Post management of Vamana karma

1. PASCHAT KARMA OF
VAMANA
Dr Akshay Shetty
Asst.Professor
Dept of Panchakarma
SSRAMCH Inchal

2. Contents
• Objectives
• Paschat karma
 Evaluation part
 Nursing part
 Parihara vishaya
Behavioural restrictions
Diet restrictions
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3. Contd…
• Samsarjana krama
• Summary
• References
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4. Objectives
At the end of the presentation the students must be able
1. To know about Paschat karma of Vamana
2. To understand the steps of Paschat karma of Vamana
3. To understand the Evaluation part of Paschat karma of Vamana
4. To understand the Nursing part of Paschat karma of Vamana
5. To understand the Parihara vishaya of Paschat karma of Vamana
6. To know about behavioural restriction after Vamana karma
7. To know the Diet restrictions after Vamana karma.
8. To understand Samsarjana krama
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5. Paschat karma after Vamana
योगेन तु खल्वेनं छर्दितवन्तमभिसमीक्ष्य सुप्रक्षाभिताािपाादा्यं मुहूतिमा
श्वा्य, ्नैर्हकवैरेचननकोाशमनीयानां धूमानामन्यतमं सामर्थयितः ााय
नयत्वा, ाुनरेवोदकमुा्ाशियेत ्||१४|| Ca.Su 15
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6. Evaluation part
Evaluation of vomitus (Vanta Dravya) should be assessed by scientific
parameters such as
• pH ;it varies in different stages of vamana initially as it comes from stomach
the pH may lie in between 5-5.4
• During last stage when bile (pitta) comes to surface the pH lies in-between
8.1-8.3
• Colour ; colour of vomitus also changes from time to time initially the vomitus
comes like colour of curd or milk (akantapana dravya) later stage watery and
and colour of medicine appears during last stage master green ie pittanta
• Smell during initial bouts smell will be offensive and later acidic .
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7. Nursing part
• After few minutes of bed rest the patient is advised to take
dhumapana for the removal of residual dosha
• It is of three types
Snaihika
Vairechika
Shamana
vasa,ghrita,madhuchesti and jeevaniya dravyas
are used
haratala,jyotishmaati,manashila and sugandhi
dravyas
harenuka,priyangu,keshara,yasti,guggulu etc
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8. Parihara vishaya
उा्ाृष्टोदकं चैनं ननवातमागारमनुप्रवेश्य संवेश्य चानुभशष्यात ्-
उच्चैिािष्यमत्याशनमनत्थानमनतचङ्क्रमपं रोधशोकर्हमाताावश्यायानतप्र
वातान ् यानयानं ग्राम्यधमिम्वानं ननभश र्दवा ्वप्नं ववरुद्धाजीपािसा
त्म्याकािप्रभमतानतहीनगुरुववषमिोजनवेगसन्धारपोदीरपभमनत िावानेता
न्मनसाऽप्यसेवमानः सविमहो गमय्वेनत [२] |
स तथा कु याित ्||१५|| Ca Su 15
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9. Behavioural restrictions
Loud
speech
exposure directly
to flowing winds
sitting in
one
position
for long
duration
Divaswa
pna
long
walks
Long
journey
Exposure
to
excessive
cold or
heat
Prajagara
standing in
one
position for
long
duration
vegani
graha
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10. Dietic restrictions
Viruddha Ajirna Pramita Asathmya
Akala Ahita Ati Hina
Vishama Guru
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11. Samsarjana krama
• अथ खल्वातुरं वैद्यः संशुद्धं वमनार्दभिः।
दुर्ििं कृ शं अल्ााग्नं मुक्तसन्धानर्न्धनम॥
ननर्हित अननिववण्मूत्रकफवात्तं कृ श आशयम॥
च.भस.१२/३-४
• A person, after purification therapies like vamana and virechana,
becomes durbala(weak), krisha(emaciated), has alpagni (decreased
digestive power), mukta sandhanabandhan (the joints of body become
loose),
whose vata (flatus), mala (stool), mutra (urine), kapha and pitta (body dos
has) have been evacuated, visceras, gastro-intestinal tract, urinary and gall
bladder and other organ feel like empty
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12. Contd…
• यथाऽपुराग्न्तृपगोमयाद्यैः सन्धुक्ष्यमापे िवनत रमेप।
महान ग्थरः सविाच्तथैव शुद्ध्य ाेयार्दभिरन्तराग्नः॥
च.भस.१/१२, अ.ह.सु.१८/३०
• As a small spark of fire gets kindled into a big and stable flame when
gradually provided with dry grass, cow dung etc. similarly agni i.e.
digestive strength in a purified person becomes strong and stable,
capable of digesting all types of food by sequential administration
of peya (thin gruel) etc
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13. Samsarjana karma
Caraka classified Samsarjana Krama into two divisions as
(A) Peyadi Samsarjana Krama [Ca. Su. 15/6, Ca Si 1/11]
(B) Tarpanadi Krama [Ca. Si. 6/25]
others
(C) Rasadi Samarjana krama
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14. Peyadi samsrjana krama
संशोधनाभयां शुद्ध्य र्हतदोष्य देर्हनः|
यात्यग्नमिन्दतां त्मात ् रमं ाेयार्दमाचरेत ्||२४|| Ca Si 6
Due to Dosa elimination from the body after Samsodhana Karma, Agni
becomes weakened. So to restore the strength of Agni and Prana,
Peyadi Samsarjana Krama should be followed.
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15. Contd…
ाेयां वविेाीमकृ तं कृ तं च यूषं रसं त्रत्रद्िववरथैकशश्च||११||
रमेप सेवेत ववशुद्धकायः प्रधानमध्यावरशुद्धधशुद्धः|१२| Ca Si 1
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17. Tarpanadi samsarjana krama
कफवात्ते ववशुद्धेऽल्ां मद्याे वाताैवत्तके |
तािपार्दरमं कु याित ् ाेयाऽभिष्यन्दयेद्धध तान ्||२५|| Ca si 6
The patients with increased Kapha and Pitta
 When Kapha & Pitta are eliminated in a smaller quantity during
Samsodhana
In the alcoholic patients.
The patients having Vata , Pitta Prakrti
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18. Contd…
• According to Cakrapani, 'Swaccha Tarpana' can be served instead of
'Peya and' “Ghana Tarpana” instead of “Vilepi”[Cakr on Ca Si 6/25].
• Commentators of Vagbhata mentioned the diet regimen clearly
pertaining to ‘Annakala’. I II III
• Arunadatta (A.D. on A.H. 18/40)
Laja + Saktu
Jirna, Sali Audana
Mamsarasa +Audana
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19. Rasa samsarjana krama
अग्निसन्धूक्षणार्थं तु पूर्वं पेयादीिा भिषक।
रसोत्तरेणोपचरेत क्रमेण क्रमकोवर्वदः॥”
च.भस.१२/६
• ग्न्ध+अम्ि+मधुररस =>ाक्वाशय्थ वातप्रशमन
• अम्ि+िवप =>अग्नसन्धूक्षपाथं
• मधुर+नतक्त =>वात्तप्रशमनाथं
• कषाय+कटु =>आमाशयकफप्रशमनाथं
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21. Summary
Evaluation part Nursing part
Parihara vishaya Samsarjana krama
Paschat karma of
Vamana
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22. References
• Charaka Samhita
• Sushruta Samhita
• Astanga hridaya
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23. Thank you
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