Vamanakarma

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in this ppt i given all the details of vaman karma best of luck.

in this ppt i given all the details of vaman karma best of luck.

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  • dear dr arunkumar, very nise work, since from the u r a workholic.keep it up.
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  • thank you ok
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  • its very good work, keep it up and present slides on leftover 4 procedure also..........
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  • 1. VAMANA KARMA ByDr. B. ARUN KUMAR MD (Ay)
  • 2. Vamana VyutpattiVama +Lyut pratyaya Vaman(Pulling shabda)• Meanings ----Chardi ----Mardana ----Abhishyandan ----Aharan• Four different wordsVama---UdgaraVaman---Doing vamanaVami/Vamathu---Chardi.
  • 3. Vamana-Definition: Cha.Kalpa 1-4Gunas of Vamana drugs: 1.Ushna 2.Teekshna 3.Sukshma 4.Vyavavi 5.Vikasi 6.Urdhva baga hara Su.Chi.33-2
  • 4. Gunas of Vamana drugs:Ushna Teekshna Sukshma Vyavavi Vikasi Urdhva baga haraAgneya it does dosha It enters into Agni+vay daha, paka, srotas uguna sravaKatu-amla- Immediat Akasha+vlavana effect ayu+tejasPachana, It does Due to its anuswedana, pranava guna it dosha brings doshasvishyandana pachana, into kosta chedanait has It displaceskostabimukh the doshaa property
  • 5. Vamana drugs: Cha.kalpa 1-27
  • 6. Vamana drugs:
  • 7. Madhana 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.
  • 8. Madhana phala Synonyms— 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.
  • 9. Madhana phala • Properties: • Rasa -Madhura, Tikta • Guna -Laghu, Ruksa • Virya - Usna • Vipãka -Katu • Karma- Kapha-vãta hara, Chardana, Lekhana
  • 10. Madhanaphala sangraha: Cha.kalpa 1-13
  • 11. Vamana drugs by charakaMulini vamaka drugs:Phalini vamaka drugs:
  • 12. Vamana drugs by charakaVamaka lavana drugs:
  • 13. Some importantvamana drugs
  • 14. NIMBA • Properties— • Rasa- Tikta, Kasaya • Guna-Laghu, Rüksa • Virya - Sita • Vipäka -Katu • Karma – Kapha pittahara, Dipana, Grãhi, Krmighna, Netrya
  • 15. KUTAJA • Properties— •  Rasa- Tikta, Kasäya • Virya- sita (Raja Nighantu quoted it as Usna virya) • Guna- Laghu, Rüksa • Vipãka- Katu
  • 16. YASHTIMADHU • Properties— • Rasa- Madhura • Virya- Sita • Guna -Guru, Snigdha • Vipãka -Madhura • Karma Tridosahara Rasãyana, Vrsya, chaksusya
  • 17. VACHA • Properties— • Rasa- Katu, Tikta •  Guna- Laghu,  Tiksna • Virya- Usna • Vipãka- Katu • Karma Kapha- vatahara, Lekhaniya, Medhya
  • 18. Vamana drugs by charakaS.No. Dravya kalpanas Yogas.1. Madhana phala kalpanas 1332. Jeemutha kalpanas 393. Ikshvaku kalpanas 454. Dhamargava kalpanas 605. Vatsaka kalpanas 186. Krita vedana kalpanas. 60 Total no.of Vamana yogas. 355
  • 19. Vamana drugs by Sushrutha Su.S.Su.39-3
  • 20. Vamana drugs by Vagbhata A.H.Su-15-1
  • 21. Vamana yogyaYogya: &Ayogya Cha.Si.2-10Ayogyas: Cha.Si.2-8
  • 22. Ayogyas & their complications
  • 23. Vamana procedure Vamana procedure Purva karma Pradhana karma Paschat karmaSambara sangraha Madhanaphala sevana DhupanaAtura pariksha Atura paricharya Pariharya vishayasMadhanapala dosage Vamanavega nirnaya Sansarjana kramaAtura siddata Samyak/hina/ati sympt.Santarpana chikitsa Vamana vyapath-treat. Vamanotara shodanaBojanamSneha/swedaManasopachara
  • 24. Sambara sangraha (preparation for the 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 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.
