UG Module 4 - Lesson 6
VAMANA KARMA
EXPLANATORY NOTES
योगः सम्यक्प्रवृत्तिः स्यादतियोगोऽतिवर्तनम्|
अयोगः प्रातिलोम्येन न चाल्पं वा प्रवर्तनम्|| (Cha. Si. 6/31)
Samyak Yoga indicates optimum action of elimination therapy, Atiyoga indicates excess elimination, Ayoga indicates insufficient or no elimination.
SAMYAK YOGA LAKṢAṆA
- क्रमात् कफः पित्तमथानिलश्च यस्यैति सम्यग्वमितः स इष्टः||हृत्पार्श्वमूर्धेन्द्रियमार्गशुद्धौ तथा लघुत्वेऽपि च लक्ष्यमाणे| (Cha. Si. 1/15)
- निर्विबन्धं प्रवर्तन्ते कफपित्तानिलाः क्रमात्|
(मनःप्रसादः स्वास्थ्यं चावस्थानं च स्वयं भवेत्|
वैपरीत्यमयोगानां न चातिमहति व्यथा||१|| )
सम्यग्योगे————————————-| (A. H. Su. 18/25)
AYOGA LAKṢAṆA
- दुश्छर्दिते स्फोटककोठकण्डूहृत्खाविशुद्धिर्गुरुगात्रतां च|| (Cha. Si. 1/16)
- ……………………..तत्र वेगानामप्रवर्तनम्|
प्रवृत्तिः सविबन्धा वा केवलस्यौषधस्य वा|
अयोगस्तेन निष्ठीवकण्डूकोठज्वरादयः|| (A. H. Su. 18/24)
ATIYOGA LAKṢAṆA
- तृण्मोहमूर्च्छानिलकोपनिद्राबलादिहानिर्वमनेऽति च स्यात्| (Cha. Si. 1/17)
- —————अतियोगे तु फेनचन्द्रकरक्तवत्||
वमितं क्षामता दाहः कण्ठशोषस्तमो भ्रमः|
घोरा वाय्वामया मृत्युर्जीवशोणितनिर्गमात्|| (A. H. Su. 18/25-26)
Samyak Yoga Lakṣaṇas | Ayoga Lakṣaṇa | Atiyoga Lakṣaṇa |
Kāle Pravritti (timely initiation of vegas) | Vega Apravritti (No initiation of Vega) | Phenila Vamana (frothy vomiting) |
Doṣa Nirharana Kramāt (Elimination of Kapha doṣa followed by pitta and Vāta in order) | Kevala Auṣadha Pravritti (elimination of medicine only ) | Rakta Chandrikāyukta (blood mixed vomiting) |
Svayam ca avasthānam | Vega Vibandha (interrupted bout) | Triṣa (Thirstiness) |
Hṛdaya Śuddhi (Clarity of Heart) | Hṛdaya Aśuddhi (impurity of heart) | Moha (Delusion) |
Parśva Śuddhi (Clarity of lateral sides of Thorax) | Sroto Aśuddhi (impurity of channels) | Mūrchā (Fainting) |
Mūrdha Śuddhi(Clarity of Head) | Gaurava (heaviness) | Vāta Prakopa (Vāta Aggravation) |
Sroto Śuddhi( Clarity of Channels) | Sphoṭa (eruptions) | Nidrahāni (Loss of sleep) |
Indriya Śuddhi (Clarity of sense organs) | Kaṇḍu (itching) | Balahāni (loss of strength) |
Laghuta (lightness) | Kapha Praseka (excessive salivation) | Hṛtpīḍā (Pain in heart) |
Kārṣya (thinness) | Jvara (fever) | Kaṇṭha Pīḍā (Pain in throat) |
Daurbalya (weakness) | Kotha (rashes) | Tama Praveśa (darkness before eye) |
Kaṇṭha Śuddhi(clarity of throat) | Bhrama (Vertigo) | |
Kapha Samsrāva Sthiti (Secretion of Kapha) | Pittātiyoga (Excessive pitta elimination) | |
Anati Mahati Vyatha (less discomfort) | Dāha (Burning Sensation) | |
Āśaya Śuddhi (clarity of organs) | Udhgāradhikya (Excessive belching) | |
Hikkā (Hiccough) | ||
Hanusthambha (Stiff jaw) | ||
Mṛtyu (Death) |
Dhūmapāna (Inhalation of medicated smoke)
योगेन तु खल्वेनं छर्दितवन्तमभिसमीक्ष्य सुप्रक्षालितपाणिपादास्यं मुहूर्तमाश्वास्य, स्नैहिकवैरेचनिकोपशमनीयानां धूमानामन्यतमं सामर्थ्यतः पाययित्वा, पुनरेवोदकमुपस्पर्शयेत्||उपस्पृष्टोदकं चैनं निवातमागारमनुप्रवेश्य संवेश्य चानुशिष्यात् (Cha. Su. 15/14)
According to Ācārya Caraka after Samyak Vamana patient is advised to wash mouth, hands, feet and then rest for 1 Muhūrta. Afterwards patient is advised to Dhūmapāna (inhale the smoke) ie according to the condition physician can administer Snaihika, Vairecanika or Upaśamanīya Dhūmapāna.
