Vamana karma is one among Panchakarma deals with bio purification of the body.

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

2. Contents
• Objectives
• General considerations
• Pradhana Karma of Vamana
• Administration of Vamana Yoga.
• Observations & Stages during Vamana Karma.
• Observations regarding four criteria.
• Summary
• References
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3. Objectives
By the end of the presentation the students must be able
1. To understand general considerations before Vamana
2. To understand the steps of Pradhana karma of vamana
3. To know the administration of Vamak yoga
4. To understand the stages and observation during Vamana karma
5. To understand the observations of Four criteria of Vamana karma
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4. General considerations before Vamana
Counselling before vamana
Preparation of patient before vamana
During vamana
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5. Counselling
• Before Vamana, patient must be instructed about Snehapana,
Svedana,Dietary regime, administration of Vamana and Vamanopaga
drugs by Physician.
• He /she should be informed about the whole procedure and proper
understanding of each step & its benefits which will encourage
him/her.
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6. Preparation of patient before vamana
• ततस्तं पुरुषं यथोक्ताभयां स्नेहस्वेदाभयां यथाहहमुपपादयेत्, तं चेदस्स्मन्नन्तरे मान
सः शारीरो वा व्याध ः कस्चचत्तीव्रतरः सहसाऽभयागच्छेत्तमेव तावदस्योपावतहययतुं [१]
यतेत, ततस्तमुपावर्तयह तावन्तमेवैनं कालं तथावव ेनैव कमहणोपाचरेत्||८||
ततस्तं पुरुषं स्नेहस्वेदोपपन्नमनुपहतमनसमभिसमीक्ष्य सुखोवषतं सुप्रजीणहिक्तं भश
रःस्नातमनुभलप्तगात्रं स्रस्ववणमनुपहतवस्त्रसंवीतं देवतास्वनद्विववजगुरुव्द्वि वैद्वियानधचहत
वन्तभमष्टे नक्षत्रयतधथकरणमुहूते कारययर्तवा ब्राह्मणान् स्वस्स्तवाचनं प्रयुक्ताभिराशी
भिहरभिमस्न्त्रतां म ुम ुकसैन् वफाणणतोपहहतां मदनफलकषायमात्रां पाययेत्||९||
Ca Su 15
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7. • Caraka has advised to carry out the process under auspicious
Constellation, Day, Karana, and Muhurta.
• He has also said that before Vamana, “Svastivacana” should be
performed by Brahmins.
• Patient should be sanctified by holy blessings. For this purpose, he
should worship the deity/Fire. one has to have a full bath, anoint his
body with several essences, worn a garland & untorn cloths.
• Vaidya is advised to create an atmosphere by displaying Homa,
Mangala, Prayascitta, Bali etc. for well being of patient before
Vamana.
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8. During vamana
• During Vamana process, patient is advised to concentrate on Vamana
process, by keeping Kama, Krodha, Lobha, Irsya etc. factors aside.
• One can be made quiet by using audio of Sloka or light classical
instrumental music during the process.
• Parmeswara, commentator of A.H. provided a reason behind all the
• auspicious proceedings as “Vyapat bahulatvat” that means Vamana
has a plenty of complications with it
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9. Pradhana Karma of Vamana
Administration of Vamana Yoga
Observations & Stages during Vamana Karma
Observations regarding four criteria
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10. ADMINISTRATION OF VAMANA YOGA
Vamana room & position of
patient.
Examination of vital data
Administration of drugs
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11. Vamana room & position of patient
• तद्वियथा
दृढं यनवातं प्रवातैकदेशं सुखप्रववचारमनुपर्तयकं ूमातपजलरजसामनभिग
मनीयमयनष्ठानां च शब्दस्पशहरसरूपगन् ानां सोदपानोदूखलमुसलवचहः
स्थानस्नानिूभममहानसं वास्तुववद्वियाकु शलः प्रशस्तं ग्हमेव तावत ् पूवहमु
पकल्पयेत ्||६|| Ca Su 15
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12. Contd…
• After performing all the regularities in Purvakarma, patient is brought
in Vamana Room. Caraka portrayed Vamana room beautifully.