  • 25. Sambara sangraha(preparation for theprocedure)• 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.
  • 26. ATURA PARIKSHA1. Avamya/vamya2. Is he suffereing from any avamya disease3. Asta stana pariksha4. Physical/psychological fitness5. Dasha vida pariksha6. Dosha7. Saamavasta8. 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
  • 27. MADHANAPHALACharak DOSAGE vyadi, Sushrutha Vagbhata If Bavaprakash a,sarangadara Based on Based on agni, aSamshodana vyadhi bala, kosta, rogi are in Kwata-oushada rogi bala, vayah, madyama 9 prasta/-uttamamatra.C.s6/ agni bala desha, 1Anjali 6prasta/-madyaC.K-1-14 kala (4pala-16T) 3prasta-hinaamtarnakamusti Kwatha-4-8 Kalka/leha/chu- ouns(10-20tula) Chu-1T 3pala-uttama Chu/kalka-1 T. Kalka-1T 2pala-madya Madhanapala Kwata/phant 1pala-hina. yoga-1T. a-16T. 1ouns=28-35gm. Swarasa, kshira-<16T
  • 28. Preparation of the patient Sneha/Sweda Manasop Bojanam Cha.K 1-14; achara. Su.Chi.33-3 Snana, Suganda lepa, DuringDuring Sneha Snehanta At that Garland, kala Abhyantara sneha (sneha Kaala Day pana)3-7 days after White samyank snigda lakshanas, comfort give bahya sneha for 2-3 clothes, 1 day Na days. Devata Na ati before, atisnigda namaskar, snigda, In evening yavagu+ghe brahmin meal, e/milk, swasti lagnu, Bashpa Sweda is Gramya, With empty vakya, anupa, preferrable.for 2-3 days. Oudaka stomach best ushna, mamsarasa, contraindic muhurtha. ated, anabhis milk/curd/ma sha/tila/ K 1-2 share hyanda ahara milk
  • 29. PRADHANA KARMAMadhana phala yoga sevana.1. Sit the patient on the chair2. Wear apron for patient3. A small kurchief on both sides for mukha shuddi4. Note PR/RR/Temp./BP5. 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 pippali9. Mantra japam.
  • 30. METHODS FOR THE GIVING VAMANA DRUG Methods for the giving vamana drugsFirst give milk/curd/yavagu/mamsarasa/ Vamana oushada Yashtimadhu kashaya Madya then give Samskara yogas And M.P.YOGA M.P.YOGA
  • 31. ATURA 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.
  • 32. VAMANA VEGA VINIRNAYAM Uttama Madhyama AvaraVegiki 8 6 4Maniki 2 prasta 1 ½ prasta 1 prastaAntiki Vata Pitta Kapha Don’t count the first vomit
  • 33. SAMYAK/AYOGA/ATIYOGA LAKSHANASSamyak yoga Heena yoga AtiyogaHridaya shuddi Vega apravritti Phenila vamanaMurdha shuddi Kevala oushada Rakta chandrikaLaghutha pravritti yukta vamanaAnati mahati Hridaya asuddi Trishnavyata Kandu MohaSwayam avastha Kapha praseka Murcha Vata prakopa Bala hani
  • 34. SAMYAK/AYOGA/ATIYOGA LAKSHANASSamyakyogalakshanaHeenaYogalakshanaAtiyogalakshanas
  • 35. VAMANA VYAPATH -TREATMENTVyapath are divided into two types 1.Atiyoga vyapath(red marked vyapaths) 2.Ayoga vyapathSushrutha mentioned 15 vamana/virechana vyapaths, vatashula,jirnoushadavta, oushasda savasheshatva, vibandha,hinadoshapaharana
  • 36. VAMANA VYAPATH BY SUSHRUTHA
  • 37. AYOGA TREATMENTReasons for Ayoga: Treatment: 1.Snehana/swedana 2.Teekshna/Mrudu vamana 3.If doesn’t digested given material(vamanoushada) do not do anything.
