Vamana Karma Research Articles

165. A success story of management of hypothyroidism with Vamana karma – A case study

165. A success story of management of hypothyroidism with Vamana karma – A case study

Role of Vamana Karma (Emesis) in Jeerna Vatika Pratishyaya (Chronic Rhinosinusitis) - A Case Study

Pratishyaya (rhinosinusitis) is very difficult to treat as it happens with Sadhya Janak Nidana (sudden causative factor) also. Many times rapid and sudden onset is seen in Pratishyaya after exposure to even a weak causative factor. If this vicious cycle of Nidana (causative factor) and Roga (disease) continues and if treatment is neglected the Roga becomes Jeerna(chronic). At this stage it becomes necessary to cure the disease with Shodhana (purification) therapy rather Shaman (curative) therapy. In this type of chronic cases we can get good results with only Vamana Karma (emesis therapy). In modern medicine conservative management is the first choice and if the disease is not managed by it, they prefer surgery to maintain the drainage and ventilation of the sinuses. Vamana Karma with or without Nasya (nasal instillation) can give complete improvement in such cases. The burden and risks of surgery can be avoided and the quality of the patient’s life can be improved with Ayurvedic treatment.

Clinico comparative study of Vamana and Virechana Karma in the management of Shvitra w.s.r. to Vitiligo

Introduction: One of the baffling problems of mankind since time immemorial is the skin disease. Shvitra (Vitiligo) may become; a psychologically devastating disorder when it typically occurs in exposed areas. Aim: To evaluate and compare the efficacy of the Vamana and Virechana Karma in the management of the Shvitra (Vitiligo). Materials and Method: In this study total 92 patients of Shvitra were registered at Panchakarma dept. of I.P.G.T. & R.A. Hospital, Jamnagar. Patients were randomly divided in three groups by lottery random sampling method. In Group A - Vamana Karma and in Group B - Virechana Karma was given. After Shodhana in both Groups and in Group C Oral administration of Darvigomootra Ghanavati 6g/day with the Apamarghkshara Lepa for 8 weeks was given. Result: In VASI Score 2.16% and 4.61% relief was found in Group A and B respectively which was statistically highly significant. While in Group C 0.38% relief was found which were statistically insignificant. Conclusion: Any kind of Shodhana therapy either Vamana or Virechana play a key role in the management of Shvitra. For long far and sustainable effect of the therapy Shodhana should be performed priorly.

Clinical efficacy of Vamana Karma with Ikshwaaku Beeja Yoga followed by Shatapushpadi Ghanavati in the management of Artava Kshaya w. s. r to polycystic ovarian syndrome.

Background:Due to sedentary lifestyle and stress, the incidence of metabolic disorders are increasing day by day. Among these polycystic ovarian syndrome (PCOS) is an intricate disorder affecting 4%–8% women in their reproductive age and related to ovarian dysfunction characterized by obesity, oligomenorrhea, anovulation and hyperandrogenism. In modern system of medicine, the available allopathic regimen has its own limitations, so it is need of time to find a safe and effective alternative therapy for such type of condition. The most common symptom in 85%–90% of PCOS patients is oligomenorrhea which can be correlated to Artava Kshaya (loss of menstrual fluid) in Ayurveda. Hence, in the present clinical study, Vamana Karma (therapeutic vomiting) with Ikshwaaku seed formulation followed by Shatapushpadi Ghanavati was planned.Aims:To evaluate the efficacy of Vamana Karma (therapeutic vomiting) followed by Shatapushpadi Ghanavati in the management of Aartava Kshaya (loss of menstrual fluid) w. s. r to PCOS.Materials and Methods:A total of 15 patients of PCOS were clinically diagnosed and treated by Vamana Karma (therapeutic vomiting) procedure with Ikshwaaku seed formulation. After completion of Vamana Karma (therapeutic vomiting) and Samsarjana Krama, (post therapy dietary regimen for revival) Shatapushpadi Ghanavati 2 Vati (each 500 mg) twice in a day with lukewarm water was given for 45 days. After completion of 2-month trial, assessment of therapy was estimated by subjective and objective parameters.Results:Statistically extremely significant (P < 0.0001) results were found in menstrual irregularities, obesity, and body mass index. The significant result in reduction of nondominant follicles (P = 0.01 and 0.03 for right and left ovary, respectively), lowering the fasting blood sugar level (P = 0.02) and hirsutism (P = 0.03) was found.Conclusion:Vamana Karma (therapeutic vomiting) followed by Shatapushpadi Ghanavati is very effective in the management of obese PCOS patients and increasing chances of conception.