वमनानन्तरं स्रोतोविलग्नकफहरणार्थं धूमपानमत्रोक्तम्| वातप्रकृतौ स्नैहिकं, कफपित्तप्रकृतावुत्क्लिष्टदोषे च वैरेचनिकं, समदोषप्रकृतावुपशमनीयं प्रायोगिकं स्वस्थवृत्तिकमित्यर्थः | (Su. Chi. 33/11, Dalhana Commentary)
Prakṛti | Dhūmapāna |
Vāta | Snaihika |
Kapha Pitta and Utkliṣṭa Doṣa | Vairecanika |
Sama Doṣa Prakṛti | Upaśamanīya |
Svastha | Prāyogika |
जघन्यमध्यप्रवरे तु वेगाश्चत्वार इष्टा वमने षडष्टौ||
दशैव ते द्वित्रिगुणा विरेके प्रस्थस्तथा द्वित्रिचतुर्गुणश्च|
पित्तान्तमिष्टं वमनं विरेकादर्धं कफान्तं च विरेकमाहुः||
द्वित्रान् सविट्कानपनीय वेगान्मेयं विरेके वमने तु पीतम्| (Cha. Si. 1/13-14)
The desirable number of Vega (bouts) in Vamana Karma are 8, 6 and 4 in Pravara Śuddhi, Madhyama Śuddhi and Avara Śuddhi respectively, and they are 30, 20 and 10 in case of Virecana.
In terms of quantity, it is 2 Prastha, 1 ½ Prastha and 1 Prastha in case of Vamana and 4 Prastha, 3 Prastha and 2 Prastha in Virecana.
Vamana should be conducted till the appearance of pitta as well as getting proper signs and symptoms of emesis. Similarly Virecana should be conducted till the appearance of Kapha as well as getting proper signs and symptoms of purgation.
While counting the number of bouts in case of Virecana, one has to start counting by leaving the first 2-3 bouts. In case of Vamana, the counting of bouts should be started after the expulsion of the emetic drug.
IMPORTANT SLOKA
क्रमात् कफः पित्तमथानिलश्च यस्यैति सम्यग्वमितः स इष्टः||
हृत्पार्श्वमूर्धेन्द्रियमार्गशुद्धौ तथा लघुत्वेऽपि च लक्ष्यमाणे| (Ch.Si.1/15)
In case of a person, expulsion of Kapha, Pitta and Vāta in the succeeding order, who experiences clarity in chest, flanks, head, sense organs and lightness in the body is considered to have undergone proper emesis
निर्विबन्धं प्रवर्तन्ते कफपित्तानिलाः क्रमात्।
(मनःप्रसादः स्वास्थ्यं चावस्थानं च स्वयं भवेत्।
वैपरीत्यमयोगानां न चातिमहति व्यथा॥) (AH.Su.18/25)
According to Ācārya Vāgbhaṭa, Samyak Lakṣaṇas of Vamana are expulsion of Kapha, Pitta and Vāta in the succeeding order at the proper time, clarity of mind, bouts starts and stops without inducing, feeling of relief from the symptoms and body becomes light, absence of the symptoms like Niṣṭhīva etc (opposite of Ayoga Lakṣaṇas)
दुश्छर्दिते स्फोटककोठकण्डूहृत्खाविशुद्धिर्गुरुगात्रतां च|| (Ch.Si.1/16)
If inappropriate emesis is administered then it gives rise to Sphoṭaka (Vescicular eruptions), Kotha (urticaria), Kaṇḍu (itching), discomfort in epigastrium as well as in sense organs and heaviness of the body.