  • 38. Ajirna/ Jirna oushada lakshanasAjirna oushada Jirna oushada• Klama • Vatanulomana• Daha • Swastha anubhava• Angamarda • Thrist/appetite• Bhrama • Sharira utsaha• Murcha • Manah prasannata• Shirah shula • Indriya laghava• Arati • Shudda• Dourbalya dakara(eructation)
  • 39. Ayoga-Different Conditions -TreatmentCondition Lakshanas Line of treat.Vigraditha Trisha, murcha, hrillasa, Give luke warm water aruchi, arati, udgara asuddi, then Vamanadosha(Accumulated parshavashula, parvabheda.dosha)If sneha & sweda Gourava, utklesha, hridaya asuddi, vibramsha, shotha, Teekshna vamananot done hikka, tamodarshana, pindikodveshta, kandu,Oushada jirna due to Gourava, hridaya 1.Give adhik/ teekshna oushada. 2.tail+saindava lavana abyangaincreased agni asuddi 3.prastara/sankara sweda. 4.gomutra N.V/A.V/Tikshna shodaIncreased dosha due to glani, vibandha Amadosha hara treat.increased aama Pachana drugs.
  • 40. ATIYOGA-DIFFERENT CONDITIONS & TREAT.conditions lakshanas Line of treat.Mridi koshti Ati pravriti, v Abhyanga,sheeta jala avagaha,avalehya. prakopa, balakshayaMridi koshti, Bala hara, daha, Madhura upachara, remove remaining medicine(virechna), kantashosha, brama,trishaTeekshna drug 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
  • 41. ATIYOGA-DIFFERENT 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
  • 42. PASCHYAT KARMA Snaihika Vairechanika ShamanaDhumapana: Varti prepared It works as a It is done after• Rest for 1 muhurat. with vasa/ kapha hara. dhumapana. ghee /jivaniya Kapha chedana Do sheeta jala,• Snaihika/ vairechanika/ gana/ madhura and removal. mukha paada shamana dhumapana. oushada sidha varti. C.Su.5-26. prakshalana.• Snigdata, upalepata, It uses in dhumapana. pichilata of kanta, C.Su.5-25. mukha nasa, srotas will be decreased.
  • 43. PASCHYATSnaihika KARMAdhumapanaVairechanicadhumapanaShamanadhumapana
  • 44. PARIHARYA VISHAYAS
  • 45. SANSARJANA KRAMAM
  • 46. TABLE OF SAMSARJANA KRAMADay 1st  2nd  2nd  3rd  3rd  4th  4rd  5d   5rd  6rd  6rd  7rd  7rd Annak day  day  day  day  day  day  day  day  day  day  day  day  day ala Even Mor Even Morn Even Morn Even Morn Even Morn Even Morn Even ing ing ing ing ing ing ing ing ing ing ing ingPradanshuddi A Akrit Krita Krita Sama Peya Krita Krita a Vilep Vilep Vilep mam mam nya Peya Peya yush yush mam i i i sa sa bojan a a sa rasa rasa a rasaMadya Akritshuddi Akrit Krita Sama Peya Krita a Vilep Vilep a mam nya Peya yush mam X X X X i i yush sa bojan a asa a rasa a rasa
  • 47. SANTARPANACharaka: CHIKITSA
  • 48. SANTARPANAAruna Datta: CHIKITSA 1st anna kala-Saktu tarpana 2nd anna kala-Purana shali odana 3rd anna kala-Mamsa rasaSushrutha: Kulutta yushaDalhana: For V hara—Mamsa rasa For P hara—Peya For K hara– Kulutha yusha.
  • 49. VAMANOTTARA• 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.
  • 50. Vamana dravyaUshna karmukata Dosha vilayanam,Tikshna Dosha chinna/ bhinna,Anupranava bhava Enter into AmashayajaAgni/Vayu Urdhvabagahara sevanaUdanavata preritha Vamana
  • 51. Vamana dravya karmukata• 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.
  • 52. Action of EmeticsEmetics 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,
  • 53. Action ofEmetics
  • 54. EFFECTS
  • 55. Action ofEmetics
  • 56. THANK YOU