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→Indications of vamana
The above mentioned contra-indications are as per general rule but in specific conditions exceptions are also found such as generally ''vamana'' is contra-indicated in ''gulma roga'' but when ''kapha'' is increased and causing diminution of digestive fire, anorexia, nausea etc. in ''vatika gulma'', ''vamana'' is indicated exceptionally. [5] Similarly ''vamana'' is advised in vomiting and heart disease according to condition [6] which is the exception of the general instruction. In all the above mentioned states of contra-indications, ''vamana'' is not contra-indicated in the conditions of poisons, artificial poisons, incompatible food, intake of food during indigestion and ''ama'' (ailment caused by the product of improper digestion and metabolism) because these conditions are of emergent nature. [7]
The above mentioned contra-indications are as per general rule but in specific conditions exceptions are also found such as generally ''vamana'' is contra-indicated in ''gulma roga'' but when ''kapha'' is increased and causing diminution of digestive fire, anorexia, nausea etc. in ''vatika gulma'', ''vamana'' is indicated exceptionally. [5] Similarly ''vamana'' is advised in vomiting and heart disease according to condition [6] which is the exception of the general instruction. In all the above mentioned states of contra-indications, ''vamana'' is not contra-indicated in the conditions of poisons, artificial poisons, incompatible food, intake of food during indigestion and ''ama'' (ailment caused by the product of improper digestion and metabolism) because these conditions are of emergent nature. [7]
==== Indications of vamana ====
==== Indications of ''vamana'' ====
Vamana-karma is mainly indicated in the diseases caused by kapha dossha reason being it is considered the best therapy among all causing elimination of kapha dosha.[8] Ācārya Vāgbhaṭa says that vamana is indicated in the kapha dosha as well as in the combination of dosha where kapha is dominant. In the commentary of the view of Vāgbhaṭa, Aruṇadatta in his Sarvāngasundarā commentary says that here combination of dosha should be understood as kapha-pitta association.[9]
''Vamana karma'' is mainly indicated in the diseases caused by ''kapha dosha'' reason being it is considered the best therapy among all causing elimination of ''kapha dosha''.[8] Vagbhaṭa says that ''vamana'' is indicated in the ''kapha dosha'' as well as in the combination of ''dosha'' where ''kapha'' is dominant. In the commentary of the view of Vagbhata, Arunadatta in his Sarvangasundara commentary says that here combination of ''dosha'' should be understood as ''kapha-pitta'' association.[9]
As per the view of Āchārya Charaka, one predominant in kapha vomits easily. [10] This should be accepted as an ideal condition for vamana-karma. Therefore, either it is the diseased or healthy condition, predominance of kapha should be observed or produced (by the application of snehana and swedana), then one should administer vamana-karma. In the context of jwara-chikitsā, achārya Charaka has given the specific view for the application of vamana which can be accepted in all the cases if kapha dosha is dominant with tendency to come out and situated in amāśaya (stomach). [11]
As per the view of Charaka, one predominant in ''kapha'' vomits easily. [10] This should be accepted as an ideal condition for ''vamana karma''. Therefore, either it is the diseased or healthy condition, predominance of ''kapha'' should be observed or produced (by the application of ''snehana'' and ''swedana''), then one should administer ''vamana karma''. In the context of [[Jwara Chikitsa]], Charaka has given the specific view for the application of ''vamana'' which can be accepted in all the cases if ''kapha dosha'' is dominant with tendency to come out and situated in ''amashaya'' (stomach). [11]
==== Contraindications of virechana ====
==== Contraindications of virechana ====