This document provides an overview of Sadyovamana (immediate vomiting induction) including: - The difference between Sadyovamana and classical vomiting induction - Indications for Sadyovamana such as fever, cough, poisoning, indigestion - The criteria for Sadyovamana is aggravated doshas and emergency conditions - The purva karma (preparatory steps) involved are minimal - The mode of action from an Ayurvedic and modern perspective - Various diseases where Sadyovamana may be indicated are discussed

1. 98

2. UNDERSTANDING
SADYOVAMANA & IT’S VARIOUS
APPLICATIONS
PRESENTER : DR. SAYANTANBERA
2nd YEAR P.G. SCHOLAR
DEPARTMENT OF PANCHAKARMA
D.G.M.A.M.C. GADAG

3.  INTRODUCTION
 WHAT IS THE DIFFERENCE
BETWEEN SADYO VAMANA &
CLASSICAL VAMANA
 SAMYAK YOGA LAKSHANA
 ATIYOGA LAKSHANA
 AYOGA LAKSHANA
 MODE OF ACTION (AYURVEDIC
& MODERN CONCEPT)
 INDICATION –
 JWARA
 SWASA
 MADATYAYA
 VISHA
 CHARDI
 KOTA
 ALASKA
 VISHUCHIKA
 IN AUSHADHA SHESHA
 UPADAMSHA
 AJEERNA
 AMLAPITTA
 SADYO VAMANA DRAVYAS
 DISCUSSION
 CONCLUSION

4. INTRODUCTION
सद्य वमन:
Sadyovamana means to attain an
immediate or quick elimination of
vitiated doshas through oral route.

5. Sadyo vamana consists of
two words –
Sadya
vamana

6. सद्य प्रत्ययः – तत् क्षणे, तत् ालेे
(शब्दाल्पद्रुम)
Here sadhya means –
immediately, Recently, Quickly
attaining.

7. वमन – तत्र दोषहरलणं ऊर्धभलगं वमन
संज्ञाम् । (च.ा. – १/४)
By which procedure vitiated
doshas are expelled out from the
upper part of the body through
oral route, is known as vamana.

8. SADYA VAMANA
It is a process, where vamana is
carried out immediately without
following any purvakarmas like
Pachana, Snehana and Swedana.

9. WHAT IS THE
DIFFERENCE BETWEEN
SADYO VAMANA &
CLASSICAL VAMANA

10. SADYO VAMANA CLASSICAL VAMANA
Vamana which is conducted
immediately in a single day.
Vamana conducted by arohan
krama sneha pana upto samyak
snigdha lakshana.
Not require vishrama kala. Require vishrama kala.
Purva karmas like ama
pachana, snehana, swedana are
not mandatory to carried out
sadyo vamana.
Purva karmas like ama
pachana, snehana, swedana are
mandatory to carried out
classical vamana.

11. SADYO VAMANA CLASSICAL VAMANA
The person who are not co-
operative, dont have much
time & dosha are in utklista
avastha, Sadyo vamana
carried out.
Patient should be co-
operative, have ample of
time to take treatment and
Bhishak vashya.
Short acting effect. Long lasting effect.

13. CRITERIA FOR SADYO VAMANA
Utklishta dosha
Atyayika avastha
Vamya rogi

14. KALA FOR SADYO VAMANA
In atyayika vikara where doshas are in
utklishta avastha, there is no need to
consider Kala while performing Sadyo
vamana.

15. PURVA KARMA
वमने स्वयमेवोत्कत्लेष्टत्वलद् दोषोस्य
दोषोत्लेेशप्रयोजनाौ स्नेहस्वेदौ न
त्कियते, अल्पौ वल त्कियते । (चिपलत्कण)

16. Abhyanga & Swedana are the purva
karmas which are done before Sadyo
vamana. But in case of an acute condition
of a disease where Sadyo vamana is
carried out for its management, it is not
mandatory to do abhyanga & swedana.

17. Purva karma of sadyo vamana may vary from
disease to disease. For e.g. –
In case of visha, ajeerna etc emergency
conditions directly Vamana dravya is given to
expelled out the vitiated dosha without
performing any Purva karmas.
But in case of swasa lavana taila abhyanga &
swedana are essential to liquify the kapha and
bring the kapha to Amashaya from Pranavaha
srotas for the easy elimination.

