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Thus, ends the second chapter on successful management of [[Panchakarma]] in the treatise composed by Agnivesha, redacted by Charaka and because of its non-availability, supplemented by Dridhabala. [2]
 
Thus, ends the second chapter on successful management of [[Panchakarma]] in the treatise composed by Agnivesha, redacted by Charaka and because of its non-availability, supplemented by Dridhabala. [2]
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=== Tattva Vimarsha ===
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=== ''Tattva Vimarsha'' ===
 
   
 
   
All the panchakarma procedures like vamana (therapeutic emesis), virechana( therapeutic purgation), asthapana (medicated enema with decoction), anuvasana ( medicated enema with oil), shirovirechana (purification of head and supraclavicular region) shall be performed after through examination of patients about indications and contra-indications.  
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*All the [[Panchakarma]] procedures like ''vamana'' (therapeutic emesis), ''virechana''( therapeutic purgation), ''asthapana'' (medicated enema with decoction), ''anuvasana'' ( medicated enema with oil), ''shirovirechana'' (purification of head and supraclavicular region) shall be performed after through examination of patients about indications and contra-indications.  
If these procedures are performed in the contra-indicated state, it leads to iatrogenic diseases.  
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*If these procedures are performed in the contra-indicated state, it leads to iatrogenic diseases.  
Vamana (therapeutic emesis) is mainly indicated in kapha dominant diseases.  
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*''Vamana'' (therapeutic emesis) is mainly indicated in ''kapha'' dominant diseases.  
Virechana( therapeutic purgation) is mainly indicated in pitta dominant diseases.
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*''Virechana''( therapeutic purgation) is mainly indicated in ''pitta'' dominant diseases.
Asthapana (medicated enema with decoction) is mainly indicated in vata dominant diseases in wihich purification is the objective of treatment.
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*''Asthapana'' (medicated enema with decoction) is mainly indicated in ''vata'' dominant diseases in which purification is the objective of treatment.
Anuvasana (medicated enema with oil) is mainly indicated in vata dominant diseases in which nourishment and sustaining growth of tissues is the objective of treatment.
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*''Anuvasana'' (medicated enema with oil) is mainly indicated in ''vata'' dominant diseases in which nourishment and sustaining growth of tissues is the objective of treatment.
Shirovirechana (purification of head and supraclavicular region) is mainly indicated in dosha dominant diseases of all organs present in supraclavicular region including brain.
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*''Shirovirechana'' (purification of head and supraclavicular region) is mainly indicated in ''dosha'' dominant diseases of all organs present in supraclavicular region including brain.
    
=== Vidhi Vimarsha ===
 
=== Vidhi Vimarsha ===