Changes

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]

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'' ====

Virechana is not advised in the conditions when kapha dosha is increased because manda (alpa) kapha is considered as an ideal condition for proper administration of virechana-karma.[12]  Panchkarma is not administered in the state of indigestion.[13]

''Virechana'' is not advised in the conditions when ''kapha dosha'' is increased because ''manda'' (''alpa'') ''kapha'' is considered as an ideal condition for proper administration of ''virechana karma''.[12]  [[Panchakarma]] is not administered in the state of indigestion.[13]

Cakrapāṇidatta, the commentator of Caraka-Saṃhitā has interpreted the term “subhaga-kṣata-guda” as “subhaga-guda” (one who has delicate anus) and “kshata-guda” (one who has anal injury). He has also mentioned “subhagam means sukhasaṃvardhita (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 nirūha 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 mṛdu vamana (mild emesis) or mṛdu 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 ====