VAMANA THERAPY NAGPUR
Vamana therapy Nagpur, is the unique procedure of eliminating the dosha from the body through the oral route by way of inducing vomiting. Kaphadosha, the third among the three doshas is best eliminated by this procedure. The forcible expulsion of undigested pitta and kapha through the upper root is known as vamana by definition. To begin with the client is treated with snehana and svedana procedures, and is followed by the induction of vomiting. The client is then subjected to samsarjanakrama to complete the procedure. The whole procedure including the preliminary procedure as well as follow-up procedure is called as Vamana karma.
INDICATIONS FOR VAMANA KARMA :
Elimination of the vitiated dosha from a route that is nearest to the diseased part is the general rule. Accordingly, if the accumulation of dosha is observed in the upper half of the body, it is best eliminated by the upper i.e. oral route. To be more precise if the accumulation of dosha is present in the gastrium, it is best eliminated by the vamana karma. This procedure is said to be more efficacious in clearing the accumulation of kaphadosha. Best results from vamana karma may be achieved if administered during the spring. Following list reveals the conditions that may be treated by vamana karma.
Pinasa * Chronic rhinitis
Kushtha * Various skin diseases
Navajvara * Acute fever of duration less than 7 days
Kasa * Cough
Shvasa * Vamana is effective in relieving the symptoms
Of bronchial asthma as well as other disorders
Characterized by breathlessness.
PROCEDURE VAMANA KARMA THERAPY :
Oral administration of sneha for a stipulated period followed by abhyanga and svedana forms the preparation of the client for vamana karma. Then the client is subjected to vamana karma. At the end the client is advised to follow the samsarjanakramafor regaining the original physical strength.
This is the procedure of vamana karma. The same is elaborated in the following paragraphs.
PREPARATION OF THE CLIENT :
The client is initially subjected to snehapana for 4 to 7 days in accordance with the development of the symptoms indicative of proper snehapana. Following this, he is treated with abhyanga and bashpasveda for one day. That is on the 8th day he is subjected to bashpasveda if the snehapana is completed on the 7th day. In this way on the 9th day the client is ready for the vamana karma. On the day of vamana karma in the early morning the client is asked to take bath after evacuation of bowel and bladder. He may then be allowed to dress himself with clean and colorful dress as well as spray perfumes on his body. He may even garland himself with good smelling flowers. These are the measures that reduce the anxiety of the client about the treatment and hence the client is likely to cooperate in a better way with the therapist. After all these activities in the morning the client is ready for the administration of vamana drugs.
DIET SPECIFICATION FOR VAMANA THERAPY :
During the period of snehapana, abhyanga and bashpasveda, the respective diet specified for the same should be given and is detailed in the respective chapters. On the previous night and on the day of proposed vamana karma specific diet should be prescribed to the client. On the previous night the client is asked to take foods that provoke the kaphadosha in the body which will increase the tendency of the kaphadosha to get expelled. For this purpose the abhishyandi foods like curds, fish, sweet dishes and blank gram preparations may be advised. On the day of vamana karma in the morning the client is given liquid diet like gruel, milk or small amount of plain ghee. Administration of medicines to induce vomiting is contraindicated in empty stomach and hence the light liquid diet is preferred. Before entering the treatment room the client may take blessings from his elders.
POSITION OF THE CLIENT :
In the treatment room, the client is asked to sit on a soft cushioned knee high chair with armrest, facing east or north. The body is draped up to the neck with a clean cloth. This prevents the soiling of the client’s cloth by the vomitus. Besides him, a towel is placed on a stool with in his reach. Also, a mug with water is placed in this stool that may be required for the client to clean his mouth and face during the vamana procedure. On another stool placed in front of the client very near to his knee; a large bowl is placed on which the client has to vomit during the procedure. This is the ideal position of the client for carrying out the vamana procedure.
CONSUMPTION OF LIQUIDS TILL SATIETY
To start with the administration of the medicine the client is asked to drink stomach full of milk, sugarcane juice or mutton soup. Usually, about 2 liters of liquid is required to fill the stomach. The total amount of liquid given to the client should be measured and is needed later on for the assessment of the amount of vomiting.
