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UNDERSTANDING SADYOVAMANA &

IT’S VARIOUS APPLICATIONSPRESENTER : DR. SAYANTAN BERA

2nd YEAR P.G. SCHOLAR

DEPARTMENT OF PANCHAKARMA

D.G.M.A.M.C. GADAG

CONTENTS INTRODUCTION WHAT IS THE

DIFFERENCE BETWEEN SADYO VAMANA & CLASSICAL VAMANA

SAMYAK YOGA LAKSHANA

ATIYOGA LAKSHANA AYOGA LAKSHANA MODE OF ACTION

(AYURVEDIC & MODERN CONCEPT)

INDICATION – JWARA SWASA MADATYAYA

VISHA CHARDI KOTA ALASKA VISHUCHIKA IN AUSHADHA SHESHA UPADAMSHA AJEERNA AMLAPITTA SADYO VAMANA DRAVYAS DISCUSSION CONCLUSION

INTRODUCTIONसद्य वमन :Sadyovamana means to attain an immediate or quick elimination of vitiated doshas through oral route.

Sadyo vamana consists of two words –

Sadyavamana

सद्य प्रत्ययः – तत् क्षणे, तत् काले(शब्दकल्पद्रुम)

Here sadhya means – immediately, Recently, Quickly attaining.

वमन – तत्र दोषहराणं ऊर्ध"भागं वमन संज्ञकम् । (च.क. – १/४)

By which procedure vitiated doshas are expelled out from the upper part of the body through oral route, is known as vamana.

SADYA VAMANA

It is a process, where vamana is carried out immediately without following any purvakarmas like Pachana, Snehana and Swedana.

WHAT IS THE DIFFERENCE

BETWEEN SADYO VAMANA & CLASSICAL VAMANA

SADYO VAMANA CLASSICAL VAMANA

Vamana which is conducted

immediately in a single day.

Vamana conducted by arohan krama sneha pana upto samyak snigdha lakshana.

Not require vishrama kala.

Require vishrama kala.

Purva karmas like ama pachana, snehana, swedana are not mandatory to carried out sadyo vamana.

Purva karmas like ama pachana, snehana, swedana are mandatory to carried out classical vamana.

SADYO VAMANA CLASSICAL VAMANA

The person who are not co-operative, dont have much time & dosha are in utklista avastha, Sadyo vamana carried out.

Patient should be co-operative, have ample of time to take treatment and Bhishak vashya.

Short acting effect.

Long lasting effect.

SADYO VAMANA PROCEDURE IN

BRIEF

CRITERIA FOR SADYO VAMANA

Utklishta doshaAtyayika avasthaVamya rogi

KALA FOR SADYO VAMANA

In atyayika vikara where doshas are in utklishta avastha, there is no need to consider Kala while performing Sadyo vamana.

PURVA KARMA

वमने स्वयमेवोत्क्लित्,लष्टत्वाद ् दोषोस्य दोषोत्,लेशप्रयोजनकौ स्नेहस्वेदौ न क्रि1यते, अल्पौ वा क्रि1यते । (च1पाणिण)

Abhyanga & Swedana are the purva karmas which are done before Sadyo vamana. But in case of an acute condition of a disease where Sadyo vamana is carried out for its management, it is not mandatory to do abhyanga & swedana.

Purva karma of sadyo vamana may vary from disease to disease. For e.g. –

In case of visha, ajeerna etc emergency conditions directly Vamana dravya is given to expelled out the vitiated dosha without performing any Purva karmas.

But in case of swasa lavana taila abhyanga & swedana are essential to liquify the kapha and bring the kapha to Amashaya from Pranavaha srotas for the easy elimination.

PRADHANA KARMAAkantha pana(ksheera, yasthimadhu

fanta etc.)

Vamana dravya

Lavanambu

SAMSARJAN KARMASamsarjan karma can be given after Sadyo vamana. But all the samsarjan karmas which are used after Classical vamana are not mandatory for Sadyo vamana. A minimal Samsarjan karma can be given after Sadyo vamana.

SAMYAK YOGA LAKSHANA

1मात्कफः क्रिपत्तमथाक्रिनलश्च यस्यैक्रित सम्यक् वमिमत स इष्टः ।

हृत्पार्श्व" मूर्ध?न्द्रिABय माग" शुद्धौ तथा लघुत्वेक्रिप च वक्षमाणे ॥(च.सिस. –

१/१४)

ATIYOGA LAKSHNAयोगामिर्ध,येन तु फेक्रिनलरक्त चंद्रिBकोपगमनं इत्यक्रितयोग लक्षणाक्रिन भवंन्तिAत ।

(च. सू. १५/१३)

