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→Indications of vamana
Chakrapani, the commentator of [[Charaka Samhita]] has interpreted the term ''subhaga kshata guda'' as ''subhaga guda'' (one who has delicate anus) and ''kshata guda'' (one who has anal injury). He has also mentioned ''subhagam'' means ''sukhasamvardhita'' (those who has never faced any hardship)” according to the view of other scholars in his commentary. ''Virechana'' applied in the person having injury to anus or delicate anus causes harm to the patients. In the person who has taken the ''niruha'' type of enema, at least seven days gap is essential to perform ''virechana karma'' and vice-versa. ''Virechana'' in pregnant woman is contra-indicated up to seventh month except in emergency. In eighth month if disease is curable by ''vamana'' or ''virechana'', then ''mridu vamana'' (mild emesis) or ''mridu virechana'' (mild purgative) can be given.[14]
Chakrapani, the commentator of [[Charaka Samhita]] has interpreted the term ''subhaga kshata guda'' as ''subhaga guda'' (one who has delicate anus) and ''kshata guda'' (one who has anal injury). He has also mentioned ''subhagam'' means ''sukhasamvardhita'' (those who has never faced any hardship)” according to the view of other scholars in his commentary. ''Virechana'' applied in the person having injury to anus or delicate anus causes harm to the patients. In the person who has taken the ''niruha'' type of enema, at least seven days gap is essential to perform ''virechana karma'' and vice-versa. ''Virechana'' in pregnant woman is contra-indicated up to seventh month except in emergency. In eighth month if disease is curable by ''vamana'' or ''virechana'', then ''mridu vamana'' (mild emesis) or ''mridu virechana'' (mild purgative) can be given.[14]
==== Indications of vamana ====
==== Indications of ''vamana'' ====
''Virechana'' is considered the best therapy to purify ''pitta dosha'' especially. [15]
''Virechana'' eliminates ''pitta'' or ''kapha pitta'' situated in ''pittashaya''. [16]
''Virechana'' treatments are of many types such as ''mridu virechana'', ''sukha virechana'' and ''tikshṇa virechana''. All the persons are not treated by the same medicines. So the application depends upon the nature of ''koshtha'', nature of the disease, strength of the person, age, season and many other considerable issues. ''Mridu virechana'' is not appropriate for the person having ''krurakoshṭha'' and ''tikshna virechana'' is not suitable for ''mridu koshtha''. ''Tikshna virechana'' is advised in ''mrittika bhakshanajanya pandu roga'' and ''baddhodara'' in [[Charaka Samhita]] but it cannot be given to the patient suffering from the heart disease. Mṛdu-virechana is advised in kāmalā-roga . [17] Virechana given to the patients suffering from paittika disorders cannot be given to those suffering from pitta-shlaiṣmika disorders. Again virechana medicines are of two types i.e. snigdha-virechana and rukṣa-virechana. Snigdha-virechana is used in the person having dryness in the body and rukṣa-virechana is used in the persons who have unctuousness in the body. For example snighdha-virechana is advised in vātodara. [18] Tikshna vamana and virechana, and other painful procedures are generally not advised in children and old, if required then mṛdu vamana and virechana should be administered .[19] Virechana-karma should be administered in sharad ṛtu (autumn season) in healthy individuals because the aggravation of pitta-dosha takes place in this season naturally. Generally it should not be administered in peak of summer and peak of winter season as it may lead to atiyoga and ayoga respectively. [20]
==== Contraindications of asthapana basti ====
==== Contraindications of asthapana basti ====