Changes

# '''Dhumapanam:''' Dhumapana (धूमपानम्) or inhalation of medicated smoke wherein the dravya or herbs to be smoked are decided based on the health of the patient. Dhumapana is essential procedure to eliminate the remnant kapha dosha which is adhered to bodily channels locally even after vamana.<ref>Sushruta Samhita (Chikitsasthanam Adhyaya 33 Sutram 11)</ref>  

# '''Dhumapanam:''' Dhumapana (धूमपानम्) or inhalation of medicated smoke wherein the dravya or herbs to be smoked are decided based on the health of the patient. Dhumapana is essential procedure to eliminate the remnant kapha dosha which is adhered to bodily channels locally even after vamana.<ref>Sushruta Samhita (Chikitsasthanam Adhyaya 33 Sutram 11)</ref>  

# There are certain behavioral instructions stated to avoid further complications.  Patient should avoid sitting or standing in one position for too long, long walks must be avoided, speaking loudly, anger, grief, exposure to excessive cold, sunlight, winds etc.  sexual indulgence, sleeping during daytime, staying awake late at night are few restrictions to be avoided after vamana karma.

# There are certain behavioral instructions stated to avoid further complications.  Patient should avoid sitting or standing in one position for too long, long walks must be avoided, speaking loudly, anger, grief, exposure to excessive cold, sunlight, winds etc.  sexual indulgence, sleeping during daytime, staying awake late at night are few restrictions to be avoided after vamana karma.

# '''Samsarjana krama''':  (संसर्जन क्रमम्) It refers to the specific diet plan after vamana karma (rehabilitation diet) which is given from aat least 3 to 7 days depending on the grade of shuddhi (purification) happened by vamana. It is to be started from the same day (evening) of the procedure or on the next day morning if there is any vitiation of doshas observed and remaining doshas are yet to be eradicated.

# '''Samsarjana krama''':  (संसर्जन क्रमम्) It refers to the specific diet plan after vamana karma (rehabilitation diet) which is given for at least 3 to 7 days depending on the grade of shuddhi (purification) happened by vamana. It is to be started from the same day (evening) of the procedure or on the next day morning if there is any vitiation of doshas observed and remaining doshas are yet to be eradicated.

# On the first day or as a first meal, “manda” (मण्डम्) is ideally made with red variety of rice which is a gruel like food preparation which is given for three consecutive meals. This kind of preparation is liquid in nature and helps the weak digestive state which is present after the vamana karma.

# On the first day or as a first meal, “manda” (मण्डम्) is given. It is ideally made with red variety of rice which is a gruel like food preparation which is given for three consecutive meals. This kind of preparation is liquid in nature and helps the weak digestive state which is present after the vamana karma.

# For the next 1 or 2  consecutive meals “vilepi” (विलेपी) which is again a kind of gruel, made with red type of rice is given. This is semisolid in consistency.

# For the next 1 or 2  consecutive meals “vilepi” (विलेपी) which is again a kind of gruel, made with red type of rice is given. This is semisolid in consistency.

# After this,” odana” (ओदनम्) which is a well cooked rice made with red rice along with mudga yusha (मुद्ग यूषम्  soup from green gram) is given for next one or three meals. Warm water is consumed during samsarjana krama.

# After this,” odanam” (ओदनम्) which is a well cooked rice made with red rice along with mudga yusha (मुद्ग यूषम्  soup from green gram) is given for next one or three meals.  

# Warm water is consumed during samsarjana krama.

# For the next one or three meals meat soup is given or for vegetarians simple regular diet is started. Later, the patient is expected to have a normal diet.

# For the next one or three meals meat soup is given or for vegetarians simple regular diet is started. Later, the patient is expected to have a normal diet.

In this way gradual shift in diet from rice water to normal diet helps one to regain his digestive strength which is significantly hampered in the process of vamana. Thus if one follows all the diet and other guidelines carefully can recover from illness and also prevent adverse effects of the therapy.  

In this way gradual shift in diet from rice water to normal diet helps one to regain his digestive strength which is significantly hampered in the process of vamana. Thus if one follows all the diet and other guidelines carefully can recover from illness and also prevent adverse effects of the therapy.