AYOGA LAKSHANAकेवलस्य वाप्यौषधस्य, विवभं्रशः विवबंधः वेगानां अयोग लक्षणाविन भवन्ति�� ।

(च. सू. – १५/१३)

MODE OF ACTION

AYURVEDIC CONCEPT

(च.क. – १/५)

Vamaka drugs possessing the properties like Usna, Tiksna,

Suksma, Vyavayi, Vikasi

and with their ‘Swavirya’

Move to ‘Hridaya’

From there, through various ‘Dhamanis’ lead to micro and macro channels in the body

Act over the vitiated complexes in the body

(i) With 'Agneya Property' - liquify the complexes

(ii) With 'Tiksna property' - Break them down into several

particles

Liquefied matter then glides through various unctuous or smooth channels

towards Kostha

Enter 'Amasaya' and then stimulated by 'Udana Vayu“

Having the dominance of 'Agni' and 'Vayu' elements in the constitution along with

self diposition

Move in upward direction towards oral cavity(due to urdhaga prabhava)

Expelled to outside through it

VAMANA

PROBABLAE MODERN CONCEPT

Upper GIT Electrical Stimuli for

Psychic Stimuliwhen full of contents administration of

drugs directstimulation

Over distended & CTZ stimulation Stimulates

Over excitable hypothalamus

Stimulates Vomiting center

Automatic motor reaction

Motor impulses are transmitted from vomiting centre through

5th,7th,9th,10th,12th Cranial nerves Spinal nerves

Upper GIT Diaphragm & abdominal muscles

Initiates VOMITING

INDICATIONS• JWARA• SWASA• MADATYAYA• VISHA• CHARDI• KOTA

•ALASKA• VISHUCHIKA•IN AUSHADHA SHESHA•UPADAMSHA•AJEERNA•AMLAPITTA

JWARAकफप्रर्धानानुत्क्लित्,लष्टान् दोषानामाशयत्क्लिMतान्

।बुध्वा ज्वरकरान् काले वम्यनां वमनैह"रेत् ॥

(च.सिच. – ३/१४६)

Jwara is dominated by kapha and is located in aamashaya in the stage of utklesha. It should be removed by administration of Vamana therapy.

AMA JWARAसद्य भुक्तस्य वा जाते ज्वरे सामेक्रिवशेषतः

।वमनं वमनाह"स्य

पथ्यमिमत्याह....................(vangasena-

1/167)

Jwara caused due to Ama, soon after ingestion of food causes Amajwara. Sadya vamana can be given in such situation.

समीक्ष्योल्लेखनं वाक्रिप कारयेत् लवणाम्बुना ।

(च.सिच. – १७/८५)

In case of amajwara vamana should be given wih lavanambu.

PITTAJA JWARAशीतं मरु्धयुकं्त आकण्ठाद्वा क्रिपपासिसतम् ।वामयेत् पायमियत्वा तु तेन तृष्णा प्रशम्यक्रित

॥(शा.उ. –

३९/१८०)

In pittaja jwara patient with excessive thirst should be given plenty of cold water with honey for vamana.

SWASAयथास्रोतांसिस संरुध्य मारुतः कफपूव"क ।क्रिवष्वग्ब्रजक्रित संरूद्ध तथा र्श्वासAकरोक्रित स

॥(च.सिच. – १७/४५)

In Swasa samprapti, srotas involved is pranavaha srotas. Obstruction in the srotas is due to kapha. As there is an utklesha of kapha dosha, Sadyovamana can be given.

“MüTü uÉÉiÉÉiqÉMüÉå ÌmɨÉxjÉÉlÉ xÉqÉÑipÉuÉÉ”æ(Cha.chi.17/8)Chakrapani in his commentary says that swasa is pittasthana samudbhava, which refers to the involvement of the pitta with Urdhwasthana, though kapha and vata are responsible for initiating the disease.

In the same commentary it’s said that pittasthana can be taken as amashaya. As there is involvment of the utklishta kapha and the disease is amashaya samudbhava, sadyovamana can be given.

Vamana brings srotovishudhi and kaphavarodha will be removed. (AS.Chi.6/5)

MADATYAYA•Madatyaya is caused due to madya.•Due to the teekshna, ushna, ruksha property of madya, utklesha of the kapha occurs.

mÉÏiuÉÉ cÉ qɱqÉÌmÉ cÉå¤ÉÑUxÉmÉëaÉÉRÇû ÌlÉzÉåwÉiÉÈ ¤ÉhÉqÉuÉÎxjÉiÉqÉÑÎssÉZÉåiÉç |

(Su.Utt.47/27)In madatyaya patient should take Ikshu rasa and Madya till his throat (akantha pana) and then made to vomit immediately.

VISHA• In Atyayika condition needs immediate care.• Vamana indicated in the visha vegas need not require sneha pana or swedana.•Hence we can probably come to a conclusion that the vamana mentioned in visha vega is sadyovamana.