Gangadhara elaborated his points as (Gang. on Ca.Su. 15/5)
Sukha Pravicaram
Drdham
Anupapatyakam
Nivatam Pravat-ekdesam
Dhuma atapa rajasam anabhigamaniyam
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13. Contd..
• Then patient positioned in Vamana chair, Caraka used the word: Janu-
tulya Samam” and “Asankirnam” (Ca. Su. 15/5).
• That means, Vamana seat (Vamana pith) should have a height up to
the level of knee joint (Janu-tulya Saman) and it must be comfortable
one (Asankirnam).
• A rolling chair having cushion is more comfortable as the patient can
relax on it.
• He may be covered with a clean cloth so that the clothes may not be
spoiled by vomitus. Towels may be provided.
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14. Examination of Vitals
• Always record the weight before starting Vamana & after the
completion of Vamana.
• Pulse, blood pressure, respiration & temperature should be recorded
prior to administration of Vamana drugs.
• It is advised to record pulse & blood pressure (Pulse oximeter)at
regular intervals during Vamana.
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15. Administration of vamaka drugs
• तत्र सुकु मारं क् शं बालं व्द्वि ं िीरुं वा वमनसाध्येषु ववकारेषु क्षीरदध त
क्रयवागूनामन्यतममाकण्ठं पाययेत ्Su Chi 33/7
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16. Contd….
• अथ च्छदहनीयमातुरं द्विव्यहं त्र्यहं वा स्नेहस्वेदोपपन्नं चवचछदहययतव्यभमयत ग्रा
म्यानूपौदकमांसरस-क्षीर-दध -माष-यतल-
शाकाहदभिः समुर्तक्लेभशतचलेष्माणं व्युवषतं जीणाहहारं पूवाहह्णे क् तबभलहोमम
ङ्गलप्रायस्चचत्तं यनरन्नमनयतस्स्नव ं यवाववा घ्तमात्रां पीतवन्तं, तासां फलवप
प्पलीनामन्तनहखमुस्ष्टं यावद्विवा सा ु मन्येत जजहरीक् र्तय यस्ष्टम ुकषायेण को
ववदार-कबुहदार-नीप-ववदुल-बबम्बी-शणपुष्पी-सदापुष्पी-प्रर्तयक्पुष्पी-
कषायाणामन्यतमेन वा राबत्रमुवषतं ववम्द्विय पूतं म ुसैन् वयुक्तं सुखोष्णं क्
र्तवा पूणं
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17. Contd…
• शरावं मन्त्रेणानेनाभिमन्त्रयेत ्-
‘ॐ ब्रह्मदक्षास्चवरुद्रेन्द्रिूचन्द्राकाहयनलानलाः|
ऋषयः सौषध ग्रामा िूतसङ्घाचच पान्तु ते|
रसायनभमवषीणां देवानामम्तं यथा|
सु ेवोत्तमनागानां िैषज्यभमदमस्तु ते’|
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18. Contd…
• इर्तयेवमभिमन्त्र्योदङ्मुखं प्राङ्मुखं वाऽऽतुरं पाययेच्ललेष्मज्वरगुल्मप्रयत
चयायातं ववशेषेण पुनः पुनरावपत्तागमनात ्, तेन सा ु वमयत; हीनवेगं तु
वपप्पल्यामलक-सषहप-
वचाकल्कलवणोष्णोदकै ः पुनः पुनः प्रवतहयेदावपत्तदशहनात्|
इर्तयेष सवहचछदहनयोगववध ः||१४|| Ca Ka 1
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19. Observations & Stages during Vamana Karma
• पीतवन्तं तु खल्वेनं मुहूतहमनुकाङ्क्षेत, तस्य यदा जानीयात ् स्वेदप्रादुिाह
वेण दोषं प्रववलयनमापद्वियमानं, लोमहषेण च स्थानेभयः प्रचभलतं, कु क्षक्ष
समाध्मापनेन च कु क्षक्षमनुगतं, हृल्लासास्यस्रवणाभयामवप चोध्वहमुखीिूत
म्, अथास्मै जानुसममसम्बा ं सुप्रयुक्तास्तरणोत्तरप्रच्छदोप ानं सोपाश्र
यमासनमुपवेष्टुं [१] प्रयच्छेत ्, प्रयतग्रहांचचोपचारयेत ्, लालाटप्रयतग्रहे पा
चवोपग्रहणे नाभिप्रपीडने प्ष्ठोन्मदहने चानपत्रपणीयाः सुहृदोऽनुमताः [२] प्र
यतेरन्||११||
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20. • After administration of Vamaka dravya the following four stages can
be observed in the patient-
Sveda pravartana
Romaharsha
Kukshi adhmapana
Hrillasa
