Vamana

25-26 Types of medicines: शोधनं शमनं चे त समासात ् औषधं वधा ॥ शर रजानां दोषाणां मेण परमौषधम ् । बि त: वरे को वमनं तथा तैल घ ृतं मधु: ॥ śodhanaṃ śamanaṃ ceti samāsāt auṣadhaṃ dvidhā || śarīrajānāṃ doṣāṇāṃ krameṇa paramauṣadham | basti: vireko vamanaṃ tathā taila ghṛtaṃ madhu: || There are two types of medicines.

— Astanga Hridaya Sutrasthan, Ayushkameeya Adhyaya

For Kapha – Vamana (emesis) is Shodhana and Honey is Shamana.

— Astanga Hridaya Sutrasthan, Ayushkameeya Adhyaya

Hence Kapha should be controlled quickly, by resorting to strong emesis therapy (Vamana Panchakarma procedure), Nasya (nasal medication) and other therapies.

— Astanga Hridaya Sutrasthan, Ritucharya adhyaya Seasonal

Suppression of vomiting: वसपकोठकु ठ अ सकास वास क डूपा वामय वराः लास य ग वयथवो वमेः १७ Suppression of vomiting causes Visarpa – Herpes, spreading skin disease Kotha – allergic skin rashes Kushta – skin diseases Akshi Roga – eye disorders Kandu – itching sensation Pandu – Anemia, intial stages of liver diseases Jvara – fever Kasa – cough, cold Shwasa – Asthma, COPD, wheezing, breathing difficulty Hrullasa – nausea – vomiting sensation Vyanga – Pigmented patches on face Shvayathu – oedema, in

— Astanga Hridaya Sutrasthan, Roganutpadaniya

For both these conditions the patient should be administered Vamana (emesis) and Virechana (purgation therapies), followed by Nasya (nasal medication), Anjana (collyriums) and drinking of decoction prepared from Haridra – Turmeric Rhizome – Curcuma Longa, and Daruharidra (Berberis aristata), Katabhi – Celastrus paniculata, Guda- jaggery, Sinduvarita, Nispava, Baspika, Sataparvika, roots of Tanduliyaka, Kukkutanda – hen’s egg and Avalguja – Psoralea corylifolia to relieve the effect of poison.

— Astanga Hridaya Sutrasthan, Anna Raksha Vidhi

Plants like Madana, Madhuka, Nimba used for vamana (therapeutic emesis) in kapha-pitta disorders without body strain.

— Charaka Samhita, Sutra Sthana — Fundamental Principles, Chapter 2: Dehusked Seeds of Apamarga & Panchakarma (Apamarga Tanduliya Adhyaya / अपामार्गतण्डुलीय अध्याय)

Assessment criteria for therapeutic emesis.

— Charaka Samhita, Sutra Sthana — Fundamental Principles, Chapter 15: Hospital Management & Purification Guidelines (Upakalpaniya Adhyaya / उपकल्पनीय अध्याय)

Management: therapeutic emesis, purgation, bloodletting, exercise, fasting, smoke fomentation, and sudation.

— Charaka Samhita, Sutra Sthana — Fundamental Principles, Chapter 23: Over-nutrition & Under-nutrition Disorders (Santarpaniya Adhyaya / सन्तर्पणीय अध्याय)

In this concern the drugs which are mentioned for therapeutic emesis etc.

— Charaka Samhita, Vimana Sthana — Specific Medical Principles, Chapter 8: Physician's Approach to Disease (Rogabhishagjitiya Vimana / रोगभिषग्जितीय विमान)

Vamana (therapeutic emesis) is supposed to be the most suitable therapy in kaphaja type of chhardi (vomiting).

— Charaka Samhita, Chikitsa Sthana — Therapeutic Principles, Chapter 20: Vomiting Treatment (Chhardi Chikitsa / छर्दिचिकित्सा)

Snehapana (oleation therapy), Sveda (sudation), Vamana (emesis), Virechana (purgation), followed by Snehabasti (oil enema), and then Niruhana (decoction enema).

— Sharangadhara Samhita, Purva Khanda, Chapter 1: Paribhashakathana (Definitions)

That which forcefully expels undigested Pitta and Kapha upward — that is Vamana (emetic), like the fruit of Madana (Randia dumetorum).

— Sharangadhara Samhita, Purva Khanda, Chapter 4: Dipana-Pachana Adikathanam (Digestive Actions etc.)

Anjana (collyrium), Lepa (external applications), Snana (bathing), Abhyanga (oil massage), Vamana (emesis), and Pratimarsha Nasya (mild nasal medication) — these are recommended from birth onward.

— Sharangadhara Samhita, Purva Khanda, Chapter 6: Aharadigatikathanam (Description of Food Processes etc.)

Patient selection criteria for Vamana.

— Sharangadhara Samhita, Uttara Khanda, Chapter 3: Vamana Vidhi (Emesis Therapy)

Gentler alternatives for those unfit for Vamana.

— Sharangadhara Samhita, Uttara Khanda, Chapter 3: Vamana Vidhi (Emesis Therapy)

(41) Rasa-jnana (Knowledge of Tastes), (42) Vamana (Emesis Therapy), (43) Rechana (Purgation Therapy), (44) Drava-dravya-vidhi (Liquid Preparations), (45) Dravya-pana-vidhi (Drinking Preparations/Dietary Drinks).

— Sushruta Samhita, Sutra Sthana, Chapter 3: Adhyayana Sampradaniya Adhyaya - Method of Study and Teaching

Chikitsa Sthana continued: (31) Rasayana (Rejuvenation), (32) Sneha-upayogika (Use of Oleation/Oils), (33) Sveda (Fomentation/Sweating), (34) Vamana (Emesis), (35) Virechana (Purgation), (36) Vaman-Virechana Vyapat-chikitsa (Management of Complications of Emesis and Purgation), (37) Netra-basti-vibhagika (Classification of Enema Administration), (38) Netra-basti-vipat-siddha (Complications and Success of Enemas), (39) Uttara-basti (Upper/Urethral Enema), (40) Niruha-krama (Decoction Enema Proced

— Sushruta Samhita, Sutra Sthana, Chapter 3: Adhyayana Sampradaniya Adhyaya - Method of Study and Teaching

When the dosha is in the stomach (Amashaya) with nausea, emesis (vamana) is the best treatment.

— Sushruta Samhita, Uttara Tantra, Chapter 39: Jvarapratishedha

The drugs for upward purification (emesis/vamana) are: madana, kutaja, jimuta, indravaku, dhama, argvaka, kritavedhana, sarshapa (mustard), vidanga, pippali, karanja, prapunnada, kovidara, karbuda, arishta, ashvagandha, vidula, bandhujivaka, shveta, shanapushpi, bimbi, vacha, mrigervaru, and chitra.

— Sushruta Samhita, Sutra Sthana, Chapter 39: Shodhanasanshmaniya Adhyaya - On Purification and Pacification

Now we shall expound the chapter called Vamana-dravya-vikalpa-vijnaniya (On Emetic Drug Preparations) (verse 1).

— Sushruta Samhita, Sutra Sthana, Chapter 43: Vamana-dravya-vikalpa-vijnaniya Adhyaya - On Emetic Drug Preparations