VAMANA VAMANA KARMAKARMA

By

Dr. B. ARUN KUMARDr. B. ARUN KUMAR MD (Ay)MD (Ay)

Vamana VyutpattiVamana VyutpattiVama +Lyut pratyaya Vaman(Pulling shabda)

• Meanings ----Chardi

----Mardana

----Abhishyandan

----Aharan

• Four different words

Vama---Udgara

Vaman---Doing vamana

Vami/Vamathu---Chardi.

Vamana-Definition:

Gunas of Vamana drugs: 1.Ushna

2.Teekshna

3.Sukshma

4.Vyavavi

5.Vikasi

6.Urdhva baga hara

Cha.Kalpa 1-4

Su.Chi.33-2

Gunas of Vamana drugs:Ushna Teekshna Sukshma Vyavavi Vikasi Urdhva

baga hara

Agneya guna

it does dosha daha, paka, srava

It enters into srotas

Agni+vayu

Katu-amla-lavana

Immediat effect

Akasha+vayu+tejas

Pachana, swedana, vishyandana

It does dosha pachana, chedana

Due to its anu pranava guna it brings doshas into kosta

it has kostabimukha property

It displaces the dosha

Vamana drugs:Vamana drugs:

Cha.kalpa 1-27

Vamana drugs:

Madhana phalaMadhana phala• Morphology• A large shrub or small tree with strong spines 1-3 cm.

long; branches horizontal and dry. short.• Leaves- fascicled on the suppressed branches, 3.5-5 x

2-3.2 cm., obovate, obtuse, wrinkled, shining above, pubescent above, base cuneate; petioles 3.1 mm long, densely pubescent;. stipules ovate, acuminate.

• Flowers- white/yellow, appears at the end of short leaf-bearing branch lets, solitary or 2-3.

• Fruit- like a small crab-apple, yellowish, globose or brodly ovoid, longitudinally ribbed, 2-celled; pericarp thick.

• Seeds- many, flat, imbedded in the pulp.

Madhana phalaMadhana phalaSynonyms— Karahata, salyaka.

Chardana, Pinditaka, Rãtha, Visapuspaka.

• chemical constituents

• R. dumetorum Fruits/seeds— citric & tartaric acids; randianin (saponin); randia acid, ursosaponin, dumetoronins A,B,C,D,E & F; randoside A; arachidic, lignoceric, linoleic, oleic, palmitic & stearic acids etc.

• R. uliginosa : leucoanthocyanidin, oleanolic acid, three saponins.

Madhana phalaMadhana phala• Properties:• Rasa -Madhura, Tikta• Guna -Laghu, Ruksa• Virya - Usna• Vipãka -Katu• Karma- Kapha-vãta hara,

Chardana, Lekhana

Madhanaphala sangraha:Madhanaphala sangraha:

Cha.kalpa 1-13

Vamana drugs by Vamana drugs by charakacharakaMulini vamaka drugs:

Phalini vamaka drugs:

Vamana drugs by Vamana drugs by charakacharaka

Vamaka lavana drugs:

Some Some important important vamana vamana drugsdrugs

NIMBANIMBA• Properties—• Rasa- Tikta, Kasaya• Guna-Laghu, Rüksa•  Virya - Sita• Vipäka -Katu•  Karma – Kapha

pittahara, Dipana, Grãhi, Krmighna, Netrya

KUTAJAKUTAJA

• Properties—•  Rasa- Tikta,

Kasäya• Virya-  sita (Raja

Nighantu quoted it as Usna virya)

• Guna-  Laghu, Rüksa

• Vipãka- Katu

YASHTIMADHUYASHTIMADHU• Properties—• Rasa- Madhura• Virya- Sita• Guna -Guru, Snigdha• Vipãka -Madhura• Karma Tridosahara

Rasãyana, Vrsya, chaksusya

VACHAVACHA• Properties—• Rasa- Katu, Tikta•  Guna- Laghu,

Tiksna• Virya- Usna• Vipãka- Katu• Karma Kapha-

vatahara, Lekhaniya, Medhya

Vamana drugs by Vamana drugs by charakacharaka

S.No. Dravya kalpanas Yogas.