18. PRADHANA KARMA
Akantha pana(ksheera, yasthimadhu fanta etc.)
Vamana dravya
Lavanambu

20. SAMSARJAN KARMA
Samsarjan karma can be given after Sadyo
vamana. But all the samsarjan karmas
which are used after Classical vamana are
not mandatory for Sadyo vamana. A
minimal Samsarjan karma can be given
after Sadyo vamana.

21. SAMYAK YOGA LAKSHANA
िमलत्ाफः त्कपत्तमथलत्कनेश्च यस्यैत्कत सम्या् वत्कमत स इष्टः ।
हृत्पलर्श्ध मूर्ेत्करद्रय मलगध शुद्धौ तथल ेघुत्वेत्कप च वक्षमलणे ॥
(च.त्कस. – १/१४)

22. ATIYOGA LAKSHNA
योगलत्कर्लयेन तु फे त्कनेरक्त चंत्कद्राोपगमनं
इत्यत्कतयोग ेक्षणलत्कन भवंत्करत ।
(च. सू. १५/१३)

23. AYOGA LAKSHANA
के वलस्य वाप्यौषधस्य, ववभ्रंशः ववबंधः वेगानां
अयोग लक्षणावन भववति ।
(च. सू. – १५/१३)

24. MODE OF ACTION

25. AYURVEDIC CONCEPT
(च.ा. – १/५)

26. Vamaka drugs possessing the properties like
Usna, Tiksna, Suksma, Vyavayi, Vikasi
and with their ‘Swavirya’
Move to ‘Hridaya’

27. From there, through various ‘Dhamanis’ lead to micro
and macro channels in the body
Act over the vitiated complexes in the body
(i) With 'Agneya Property' - liquify the complexes
(ii) With 'Tiksna property' - Break them down into
several particles

28. Liquefied matter then glides through various unctuous or
smooth channels towards Kostha
Enter 'Amasaya' and then stimulated by 'Udana Vayu“
Having the dominance of 'Agni' and 'Vayu' elements in the
constitution along with self diposition

29. Move in upward direction towards oral cavity(due to
urdhaga prabhava)
Expelled to outside through it
VAMANA

30. PROBABLAE MODERN
CONCEPT

31. Upper GIT Electrical Stimuli for Psychic Stimuli
when full of contents administration of drugs direct
stimulation
Over distended & CTZ stimulation Stimulates
Over excitable hypothalamus
Stimulates Vomiting center

32. Automatic motor reaction
Motor impulses are transmitted from vomiting centre
through
5th,7th,9th,10th,12th Cranial nerves Spinal nerves
Upper GIT Diaphragm & abdominal muscles
Initiates VOMITING

33. INDICATIONS
• JWARA
• SWASA
• MADATYAYA
• VISHA
• CHARDI
• KOTA
•ALASKA
• VISHUCHIKA
•IN AUSHADHA SHESHA
•UPADAMSHA
•AJEERNA
•AMLAPITTA

34. JWARA
ाफप्रर्लनलनुत्कत्लेष्टलन् दोषलनलमलशयत्कस्थतलन् ।
बुध्वल ज्वरारलन् ालेे वम्यनलं वमनैहधरेत् ॥
(च.त्कच. – ३/१४६)

35. Jwara is dominated by kapha
and is located in aamashaya in
the stage of utklesha. It should
be removed by administration
of Vamana therapy.

36. AMA JWARA
सद्य भुक्तस्य वल जलते ज्वरे सलमेत्कवशेषतः ।
वमनं वमनलहधस्य पथ्यत्कमत्यलह....................
(vangasena-1/167)

37. Jwara caused due to Ama,
soon after ingestion of food
causes Amajwara. Sadya
vamana can be given in such
situation.

38. समीक्ष्योल्ेेखनं वलत्कप ालरयेत् ेवणलम्बुनल ।
(च.त्कच. – १७/८५)
In case of amajwara vamana should
be given wih lavanambu.

