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Vamana – A scientific approach “ APPRAISAL OF VAMANA - AN ENDOTOXIN EXPULSION THERAPY”                                    ...
metallic toxic materials secreted from saliva or          lavana rasa and Pitta amlarasa under the influ-undigested food m...
even through they had proper pittanta Vamana                                                          according to samyak ...
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Vamana karma ksr

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Vamana karma ksr

  1. 1. Vamana – A scientific approach “ APPRAISAL OF VAMANA - AN ENDOTOXIN EXPULSION THERAPY” Dr. K.Siva Rama PrasadVamana is especially prime treatment for the parinama as the end product and it is releasedremoval of Kapha (cha. Su. 20/25). All the use- in to Amashaya. Amashaya consists of Amlaless end by product (Mala) contents are expelled Rasa Pitta and Madhura Rasa Kapha. Theseout from the mouth because of the Vamana two states of Doshas are of natural. Thus at the(A.H.Su.13/30). For the healthy man Vamana time of Vamana the above two normal states ofis indicated in Vasanta Ritu (spring season) for Dosha are eliminated out. But as Charaka statedthe removal of segregated Kapha. Vamana, the - =¦ÉªÉÆ ´ÉÉ ¶É®úÒ®ú¨É±É Ê´É®äúSÉxÉÉiÉ ʴɮäúSÉxÉ ºÉÆYÉƱɦÉiÉä -term indicates two forms of action. One is as adisease entity that is used with the term “Chardi”, SÉ Eò 1-4, the both the Kapha (Kledakakaphathe second is as one of the Panchakarma. For and Malarupakapha) and Pitta (Amashayastathe term Vamana there are so many meanings. Achchapitta) are dislodged from the AmashayaThey are – along with other waste/ excretes. The Mala are To eject out defined as - iÉjÉ ¨É±É¦ÉÚiÉɺiÉäªÉä ¶É®úÒ®úºªÉɤÉÉvÉEò®úÉ: To expel out To evict ºªÉÖ: iÉtlÉÉ ¶É®úÒ®úÎSSÉpäù¹ÉÚ{Énäù½þÉ: {ÉÞlÉMVÉx¨ÉÉxÉÉä ¤Éʽþ¨ÉÖJÉÉ: Ç To through out {ÉÊ®ú{ÉC´É¶SÉvÉÉiÉ´É:, |ÉEÖòÊ{ÉiÉɶSÉ ´ÉÉiÉ Ê{ÉkÉ ¶±É乨ÉÉhÉ:, Belching To run or to ooze SÉɪÉä x´Éä % Ê{É Eä ò ÊSÉSSÉÉ®ú Ò ®ä ú Êiɹ`Æ ö i ÉÉä ¦ÉÉ´ÉÉ:With the above meanings put together we can ¶É®úÒ®úºªÉÉä{ÉPÉÉiÉɪÉÉä{É {ÉtÆiÉä, ºÉ´ÉÉȺiÉÉx¨É±Éä ºÉÆSÉI¨É½äþ -draw a conclusion as, the Vamana is expellingeither of solids, liquids or gaseous from the up- SÉ ¶ÉÉ 6/23 .. So with the above definition, theper opening i.e. mouth. Vachaspatya defined Mala are classified as under -gaseous eviction as Udgara i.e. belching. So 1) Shareera chidra Mala i.e. Akshimala,the decisive understanding of the term Vamana Nasamala, etc.is only pertaining to the liquids and solids eman- 2) Pakwa Dhatucipated from the mouth. 3) Prakupita Vata Pitta KaphaChakrapani defined Vamana as upper segmen- Shareera badhaakara – items which gives paintal Dosha elimination or other wise elimination or inconvenience such as Ama, Ajeerna Aharaof Dosha from upward is Vamana. Here the Out of the above the contents of Amashaya,Doshas that are seated at the upper trunk i.e. such as exfoliate tissues of stomach, heavyKapha elimination is considered, as Kaphaseats are head, chest and stomach.Sharangadhara comment on the Vamana is ex-traordinary and incredible. The stanza is as fol-lows.+{ÉC´É Ê{ÉkÉ ¶±É乨ÉÉhÉÉÆ ¤É±ÉÉnÚùv´ÉÈ xɪÉäkÉÖªÉiÉ´ɨÉxÉÆ iÉÊqù Ê´ÉYÉäªÉÆ ¨ÉnùxɺªÉ ¡ò±ÉÆ ªÉlÉÉ - ¶ÉÉ ºÉÆ {ÉÚ 4/7Forcible elimination of unripe Pitta and Kaphafrom mouth is said as Vamana. Here “ApakwaPitta sleshma” i.e. “Unripe” requires special com-mentary. The unripe is either not transformedor waste (Malam). The Amashaya (Uras) havetwo partitions as upper and lower. Out of theupper as seat of Kapha and the lower for thePitta (Cha.Su.20/8 Chakrapani). In Amashayathere are two Kapha, Kledakakapha andMalarupakapha. As Charaka said “ShareeraMala rechana” from the mouth is Vamana. TheMalarupakapha is produced from Rasa 1