1. Madhana phala kalpanas 133

2. Jeemutha kalpanas 39

3. Ikshvaku kalpanas 45

4. Dhamargava kalpanas 60

5. Vatsaka kalpanas 18

6. Krita vedana kalpanas. 60

Total no.of Vamana yogas. 355

Vamana drugs by Vamana drugs by SushruthaSushrutha

Su.S.Su.39-3

Vamana drugs by Vamana drugs by VagbhataVagbhata

A.H.Su-15-1

Vamana yogya Vamana yogya &Ayogya&AyogyaYogya:

Ayogyas:Cha.Si.2-10

Cha.Si.2-8

Ayogyas & their Ayogyas & their complicationscomplications

Vamana procedureVamana procedure

Vamana procedure

Purva karma Pradhana karma Paschat karma

Sambara sangraha Madhanaphala sevana Dhupana

Atura pariksha Atura paricharya Pariharya vishayas

Madhanapala dosage Vamanavega nirnaya Sansarjana krama

Atura siddata Samyak/hina/ati sympt.Santarpana chikitsa

Vamana vyapath-treat. Vamanotara shodana

Bojanam

Sneha/sweda

Manasopachara

Sambara sangrahaSambara sangraha(preparation for the (preparation for the

procedure)procedure)• It requires 4 attendants 1.Samvahaka

2.Lalata pratigraha

3.Parshopagraha

4.Paatra pratigraha

• Before giving medicine, one of these drugs should be given up to throat. Ikshurasa(6pounds),madhya,milk(3-4 p),mamsarasa(6-8p).

• After that Madhanaphala yogaMadhanaphala yoga will be given. It is prepared like this

Madhana pala -4 parts,Vacha-2 parts,saindavalavana-1part.

mix all these three make uniform pwd.

• Dosage—1/2-1 tula plus madhu.

Sambara sangrahaSambara sangraha(preparation for the (preparation for the procedure)procedure)• Drugs useful when arising complications during the

vamana karma procedure.

• They are Deepana, pachana,shulahara,pitta hara,hridya, balya, LSS ras, pravala pishti, shankha bhasma, shankha vati, shiva kshara pachana chu, hemagarbha potali ras, dashamularishta, drakshasava, draksha juice, luke warm water.

ATURA PARIKSHAATURA PARIKSHA1. Avamya/vamya2. Is he suffereing from any avamya disease3. Asta stana pariksha4. Physical/psychological fitness5. Dasha vida pariksha6. Dosha 7. Saamavasta 8. Dosha ashraya-kosta/shaka9. Dosha –swatantra/paratantra10. Stana –swastana/para stana11. Dosha quantity-alpa/madyama/utkrista12. Rogi avasta-baala/yavana/vridda13. Desha –jangala/anupa/sadarana14. Kala –rutu bheda-swasta/atura

MADHANAPHALA MADHANAPHALA DOSAGEDOSAGECharaka

Samshodana oushada matra.C.s6/

C.K-1-14

amtarnakamusti

Sushrutha

Based on vyadhi bala, rogi bala, agni bala

Kwatha-4-8 ouns(10-20tula)

Chu/kalka-1 T.

Madhanapala yoga-1T.1ouns=28-35gm.

Vagbhata

Based on kosta,

vayah,

desha,

kala

If vyadi,

agni,

rogi are in madyama

1Anjali

(4pala-16T)

Chu-1T

Kalka-1T

Kwata/phanta-16T.

Swarasa,

kshira-<16T

Bavaprakasha,sarangadara

Kwata-

9 prasta/-uttama

6prasta/-madya

3prasta-hina

Kalka/leha/chu-3pala-uttama

2pala-madya

1pala-hina.

Preparation of the Preparation of the patientpatient

Bojanam

During Sneha kala

During Snehanta

Kaala

At that Day

Na ati snigda,

lagnu,

ushna,

anabhishyanda

1 day before,

In evening meal,Gramya,anupa,Oudaka mamsarasa,milk/curd/masha/tila/ K ahara

Na atisnigda yavagu+ghee/milk,

With empty stomach contraindicated,

1-2 share milk

Sneha/SwedaCha.K 1-14;

Su.Chi.33-3

Abhyantara sneha (sneha pana)3-7 days after samyank snigda lakshanas, give bahya sneha for 2-3 days.

Bashpa Sweda is preferrable.for 2-3 days.

Manasopachara.Snana,

Suganda lepa,

Garland,

White comfort clothes,

Devata namaskar,

brahmin swasti vakya,

best muhurtha.

