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Line 31: − + − + − + − + + + + + − <div style='text-align:justify;'> − The word vamana means the act of vomiting.<ref>Monier-Williams, Monier-Williams Sanskrit- English Dictionary, 1st edition; Oxford University Press, Vamana, Page 920</ref> It is one of the five purification therapies ([[panchakarma]]). It is the best preventive measure and treatment for disorders due to vitiation of [[kapha]] [[dosha]]. [Cha.Sa.[[Sutra Sthana]] 25/40] The [[dosha]] accumulated in the upper part of the body (trunk and supraclavicular region) is evacuated by therapeutic emesis. [Cha.Sa.[[Sutra Sthana]] 20/19][Cha.Sa.[[Kalpa Sthana]] 1/4] 'Vamana' is also a therapeutic procedure to expel vitiated [[dosha]] by administration of medicine to induce vomiting. On the other hand, 'Chhardi' is a disease with a predominant feature of vomiting due to various underlying pathologies. The present article deals with vamana, i.e., therapeutic emesis. − + Line 78:
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{{#seo:
{{#seo:
|title=Therapeutic emesis (Vamana)
|title=Therapeutic emesis (Vamana)
|titlemode=append
|titlemode=append
|keywords=Vamana, Vamana in Ayurveda, Vamana meaning, Vamana Definition, Charak samhita, carakasamhitaonline, Indian System of medicine, emesis therapy
|keywords=Vamana, Vamana in Ayurveda, Vamana meaning, Vamana Definition, Charak samhita, carakasamhitaonline, Indian System of medicine, emesis therapy, chhardi, emetic treatment, emesis in ayurveda
|description=Therapeutic emesis intended for treatment of kapha disorders
|description=Therapeutic emesis intended for treatment of kapha disorders
|image=http://www.carakasamhitaonline.com/mediawiki-1.32.1/resources/assets/ogimgs.jpg
|image=http://www.carakasamhitaonline.com/resources/assets/ogimgs.jpg
|image_alt=carak samhita
|image_alt=carak samhita
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<div style='text-align:justify;'>
The word vamana means the act of vomiting.<ref>Monier-Williams, Monier-Williams Sanskrit- English Dictionary, 1st edition; Oxford University Press, Vamana, Page 920</ref> It is one of the five purification therapies ([[panchakarma]]). It is the best preventive measure and treatment for disorders due to vitiation of [[kapha]] [[dosha]]. [Cha.Sa.[[Sutra Sthana]] 25/40] The [[dosha]] accumulated in the upper part of the body (trunk and supraclavicular region) is evacuated by therapeutic emesis. [Cha.Sa.[[Sutra Sthana]] 20/19][Cha.Sa.[[Kalpa Sthana]] 1/4] 'Vamana' is also a therapeutic procedure to expel vitiated [[dosha]] by administration of medicine to induce vomiting. On the other hand, 'Chhardi' is a disease with a predominant feature of vomiting due to various underlying pathologies. The present article deals with vamana, i.e., therapeutic emesis.
</div>
{{Infobox
{{Infobox
|data5 = carakasamhita@gmail.com
|data5 = carakasamhita@gmail.com
|label6 = Date of first publication:
|label6 = Publisher
|data6 = November10, 2020
|data6 = [[Charak Samhita Research, Training and Development Centre]], I.T.R.A., Jamnagar, India
|label7 = DOI
|data7 = Under process
|label7 = Date of first publication:
|data7 = November10, 2020
|label8 = DOI
|data8 = [https://doi.org/10.47468/CSNE.2020.e01.s09.032 10.47468/CSNE.2020.e01.s09.032]
}}
}}
==Etymology and derivation==
==Etymology and derivation==
<div style='text-align:justify;'>
The Sanskrit root 'vam' means ejection, giving out, oozing, stream, etc.The word 'vamana' is derived from the root 'vama' and adding a suffix 'lyut'. It has four meanings,
The Sanskrit root 'vam' means ejection, giving out, oozing, stream, etc.The word 'vamana' is derived from the root 'vama' and adding a suffix 'lyut'. It has four meanings,
*Destroying, crushing (mardane)
*Destroying, crushing (mardane)
#Post therapeutic measures (pashchatkarma)
#Post therapeutic measures (pashchatkarma)
===Pre therapeutic measures (purvakarma)===
===Pre therapeutic measures (purva karma)===
The pre-emesis procedure aims to prepare the body for emesis and to bring toxins to gut for expulsion.
The pre-emesis procedure aims to prepare the body for emesis and to bring toxins to gut for expulsion.
Pachana (digestive) therapies are administered to correct digestion and detach the microcellular toxins (ama).
Pachana (digestive) therapies are administered to correct digestion and detach the microcellular toxins ([[ama]]).
Unction (snehana) is prescribed in a suitable dose for a duration until proper unction features are observed. This is generally done for three to seven days.
Unction ([[snehana]]) is prescribed in a suitable dose for a duration until proper unction features are observed. This is generally done for three to seven days.
