Changes

=== ''Tattva Vimarsha'' ===

=== ''Tattva Vimarsha'' ===

• Chhardi (vomiting) can be either caused by vitiation of endogenous dosha or by exogenous factors like in dvistartha-yogaja-chhardi (that results from contact with unpleasant sense objects).

*''Chhardi'' (vomiting) can be either caused by vitiation of endogenous ''dosha'' or by exogenous factors like in ''dvistartha-yogaja-chhardi'' (that results from contact with unpleasant sense objects).

• The dosha vitiation due to their own specific causative factors lead to irritation of stomach, spread through rasayani (channels carrying rasa) resulting in chhardi. Different types of chhardi shall be diagnosed based on the specific etio-pathogenesis and clinical presentation.  

*The ''dosha'' vitiation due to their own specific causative factors lead to irritation of stomach, spread through ''rasayani'' (channels carrying rasa) resulting in ''chhardi''. Different types of ''chhardi'' shall be diagnosed based on the specific etio-pathogenesis and clinical presentation.  

• Mind and sense objects play significant role in pathogenesis of chhardi due to exposure to unwholesome objects.   

*Mind and sense objects play significant role in pathogenesis of ''chhardi'' due to exposure to unwholesome objects.   

• The prognosis of chhardi depends upon strength of patient, bouts, presence of associated disorders and complications, contents of vomitus.  

*The prognosis of ''chhardi'' depends upon strength of patient, bouts, presence of associated disorders and complications, contents of vomitus.  

• All the types of vomiting are considered originating from the agitations of the doshas in the stomach. Therefore, fasting therapy is first principle of treatment. Purification therapies of kapha and pitta are administered to expel out vitiated doshas. These therapies are contra-indicated in cases of vāta dominance. The choice of therapy depends upon strength of patient and type of vitiated dosha.  

*All the types of vomiting are considered originating from the agitations of the ''doshas'' in the stomach. Therefore, fasting therapy is first principle of treatment. Purification therapies of ''kapha'' and ''pitta'' are administered to expel out vitiated ''doshas''. These therapies are contraindicated in cases of ''vata'' dominance. The choice of therapy depends upon strength of patient and type of vitiated ''dosha''.  

• The drugs having nutritive properties, carminative, dosha pacifying actions are prescribed in the treatment of chhardi.  

*The drugs having nutritive properties, carminative, dosha pacifying actions are prescribed in the treatment of ''chhardi''.  

• Sublingual, pleasant tasting linctus, mild purgative to open the channel to lower G I tract.

*Sublingual, pleasant tasting linctus, mild purgative to open the channel to lower G I tract.

• During initial stage of chhardi, because of irritated stomach, anti-emetic treatment is not advised. Soothing, taste enhancing and nutritive liquid substances should be given. Mind diverting and entertaining activities are also advised.

*During initial stage of ''chhardi'', because of irritated stomach, anti-emetic treatment is not advised. Soothing, taste enhancing and nutritive liquid substances should be given. Mind diverting and entertaining activities are also advised.

 

*The treatment of complications arising from vomiting should be done according to the lines suggested in respect of each of those ailments.

• The treatment of complications arising from vomiting should be done according to the lines suggested in respect of each of those ailments.

*In persistent vomiting vāta invariably gets aggravated because of loss of tissue elements. Therefore, in case of chronic vomiting medications that are bulk promoting, ''vata'' pacifying, ''upastambhana'' (astringents) and ''brimhana'' (nutritive) should be administered.

• In persistent vomiting vāta invariably gets aggravated because of loss of tissue elements. Therefore, in case of chronic vomiting medications that are bulk promoting, vāta pacifying, upastambhana (astringents) and brimhana (nutritive) should be administered.

=== Vidhi Vimarsha ===

=== Vidhi Vimarsha ===