तद्यथा – दृढं निवातं प्रवातैकदेशं सुखप्रविचारमनुपत्यकं धूमातपजलरजसामनभिगमनीयमनिष्ठानां च शब्दस्पर्शरसरूपगन्धानां सोदपानोदूखलमुसलवर्चःस्थानस्नानभूमिमहानसं वास्तुविद्याकुशलः प्रशस्तं गृहमेव तावत् पूर्वमुपकल्पयेत्|| (Cha. Su. 15/6)

The Vamana building should be well built with good ventilation, comfortable moving space and at a distance from big buildings. It should be devoid of smoke, excess wind, sunlight, moisture, dust, undesirable noise, contacts, taste, sight and smell. The building should be equipped with a water reservoir or water  pot, mortar – pestle, latrine, bathroom and kitchen.

Sambhāra Sangraha

Ātura Parīkṣā

• Carefully examine the patient and asses the condition whether the patient is Yogya or Ayogya for Vamana.

• Ekādaśa, Daśavidha and Aṣṭavidha Parīkṣā should done prior to the procedure

• GIT , RS, CVS & CNS examinations should done.

• Pulse, Blood Pressure, temperature and respiratory rate should be monitored before, during and after the procedure.

• To rule out the suspected cardiac disease involvement, then pathological, biochemical and ECG investigations can be used.

Mātrā Nirṇaya

Ātura Siddhata

Dīpana Pācana

अजीर्णे वर्धते ग्लानिर्विबन्धश्चापि जायते|

पीतं संशोधनं चैव विपरीतं प्रवर्तते|| (Cha. Si 6/14)

If administering Samśodhana Auṣadhīs in the conditions of ajīrṇa it will leads to Vibandha and glāni. Proper śodhana can’t achieve in the presence of āma.

सर्वदेहप्रविसृतान् सामान् दोषान् न निर्हरेत्|

लीनान् धातुष्वनुत्क्लिष्टान् फलादामाद्रसानिव||

आश्रयस्य हि नाशाय ते स्युर्दुर्निर्हरत्वतः| (A. H. SU. 13/28)

Doṣas should not be eliminated forcefully in conditions like Doṣas are mixed with Āma, and are circulating all over the body and may be accumulated in the tissues and also not in the state of Utkliṣṭa Avasthā. such an attempt is similar to taking the juice from an unripe fruit, which cause harm to the body.

Ācārya Vāgbhaṭa opined that by Śodhana Auṣadhī, if removing Doṣas in the presence of Āma it will destroy the body. Therefore prior to the Snehapāna / Śodhana, Pācana – Dīpana should be carried out. Mainly Yogas like Trikaṭu Cūrṇa, Śuṇṭhī Cūrṇa, Citrakādi Vati, Agnitundi Vati are using.

DIET DURING SNEHAPANA

भोज्योऽन्नं मात्रया पास्यन् श्वः पिबन् पीतवानपि|

द्रवोष्णमनभिष्यन्दि नातिस्निग्धमसङ्करम्|| (A. H. Su. 16/25)

Take proper quantity of food which is simple, hot and liquid in nature, containing only little fat  and not obstructing the channels.

Vamana Pūrvā Bhojana vyavastha

श्वश्छर्दयितव्यमिति ग्राम्यानूपौदकमांसरस–क्षीर–दधि–माष–तिल–शाकादिभिः समुत्क्लेशितश्लेष्माणं …|| (Cha. Ka. 1/9)

The meat of the animals of Grāmya, Anūpa, and Audaka origin, the diets prepared out of milk and its by products; Tila, black gram, curds, milk , jaggery, fishes, Māmsarasa can be given to the patient. These above mentioned Utkleśakara Āhāra helps Doṣas which are provoked due to proper Snehana and Svedana to move towards Koṣṭha due to their similar nature with these diet. This diet also has the property to excite Kaphādi Doṣa and to minimize the pain and discomfort during Vamana.

Snehana and Svedana

स्निग्धात् पात्राद्यथा तोयमयत्नेन प्रणुद्यते|

कफादयः प्रणुद्यन्ते स्निग्धाद्देहात्तथौषधैः|| (Cha. Si. 6/11)

Ācārya Caraka says that by proper Snehana and Svedana prior to the Śodhana helps the vitiated Kapha Doṣas to easily reaches the koṣṭha, like how water moves easily through the vessel coated with layer of Sneha Dravya.

Ācārya Cakrapāni opined that the Snehana Guna helps to increase “Drava Guna” to transfer the vitiated Doṣas.

स्नेहस्वेदावनभ्यस्य यस्तु संशोधनं पिबेत् |

दारु शुष्कमिवानामे देहस्तस्य विशीर्यते || (Su. Chi. 33/46)

Similar to Ācārya Vāgbhaṭa opinion Ācārya Suśruta also says that, without proper Pūrvākarmas like Snehana and Svedana the Samśodhana Auṣadhī and the hazardous afflictions produced by the procedure can destroy the body easily like the dried wood.

मलो हि देहादुत्क्लेश्य ह्रियते वाससो यथा||

स्नेहस्वेदैस्तथोत्क्लिष्टः शोध्यते शोधनैर्मलः| (A. H. Su. 18/58)

Ācārya Vāgbhaṭa says that during Śodhana the Doṣas are removed from the body by Snehana and Svedana in the same way as dirt in the cloth is removed with the help of soap and hot water.

Ø Mānasa Upacāra

• Counselling before Vamana
• It helps to clarify the misleads regarding the procedure Vamana, by that physician can carry out the procedure of Vamana smoothly.
• Before Vamana instructions regarding the procedures like Dīpana Pācana, Snehana Svedana should be clearly given to the patient.
• Patient should be educated with the benefits of Vamana procedure.

Viśiṣṭa Pūrvākarma

मांसला मेदुरा भूरिश्लेष्माणो विषमाग्नयः||

स्नेहोचिताश्च ये स्नेह्यास्तान् पूर्वं रूक्षयेत्ततः|

संस्नेह्य शोधयेदेवं स्नेहव्यापन्न जायते|| (A. H. Su. 16/36)

In persons having Māmsala Medura, Bahu Kapha, Vishamāgni and Sneha Sātmya  before Ābhyantara Snehapāna, Rūkṣana is done to prevent Sneha Vyāpat.