===
 
===Sanskrit text, Transliteration and English Translation===