PRADHANA KARMAMadhana phala yoga sevana.1. Sit the patient on the chair

2. Wear apron for patient

3. A small kurchief on both sides for mukha shuddi

4. Note PR/RR/Temp./BP

5. Give to dring milk/ ikshurasa/ mamsarasa/madya any one upto aakanta.

6. Use measurement glass for giving the material and note the input chart.

7. After giving the liquid portion give madhanapala yoga ½-1 tula with madhu.

8. Charaka mentioned to give yashtimadhu kashaya+madanapala pippali

9. Mantra japam.

METHODS FOR THE GIVING METHODS FOR THE GIVING VAMANA DRUGVAMANA DRUG

Methods for the Methods for the giving giving

vamana drugsvamana drugs

First give milk/curd/yavagu/mamsarasa/Madya then give

M.P.YOGA

Vamana oushada Samskara yogas

Yashtimadhu kashayaAnd M.P.YOGA

ATURA PARICHARYAATURA PARICHARYA• Wait for 1 muhurtha(48min)

• If vomit not occurred up to 1 muhurtha then give

Sarshapa+amalaki+lavanodaka (luke warm) after this give yashti madhu phanta also if required.

• Calculate the given amount material and vomit out put material for the calculation of out put dosha.

VAMANA VEGA VAMANA VEGA VINIRNAYAMVINIRNAYAMUttama Madhyama Avara

Vegiki 8 6 4

Maniki 2 prasta 1 ½ prasta 1 prasta

Antiki Vata Pitta Kapha

Don’t count the first vomit

SAMYAK/AYOGA/ATIYOGA SAMYAK/AYOGA/ATIYOGA LAKSHANASLAKSHANAS

Samyak yoga Heena yoga Atiyoga

Hridaya shuddi

Murdha shuddi

Laghutha

Anati mahati vyata

Swayam avastha

Vega apravritti

Kevala oushada pravritti

Hridaya asuddi

Kandu

Kapha praseka

Phenila vamana

Rakta chandrika yukta vamana

Trishna

Moha

Murcha

Vata prakopa

Bala hani

SAMYAK/AYOGA/ATIYOGA SAMYAK/AYOGA/ATIYOGA LAKSHANASLAKSHANAS

Samyak yoga lakshana

HeenaYoga lakshana

Atiyoga lakshanas

VAMANA VYAPATH -VAMANA VYAPATH -TREATMENTTREATMENT

Vyapath are divided into two types 1.Atiyoga vyapath(red marked vyapaths)

2.Ayoga vyapath

Sushrutha mentioned 15 vamana/virechana vyapaths, vatashula, jirnoushadavta, oushasda savasheshatva, vibandha,hina doshapaharana

VAMANA VYAPATH BY VAMANA VYAPATH BY SUSHRUTHASUSHRUTHA

AYOGA TREATMENTAYOGA TREATMENTReasons for Ayoga:

Treatment:

1.Snehana/swedana

2.Teekshna/Mrudu vamana

3.If doesn’t digested given material(vamanoushada) do not do anything.

Ajirna/ Jirna Ajirna/ Jirna oushada oushada

lakshanaslakshanasAjirna oushada • Klama• Daha• Angamarda • Bhrama • Murcha • Shirah shula• Arati • Dourbalya

Jirna oushada• Vatanulomana• Swastha anubhava• Thrist/appetite• Sharira utsaha• Manah prasannata• Indriya laghava• Shudda

dakara(eructation)

Ayoga-Different Ayoga-Different Conditions -TreatmentConditions -Treatment

Condition Lakshanas Line of treat.

Vigraditha dosha(Accumulated dosha)

Trisha, murcha, hrillasa, aruchi, arati, udgara asuddi, parshavashula, parvabheda.

Give luke warm water then Vamana

If sneha & sweda not done

Gourava, utklesha, hridaya asuddi, vibramsha, shotha, hikka, tamodarshana, pindikodveshta, kandu,

Teekshna vamana

Oushada jirna due to increased agni

Gourava, hridaya asuddi

1.Give adhik/ teekshna oushada.

2.tail+saindava lavana abyanga

3.prastara/sankara sweda.

4.gomutra N.V/A.V/Tikshna shoda

Increased dosha due to increased aama

glani, vibandha Amadosha hara treat.

Pachana drugs.