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21. Contd…
• Sveda pravartana (perspiration)
This stage indicates that dosha has started melting I,e Pravilayana
Critical appraisal ; perspiration is due to ushna and tikshna guna
possessed by vamaka dravya as it is mixed with madhu and saindava
due to suksma and vyavya guna the action can be appreciated in micro
channels
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22. • Romaharsha (Horriplitation)
This stage indicates the dosha has started moving from own position
Critical appraisal ; as dosha are being prutaktva(separated from
Dhatu) and dravikrita ( antarika sveda by vamak dravya)and begins
to move through the channels as movement are enhanced by
lubricated surface which was attained by abyantara snehana
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23. Contd….
• Kukshi adhmapana
This stage signifies about the shifting of dosha to kukshi
Critical appraisal; dosha agamana to kukshi is by anupravana bhava
of vamaka drug
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24. Contd….
• Hrillasa (nausea & salivation)
This stage denotes that dosha has started moving upwards
• Critical appraisal ;due to urdhwabhaghahara prabhava of vamak
dravya (vayu and akash mahabhuta) and influence of Udana vata
dosha ultimately starts moving upwards for expulsion
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25. Contd…
• Important practical key points-
• The stages of vamana are to be demonstrated properly to the
patient in his own vernacular language prior to the administration
so he can narrate his experencies properly.
• The first two stages are appreciated by both patient and physician
• The next two stages are subjective so the physician must rely on
the patient feelings and his ability of expression
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26. Observations regarding four criteria.
• जघन्यमध्यप्रवरे तु वेगाचचर्तवार इष्टा वमने षडष्टौ||१३||
दशैव ते द्विववबत्रगुणा ववरेके प्रस्थस्तथा द्विववबत्रचतुगुहणचच|
वपत्तान्तभमष्टं वमनं ववरेकाद ं कफान्तं च ववरेकमाहुः||१४||
द्विववत्रान् सववट्कानपनीय वेगान्मेयं ववरेके वमने तु पीतम्|१५|
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27. Contd…
Avara
(4)
Madhyama
(6)
Pravara
(8)
vaigiki
Pittanta
Anthiki
Hina
(1 Prasta)
Madhyama
(11/2 prasta)
Uttama
(2Prasta)
Maniki
Samyaka
yoga
Laingiki
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28. Contd…
• The physician must keenly observe the vega (bout) during procedure
the goal of vamana is to attain pittanta irrespective of vegas
• Vegas or Jaggan are of two type
• Small bout (laghu vega)
• Large bout (guru vega)
• One must count guru vega by excluding first vega
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29. Summary
General
considerations
Administration of
Vamana Yoga.
Observations &
Stages during
Vamana Karma.
Observations
regarding four
criteria
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30. References
• Charaka Samhita
• Sushruta Samhita
• Astangahridya
• Mukundilal Dwiwedi Panchakarma
• Ayurvediya Panchakarma Vidynana Kasture
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31. THANKYOU
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