39. PITTAJA JWARA
शीतं मर्ुयुक्तं आाण्ठलद्वल त्कपपलत्कसतम् ।
वलमयेत् पलयत्कयत्वल तु तेन तृष्णल प्रशम्यत्कत ॥
(शल.उ. – ३९/१८०)

40. In pittaja jwara patient with
excessive thirst should be
given plenty of cold water with
honey for vamana.

41. SWASA
यथलस्रोतलंत्कस संरुध्य मलरुतः ाफपूवधा ।
त्कवष्वग्ब्रजत्कत संरूद्ध तथल र्श्लसरारोत्कत स ॥
(च.त्कच. – १७/४५)

42. In Swasa samprapti, srotas involved
is pranavaha srotas. Obstruction in
the srotas is due to kapha. As there is
an utklesha of kapha dosha,
Sadyovamana can be given.

43. “MüTü uÉÉiÉÉiqÉMüÉå ÌmɨÉxjÉÉlÉ
xÉqÉÑipÉuÉÉ”æ
(Cha.chi.17/8)
Chakrapani in his commentary says
that swasa is pittasthana samudbhava,
which refers to the involvement of the
pitta with Urdhwasthana, though
kapha and vata are responsible for
initiating the disease.

44. In the same commentary it’s
said that pittasthana can be taken
as amashaya. As there is
involvment of the utklishta kapha
and the disease is amashaya
samudbhava, sadyovamana can be
given.

45. Vamana brings srotovishudhi
and kaphavarodha will be
removed. (AS.Chi.6/5)

46. MADATYAYA
•Madatyaya is caused due to
madya.
•Due to the teekshna, ushna,
ruksha property of madya,
utklesha of the kapha occurs.

47. mÉÏiuÉÉ cÉqɱqÉÌmÉ cÉå¤ÉÑUxÉmÉëaÉÉRÇû
ÌlÉzÉåwÉiÉȤÉhÉqÉuÉÎxjÉiÉqÉÑÎssÉZÉåiÉç |
(Su.Utt.47/27)
In madatyaya patient should take
Ikshu rasa and Madya till his throat
(akantha pana) and then made to
vomit immediately.

48. VISHA
• In Atyayika condition needs immediate
care.
• Vamana indicated in the visha vegas
need not require sneha pana or
swedana.
• Hence we can probably come to a
conclusion that the vamana mentioned
in visha vega is sadyovamana.

49. • mÉÏiÉÇuÉqÉlÉåÈxɱÉå................... ||
(Cha.chi.23/45)
Acharya charaka has mentioned
vamana in the sthavara visha chikitsa
• In Gara visha chikitsa chakrapani
advises to give vamana immediately
(Cha.chi.23/238)

50. • uÉqÉlÉålÉ xÉqÉÇ lÉÉÎxiÉ rÉiÉxiÉxrÉ
ÍcÉÌMüÎixÉiÉqÉç|
There is no other treatment
better than vamana, in case of
sthavara visha chikitsa.
(Van.visha.78)

51. CHARDI
SÉåwÉÉlÉÑxÉqÉÑÎiYsÉzrÉiÉç FkïuÉxrÉlÉç........ ||
(M.N.chardi)
• Nidanasevana leads to prakopa of vata
• Vata gets located in udara which produces
utkleshana of undigested particle.
• Expels these through the koshta and
agnibala is reduced.

52. •In chardi agni is in mandavastha,
it may not be able to digest the
medicine.
•Vamana may bring the utklishta
dosha, then undigested substances
located in the amashaya, along
with the vamana aushadha.

53. Moreover, pravruddha kapha will act
like shalya if not expelled outside, so
here sadhyo vamana can be carried out
because usage of snehana swedana
will further worsen the condition as
dosha is in aamashaya and in
pravruddha avastha.

54. KOTA
Kota is a disease that arises due to
the improper administration of the
shodhana chikitsa or due to
avarodha of pitta, kapha and anna.
(MN.50/6)(Vang.kota/6)

55. iɧÉÉzÉÑ uÉqÉlÉÇMüÉrÉïÇ .................... |
(Vang.kota/7)
Acharya vangasena has mentioned
vamana should be induced very
quickly.

56. ALASAKA
AÌiÉqÉɧÉSÒ¹ÉxÉÑ SÉåwÉÈmÉëSÒ¹............|
(AS.SU.11/13)
In Alasaka utklishta dosha is present.
Hence there is no need to produce the
utklesha of doshas further. So
sadyovamana can be performed.