Efficacy of Vamana Karma with Ikshvaku Ksheera Yoga in the management of Tamaka Shvasa (bronchial asthma).

Introduction:Bronchial asthma is a highly prevalent disease, and in most of the etiopathogenesis and symptomatology, it can be correlated with Tamaka Shvasa. Ikshvaku (Lagenaria vulgaris [Manila] Standley.) is an annual herbaceous climbing plant with a long history of medicinal uses for the treatment of various ailments including jaundice, diabetes, ulcer, piles, colitis, asthma, insanity, hypertension, congestive cardiac failure and skin disorders. Its fruit pulp is used both as an emetic and as a purgative.Aims:To study the efficacy of Vamana Karma with Ikshvaku (Lagenaria vulgaris [Manila] Standley) Ksheera Yoga.Materials and Methods:A total of 15 patients fulfilling the diagnostic criteria for bronchial asthma were selected from outpatient and inpatient department of Panchakarma Department. The sign and symptoms, mainly breathlessness, cough and rhonchi were given scores depending on their severity. The patients were also assessed for lung function test to determine pulmonary impairment. For Vamana, they were given Deepana and Pachana with Trikatu Churna for 3 days and then they were subjected to Snehapana with lukewarm cow’s ghee. After the completion of Snehapana, the patient were given Abhyanga, Vashpa Swedana and diet with predominance of Kapha (Kapha Bahula Ahara- diet mixed with milk or curd), which was then followed by Vamana with Ikshvaku Ksheera Yoga and Samsarjana Krama. Follow-up was done at an interval of 15 days for three times and t scores were noted before and after the treatment. The scores were analyzed using Wilcoxon signed-rank test for subjective parameters and Student’s paired t-test for objective parameters.Results:The trial drug has shown statistically highly significant reduction in breathlessness, cough, rhonchi, and significant changes in lung function tests.Conclusion:The test drug proved its emetic effect on the patients of bronchial asthma and thus relieved the symptoms of the disease immediately. It has reduced frequency of episodes of breathlessness and severity of symptoms.

ROLE OF VAMANA KARMA AND SAMAN SNEHA (VAJRAKA GHRITA) IN THE MANAGEMENT OF PSORIASIS (EKKUSHTHA): A CASE STUDY

Psoriasis is one of the commonest skin disease affecting the patient's life. The available medication like tropical and oral steroids and puva therapy etc. are associated with several adverse effect and does not provide long losing relief. The relapse and remission are very common. Hence diagnosed case of psoriasis was treated with classical Panchakarma treatment to find out the effect of Vamana Karma followed by Shaman Sneha (Vajraka Ghrita) in psoriasis. A male patient aged complaint skin discoloration elevated patches with sever itching on arm abdomen and face. Classical Vamana Karma followed by Shaman Sneha (Vajrka Ghrita). Lesion were markedly reduced, itching was completely reduced, elevation and discoloration also reduced. Vamana Karma followed by Shaman Sneha (Vajraka Ghrita) provide marked improvement in patients of psoriasis.

A Clinico-analytical Study on Seed of Wrightia antidysenterica Linn. as a Therapeutic Emetic Agent (Vamaka Yoga) in the Management of Psoriasis.