ATIYOGA-DIFFERENT ATIYOGA-DIFFERENT CONDITIONS & TREAT.CONDITIONS & TREAT.

conditions lakshanas Line of treat.

Mridi koshti Ati pravriti, v prakopa, balakshaya

Abhyanga,sheeta jala avagaha,avalehya.

Mridi koshti, Teekshna drug

Bala hara, daha, kantashosha, brama,trisha

Madhura upachara, remove remaining medicine(virechna), shita jala parisechana, avagaha, stambha chikitsa.

Jihva bahya pravishta Tila,draksha kalka lepam and put inside.

Jihva anta pravishta Kavala graha

Udgara,mucha Dhaniya churna

ATIYOGA-DIFFERENT ATIYOGA-DIFFERENT CONDITIONS & TREAT.CONDITIONS & TREAT.

conditions Line of treat.

To stop vomitings Sutasekara ras 2 rati,

Shankha basma 2 rati,

Hemagarba P.R ½ rati,

Mayura pincha b.1 rati give it every 10-15 min,after 3-4 times it will subsides.

Abdominal pain Shankha vati

PASCHYATPASCHYAT KARMAKARMA

Dhumapana:• Rest for 1 muhurat.• Snaihika/ vairechanika/

shamana dhumapana.• Snigdata, upalepata,

pichilata of kanta, mukha nasa, srotas will be decreased.

Snaihika Vairechanika Shamana

Varti prepared with vasa/ ghee /jivaniya gana/ madhura oushada sidha varti.

It uses in dhumapana.

C.Su.5-25.

It works as a kapha hara.

Kapha chedana and removal.

C.Su.5-26.

It is done after dhumapana.

Do sheeta jala, mukha paada prakshalana.

PASCHYATPASCHYAT KARMAKARMASnaihika dhumapana

Vairechanica dhumapana

Shamana dhumapana

PARIHARYA PARIHARYA VISHAYASVISHAYAS

SANSARJANA KRAMAMSANSARJANA KRAMAM

TABLE OF TABLE OF SAMSARJANA KRAMASAMSARJANA KRAMA

Day Annakala

1st day Evening

2nd day Mor

2nd day Evening

3rd day Morning

3rd day Evening

4th day Morning

4rd day Evening

5d day Morning

5rd day Evening

6rd day Morning

6rd day Evening

7rd day Morning

7rd day Evening

Pradan shuddi

PeyaPeya

PeyaVilepi

Vilepi

Vilepi

Akrita yusha

Krita yusha

Krita yusha

Akrita mamsa rasa

Krita mamsa rasa

Krita mamsa rasa

Samanya bojana

Madya shuddi

PeyaPeya Vilep

iVilepi

Akrita yusha

Krita yusha

Akrita mamasa rasa

Krita mamsa rasa

Samanya bojana

X X X X

Avara shuddi

Peya Vilepi

Kritaakrita yusha

Kritakrita rasa

Samanya bohana

X X X X X X X X

SANTARPANA SANTARPANA CHIKITSACHIKITSACharaka:

SANTARPANA SANTARPANA CHIKITSACHIKITSAAruna Datta:

1st anna kala-Saktu tarpana

2nd anna kala-Purana shali odana

3rd anna kala-Mamsa rasa

Sushrutha:

Kulutta yusha

Dalhana:

For V hara—Mamsa rasa

For P hara—Peya

For K hara– Kulutha yusha.

VAMANOTTARA SHODANAVAMANOTTARA SHODANA• After the vamana karma give Shamana treatment

for the specific disease.

• Virechana karma:

7th day evening give samanya bojana, 8th day rest,9,10,11th days Sneha pana, 12,13,14th days rest, give virechana karma at 15th day.

• Charaka mentioned that 9th day Anuvasana vasti should given.

• Dalhana said that 2 weeks duration is compulsary between vamana and virechana.

Vamana dravya Vamana dravya karmukatakarmukata

Ushna Dosha vilayanam,

Tikshna Dosha chinna/ bhinna,

Anupranava bhava Enter into Amashayaja

Agni/Vayu Urdhvabagahara sevana

Udanavata preritha Vamana

Vamana dravya Vamana dravya karmukatakarmukata• Vamana drugs acts on amashaya and kapha.

Cha.Su.20-23.

• Due to Sneha and swedana dosha kledana and dravikarana took place. After that dosha easily reaches to koshta, then through vamana it goes out.

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