Therapeutic massage (abhyanga) and fomentation therapy (swedana) are generally advised for three sessions after completing internal unction therapy.
Therapeutic massage ([[abhyanga]]) and fomentation therapy ([[swedana]]) are generally advised for three sessions after completing internal unction therapy.
The day of therapeutic emesis is decided only after observing proper unction and fomentation features in an individual. [A.Hr. Sutra Sthana 16/36]<ref name=Hridaya>Vagbhata. Ashtanga Hridayam. Edited by Harishastri Paradkar Vaidya. 1st ed. Varanasi: Krishnadas Academy;2000.</ref> This can be continued for two or three days. [Cha.Sa.[[Kalpa Sthana]] 1/14]
The day of therapeutic emesis is decided only after observing proper unction and fomentation features in an individual. [A.Hr. Sutra Sthana 16/36]<ref name=Hridaya>Vagbhata. Ashtanga Hridayam. Edited by Harishastri Paradkar Vaidya. 1st ed. Varanasi: Krishnadas Academy;2000.</ref> This can be continued for two or three days. [Cha.Sa.[[Kalpa Sthana]] 1/14]
The following table shows various dose patterns advised in patients.[table 2]
The following table shows various dose patterns advised in patients.[table 2]
{| class="wikitable"
{| class="wikitable"
|+ Table 2: Dose patterns for therapeutic emesis
|+ Table 2: Dose patterns for therapeutic emesis
*[Dalhana on Su.Sa.Chikitsa Sthana 33/7]<ref name=Susruta>Sushruta. Sushruta Samhita. Edited by Jadavaji Trikamji Aacharya. 8th ed. Varanasi: Chaukhambha Orientalia;2005.</ref>, **[Sha.Sa. Uttara khanda 3/15]<ref name=Shargadara/>, #[Ka. Khilasthana 7/44]<ref name=Kashyapa>Vrddhajivaka, Kasyapa Samhita. Edited by Tewari P V, Reprint edition. Varanasi: Chaukhambha visvabharati; 2008</ref>
*[Dalhana on Su.Sa.Chikitsa Sthana 33/7]<ref name=Susruta>Sushruta. Sushruta Samhita. Edited by Jadavaji Trikamji Aacharya. 8th ed. Varanasi: Chaukhambha Orientalia;2005.</ref>, **[Sha.Sa. Uttara khanda 3/15]<ref name=Shargadara/>, #[Ka. Khilasthana 7/44]<ref name=Kashyapa>Vrddhajivaka, Kasyapa Samhita. Edited by Tewari P V, Reprint edition. Varanasi: Chaukhambha visvabharati; 2008</ref>
===Therapeutic emesis (pradhanakarma)===
===Therapeutic emesis (pradhana karma)===
Therapeutic emesis is always performed early morning during the time of the natural increase of [[kapha]] [[dosha]]. After completing proper sleep and passage of natural urges in the morning, the individual follows whole-body therapeutic massage and fomentation.The patient should be seated comfortably in a chair of a suitable height.
Therapeutic emesis is always performed early morning during the time of the natural increase of [[kapha]] [[dosha]]. After completing proper sleep and passage of natural urges in the morning, the individual follows whole-body therapeutic massage and fomentation.The patient should be seated comfortably in a chair of a suitable height.
====Endpoints====
====Endpoints====
The procedure is continued till the appearance of signs of adequate emesis or bile ([[pitta]]) in the vomitus.
The procedure is continued till the appearance of signs of adequate emesis or bile ([[pitta]]) in the vomitus.
===Post therapeutic measures (pashchatkarma)===
===Post therapeutic measures (pashchat karma)===
After completion of procedure and bouts of emesis end,the patient is then advised medicated smoke inhalation (dhumapana) which helps to remove the remaining [[kapha]] adhered to the body channels. [A.S.Sutra Sthana 27/21]<ref name=Sangraha/> [Su.Sa.Chikitsa Sthana 33/10]<ref name=Susruta/> The patient is advised to take complete rest in a room and avoid direct exposure to wind. The patient is advised to take hot water bath and follow specific dietary pattern (samsarjana krama), when he feels hungry.
After completion of procedure and bouts of emesis end,the patient is then advised medicated smoke inhalation (dhumapana) which helps to remove the remaining [[kapha]] adhered to the body channels. [A.S.Sutra Sthana 27/21]<ref name=Sangraha/> [Su.Sa.Chikitsa Sthana 33/10]<ref name=Susruta/> The patient is advised to take complete rest in a room and avoid direct exposure to wind. The patient is advised to take hot water bath and follow specific dietary pattern (samsarjana krama), when he feels hungry.
The list of references for Vamana in Charak Samhita can be seen [[Media:Reference_of_word_Vamana_in_Charaka-converted.pdf|here]]
The list of references for Vamana in Charak Samhita can be seen [[Media:Reference_of_word_Vamana_in_Charaka-converted.pdf|here]]
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==References==
==References==
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