Objectives:Wrightia antidysenterica Linn. (WA) is male variety Kutaja stated to be potent therapeutic emetic agent in skin disorders. Expulsion of doshas through oral route is termed as Vamana Karma (VK) (therapeutic emesis). However, so far, its utility for Vamana is not explored in detail, therefore there is a need to revalidate the utility of WA for Vamana. Hence, the above study was conducted to ascertain the efficacy as a therapeutic emetic agent (vamaka yoga) in the management of psoriasis along with quality control and standardization of this herb.Materials and Methods:The drug was standardized as per analytical procedures in Pharmacopeias. Thirty patients of psoriasis fulfilling inclusion criteria were taken for the study and Vamana with WA was conducted. Criteria were prepared to assess the signs and Symptoms of psoriasis. VK was assessed using the classical Lakshanas (features) such as Anthiki shudhi (Ending symptoms of emesis), Vaigiki shudhi (features of vomiting bouts), Maniki shudhi (Quantitative and qualitative purification), complications.Result:VK with WA showed significant relief in parameters of psoriasis such as scaling, itching, candle grease sign (P < 0.001), and psoriasis area and severity index score (P = 0.001). In VK with WA, mean number of Vegas (vomiting bouts) was 6.91. 66% patients showing quantitative purification between 301 and 600 ml. 73.33% showed all Symptoms of purification. 73.33% patients showed Kaphanta vamana (Moderate expulsion of desire humor). In the level of biopurification, 66.66% patients showed moderated purification. No complication was noted with moderate drug palatability.Conclusion:Pharmacopeial analytical study showed its standardized values for testing the drug used for the study. It is proved as potent therapeutic emetic agent with no complication showed its clinical benefits over skin disorder like psoriasis.SUMMARY Seeds of Wrightia antidysenterica (WA) Linn. free from any foreign matter were selected for the study. Loss on drying revealed 6.535% moisture content; total ash indicating of total inorganic content was found to be 5.12%; acid insoluble ash is the acid insoluble part of total ash, mainly silica, WA showed 0.393% acid insoluble ash; ethanol and water soluble extractive is indicative of percentage active constituents were found to be 25.66 and 20.854%, respectively. High-performance thin layer chromatography fingerprinting profiles of WA under 254 nm showed the presence of 7 spots (all in green) at Rf values ranging from 0.21 to 0.88. Under 366 nm there were 4 prominent spots (all in fluorescent) at Rf 0.49 to 0.82 and, when scanned under white light 620 nm following derivatization with vanillin sulfuric acid 6 spots (in different colors) were evident at Rf 0.28 to 0.58. Among these spot with Rf of 0.58 was common when visualized under all the three methods. Rf values by densitometric scan of WA showed 12 peaks at 254 nm and 5 peaks at 366 nm. However, in clinical trial, it was found to be a potent emetic agent without any complication. Abbreviations Used: WA: Wrightia antidysenterica; Linn.; VK: Vamana karma; BT: Before treatment; FP: Freidman's P value; CHS: Chi-square value; NR: Negative ranks; PR: Positive ranks; N: Sample number, AS: Austipz sign; CG: Candle grease test; SSL: Samyak Snigdha Lakshana

A study on the role of vamanam on serum bilirubin and calcium levels

Introduction: Normal pitta maintains normal hepatic metabolism. Serum bilirubin and calcium levels are associated with hepatic function. Vamanam and Sweda Karma increase agni, which in turn affects the liver metabolism. The raised agni after sweda and vamanam increase the metabolic activity of the body. Today's quality of food and dietary habits, lifestyle, and changes in seasons are often the cause of saturation of toxins in the body, which according to Ayurveda are malas and aam, and these are also the cause for vitiation of the doshas. When the body becomes free from this malas, aam (toxic materials), and vitiated doshas, a state of good health can be achieved. Ayurveda has the best therapies in the form of Panchakarma to make the body free from these disease-causing factors. Aim: Is to study on the role of vamanam on serum bilirubin and calcium levels. To study the bodily changes after Vamana Karma. Materials and Methods: 40 patients of Tamakaswasa and Sidhma Kushta divided into two group each consisting of 20 patients. The treated group patients were divided into 10 each of Tamakaswasa and Sidhma Kushta managed with Snehapana, Sweda Karma and finally with Vamana Karma. Effects of Snehapana, Sweda and Vamanam on serum bilirubin, calcium were evaluated before treatment, after Sneha, Sweda and at the end of the treatment. Results: Marginal changes seen in this study. 85% symptoms relieved in both the diseases. Conclusion: Vamana can improve the functional and metabolic activities of the body. The clinical signs and symptoms were decreased after Vamana Karma.

