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<big>''' Abstract </big>'''
 
<big>''' Abstract </big>'''
 
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The chapter deals with complications due to improper administration of purification therapies ''vamana'' (therapeutic emesis) and ''virechana''( therapeutic purgation). Adequate dosage according to ''agni''(digestion power) and ''koshtha'' (bowel habit), proper quality of medicine, time of administration, follow up diet regimens are important to prevent complications. Observation of status of patient during purification therapy with the signs of proper, inadequate, excess elimination, causes and management of complications are described in detail in this chapter. The ten common complications like ''aadhmana'' (distension of abdomen), ''parikartika'' (fissure in ano), ''srava'' (excess discharge), ''hrid-graha'' (congestion in cardiac region), ''gatra-graha'' (body stiffness), ''jeevaadana'' (bleeding), ''vibhramsha'' (prolapse of rectum), ''stambha'' (body stiffness), ''upadrava'' (complications) and ''klama'' (fatigue without exertion) are elaborated. The causes behind this include incompetency either of the attendant, or drug, or physician or the patient.
 
The chapter deals with complications due to improper administration of purification therapies ''vamana'' (therapeutic emesis) and ''virechana''( therapeutic purgation). Adequate dosage according to ''agni''(digestion power) and ''koshtha'' (bowel habit), proper quality of medicine, time of administration, follow up diet regimens are important to prevent complications. Observation of status of patient during purification therapy with the signs of proper, inadequate, excess elimination, causes and management of complications are described in detail in this chapter. The ten common complications like ''aadhmana'' (distension of abdomen), ''parikartika'' (fissure in ano), ''srava'' (excess discharge), ''hrid-graha'' (congestion in cardiac region), ''gatra-graha'' (body stiffness), ''jeevaadana'' (bleeding), ''vibhramsha'' (prolapse of rectum), ''stambha'' (body stiffness), ''upadrava'' (complications) and ''klama'' (fatigue without exertion) are elaborated. The causes behind this include incompetency either of the attendant, or drug, or physician or the patient.
    
'''Keywords''': ''Vamana'' (therapeutic emesis), ''Virechana'' (therapeutic purgation), ''Vyapad'' (complications), ''Shodhana'' (purification therapy).
 
'''Keywords''': ''Vamana'' (therapeutic emesis), ''Virechana'' (therapeutic purgation), ''Vyapad'' (complications), ''Shodhana'' (purification therapy).
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== Introduction ==
 
== Introduction ==
 
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The chapter [[Vamana Virechana Vyapat Siddhi]] explains the complications of improper administration of ''shodhana karma'' and their effective management. Three earlier chapters dealt with complications of ''basti'' (therapeutic enema). In same sequence of describing complications of purification therapies, those of therapeutic emesis and purgation are described in this chapter.
 
The chapter [[Vamana Virechana Vyapat Siddhi]] explains the complications of improper administration of ''shodhana karma'' and their effective management. Three earlier chapters dealt with complications of ''basti'' (therapeutic enema). In same sequence of describing complications of purification therapies, those of therapeutic emesis and purgation are described in this chapter.
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The chapter ends by reinforcing the idea of a knowledgeable physician who knows, where, when, how to apply ''shodhana'' therapy accurately and thus avoid complications.
 
The chapter ends by reinforcing the idea of a knowledgeable physician who knows, where, when, how to apply ''shodhana'' therapy accurately and thus avoid complications.
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