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===Quantity of vomitus (maniki)===
 
===Quantity of vomitus (maniki)===
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The quantitative output of vomitus is measured. If approximately 1280ml(2 prastha) of vomitus is expelled out, it is considered a maximum purification level. The 960ml(1.5 prastha) and 640ml (1 prastha) are considered moderate and minimum purification levels respectively. [Cha.Sa.[[Siddhi Sthana]] 1/14] Vagbhata differs in opinion by considering 640ml (1 prastha) and 320ml (1/2 prastha) as moderate and minimum levels of purification. [A.Hr.Sutra Sthana 18/31]
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The quantitative output of vomitus is measured. If approximately 1280ml(2 prastha) of vomitus is expelled out, it is considered a maximum purification level. The 960ml(1.5 prastha) and 640ml (1 prastha) are considered moderate and minimum purification levels respectively. [Cha.Sa.[[Siddhi Sthana]] 1/14] Vagbhata differs in opinion by considering 640ml (1 prastha) and 320ml (1/2 prastha) as moderate and minimum levels of purification. [A.Hr.Sutra Sthana 18/31]<ref name=Hridaya/>
    
The quantity of [[dosha]] expelled (maniki) should be calculated by excluding the intake of all medicines given to the patient.[Cha.Sa.[[Siddhi Sthana]] 1/14] Practically it is observed that the amount of vomitus is always less when compared to the intake consumed by patient. In other words, some amount of total intake remains inside the patient's body.<ref name=GuptaB6/> <ref name=Sachin9/> So, more practically, the intake-output ratio should be measured to better understand the amount of [[dosha]] expelled. For this purpose, the Maniki Shuddhi Index (MSI) is introduced.
 
The quantity of [[dosha]] expelled (maniki) should be calculated by excluding the intake of all medicines given to the patient.[Cha.Sa.[[Siddhi Sthana]] 1/14] Practically it is observed that the amount of vomitus is always less when compared to the intake consumed by patient. In other words, some amount of total intake remains inside the patient's body.<ref name=GuptaB6/> <ref name=Sachin9/> So, more practically, the intake-output ratio should be measured to better understand the amount of [[dosha]] expelled. For this purpose, the Maniki Shuddhi Index (MSI) is introduced.
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