ADMINISTRATION OF EMETICS
After filling the stomach with liquids, it is time for the administration of emetic medicine. About 10 grams of madanaphala (Randiaspinosa) combination is mixed with 25 ml of honey. This is mixed well and is made into a paste. This thick paste is rolled into 2 to 3 pills. The client is asked to take these pills. For the better action, the therapist should chant the svastika chana hymn while the client is swallowing the medicine.
OBSERVATION FOR VOMITING
The therapist should observe the client for the appearance of perspiration in the forehead, restlessness, salivation in the mouth, discomfort in the abdomen and nausea. During this period the therapist should encourage the client by slowly moving his palms on the client’s back, sides, and abdomen. Sooner or later the client starts vomiting. As the patient starts developing nausea he is asked to slightly bend forward, and vomit into the bowl placed on the stool. Usually, the client vomits without much effort and strain. The appearance of perspiration on the forehead indicates loosening of the dosha in the body channels. Pile erection represents mobilization of dosha from the periphery into the gastrium. The fullness of the abdomen indicates the vitiated dosha that have reached the stomach. The nausea indicated the tendency of dosha to get expelled. If the client does not start to vomit the therapist should wait approximately up to 48 minute after the administration of the emetics. By this time if the vomiting has not started the therapist should administer further medicine to support the emetics given.
ADDING TO THE EFFECT OF EMETICS
If the vomiting does not start in about 48 minutes of administering the emetics, vomiting should be induced by giving any one of the following:
- Herbal paste of sarshapa (Brassica campestris), amalaki (Emblicaofficinalis), and pippali (Piper longum) in a single dose.
- Decoction of yashtimadhu (Glycyrrhizaglabra) given frequently.
- Lukewarm salt solution in plenty.
By the administration of any one of the above said medicines, vomiting begins. IF this also fails the vomiting is mechanically induced by irritating the pharynx. This may be achieved by touching the pharynx with stalk of lotus, finger, tuft of hair or a rubber catheter.
OBSERVATION OF THE CLIENT
- The client should be meticulously observed to assess the degree of shodhana achieved. And this may be assessed by different parameters as listed below.
- Bouts of vomiting.
- The amount of vomitus.
- End substance in the vomitus.
- Symptoms developed in the client.
BOUTS OF VOMITING
Depending upon the number of bouts of vomiting one can decide best, moderate and mild degree of shodhana. While counting the number of bouts of vomiting, one should remember some of the related points. A bout of vomiting does not mean a single act of vomiting. All the acts of vomiting that occur in succession, with no or little gap is counted as a bout. Each bout of vomiting may be separated by a gap of few to several minutes. Also initial few act of vomiting that actually does not occur in bouts and associating nausea is not counted. If the vomiting occurs in 8 bouts then it is considered to be the best shodhana. 6 bouts of vomiting are indicative of moderate shodhana and 4 bouts of vomiting is suggestive of mild degree of shodhana.
- AMOUNT OF VOMITUS(ManikiShuddhi)Assessment of degree of shodhana is also done on the basis of amount of vomitus expelled. This is the second method of assessment. IF the amount of vomitus expelled is approximately 1080 ml (2 prastha) then the extent of shodhana is said to be the best one. Approximately 810 ml (1 ½ prastha) of vomitus indicates moderate shodhana. IF the amount of vomitus is approximately 640 ml (1 prastha) then is suggestive of mild shodhana. While assessing the amount of vomitus, one should subtract the amount of fluid consumed in the beginning of the vamana therapy from the total amount of vomitus to get the net amount of vomitus. This net amount of vomitus is considered for the assessment of degree of shodhana.
