VAMANA

VAMANA PARIBHASHA:

• तत्र दोषहरणमूर्ध्वभागं वमनसञ्ज्ञकम् | (cha/ka/1/4)

• अपक्वं पपत्तश्लेष्माणं बलादू र्ध्व नयेत्तु यत्। वमनं तद्धि पवञेयं मदनस्यफलं तथा || (SHA/PRA/1/84)

INDICATIONS:

• शेषास्तु वम्ााः ; पवशेषतस्तु पीनस कुष्ठ नवज्वर राजयक्ष्म कास श्वास गलग्रह गलगण्ड श्लीपद मेह मन्दापि पवरुि अजीणाव न्न
पवसूपिक अलसक पवष गर पीत दष्ट पदग्ध पवि अधाः शोपणत पपत्त प्रसेक हृल्लास अरोिक अपवपाक अपपि अपस्मारो
उन्माद अपतसार शोफ पाण्डु रोग मुखपाक दु ष्टस्तन्यादयाः श्लेष्मव्याधयो पवशेषेण महारोगाध्यायोक्ताश्च; एतेषु पह वमनं
प्रधानतमम् इत्युक्तं केदारसेतुभेदे शाल्याद्यशोषदोषपवनाशवत्|| (CH.SI.2./10)

CONTRAINDICATIONS:

• अवम्ास्तावत् क्षतक्षीण अपतस्थूल अपतकृश बाल वृि दु बवल श्रान्त पपपापसत क्षुपधत कमव भार अर्ध्हत उपवास मैथुन
अध्ययन व्यायाम पिन्ताप्रसक्त क्षाम गपभवणी सुकुमार संवृतकोष्ठ दु श्छदव न ऊर्ध्वरक्तपपत्त प्रसक्तच्छपदव ऊर्ध्ववात आस्थापपत
अनुवापसत हृद्रोग उदावतव मूत्राघात प्लीह गुल्म उदर अष्ठीला स्वरोपघात पतपमर पशर शङ् ख कणव अपक्षशूलाताव ाः ||
(CH.SI.2/8)

VAMAKA DRAVYA – 6 (CH.K.1-6 Chapter)

• Madanaphala, Jeemutaka, Ikshvaku, Dhamargava, Kutaja, Krutavedhana.

VAMANOPAGA DRAVYA

• मधु मधुक कोपवदार कबुवदार नीप पवदु ल पबम्बी शणपुष्पी सदापुष्पा प्रत्यक्पुष्पा इपत दशेमापन वमनोपगापन भवद्धन्त ||
(C.SU.4/13)

MADANAPHALA:

• Botanical Name: Randia dumetorum

• COLLECTION: Madanaphala should be collected in between Vasanta and Greeshma Ritu in Pushya, Ashvini
or Mrugashira Nakshatra in Maitre muhurtha. Fruits which are Pakwa, (not green but are yellowish), neither
consumed by insects, rotten or bitten by insects, not small in size - should be collected. It should be cleaned
and bundled up in Kusha smeared with cow dung and kept for 8 days in a heap of Yava, Tusha, Masha, Shali,
Kulattha or Mudga.

DR. MADHUSHREE H.S. PROFESSOR, PANCHAKARMA DEPARTMENT, SSCASR BENGALURU

 • Preservation

• When the fruits have become Mridubhoota, Madhugandhi, they should be taken out and dried. When they are
well dried, Phala Pippali should be taken out.

• Seeds should be soaked and macerated with Ghrita, Dadhi, Madhu, Tilapalala and dried again.

• Then they should be filled up to the neck in a new pot which is clean and free from dust, well closed with lid,
and well protected and placed securely in a swing.

• Matra: Antarnakhamushti Pramana.

