| Vaman
or induced emesis is one of the five cleansing methods of.
Panchakarma Chikitsa. It is performed to subdue augmented
Kapha Dosha. Giving decoction of medicinal herbs for ingestion
in large amounts induces emesis. For this purpose, either
liquorice decoction or decoction of emetic nut (Madanphal
kwath) is used. Sometimes warm salt water is also used to
induce emesis. Before Vaman is given, there are three procedures
which are to be employed, namely Paachan (Digestion), Snehan
(Oleation therapy) and Swedan (diaphoresis).
Indications
Induced emesis should be employed if the
person is suffering from diseases like coryza, asthma, cough
and other respiratory diseases; hyperacidity, indigestion,
dysentery, diarrhoea and other digestive disorders; psychosomatic
illnesses, anemia, filariasis, dermatoses and acute poisoning.
Contra-indications
Obese and malnourished persons, pregnant
women, persons with heart complaints, earache, eye diseases;
persons who are treated with induced enema; persons having
gastric or duodenal ulcer and persons having hepatic diseases
are not given induced emesis.
Procedure
- Completion of the preparatory procedures is mandatory
before employment of induced
- A general examination is carried out to rule out cardiac
diseases. And high or low blood pressure.
- Vaman is given in the morning, to eliminate diseased Kapha
as much as possible. For this, decoction of emetic nut or
liquorice is given depending upon patient's constitution
state of his disease. The main signs are nausea; excessive
salivation and excessive perspiration.
- During the process of emesis; temperature, pulse and respiration
chart is maintained. assistant is present with the patient
to take care of any probable complications.
Signs and symptoms of proper emesis
Exhaustion is an apparent sign, and vitiated
Doshas are eliminated in a proper sequence i.e. mucus, bile
and gases. The bouts of emesis subside naturally, after the
proper elimination of the toxins.
Complications of improper Emesis therapy
When emesis is incomplete, one may not get
the required bouts of vomiting to eliminate toxins or does
not get emesis. However, when done in excess, it could cause
severe hyperacidity, which could lead to bleeding from throat;
severe pain in stomach, giddiness, and gaseous distention.
Post Emesis procedures (Procedures to be done after emesis)
After a properly given emesis therapy, patient
is asked to inhale the smoke of medicinal cigarettes. For
diet, Sansarjan Krama is followed. Also, overeating and consumption
of fried, and spicy food should be avoided.
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