OA03.05. A clinical study on the effect of vamana in anartava wsr to secondary amenorrhoea

Purpose:Anartava have been described by Sushruta and Vagbhata as non appearance of artava. The doshas obstruct the passage or orifices of channels carrying artava (artava vaha srotasa), thus artava is destroyed. Aggravated kapha and vata obstruct the passage of artava, thus menstrual blood is not discharged. So anartava is a Kaphaavrittvata predominant disease. Panchakarma is the most essential part of Ayurveda treatments. It is preventive, preservative, promotive, curative and rehabilitative therapy. Vamana karma has been considered as the best line of treatment for the kaphaja disorders Vamana is clearly indicated in presence of Kaphaavritta vata lakshanas i.e. Anartava and Artava kshaya in our classics.Method:Research was conducted on 4 patients from IPD & OPD of Prasuti Tantra & Stree Roga department of SDM College of Ayuveda, Hassan. The selection was done on the basis of chief complaints of anartava (secondary amennorhoea) irrespective of duration. In pathological point of view USG was carried out before starting the course of treatment. As purvakarma snehana and swedana was carried out according to deha bala and prakrati of patients. Vamana was given to patients as pradhana karma and followed by samsarjana karma. The follow up was one week.Result:After treatment, out of 4 patients, 3 patients got their mensus within time period of one week and one patient was remain unchanged.Conclusion:Vamana is one among the Shodhana procedures, through which Doshas are eliminated through Urdha Bhaga. It is a Doshapratyanika Cikitsa for Kapha Dosha because the main seat of Kapha is Uras/Amashaya & principle is to eliminate vitiated doshas from the nearest route. Just like the flower, fruits and branches which are destroyed at once as soon as the tree is rooted out, the diseases originated due to excessive Kapha are subdued after the elimination of Kapha through the process of Vamana. So, Vamana removes kapha (saumya) substances resulting into relative increase in agneya constituents of the body, consequently artava also increases.

A comparative clinical study on standardization of Vamana Vidhi by classical and traditional methods

Vamana Karma (process of emesis) is considered as Pradhana Karma (prime procedure) meant for inducing therapeutic vomiting, indicated for the purification of Urdhwa Bhaga (upper part) of the body. It is the process by which contents of stomach, including Kapha and Pitta are expelled out of the body through oral route. Acharya Charak and Sushruta have advocated various procedures for Vamana Karma known as classical methods, whereas some traditional methods are also being followed. As very little works has been carried out in the direction of Vamana Karma and as not a single work has been carried out on standardization of Vamana Vidhi comparing to both classical and traditional methods, the present study had been selected. The clinical trial was conducted in a randomized sample of 50 individuals (Both patients and volunteers) resolved into two sub-groups, viz. individuals in Group A was performed Vamana with classical methods and Group B with traditional methods. From the observations and results obtained in the present clinical study, it can be concluded that the method mentioned in classics is very much beneficial from every point of view in comparison to the traditional method. It is very easy, safest, less time-consuming and clinically as well as statistically most effective method without producing any type of complications.

Physiological and biochemical changes with Vamana procedure

Vamana Karma (therapeutic emesis) primarily a Samshodhana Karma (purification procedure) is one of the five Pradhana Karmas (chief procedures) of Panchakarma. It is mentioned in Ayurvedic texts that a person after Samyak Vamana (proper Vamana) experiences lightness of the body, Hrit (precordium), Kantha (throat/voice), and Shirah (head) and weakness. This procedure is effectively used in healthy and ailing persons for purification of body and extraction of Doshas (especially Kapha) in Ayurvedic system. It has been found worth to observe the physiological and biochemical changes during Vamana and after the procedure to understand the effect/safety margins of the procedure in healthy volunteers.

