Vamana/Emesis
Vamana is the best treatment according to all the acharyas of Ayurveda to
reduce the diseases due to vitiated Kapha Dosha
Before Vamana
Karma patients were specially examined by E.C.G. and other systemic examination
for suitability of Vamana Karma.
PREPARATION OF PATIENT:
The
patients ready to undergo emesis process at the out set were prepared with
Snehana(oilation) and Svedana (fomentation).
Internal oilation:
For oilation about 30 gms of Ghee was
given at about 7.00 am. On the basis of this test dose, Ghee was gradually
increased by about 30 to 50 gms per day. After administering ghee, instructions
were given to the patient not to take any type of food, until he feels hunger
and only hot water was allowed to drink. When patients were feeling hunger,
light diet was prescribed mainly kanji of rice along with some vegetables or
dal at the day time. In the evening mainly no spicy curry was prescribed.
Massage and fomentation:
After
ascertaining Samyaka Snehana, patients were subjected to oil massage and steam
bath. On the morning (at about 10 am) and in the evening (at about 4.30 pm) of
the gap day i.e. the day after the day of completion of internal oilation . Oil
massage to the whole body was done for about 20 minutes in all the positions.
For this purpose warm Bala Taila was used. Thereafter, steam bath was given to
the whole body of the patient when profuse perspiration was observed (generally
within 20 to 30 minutes), patient was advised to sit on the chair for about 15
minutes. There after instruction were given to go to the bed covered with
blanket and not to move in open area.
DIET ON THE EVENING OF Resting days:
On the
evening of gap day, special soup made of about 50 gms each of rice and green
gram, 25 gm of each oil and Ghee was given along with 250 gms of curd. The salt
was added as per requirement.
Main procedure:
On the
morning of emesis day at about 6.30 am patient was taken to treatmen room where
he was again subjected to oil massage and steam bath in the similar way as
mentioned earlier.
After profuse
sweting patient was shifted to chair where he was given milk up to full
stomach. After 5 minutes, the mixture of Madanphala Pippali Churna, Vacha
Churna, Madhu and Saindhava mixed in the quantity of 6 g, 3 g, 10 g and 1.5 g
respectively was diluted in 200 ml Yastimadhu decoction was given orally.
If the act
of emesis started within 10 minutes, no helping drugs were given. If not
observed within 10 minutes, Yastimadhu decoction was given, even them if emesis
was not occurring then patient was instructed to touch his pharynx with this
nail cut clean fingers. Helping drug Yastimadhu decoction was also given in
between the acts to enhance vomiting. During the act the patient was helped by
pressing the abdomen with palms. In between of two acts , the back of the
patient was gently massaged in upwards direction. When pitta in vomits out was
seen, hot water was given for gargling. During this procedure after each act,
pulse and blood pressure was noted.
After
completion of emesis, patient was transferred to the bed where again pulse,
blood pressure and respiration were noted. In the room fuming was done and
patient was kept in keen observation for whole day.
