Changes

Indications for any panchakarma are mainly based on the dominance of dosha in a particular disorder and the site at which dosha provokes.  Thus, to mention few, indications for vamana karma are,

Indications for any panchakarma are mainly based on the dominance of dosha in a particular disorder and the site at which dosha provokes.  Thus, to mention few, indications for vamana karma are,

(To/beEdited)Acute fever, diarrhoea, bleeding disorders, tuberculosis, different types of skin disorders, diabetes, tumours, cough, asthma, obesity, heart diseases, epilepsy, piles, anaemia etc. (asht. sutr.27) (char. sidd.2.10) (sush.chik. 33.18)  

* Nava jwara(Acute fever),

* Atisaara (diarrhoea),  

* adhoga rakta pitta (bleeding disorders),  

* rajayakshma (tuberculosis),

* kushta (different types of skin disorders),  

* prameha (diabetes),  

* arbuda (tumours),

* kasa (cough),  

* shwasa (asthma),  

* medoroga (obesity etc),  

* hridroga (heart diseases),  

* apasmara (epilepsy),  

* arshas (piles),  

* pandu (anaemia) etc. (asht. sutr.27) (char. sidd.2.10) (sush.chik. 33.18)    

== Contraindications for Vamana Karma ==

== Contraindications for Vamana Karma ==

Vamana is mainly not considered in Vata dosha predominant diseases, where body is highly emaciated, in very weak and very old individuals. Thus, to mention few,

Vamana is mainly not considered in Vata dosha predominant diseases, where body is highly emaciated, in very weak and very old individuals. Thus, to mention few,

In infant, very old, weak, tired, hungry, excessive thirst, exhausted from lifting weights, pregnancy, suffering from anxiety, worm infestations, bleeding disorders having pathology in upper half of body etc.

* Ati baala (In infant),  

* ati vriddha (very old),  

* durbala (weak),  

* shranta (tired),  

* kshudita (hungry),  

* pipasita (excessive thirst),  

* bhaaarahata (exhausted from lifting weights),  

* garbhini (pregnancy),

* chinta prasakta (suffering from anxiety),  

* krimi (worm infestations),  

* urdhvaga raktapitta (bleeding disorders having pathology in upper half of body) etc.

== Vamana Procedure ==

== Vamana Procedure ==

== Mode of action of vamana karma ==

== Mode of action of vamana karma ==

Vamana karma is not just a gastric lavage, or a pathological vomiting, it is a complete systemic cleansing of morbid Kapha dosha having widespread advantages. When vamana drug is given orally, the active principle present in the drug reaches the cell where it forces the cell to release the toxins back in the stomach. (NeedsCitation) From there on the vomiting occurs. This process occurs due to the irritant action of the drugs, which leads to mild inflammation at the site of action. This in turn leads to increased permeability in the capillaries which will allow the absorption as well as excretion of the substances. The vamana drug are given in full stomach when the pyloric end of stomach is closed allowing all the activities of the vamana dravya to remain in stomach itself. At the end of process bile is seen in vomitus due to flux of antiperistalsis set during the process, which means that the pyloric valve is open, and the procedure is completed or the morbid kapha dosha has been completely expelled out.

Vamana karma is not just a gastric lavage, or a pathological vomiting, it is a complete systemic cleansing of morbid Kapha dosha having widespread advantages. When vamana drug is given orally, the active principal present in the drug reaches the cell where it forces the cell to release the toxins back in the stomach. From there on the vomiting occurs. This process occurs due to the irritant action of the drugs, which leads to mild inflammation at the site of action. This in turn leads to increased permeability in the capillaries which will allow the absorption as well as excretion of the substances. The vamana drug are given in full stomach when the pyloric end of stomach is closed allowing all the activities of the vamana dravya to remain in stomach itself. At the end of process bile is seen in vomitus due to flux of antiperistalsis set during the process, which means that the pyloric valve is open, and the procedure is completed or the morbid kapha dosha has been completely expelled out.<ref>Principles and practice of panchakarma, Dr. Vasant C. Patil , Chaukhamba publications 5^th edition chap 11^th pg 340-345</ref>

In a nut shell, vomiting in modern view is a cascade of events which leads to expulsion of upper gastrointestinal contents.

In a nutshell, vomiting in modern view is a cascade of events which leads to expulsion of upper gastrointestinal contents.

== Therapeutic considerations ==

== Therapeutic considerations ==

Vamana is advised even prophylactically in Vasant [[Rutucharya (ऋतुचर्या)|rutucharya]] where kapha dosha is seen in prakopa awastha (exaggerated). Mainly in chaitra month of hindu calendar which is mid-March to mid-April.   (char. Sutr.10.46)

Vamana is advised even prophylactically in Vasant rutu where kapha dosha is seen in prakopa awastha (exaggerated). Mainly in chaitra month of hindu calendar which is mid-March to mid-April.   (char. Sutr.10.46)

Dashavidha(10 fold examination parameters) and astha vidha pareeksha (8 fold examination parameters)  alongside modern clinical parameters, like respiratory system examination, Gastrointestinal Tract examination, Cardiovascular examination etc. also B.P, temperature, pulse etc before and during vamana karma.

Dashavidha(10 fold examination parameters) and astha vidha pareeksha (8 fold examination parameters)  alongside modern clinical parameters, like respiratory system examination, Gastrointestinal Tract examination, Cardiovascular examination etc. also B.P, temperature, pulse etc before and during vamana karma.

Vamana is contraindicated in vata dosha related diseases but there can be certain exceptions also, in such cases mild vamana is indicated.

Vamana is contraindicated in vata dosha related diseases but there can be certain exceptions also, in such cases mild vamana is indicated.

== References ==

== References ==