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+vay
u
Katu-amla-
lavana
Immediat
effect
Akasha+v
ayu+tejas
Pachana,
swedana,
vishyandana
It does
dosha
pachana,
chedana
Due to its anu
pranava guna it
brings doshas
into kosta
it has
kostabimukh
a 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.
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 PARIKSHA
1.Avamya/vamya
2.Is he suffereing from any avamya disease
3.Asta stana pariksha
4.Physical/psychological fitness
5.Dasha vida pariksha
6.Dosha
7.Saamavasta
8.Dosha ashraya-kosta/shaka
9.Dosha –swatantra/paratantra
10.Stana –swastana/para stana
11.Dosha quantity-alpa/madyama/utkrista
12.Rogi avasta-baala/yavana/vridda
13.Desha –jangala/anupa/sadarana
14.Kala –rutu bheda-swasta/atura
MADHANAPHALA MADHANAPHALA
DOSAGEDOSAGE
Charak
a
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/phant
a-16T.
Swarasa,
kshira-<16T
Bavaprakash
a,sarangadar
a
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,
anabhis
hyanda
1 day
before,
In evening
meal,
Gramya,
anupa,
Oudaka
mamsarasa,
milk/curd/ma
sha/tila/ K
ahara
Na
atisnigda
yavagu+ghe
e/milk,
With empty
stomach
contraindic
ated,
1-2 share
milk
Sneha/Sweda
Cha.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.
Manasop
achara.
Snana,
Suganda
lepa,
Garland,
White
comfort
clothes,
Devata
namaskar,
brahmin
swasti
vakya,
best
muhurtha.
PRADHANA KARMA
Madhana 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 kashaya
And 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
VINIRNAYAMVINIRNAYAM
Uttama Madhyama Avara
Vegiki 8 6 4
Maniki 2 prasta 1 ½ prasta1 prasta
Antiki Vata Pitta Kapha
Don’t count the first vomit
VAMANA VYAPATH VAMANA VYAPATH
-TREATMENT-TREATMENT
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 TREATMENT
Reasons for Ayoga:
Treatment:
1.Snehana/swedana
2.Teekshna/Mrudu vamana
3.If doesn’t digested given material(vamanoushada) do not do anything.
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 pravishtaTila,draksha kalka
lepam and put inside.
Jihva anta pravishtaKavala 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.
TABLE OF TABLE OF
SAMSARJANA KRAMASAMSARJANA KRAMA
Day
Annak
ala
1
st
day
Even
ing
2
nd
day
Mor
2
nd
day
Even
ing
3
rd
day
Morn
ing
3
rd
day
Even
ing
4
th
day
Morn
ing
4
rd
day
Even
ing
5
d
day
Morn
ing
5
rd
day
Even
ing
6
rd
day
Morn
ing
6
rd
day
Even
ing
7
rd
day
Morn
ing
7
rd
day
Even
ing
Pradan
shuddi
Peya
Peya
Peya
Vilep
i
Vilep
i
Vilep
i
A
k
r
i
t
a
y
u
s
h
a
Krita
yush
a
Krita
yush
a
Akrit
a
mam
sa
rasa
Krita
mam
sa
rasa
Krita
mam
sa
rasa
Sama
nya
bojan
a
Madya
shuddi
Peya
PeyaVilep
i
Vilep
i
Akrit
a
yush
a
Krita
yush
a
Akrit
a
mam
asa
rasa
Krita
mam
sa
rasa
Sama
nya
bojan
a
X X X X
Avara
shuddi
PeyaVilep
i
Krita
akrita
yush
a
Krita
krita
rasa
Sama
nya
boha
na
X X X X X X X X
SANTARPANA SANTARPANA
CHIKITSACHIKITSA
Charaka:
SANTARPANA SANTARPANA
CHIKITSACHIKITSA
Aruna Datta:
1
st
anna kala-Saktu tarpana
2
nd
anna kala-Purana shali odana
3
rd
anna kala-Mamsa rasa
Sushrutha:
Kulutta yusha
Dalhana:
For V hara—Mamsa rasa
For P hara—Peya
For K hara– Kulutha yusha.
VAMANOTTARA VAMANOTTARA
SHODANASHODANA
•After the vamana karma give Shamana treatment
for the specific disease.
•Virechana karma:
7
th
day evening give samanya bojana, 8
th
day
rest,9,10,11
th
days Sneha pana, 12,13,14
th
days rest,
give virechana karma at 15
th
day.
•Charaka mentioned that 9
th
day Anuvasana vasti
should given.
•Dalhana said that 2 weeks duration is compulsary
between vamana and virechana.
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.
Action of EmeticsAction of Emetics
Emetics are two types 1.Reflex emetics(gastric emetics)
2.Central emetics.
•Gastric emetics stimulates the gastric musoca, from
there it stimulates vagus /sympathetic n. stimulation,
from there it stimulates vomiting center in the
brain.Ex. Znso4, Alum, Bicorbonate, mustard.
•Central emetics stimulates Medulla of the brain
(near resp. center), from there it stimulates vomiting
center in the brain, contraction of amashaya,
annanalika, abd.muscles, peristalsis, vomiting
Ex:Ipecac, Apomorphine, digitalis,