PG Module 4

VAMANA KARMA

EXPLANATORY NOTES

INDICATIONS OF VAMANA KARMA

कफे विदध्याद्वमनं संयोगे वा कफोल्बणे|                            (A. H.Su. 18/1)

 

According to ĀcāryaVāgbhaṭa,  in conditions like aggravation of Kapha in its own sites, Kapha combined with pitta in a small quantity, excessive increase of Kapha , Vāta or Pitta lodging in the sites of Kapha are indicated for Vamana.

 

——————-विशेषेणतुवामयेत् |
नवज्वरातिसाराधःपित्तासृग्राजयक्ष्मिणः| ||
कुष्ठमेहापचीग्रन्थिश्लीपदोन्मादकासिनः|
श्वासहृल्लासवीसर्पस्तन्यदोषोर्ध्वरोगिणः||                                                    (A. H.Su. 18/1-3)

According to ĀcāryaVāgbhaṭa, Vamana is indicated in Navajvara, Atisāra, AdhogaRaktapitta, Rājayakshma, Kuṣṭha, Prameha, Apaci, Granthi, Ślīpada, Unmada, Kāsa, Śvāsa, Hrllāsa, Visarpa, StanyaRoga, ŪrdhvajatrugataRoga.

 

शेषास्तु वम्याः; विशेषतस्तु पीनसकुष्ठनवज्वरराजयक्ष्मकासश्वासगलग्रहगलगण्डश्लीपदमेहमन्दाग्निविरु

द्धाजीर्णान्न विसूचिकालसकविषगरपीतदष्टदिग्धविद्धाधःशोणितपित्तप्रसेक (दुर्नाम ) हृल्लासारोचकाविपाकापच्यपस्मारोन्मादातिसारशोफपाण्डुरोगमुखपाकदुष्टस्तन्यादयः श्लेष्मव्याधयो विशेषेण महारोगाध्यायोक्ताश्च; एतेषु हि वमनं प्रधानतममित्युक्तं केदारसेतुभेदे शाल्याद्यशोषदोषविनाशवत्||                                                 (Cha. Si. 2/10)

 

According to ĀcāryaCaraka, Vamana is indicated in Pīnasa, Navajvara, Rājayakṣma, Kāsa, Śvāsa, Galagraha, Galagaṇḍa, Ślīpada, Meha, Mandāgni, Virudha Anna, Ajirna, Viṣūcikā, Viṣa, Kuṣṭha, Praseka, Hṛllāsa, Arocaka, Apaci, Apasmāra, Unmāda, Atisāra, Śopha, PānduRoga, Mukapāka, StanyaDuṣti, Alasaka, Garapīta.

 

वाम्यास्तु- विषशोषस्तन्यदोषमन्दाग्न्युन्मादापस्मारश्लीपदार्बुदविदारिकामेदोमेहगरज्वरारुच्यपच्यामातीसारहृद्रोग- चित्तविभ्रमविसर्पविद्रध्यजीर्णमुखप्रसेकहृल्लासश्वासकासपीनसपूतीनासकण्ठौष्ठवक्त्रपाक- कर्णस्रावाधिजिह्वोपजिह्विकागलशुण्डिकाधःशोणितपित्तिनः कफस्थानजेषु विकारेष्वन्ये च कफव्याधिपरीता इति ||                      (Su. Chi. 33/18)

 

According to ĀcāryaSuśruta the Rogas like Arbuda, Vidārika, Medoroga, PramehaRoga, HṛdayaRoga,Visarpa, Chittavibhrama, Vidradhi, Pūtinasā, Kantaroga, Oṣṭhapākam, Karnasrāva, Adhijihvika,Galaśuṇḍikā, Vamana is indicated. In other treatises like AṣtāngaHṛdaya, AṣtāngaSaṅgraha,Yogaratnākaram,Bhāvaprakāṣam alsosimilar Vamanaindications arequoted.

