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Emesis
Vamana is the therapeutic procedure where forceful expulsion of vitiated doshas occurs through mouth following administration of Vamanoushadhi.

Materials required:-

1. Large Basin -1
2. Medium sized vessel - 2
3. Steel glass (capacity-250ml)- 2
4. Table spoon - 2
5. Khalwa yanthra - 1
6. Stool -1
7. Chair with arm rest - 1
8. Cotton cloth- -2
9. Hot water bath vessel -1
10. Stove - 1

Pre-operative procedure:-

1. Preparation of the patient:-
The patient should be made samyakasnigdha by proper snehapana.
On attaining samyaksnigdhalakshanas, Abhyanga and Ooshmasweda are done on next day.
On the second day Abhyanga and ushmasweda
Kaphothkleshakara aharas are given in the afternoon.

2. Preparation of medicine:-
Vamanadravya
1. Madanaphalachoorna- 3 to 5 gms
2. Vachachoorna- 5 gm
3. Yashtimadhuchoornam- 7.5 gm
4. Honey - QS
5. Saindhava- 15 gm
Milk- 4 to 6 litres
Hot water QS
Karpooradi or Haridradi varthi- 1
Oil- QS

Procedure
The patient should be anointed with proper oil followed by proper svedana.
All these process should be completed around 7am.
He should then be seated on a chair facing a basin kept on a stool.
At first the patient should be given around 6 glasses of milk to facilitate easy bouts of vomiting as well as to prevent the complication of forceful vomiting.
After that the medicine for vamana should be administered.
Advice the patient to sit comfortably and concentrate on the forth coming signs of vomiting.
The maximum time interval for the first bout to occur should not exceed more than 48minutes after the medicine is given.
The physician should observe for the following signs
1. Sweating
2. Horripilations
3. Distention
4. Salivation
5. Oppression in chest etc

Vomiting usually occurs following the appearance of this/these sign/s.
The patient is asked to bend forward and vomit into the basin kept in front.
Simultaneously the two flanks and fore head of the patient should be held by another person
His umbilical region and back should be massaged in upward direction.
The appropriate dravadravyas are administered in between if necessary.
If the bouts are not coming up easily, then the patient is asked to bring the bouts manually by tickling his throat either with his fingers or a soft tube without injuring the throat.
Vamana is continued till the samyak lakshanas are seen viz. pittanta (most preferable)/ sufficient kapha chardhana/shareera laghutha-kosta laghavata/dourbalya.

Post operative procedure
The patient should be asked to wash his face with luke warm water followed by Dhoomapana with karpooradi or haridradi varthi.

Complications and management
Haemetemesis
Lajatharpana with sitha.
Feeble pulse, Giddiness, Collapse.
Sidhamakaradhwajam with honey and betel juice,
Drakshadi kashaya, Dhanwantharam gulika.
Heena Vega
Pippali Choorna, Amalaki Choorna, Sarshapa Choorna , Lavanodaka

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