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→Procedures followed practically for vamana and virechana are as follows
*Fomentation with whole body massage is practised in certain areas twice in one day for ''vamana'' and twice for three days in case of ''virechana'' after completion of oleation.
*Fomentation with whole body massage is practised in certain areas twice in one day for ''vamana'' and twice for three days in case of ''virechana'' after completion of oleation.
*During this period of fomentation the diet as specified above in verse 8-9 is given for better results
*During this period of fomentation the diet as specified above in verse 8-9 is given for better results
*On the day of vamana, in the morning again whole body massage with fomentation is given. Milk or any other material like sugarcane juice that helps initiating emesis is given to fill the stomach especially if the patient is weak. The quantity administered ranges from 500 ml to 1200ml depending upon patient’s gastric capacity. After that vamana drug is administered at around 7.00 a.m. (commonly used formulation- madanaphala pippali powder 5-7 gm+ vacha powder 2-3 gm+ rock salt powder 1-2 gm+ honey Q.S.) and wait and watch strategy is used for 45 minutes till emesis starts. Then yashtimadhu fanta (prepared by adding coarse yashtimadhu powder in hot water) is given continuously to induce and to facilitate the emesis till pitta is observed in bouts of vomitus. At the end of the procedure luke warm salt water is given to cleans the stomach. Medicated smoke inhalation is preferred in order to clear the kapha in upper upper respiratory tract.
*On the day of ''vamana'', in the morning again whole body massage with fomentation is given. Milk or any other material like sugarcane juice that helps initiating emesis is given to fill the stomach especially if the patient is weak. The quantity administered ranges from 500 ml to 1200ml depending upon patient’s gastric capacity. After that ''vamana'' drug is administered at around 7.00 a.m. (commonly used formulation- ''madanaphala pippali'' powder 5-7 gm+ ''vacha'' powder 2-3 gm+ rock salt powder 1-2 gm+ honey Q.S.) and wait and watch strategy is used for 45 minutes till emesis starts. Then ''yashtimadhu fanta'' (prepared by adding coarse ''yashtimadhu'' powder in hot water) is given continuously to induce and to facilitate the emesis till ''pitta'' is observed in bouts of vomitus. At the end of the procedure luke warm salt water is given to cleans the stomach. Medicated smoke inhalation is preferred in order to clear the ''kapha'' in upper upper respiratory tract.
On day of purgation, in the morning again whole body massage with fomentation is given. Then virechana drug as per the koshtha and disease is administered at around 10.00-10.30 a.m. in the morning. This time specification is not always suitable, varies according to season, desha (place), appetite of patient etc. better to detail the concept of ‘shleshmakale gate”
*On day of purgation, in the morning again whole body massage with fomentation is given. Then ''virechana'' drug as per the ''koshtha'' and disease is administered at around 10.00-10.30 a.m. in the morning. This time specification is not always suitable, varies according to season, ''desha'' (place), appetite of patient etc. better to detail the concept of ''shleshmakale gate''
*Purgation is continued till mucus is visible in the feces. If proper purgation is not occurring with given dose then strong purgative like ''icchabhedi rasa'' or ''abhayadi modaka'' may be given to boost up the process.
*Post therapeutic measures are followed in both ''virechana'' and ''vamana''.
==== Procedure followed practically for medicated enema is as follows ====
==== Procedure followed practically for medicated enema is as follows ====