CONTRAINDICATIONS OF VAMANA KARMA

अवाम्यागर्भिणीरूक्षःक्षुधितोनित्यदुःखितः||३||
बालवृद्धकृशस्थूलहृद्रोगिक्षतदुर्बलाः|
प्रसक्तवमथुप्लीहतिमिरक्रिमिकोष्ठिनः||४||
ऊर्ध्वप्रवृत्तवाय्वस्रदत्तबस्तिहतस्वराः|
मूत्राघात्युदरीगुल्मीदुर्वमोऽत्यग्निरर्शसः||५||
उदावर्तभ्रमाष्ठीलापार्श्वरुग्वातरोगिणः|
ऋतेविषगराजीर्णविरुद्धाभ्यवहारतः||६||                 (A. H. Su. 18/3-6)      

 

According to ĀcāryaVāgbhaṭa, Vamana is contraindicated in Garbhini, Rūkṣa, Kṣudhita, Nityadukhita, Bāla, Vṛddha, Kṛśa, Stūla, Hṛdroga, Kshata, Durbala, PrasaktaVamathu, Plīha, Timira, Krimikoṣṭha, ŪrdhvaPravruttaVāyu, ŪrdhvagaRaktapitta, After Bastikarma, Hatasvara, Mūtraghāta, Udara, Gulma, Durvāma, Atyagni, Arśas, Udāvarta, Bhrama, Aṣṭhīla, Pārsvaruk, Vātaroga, Viṣa, Garaviṣa, Ajīrṇa, Virudhabhyavahāra.

 

क्षतक्षीणातिस्थूलातिकृशबालवृद्धदुर्बलश्रान्तपिपासितक्षुधितकर्मभाराध्वहतोपवासमैथुनाध्ययनव्यायामचिन्ता- प्रसक्तक्षामगर्भिणीसुकुमारसंवृतकोष्ठदुश्छर्दनोर्ध्वरक्तपित्तप्रसक्तच्छर्दिरूर्ध्ववातास्थापितानुवासितहृद्रोगोदावर्तमूत्राघात- प्लीहगुल्मोदराष्ठीलास्वरोपघाततिमिरशिरशङ्खकर्णाक्षिशूलार्ताः||                  (Cha. Si. 2/8)

 

 

According to ĀcāryaCaraka, Vamana is contraindicated in Kshata, Kshīna, Atisthūla, Kṛśa, Bāla,Vṛddha, Durbala, Śrānta, Pipāsitha, Kṣudhita, Karma, Bhāra, Adhvahata, Upavāsa, Adhyāyana, Vyāyāma, Chintāsaktha, Kshāma, Garbhini, Sukumāra, SamvrutaKoṣṭha (Vāta Predominant Koṣṭha), ŪrdhvakaRakthapitta, PrasakthaChardi, Urdvavāta, Asthāpita, Anuvāsita, Hṛdroga, Udāvarta, Timira, Śiraśūla, Karnaśūla, Akṣiśūla.

 

AYOGYA(CONTRAINDICATION)

REASON(S)FOR AYOGYA

Kṣata

Profusehaemorrhageduetoexcessstrain

Kṣīna, Atisthula, Kṛsha, Bala,Vṛddha,Durbala,Śrānta,Pipāsita,Kśudhita

Pranoparodha (complications) due to inabilityto tolerate oushadhavirya and stain of theprocedure

Karma, Bhāra, Adhvahata, Upavāsa,Adhyayana,Vyayāma,Chintāsaktha,Kṣāma

VātaPrakopa,Haemorrhage/Ulceration

Garbhini

GarbhaVyāpat,GarbhaBramsha

Sukumāra

Hṛdayāpakarṣanam(discomfortinchestregion), haemorrhage through upper andlowerchannels

SaṃvṛtaKoṣṭha(VātaPredominantKoṣṭha)

Excess Doṣā Utkleśaand further leads toVisarpa,Sthambha(Stasis),Jāḍya(Dullness),Vaichitya(Fainting),Maraṇa(EvenDeath).

ŪrdhvakaRakthapitta,PrasaktaChardhi

UdānaVātaVaiguṇya,Haemorrhage

Ūrdvavāta,Asthāpita,Anuvāsita

ŪrdhvagatiOfPrakupitaVāta

Hṛdroga

hṛdayoparodham(cardiacdysfunction)

Udāvarta

Increasesudhavartha

Mūtrāghāta, Plha, Gulma, Aṣtīla, Svaropaghāta

Causes Acute Pain

Timira

Increases TimiraRoga

Śiraśūla, Karnaśūla, Akṣiśūla

Increases Pain