A comparative study on Vamana Karma with Madanaphala and Krutavedhana in Ekakushtha (Psoriasis)

Vamana Karma (therapeutic emesis) is the best therapy for the elimination of vitiated Kapha Dosha. In the present clinical practice Madanaphala (Randia dumetorum) is mainly used for Vamana Karma. Apart from Madanaphala, five other drugs, and in total 355 formulations are described in Charaka Samhita; one of them is Krutavedhana (Luffa acutangula) kalpa (formulations). Krutavedhana is specially indicated in Gadha (compact) Dosha condition like Kushtha (skin diseases), Garavisha (slow poison), and so on, for Vamana Karma. The present study aimed to observe the effect on Vamana Karma and by that its effect on Ekakushtha (Psoriasis). Krutavedhana Beeja Churna (seed powder) was given with Madhu (honey) and Saindhava (rock salt) as Vamana Yoga (emetic formulation), to compare it with Madanaphala Pippali Churna (seed powder). After the Sansarjana Krama (special dietetic schedule), Panchatikta Ghrita (medicated ghee) was given as Shamana Sneha (pacifying oleation). An average dose of Krutavedhana was 5.9 g. Krutavedhana could produce a good number of Vega (bouts), Pittanta Lakshana (bile coming out at the end of Vamana), and Pravara Shuddhi (maximum cleansing) in a majority of patients. Madanaphala is the best among all Vamaka (emetic) drugs, but Krutavedhana showed a similar to higher effect on Vamana Karma in terms of Antiki, Maniki, Vaigiki, and Laingiki Shuddhi (cleansing criteria). Vamana Karma by Krutavedhana showed better relief in Matsyashakalopamam (silvery scale), Kandu (itching), and Rukshataa (dryness), while Madanapahala showed better relief in Krishnaruna Varna (erythema). After completion of the Shamana (pacifying) treatment, both the groups showed nearly the same effect on Asvedanam (lack of perspiration), Matsyashakalopamam, Kandu, Rukshataa, Krishnaruna Varna, and Mahaavaastu (bigger lesion).

Observations on Vamana procedure in healthy volunteers

Vamana Karma is one of the five Pradhana Karmas of Panchakarma which is successfully used in treating Kaphaj disorders. Panchakarma is also indicated in healthy states. (C.Su. 16/13-16) for Shodhana. Textual references are available in Ayurvedic classics, but the procedure needs to be validated in the modern times when Ahara Shakti, Bala and Agni of the individuals have decreased considerably. So the effect of procedure was observed in 30 healthy volunteers of age group 18 to 60 years. Lakshanik, Vaigiki, Maniki and Antiki Shuddhi were observed and vomitus was analyzed macroscopically, microscopically and chemically.

A study on Vasantika Vamana (therapeutic emesis in spring season) - A preventive measure for diseases of Kapha origin

Panchakarma is the most essential part of Ayurveda treatments. It is preventive, preservative, promotive, curative and rehabilitative therapy. Ayurveda believes in strong relationship between macrocosm and microcosm and states that the seasonal changes will influence the biological systems resulting into the accumulation and aggravation of particular Dosha in a particular season like accumulation and aggravation of Kapha in Hemant Rutu (winter season) and Vasant Rutu (spring season) respectively, accumulation and aggravation of Pitta in Varsha Rutu (rainy season) and Sharad Rutu (autumn season) respectively. Vasantika Vamana is done in spring season approximately in the month of March and April for the elimination of vitiated Kapha Dosha which in turn helps to prevent the forth coming Kapha disorders and associated Pitta disorders or diseases originating or settled in the place of Kapha like bronchial asthma, allergic bronchitis, rhinitis, sinusitis, migraine, hyperacidity, indigestion, anorexia, obesity, overweight, dyslipidemia, diabetes mellitus, acne vulgaris, psoriasis, eczema, urticaria etc. In this study, a total of 89 persons were registered and 69 volnteers/patients undergone classical Vamana Karma without any major complications. Average minimum, maximum, total dose and total days of Snehapana were 36.40 ml, 187.21 ml, 578.59 ml and 5.01 days respectively. Average quantity of Madanaphala, Ksheera, Yashtimadhu Phanta and Lavanodaka was 5.81 g, 1130.29 ml, 3202.9 and 2489.13 ml respectively. The results were encouraging; hence, further studies may be conducted including large population in this direction.