• TOTAL KALPAS: 133

• KASHAYA YOGA-9 • MATRA YOGA – 8

• PAYA GHRITA -5 • MODAKA YOGA-20

• PHANITA -1 • UTKARIKA YOGA- 20

• CHURNA YOGA – 1 • SHASHKULI YOGA-20

• GHREYA YOGA – 1 • PUPA YOGA-16

• VARTI -6 • SHADAVA YOGA-10

• LEHA YOGA – 20

LAKSHANAS INDICATING DOSHAGATI DURING VAMANA:

पीतवन्तं तु खल्वेनं मुहूतवम् अनुकाङ्क्षेत, तस्य यदा जानीयात् स्वेदप्रादु भाव वेण दोषं प्रपवलयनम् आपद्यमानं, लोमहषेण ि स्थानेभ्याः
प्रिपलतं, कुपक्षसमाध्मापनेन ि कुपक्षम् अनुगतं, हृल्लास आस्यस्रवणाभ्याम् अपप ि ऊर्ध्वमुखीभूतम् | (CH/SU/15/11)

SWEDA PRADURBHAVA DOSHA VILAYANA.

ROMAHARSHA STHANEBHYAH PRACHALITA.
KUKSHI ADHMANA KUKSHIM ANUGATAM.
HRULLASA / ASYASRAVANA URDHWA MUKHI BHUTAM.

DR. MADHUSHREE H.S. PROFESSOR, PANCHAKARMA DEPARTMENT, SSCASR BENGALURU

 SAMYAK YOGA OF VAMANA:
• क्रमात् कफाः पपत्तम् अथ अपनलश्च यस्यैपत सम्ग्वपमताः स इष्टाः ||
हृत् पाश्वव मूधव इद्धियमागवशुिौ तथा लघुत्वेऽपप ि लक्ष्यमाणे| (C.SI.1/15)

ATIYOGA OF VAMANA:

• तृण्मोह मूच्छव अपनलकोप पनद्रा बलापद हापनववमनेऽपत ि स्यात्| (C.SI.1/17)

• अपतयोगे तु फेन ििक रक्तवत्||

वपमतं क्षामता दाहाः कण्ठशोष तमो भ्रमाः |
घोरा वाय्वामया मृत्युजीवशोपणतपनगवमात् || (A.H.18/26)

• AYOGA OF VAMANA:

• दु श्छपदव ते स्फोटक कोठ कण्डू हृत्खापवशुद्धिगुवरुगात्रतां ि|| (C.SI.1/16)

SHUDDHI PRAKARA:

VAMANA AVARA MADHYAMA PRAVARA

SHUDDHI SHUDDHI SHUDDHI

VEIGIKI 4 VEGA 6 VEGA 8 VEGA

MANIKI 1 PRASTHA 1 & ½ PRASTHA 2 PRASTHA

ANTIKI PITTANTA PITTANTA PITTANTA

• Chakrapani: In context of Shodhana, 1 prastha = 13 & ½ palas.

• LAINGIKI- SIGNS OF SYMPTOMS OF SAMYAK VAMANA

NIDANA FOR VAMANA VYAPAT:

• प्रेष्य भैषज्य वैद्यानां वैगुण्यात् आतुरस्य ि|| (C.Si.6/30)

• Improper functioning of Preshya (Paricharaka), Bhaishajya, Vaidya, and Atura.

DR. MADHUSHREE H.S. PROFESSOR, PANCHAKARMA DEPARTMENT, SSCASR BENGALURU
VAMANA VYAPAT:

• आध्मानं पररकपतवश्च स्रावो हृद्गात्रयोग्रवहाः |

जीवादानं सपवभ्रंशाः स्तम्भाः सोपद्रवाः क्लमाः ||२९||
अयोगादपतयोगाच्च दशैता व्यापदो मतााः |(C.Si.6/29)

Parikartika – Kantha kshanana.

Parisrava – Urdhwa shleshma praseka.

VAMANA VIDHI

Definition:

• तत्र दोषहरणमूर्ध्वभागं वमनसञ्ज्ञकम् (cha/ka/1/4)

• अपक्वं पपत्तश्लेष्माणं बलात् ऊर्ध्व नयेत्तु यत्। वमनं तद्धि पवञेयं मदनस्यफलं तथा।। (Sha/pra/1/84)

The process of forceful expulsion of Apakva Pitta and Kapha dosha through Urdhwabhaga is termed as Vamana.