  2. 2. metallic toxic materials secreted from saliva or lavana rasa and Pitta amlarasa under the influ-undigested food materials and the Doshas ence of Samana vata. This expulsion therapywhich are spread through out the body i.e. in gives stress and strain for the patients, thus it isSakha brought to Amashaya by Anupravana not applied in the western patients (They areBhava are considered. strong by physic but psychologically delicate).Vamana is said as the best for handling Kapha. With their qualities of Ushna, Teekshana,Thus the properly executed Vamana eliminates Sukshma, Vyavayee, Vikashi and Urdhvabhagathe Kapha from Amashaya. A person who un- prabhava it induces anupravana in srotases anddergoes the Vamana at the intended time sched- moves liquified doshas from there to Amashayaules will not attain or acquire the diseases, which and eliminates. Anupravana action of vamanaare narrated below and bestow the perfect continues even in pakwashaya and results intohealth. They are (Su.Chi.33/14) – Virechana. This process even through indicated Kasa for Kaphaja Vyadhis, it is widely used for Tamaka Asyopalepa swasa and skin diseases like Kusta. Swarabheda The Vamana dravya is of two varieties. One is Nidra Dravya bhuta and the second Adravya bhuta Tandra (Cha. Chi. 20/18). Some more factors life fin- Asya Dowrgandhya gers or lotus stalks are used mechanically to Visha Dosha induce Vamana (Su.Chi.33/9). Charaka said the Kapha praseka cumulative effect of the Vamana dravya is de- Grahani roga pends upon factors like prakriti, desha, ritu, pres-What so for the Vamana is directed that dis- ervation, etc. the Vamana dravya has Agni andease will be cured and the Kapha is eliminated Vayu mahabhoota. The Agni bhuta spreads al-(Cha.Su.15). Susruta say that, any tree with full ways up. Thus the upward movement is accel-bloom dry after cutting the Vamana cuts the vi- erated when the Vamana dravya is induced.tiated Kapha and the diseases in the body dis- This “Urdhwabhaga Prabhava” is not witnessedappears (Su.Chi.33/15). Properly administered in all the medicines, which has Agni and VayuSamshodhana (Vamana) takes out Mala and mahabhoota. Katu Rasa dravya also will havedisease, induces strength, improves colour, the same effect . ´É¨ÉxÉÆ ªÉnÚ ù v ´ÉÇ ¦ ÉÉMɽþ ® ú i ´Écomplexion and gives longevity (Cha.Su.15).Vamana is an effective exclusive eliminative |ɦÉÉ´ÉÉnÚùv´ÉǪÉÊiÉ, iÉlÉÉ +ÎMxÉ ´Éɪ´ÉÉi¨ÉEòi´ÉÉÊnùÊiÉ - SÉtherapy of Dosha from oral orifice. It is indicated Eò 1/5 SÉGò{ÉÉÊhÉ Mainly in Vamana the Dosha isfor the Doshas, Kapha and Pitta from expelled out from the Amashaya which isAmashaya. In Amashaya Kapha have madhura, dragged in to it because of Anupravana bhava. Here “Anupravana bhava” needs explanation. +hÉÖ|É´ÉhÉ ¦ÉÉ´ÉÉÊnùÊiÉ +hÉÖi´ÉÉiÉ |É´ÉhɦÉÉ´ÉSSÉ - |É´ÉhÉi´ÉʨÉʽþ EòÉä¹`öMɨÉxÉÉäx¨ÉÖJÉi´É¨ÉÂ, +hÉÖi´ÉÆ SÉ +hÉÖ¨ÉÉMÉÇ ºÉÆSÉÉÊ®úi´É¨É - SÉ Eò 1/5 SÉGò{ÉÉÊhÉ . Here Anu is minuteness and pravana is movement towards kosta. Anupravana Bhava brings in the Dosha, which is spread all over body in sakha, back to kasta. The unctuousness, which is created by the Sneha karma in the body, doesn’t allow the Dosha to stick anywhere in the way they are coming to the kosta. Vamana expels that Dosha which is accumulated in the Amashaya out. The apakwa Kapha in Amashaya as its seat is urdhwa Amashaya in normal will have the influ- ence of vitiated Bodhakakapha, Kledakakapha in abnormality. It can be claimed as heavy met- als like Lead and Mercury excretion in saliva and nitrogenous end products of digestion col- lected in amashaya as an action of Anupravana. 2
