Changes

== Etymology ==

== Etymology ==

The word “vamana” in Sanskrit is made from root word “vam” which means to eject. Suffix “lyut” is added. <blockquote>वमन न० वम ल्युट् ।१ मर्दने २ छर्दने मेदि०) (Vachaspatyam)<ref>Vachaspatyam Pg 4847</ref></blockquote>Vama and lyut pratyaya together makes word vamana.

 

The word “vamana” in Sanskrit is made from root word “vam” which means to eject. Suffix “lyut” is added.

 

Vama and lyut pratyaya together makes word vamana.

Meaning, to vomit, to expel, to move or movement.

Meaning, to vomit, to expel, to move or movement.

== Indications for Vamana Karma ==

== Indications for Vamana Karma ==

== 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 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>

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. 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 nutshell, 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 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)

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.<ref>Charaka Samhita (Sutrasthanam Adhyaya 10 Sutra 46)</ref> 

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.

Assessment of the patient before Vamana includes Dashavidha (10 fold examination parameters) and astha vidha pareeksha (8 fold examination parameters)  alongside other clinical examinations like respiratory system examination, Gastrointestinal Tract examination, Cardiovascular examination etc. Blood Pressure, temperature, pulse and other vitals are also checked before, during and after vaamana karma. In certain traditions of vaidys or at institute level, routine blood check up, ECG etc are also done before the patient is posted for vamana.  

 

Few pathological and biochemical examinations, ECG etc before vamana karma as a routine is done.

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 ==