The Vamana procedure is broadly divided into 3 steps –

1) POORVAKARMA – Sambhara Sangraha, Atura Pareeksha, Atura Siddhata.

2) PRADHANAKARMA – Madanaphala Yoga Sevana, Atura Paricharya and Atura Nireekshana, Yoga-Ayoga
Lakshana Nireekshana, Assessment of Shuddhi prakara Vamana Vyapat Nireekshana and Pratikara.
3) PASCHATKARMA – Tatkalina Paschatkarma, Samsarjana Krama, Pariharya Vishayas, Vamanottara Shodhana
siddhata.

POORVAKARMA:

• Sambhara Sangraha –
o The Dravya’s required for Pachana Deepana – Chitrakadi Vati, Hingwashtaka churna, Avipattikara
Churna, Trikatu etc.
o The disease specific Sneha Yogas for Snehapana – Guggulutiktaka Ghrita, Indukanta Ghrita, Varunadi
Ghrita, Kantakari Ghrita, Moorchita Tila Taila etc.
o For Abhyanga Ksheerabala Taila, Ashwagandhabala Lakshadi Taila, Narayana Taila etc.
o For Swedana - Bashpa Swedana and Nadi Swedana Yantra.
o Vamana Dravyas like Madanaphala, Jeemutaka, Vacha etc and Vamanopaga Dravyas like
Yashtimadhu, Nimba etc.

DR. MADHUSHREE H.S. PROFESSOR, PANCHAKARMA DEPARTMENT, SSCASR BENGALURU

 o Medicines required to treat Vamana Vyapat like Sutashekara Rasa, Kamaduga with Mukta,
Dashamoolarishta etc.
o Vamana Ghriha with all the equipment’s like Janu Sama Vamana Peeta, Wash Basin, Eranda or Kamala
Naala, Paricharakas for Samvahana, Lalata Pratigraha, Parshwopagraha and Patrapratigraha for
smooth conduction of procedure.
o Facility to prepare Pathya Ahara from the time of Deepanapachana till Samsarjanakrama.

• Atura pareeksha-
VAMYA
o The persons afflicted with Kaphaja Rogas, Kapha - Pitta Samsrishta diseases, Pitta and Vata situated
in Kaphasthana are selected for Vamana.
o Kapha Pradhana Roga – Kasa, Shwasa, Ajeerna, Agnimandya, Aruchi, Pinasa etc.
o Bahudosha Lakashana Yukta diseases like – Kushta, Visarpa, Prameha, Sthoulya, Pandu etc.
o In Adhoga Raktapitta as Pratimargaharana Chikitsa.
o In Ashukari Roga’s like Visha, Gara, Viruddha and Ajeerna Vamana is utilized as emergency
management.
AVAMYA
o In Vyadhi’s having Ashukaritva like Hridroga, Udavarta.
o In conditions like Urdhwa Vata, Urdhwaga Raktapitta, Chardhi where Dosha Gati is similar to
Vamana Gati.
o The people who are Durbala and Sukumara like Bala, Vriddha, Garbhini etc
DOSHA AVASTHA
o Vamana should be performed only in Bahudosha and Nirama Avastha.

The patient should be examined regularly from the time of Deepana Pachana till Vamana using examination tools like
Astha Sthana and Dashavidha Pariksha, to ensure that the patient is not presenting any Shareerika or Manasika Roga
where Vamana is contra indicated.

• Atura siddhata – This mainly includes,

o Pachana Deepana – to make the person attain Niramavastha, Agnideepti and Koshta Laghuta.
o Snehapana – By assessing the condition, disease specific Sneha should be administered in Arohana
Krama for 3-7 days with due consideration to Agni Bala and Koshtha, till the appearance of Samyak
Snigdha Lakshana.
o Vishramakaala – After the appearance of Samyak Snigdha Lakshana 1 day gap period is given,
* Where Sarvanga Abhyanga followed by Swedana and Kaphotkleshakara Ahara like Gramya,
Anupa, Aoudaka Mamsarasa, Ksheera, Dadhi, Masha and Tila etc. is given. Currently in practice

DR. MADHUSHREE H.S. PROFESSOR, PANCHAKARMA DEPARTMENT, SSCASR BENGALURU

 food articles like Sweet Pongal, Dahi vada, Curd rice, Gulab Jamun, milk and milk sweets are
advised.