END SUBSTANCE IN VOMITUS
Induction of vomiting ultimately results in emptying of the stomach. This include the expulsion of dosha. One can observe specific order of the dosha being expelled when the vamana procedure is in progress. In the beginning of the vamana procedure kaphadosha is expelled out and is evident as mucous in the vomitus. This is followed by expulsion of pitta. The yellowish coloration of the vomitus and the bitter taste in the mouth during vomiting marks the expulsion of the pitta dosha. At the end the vatadosha is expelled from the stomach. Blank vomiting effort with typical sound and absence of any vomitus is suggestive of expulsion of vata. If the process of vomiting ends by the expulsion of the pitta dosha then is considered as completion of shodhana. If the process of the vomiting does not continue after the expulsion of mucous then is indicative of incomplete shodhana. IF the expulsion of the vata also occurs in the process then is suggestive of excessive shodhana and is not desirable.
SYMPTOMS DEVELOPED IN THE CLIENTS
Other than the criteria mentioned above, the assessment of extent of shodhana can also be made on the basis of the symptoms that develop in the client subjected to vamana therapy. Following lines reveals the symptoms of these effects.
SYMPTOMS OF PROPER EFFECT
Kale pravritti * Proper elimination of the dosha.
Kramatkapha-pitta * Orderly elimination of kapha, pitta
Anilavamana and vatadosha.
Hridayalaghutva * Sensation of lightness in the chest.
Parshvalaghutva * Feeling of lightness
Murdhalaghutva * Lightness in the head
Margalaghutva * Experiencing lightness in the body
Kanthashuddhi * Clarity of the throat
Kaphasamsrave cha * Arrest of excessive salivation
Laghuta * Lightness of the body
Karshya * Reduction in the body
Daurbalya * Sense of weakness
Anatimahativyatha * No much discomfort
COMPLICATIONS OF VAMANA THERAPY:
By the error in the prescription of emetics or due to faulty procedure of vamana karma the client may develop certain complications. Following are the complications that the client may suffer from if meticulous care is not taken during the administration of vamana karma.
Adhmana * Distension of the abdomen.
Parikarta-kantha* Irritation and cutting pain in the throat.
Srava * Excessive salivation
Hridgraha * Precordial discomfort.
Gatragraha * Precordial discomfort.
Jivadana * Appearance of blood in the vomitus
Vibhramsha * Altered state of consciousness.
Sthambha * Rigidity
Upadrava * Specific complications.
Klama * Sense of tiredness.
Among this complication parikarta, jivadana, and vibhramsha are because of the over effect of vamana. Adhmana, parisrava, hridgraha, angagraha and klama are the result of poor effect of the vamana procedure.
Vamana Therapy Nagpur
OTHER COMPLICATIONS OF VAMANA THERAPY INCLUDE:
Virechana: Development of diarrhea in a client treated with vamana karma is the result of faulty administration of the vamana karma. When the client is very much hungry, Or the gastric fire is very strong, or the client is very weak, or his koshtha is of mridu category, or the utklesha of the kaphadosha is inadequate; in such situations administration of emetics may predispose to diarrhea. More over in such situations the elimination of the dosha is also inadequate and therefore the vamana procedure should be once again planned in provided the medicine given is already digested. The decision about the digestion or indigestion of the emetic drug administered is made on the basis of certain symptoms in the client. The symptoms like, normal course of the vatadosha in the koshtha, feeling of health, proper appetite and thirst, enthusiasm, pleasant feeling, feeling of lightness in the sense organs and clear eructations indicate the digestion of the emetic medicine. Contrary to this, sense of exhaustion, burning sensation, tiredness in the extremities, giddiness, transient loss of consciousness, head ache, restlessness and debility suggest presence of undigested emetics still in the stomach.
Savasheshaushadhatva * The residue of the medicine retained
Inside the body.
Jirnaushadhatva * Digestion of emetics
Hinadoshapaharana * Poor elimination of dosha.
Vatashula * Pain due to morbidity of vatadosha.
Ayoga * Inadequate shodhana.
Atiyoga * Excessive shodhana.
Jivadana * Blood in the vomitus.
Adhmana * Distension of abdomen.
Parikartika * Cutting pain in the rectum.
Parisrava * Excessive salivation.
Pravahika * This refers to shushkodgara meaning
Dry eructations or act of vomiting
With no vomitus brought out.
Hridayapasarana * Feeling of discomfort in the
Vibandha * Constipation
Angapragraha * Stiffness of the limbs.