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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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Maniki Shuddhi Index = (Volume inside divided by Volume input) x 100
+
Maniki Shuddhi Index = (Volume inside ÷  Volume input) × 100
A lesser MSI indicates a greater evacuation.If MSI is more, it suggests more residual fluids in the body.<ref name=Sachin9/>
+
 
 +
A lesser MSI indicates a greater evacuation. If MSI is more, it suggests more residual fluids in the body.<ref name=Sachin9/>
    
===Number of bouts of vomitus (vaigiki)===
 
===Number of bouts of vomitus (vaigiki)===
2,062

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