PRADHANA KARMA:

• The Vamana Ghriha should be Nivata, Pravata Eka Desha, Sukha Pravichara and free from Dhooma and Raja.
Examination of vitals – Blood Pressure, Pulse rate, Respiratory rate should be noted before starting the
procedure and the vitals should be monitored during the Vamana procedure.
• MADANAPHALA YOGA SEVANA -
o If the person is Vriddha, Bala, Abala or Sukumara Alpa Sarpiyukta Peya/Yavagu or Ghrita should be
administered, then Akanthapana with Ksheera, Ikshurasa, yusha or Takra should be done.
o Then Aoushadha Yoga Madanaphala should be administerd after chanting the mantra (OM
BHAISHAJYE BHAISHAJYE MAHA BHAISHAJYE SAMUDHATE SWAHA) in Alpa, Madhyama
and Pravara Matra to Mridu (Kaphapradhanya Koshta), Madhyama and Kroora (Vatapradhanya
Koshta) Koshta respectively.
o Acharya Sharangadhara specifies Vamanoushadhi Kashaya Matra as Kaniyasi Matra – 3 prastha,
Madhyama Matra – 6 Prastha, Jyeshta Matra – 9 Prastha.
o The standard dose of Madanaphala Pippali is Antarnakhamushti Pramana. In clinical practice it is
given in the dose of Madanaphala : Vacha : Saindhava – 4gm : 2gm : 1gm with sufficient quantity of
honey.
• ATURA PARICHARYA AND NIREEKSHANA –
o After administering Vamanoushadhi 1 Muhurta Nireekshana should be done, where the Vamana Vega
manifests by itself. During this Nireekshana Kala we should observe for Lakshanas like -
SWEDA PRADURBHAVA DOSHA VILAYANA.
ROMAHARSHA STHANEBHYAH PRACHALITA.
KUKSHI ADHMANA KUKSHIM ANUGATAM.
HRULLASA / ASYASRAVANA URDHWA MUKHI BHUTAM.

o Generally, Vamana Vega manifests within 15 -20 min in patients. After noticing Hrullasa the patient
should be instructed to bend forward, to keep the mouth open and to anticipate in mind the act of
vomiting. During the process of vomiting the Paricharaka’s should support the patient by doing
Parshwopagraha, Lalata Pratigraha, Pratilomagati Prishtonmardana, and Nabhiprapeedana.
o After the initiation of Vega the Vamanopaga Dravyas like Yashtimadhu Phanta, Saindhava Lavana
should be administered continuously to facilitate easy conduction of Vamana process till Pittadarshana
or proper Kapha Chedana is appreciated.

DR. MADHUSHREE H.S. PROFESSOR, PANCHAKARMA DEPARTMENT, SSCASR BENGALURU

 o In the absence of Vega, manual induction of Vamana should be done using fingers, Kamala or Eranda
Nala.
o If Heena Vega are observed then Vamana should be conducted by repeated administration of
Kana(Pippali) +Dhatri + Siddhartha (Sarshapa) Lavanadoka.

• YOGA AYOGYA NIREEKSHANA:

Samyak Yoga of Vamana:
• क्रमात् कफाः पपत्तम् अथ अपनलश्च यस्यैपत सम्ग्वपमताः स इष्टाः ||
हृत् पाश्वव मूधव इद्धियमागवशुिौ तथा लघुत्वेऽपप ि लक्ष्यमाणे| (C.SI.1/15)

तृण्मोह मूच्छव अपनलकोप पनद्रा बलापद हापनववमनेऽपत ि स्यात्| (C.SI.1/17)

• अपतयोगे तु फेन ििक रक्तवत्||

वपमतं क्षामता दाहाः कण्ठशोष तमो भ्रमाः |
घोरा वाय्वामया मृत्युजीवशोपणतपनगवमात् || (A.H.18/26)