——————तत्र वेगानामप्रवर्तनम्|
प्रवृत्तिः सविबन्धा वा केवलस्यौषधस्य वा|
अयोगस्तेन निष्ठीवकण्डूकोठज्वरादयः|| (AH.Su.18/24)
Absence of vomiting, expulsion of only the medicine, obstruction to each bout indicates insufficient emesis (Ayoga). Insufficient emesis results in Niṣṭhīva (excessive spitting), Kaṇḍu (itching), Kotha (rash on the skin) and Jvara (fever) etc.
तृण्मोहमूर्च्छानिलकोपनिद्राबलादिहानिर्वमनेऽति च स्यात्| (Ch.Si.1/17)
If excess emesis is administered then it gives rise to thirst, unconsciousness, fainting, aggravation of Vāta, insomnia, debility
—————अतियोगे तु फेनचन्द्रकरक्तवत्||
वमितं क्षामता दाहः कण्ठशोषस्तमो भ्रमः|
घोरा वाय्वामया मृत्युर्जीवशोणितनिर्गमात्|| (AH.Su.18/25-26)
Vamana Atiyoga Lakṣaṇas are vomiting of frothy blood with glistering particles, weakness, burning sensation, dryness in the throat, feeling of darkness, giddiness, severe disorders of Vāta and haemorrhage which may leads to death also.
योगेन तु खल्वेनं छर्दितवन्तमभिसमीक्ष्य सुप्रक्षालितपाणिपादास्यं मुहूर्तमाश्वास्य, स्नैहिकवैरेचनिकोपशमनीयानां धूमानामन्यतमं सामर्थ्यतः पाययित्वा, पुनरेवोदकमुपस्पर्शयेत्||उपस्पृष्टोदकं चैनं निवातमागारमनुप्रवेश्य संवेश्य चानुशिष्यात् || (Ch.Su.15/14)
According to Ācārya Caraka after Samyak Vamana patient is advised to wash mouth, hands, feet and then rest for 1 Muhūrta. Afterwards patient is advised to Dhūmapāna (inhale the smoke) ie according to the condition physician can administer Snaihika, Vairecanika or Upaśamanīya Dhūmapāna.
जघन्यमध्यप्रवरे तु वेगाश्चत्वार इष्टा वमने षडष्टौ||
दशैव ते द्वित्रिगुणा विरेके प्रस्थस्तथा द्वित्रिचतुर्गुणश्च|
पित्तान्तमिष्टं वमनं विरेकादर्धं कफान्तं च विरेकमाहुः||
द्वित्रान् सविट्कानपनीय वेगान्मेयं विरेके वमने तु पीतम्| (Ch.Si.1/13-14)
The desirable number of Vega (bouts) in Vamana Karma are 8, 6 and 4 in Pravara Śuddhi, Madhyama Śuddhi and Avara Śuddhi respectively, and they are 30, 20 and 10 in case of Virecana.
In terms of quantity, it is 2 Prastha, 1 ½ Prastha and 1 Prastha in case of Vamana and 4 Prastha, 3 Prastha and 2 Prastha in Virecana.
Vamana should be conducted till the appearance of pitta as well as getting proper signs and symptoms of emesis. Similarly Virecana should be conducted till the appearance of Kapha as well as getting proper signs and symptoms of purgation.
While counting the number of bouts in case of Virecana, one has to start counting by leaving the first 2-3 bouts. In case of Vamana the counting of bouts should be started after the expulsion of the emetic drug.