  3. 3. even through they had proper pittanta Vamana according to samyak yoga lakshana. The pa- tients with kusta (psoriasis) had a tremendous relief with the madanaphala yoga vamana, as a repeated sodhana for an interval of 21 days. Only one patient of Tamaka swasa had blood- stain in the vomits. Vamana mainly has two definitive actions. One is the local irritation the second psychic stimuli. Local irritation – Pradeshika Uttejana: through the Urdhva bhaga prabhava Vamana dravya and Agni and Vayu bhoota local irritation in Amashaya is witnessed. It there by initiates the vomit center in the brain. Because of the reflux action reverse peristalsis or anti peristalsis is induced and the contents of stomach ejected out. In the process even over distention is also witnessed, as “Akanta Pana Kapha UtkleshaThe second Dosha, Pitta seated in dravya”. We offer the patient milk, sugar caneadhoamashaya with amla rasa considered nor- juice or Phanta for the Kapha utkleshana. Thismal and subjected to the vitiation under the in- filling makes the stomach muscle fibers to overfluence of Samanavata. The modern science stretch. Because of the over stretch, the thinexplains the secretions from fundas of stom- stomach wall provides more pressure on theach apart from mucin are VIP, GRP, substance stomach contents and also increases the per-P and Somatostatin; out of GRP and Soma- meability. This provides room fortostatin increases Gastrin secretion and rest “Anupravanabhava” of Dosha in to Amashaya.inhibits under motor and secretory neuron con- This action becomes more useful when the pretrol, and also above said influence motility of procedures of Vamana done perfectly.stomach referred as pachaka pitta and samana They are –vata respectively. Like wise in antrum of stom- 1) Sneha and Swedaach Glucagon which regulates the glucose con- 2) Kapha utkleshanacentration in blood levels have an indirect influ- 3) Akanta panamence on madhurayata of Kapha in vriddhi state. 4) Proper Vamana aushadhiChiefly the electrolytes exchange in to free fluid Epomorphine, a chemical whichis capable ofform in stomach from interstitial compartment inducting vomit is not under takes any of theare Na + , K + , Cl -, HPO -, SO - , H2O along with stipulated Dosha removal techniques ofNitrogenous end products causes the depletion Ayurveda thus it becomes useless.in electrolytes and also water in the body. Psychic stimuli – Dwistaardha Yoga: Bad smellsIn observations patients are subjected to loss or non-liking visual stimulus can cause the psy-of Na, Cl and K in vomits along with large quan- chic stimuli to the vomiting center and Vamanatities of mucin and water. They were subjected is terminated.for stress and strain along with heaviness in Thus Vamana is an effective therapy especiallyabdomen in the process of Vamana. Almost all for the disorders of skin and a palliative for Asth-the patients had the Virechana after the Vamana matics. 3

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