• Ayoga of Vamana:

• दु श्छपदव ते स्फोटक कोठ कण्डू हृत्खापवशुद्धिगुवरुगात्रतां ि|| (C.SI.1/16)

• OBSERVATION OF SHUDDHI LAKSHANA;

VAMANA AVARA SHUDDHI MADHYAMA PRAVARA

SHUDDHI SHUDDHI
VEIGIKI 4 VEGA 6 VEGA 8 VEGA

MANIKI 1 PRASTHA 1 & ½ PRASTHA 2 PRASTHA

ANTIKI PITTANTA PITTANTA PITTANTA

• VAMANA VYAPAT NIREEKSHANA AND PRATIKARA:

Vamana Vyapats according to Charaka – 10 in number

o प्रेष्य भैषज्य वैद्यानां वैगुण्यादातुरस्य ि|| (C.Si.6/30)

o Improper functioning of Preshya (Paricharaka), Bhaishajya, Vaidya, and Atura.
o The Vamana Vyapat are as follows,

DR. MADHUSHREE H.S. PROFESSOR, PANCHAKARMA DEPARTMENT, SSCASR BENGALURU

 o आध्मानं पररकपतवश्च स्रावो हृद्गात्रयोग्रवहाः |
जीवादानं सपवभ्रंशाः स्तम्भाः सोपद्रवाः क्लमाः ||
अयोगादपतयोगाच्च दशैता व्यापदो मतााः |(C.Si.6/29)

In the context of Vamana Vyapat, Parikartika should be considered as Kantha Kshanana and Parisrava
as Urdhwa Shleshma Praseka.

o All the 10 vyapats are resulted either due to Ayoga or Atiyoga.

o AYOGA –
Nidana - due to improper Snehana – Swedana or the medicine which is Manda, Purana and Alpabala is
administered or the patient is having Ama.
Management – repeated administration of Vamanopaga Dravyas and conduction of Vamana by
mechanical stimulation. For Aoushadha Pachanartha and Agni Deepana medications like Shivakshara
Pachana, Shunti or Trikatu Churna and Shamanoushadhi like Sootashekharavati, Shankhavati or
Dashamoolarishta should be administered.
o ATIYOGA –
Nidana - due to administration of Tikshna Aoushadhi in Atisnigdha Swinna and Mridu Koshta person.
Management – medications like Sootashekhara Vati, Mayurapiccha Bhasma, Kamadudha with Mukta
should be given.
• PASCHAT KARMA:
o Tatkalina Paschatkarma – the patient should be consoled (Ashwasana), advised to wash face, hands
and feet with hot water, Dhoomapana is given followed by Kavalgraha with Saindhava Jala.
o Samsarjanakrama – Samsarjana Krama is advised for 3,5,7 days in Avara, Madhyama and Pravara
Shuddhi. Peyadi Samsarjana including Peya, Vilepi, Akruta/Kruta Yusha, Akruta/Kruta Mamsarasa
each for 1,2,3 Annakala in Avara, Madhyama and Pravara Shuddhi respectively.
o If the proper Shodhana is not occurred and if the patient presents with Lakshana like Mandavanhi,
Akshama, Doshadurbala then Langhana is advised or Tarpanadi Krama is advised.
o Pariharya Vishayas – patient should avoid Uchairbhashya, Atyasana, Atichankramana, Krodha,
Shoka, Hima, Atapa, Yana, Gramyadharma, Divaswapna, Ratrijagarana, Viruddha Ahara, Ajirna-
Asatmya-Heena-Guru-Vishama Bhojana, Vega Sandharana and Udirana.
o VAMANOTTARA SHODHANA – If the person is planned to undergo Virechana or Basti then the
further treatment like Snehapana for Virechana or Anuvasna Basti should be started on 9 th day of
Vamana Karma.

DR. MADHUSHREE H.S. PROFESSOR, PANCHAKARMA DEPARTMENT, SSCASR BENGALURU