57. • In amavisha condition emergency
treatment should be given (its
mentioned as “ashukarayita
virudhopakrama cha”).
• In samadosha conditions, made to
vomit with luke warm water with salt,
followed by swedana. (Cha.vi.2/13)

58. VISHUCHIKA
• It’s a condition that occurs in ajeerna which
is characterized by pain which is similar to
that caused due to prick of a pain. (MN.Vis.2)
• uÉqÉlÉÇ MüÉUrÉåiÉç ͤÉmÉëqÉÑwhÉålÉ
sÉuÉhÉÉqoÉÑlÉÉ |
(Vang.Ajeerna/160)
Vamana should be done with Luke warm salt
water.

59. AUSHADASHESHA
• uÉÉqÉrÉå¨ÉÑ iÉiÉÈ zÉåwÉqÉÉæwÉkÉÇ ............ ||
(Cha.si.6/21)
While performing virechana even
after attaining the suddhi lakshanas the
medicines remain in the koshta,
Acharya charaka has advised to
perform the vamana inorder to bring
out the excess medicine from the
koshta.

60. Acco. (Su.chi.33/7) sadyovamana can
be given to those persons who
afflicted with kapha, persons
suffering from Ajeerna and Visha.

61. • According to (Su.chi.34/6) the conditions
where aushada administered for vamana
and virechana does not produce the
desired results.
• There by resides in the koshta and causing
the obstructing of the dosha.
• In such conditions associated with
thrishna, parsvasoola, chardi, etc has to be
induced by ushnajala.

62. UPADAMSA
The excessive increase of dosha in
upadamsa should be expelled out
by both routes immediately. Pain
and edema of patient subside
soon. (Vangasena)

63. AJEERNA
वमनलथध त्कवद्येयः स्यलरमर्ुसैरर्व मूत्कछधतः ।
न तु अजीणे त्कहत तु अत ेवणोष्णलम्बु ाे वेम् ॥
तत्कद्व सवध समुत्कत्लेश्चमुखेनलशु त्कवत्कनहधरेत् ।
(च.त्कस. – ६/१४)

64. Person suffering from Ajeerna
should not be given normal
vamana dravyas to induced
vamana. Lukewarm salt water is
adviced in this situation.

65. AMLAPITTA
दोषोत्लेेशो न सहसल द्रवं औषर्मलचरेत् ।
वमनीयलत् दृतौ तत्कद्व न सम्या् पररपच्यते ॥
(ाल.त्कख. – अम्े/२२)

66. Acharya Kasyapa has clearly
mentioned that no liquid medicine
should be administered suddenly,
other than the Vamanoshadha.

67. SADYO VAMANA DRAVYAS
Jwara – Sura, tittir mamasa rasa (AH,CHI – 1/158)
Ama jwara – Lavanambu (CHA,CHI – 17/85)
Pittaja jwara – Lavanambu (SU,UTT – 39/180)
Ajeerna – Vacha, Lavanambu (B.R. – AGNI/65)
Alasaka – Ushna Lavanambu (CHA,VI – 2/3)
Visuchika – Ushna Lavanambu (VANGASENA – AJEERNA/160)
Visha – Madana phala, Sunthi (VANGASENA – VISHA/24)
Amlapitta – Lavanambu,ksheera,ikshurasa (KA –AMLA/18)
Madatyaya – Iksurasa, Madya (SU,UTT – 47/27)

68. DISCUSSION
 In sadyo vamana we are not following
arohana krama snehapana and the
vishrama kala etc as per the guidelines
by the acharyas. Because of these we are
not eliminating prabhuta dosha from the
deeper tissue.

69. Sadyo vamana has very minimal
efficacy and instant relief like as
Ajeerna.

70. CONCLUSION
Sadyo vamana is carried out when
dosha utklista lakshanas like hrullas,
lala praseka, shiro gourava, kapha
sthivana, bhaktwa dwesha etc are
present.

71. Purva karmas like ama pachana,
snehana, swedana are not
mandatory for sadyo vamana and
vishrama kala also. Otherwise the
dosha utklista avastha is reduced.

72. Sadyo vamana may be practiced
instantly in conditions like tamaka
swasa, urdhaga amla pitta, ajeerna
etc.

73. It can be practiced in some of the
Atyaika avastha like visha pana as
an emergency treatment.