Vomiting (Chardi)

  • Vomiting means Forceful contraction of the stomach that propel stomach contents up the oesophagus and throws it out of the mouth.
  • Vomiting occurs due to intake of incompitable food,or gastritis or chronic illness.
  • It is also present as symptoms in many diseases.

While nausea is uneasiness feeling of stomach which cause before vomiting.

 

Causes-

Intake of Viruddha Ahar(Incompitable food)

Overeating

Gastritis

  • When somebody vomits immediately after food, it can be gastritis or peptic ulcer disease.
  • Jaundice
  • If bile is vomited, then it may be pyloric stenosis (Projctile)
  • Young child may come with green coloured bilious vomit and abdominal pain. intestinal obstructioncan be suspected
  • Indiagestion
  • Food poisoning
  • Vomiting with abdominal pain and fever will be seen ingastroenteritis, urinary tractinfection, acute appendicitis, hepatitis, uremia
  • Vomiting with severe headache is seen in migraing , increased intracranial pressure,meningitis, hemorrhagic stroke, very severe hypertension, some forms ofepilepsy and glaucoma.
  • In young children with vomiting, headache, fever and neck stiffness suspect meningitis (Kerning’s sign)
  • If there is vertigo, tinnitus, deafness associated with vomiting, think about meneirs disease
  • Pregnancy
  • Projectile vomiting is common in pancreatitis.
  • Drug toxicity can be suspected in vomiting.
  • Rare conditions. Like esophageal cancer, stomach ,cancer, achalasia, stricture esophagus, ymphoma in small intesting can also produce vomiting.

 

 

Symptoms-

Headache

Giddiness

Chest and abdominal discomfort

Restlessness

Abdominal pain

Nausea

 

 

Investigations

  • Liver function test
  • Amylase, lipase
  • USG abdomen pelvis
  • CT abdomen with contrast
  • Endoscopy can rule out these conditions.
  • Functional psychiatric causes can cause vomiting.
  • Cholelithiasis, cholecystitis are the causes of vomiting from gall bladder.
  • In bulimia, the patient will vomit whatever has been eaten.

 

Ayurvedic View-

Pathogenesis-

In a person emaciated due to physical excercise,irritant drugs,grief,illness,fear,fasting etc vayu aggrevated in mahastrotas(gastro-intestinal tract)excite and throw the doshas(impure contents) upwards and thus cause vomiting due to gastric irritation also producing discomfort pressing the cardiac region.

Line of Treatment-

  • Agni dipana, vata anulomnana, ama pacana,

Medicines-

  • Balajirakadi kasayam-
  • Cardinigraha gana kasayam-
  • Lajadi peya
  • Sutshekar Rasa
  • Kamdudha rasa
  • Dhanvantra gulika
  • Hinguvacadi gulika-
  • Bhuktanjari gulika
  • Mayurapiccha bhasmam –

Other yogas

  • Since ausadha kala is muhur muhur, medicines should be administered frequently.
  • Satahva should be slightly fried in a pan and should be boiled in a glass of water and filtered and sarkara has to be added and this fluid can be given intermittently to check vomiting.

 

 

 

 

 

 

 

 

 

 

 

 

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