• mÉÏiÉÇ uÉqÉlÉåÈ xɱÉå ................... || (Cha.chi.23/45)

Acharya charaka has mentioned vamana in the sthavara visha chikitsa

• In Gara visha chikitsa chakrapani advises to give vamana immediately (Cha.chi.23/238)

• uÉqÉlÉålÉ xÉqÉÇ lÉÉÎxiÉ rÉiÉxiÉxrÉ ÍcÉÌMüÎixÉiÉqÉç |

There is no other treatment better than vamana, in case of sthavara visha chikitsa. (Van.visha.78)

CHARDISÉåwÉÉlÉÑxÉqÉÑÎiYsÉzrÉiÉç

FkïuÉxrÉlÉç ........ ||

(M.N.chardi) • Nidanasevana leads to prakopa of vata• Vata gets located in udara which produces utkleshana of undigested particle.• Expels these through the koshta and agnibala is reduced.

• In chardi agni is in mandavastha, it may not be able to digest the medicine.•Vamana may bring the utklishta dosha, then undigested substances located in the amashaya, along with the vamana aushadha.

Moreover, pravruddha kapha will act like shalya if not expelled outside, so here sadhyo vamana can be carried out because usage of snehana swedana will further worsen the condition as dosha is in aamashaya and in pravruddha avastha.

KOTAKota is a disease that arises due to the improper administration of the shodhana chikitsa or due to avarodha of pitta, kapha and anna.

(MN.50/6)(Vang.kota/6)

iɧÉÉzÉÑ uÉqÉlÉÇ MüÉrÉïÇ .................... |

(Vang.kota/7)Acharya vangasena has mentioned vamana should be induced very quickly.

ALASAKAAÌiÉqÉÉ§É SÒ¹ÉxÉÑ SÉåwÉÈ

mÉëSÒ¹ ............| (AS.SU.11/13)

In Alasaka utklishta dosha is present. Hence there is no need to produce the utklesha of doshas further. So sadyovamana can be performed.

• In amavisha condition emergency treatment should be given (its mentioned as “ashukarayita virudhopakrama cha”).• In samadosha conditions, made to vomit with luke warm water with salt, followed by swedana. (Cha.vi.2/13)

VISHUCHIKA• It’s a condition that occurs in ajeerna which is characterized by pain which is similar to that caused due to prick of a pain. (MN.Vis.2)

• uÉqÉlÉÇ MüÉUrÉåiÉç ͤÉmÉëqÉÑwhÉålÉ sÉuÉhÉÉqoÉÑlÉÉ | (Vang.Ajeerna/160)Vamana should be done with Luke warm salt water.

AUSHADASHESHA• uÉÉqÉrÉå¨ÉÑ iÉiÉÈ

zÉåwÉqÉÉæwÉkÉÇ ............ || (Cha.si.6/21) While performing virechana even after attaining the suddhi lakshanas the medicines remain in the koshta, Acharya charaka has advised to perform the vamana inorder to bring out the excess medicine from the koshta.

Acco. (Su.chi.33/7) sadyovamana can be given to those persons who afflicted

with kapha, persons suffering from Ajeerna and Visha.

• According to (Su.chi.34/6) the conditions where aushada administered for vamana and virechana does not produce the desired results.• There by resides in the koshta and causing the obstructing of the dosha.• In such conditions associated with thrishna, parsvasoola, chardi, etc has to be induced by ushnajala.

UPADAMSAThe excessive increase of dosha in upadamsa should be expelled out by both routes immediately. Pain and edema of patient subside soon. (Vangasena)

AJEERNAवमनाथ" क्रिवद्येयः स्याAमर्धुसैन्धव मूर्छिhiतः ।न तु अजीण? क्रिहत तु अत लवणोष्णाम्बु केवलम्

॥तक्रिद्व सव" समुत्क्लित्,लश्चमुखेनाशु क्रिवक्रिनह"रेत् ।

(च.सिस. – ६/१४)

Person suffering from Ajeerna should not be given normal vamana dravyas to induced vamana. Lukewarm salt water is adviced in this situation.

AMLAPITTA

दोषोत्,लेशो न सहसा Bवं औषर्धमाचरेत् ।वमनीयात् दृतौ तक्रिद्व न सम्यक् परिरपच्यते ॥

(का.खिख. – अम्ल/२२)

Acharya Kasyapa has clearly mentioned that no liquid medicine should be administered suddenly, other than the Vamanoshadha.

SADYO VAMANA DRAVYASJwara – Sura, tittir mamasa rasa (AH,CHI –

1/158)Ama jwara – Lavanambu (CHA,CHI – 17/85)Pittaja jwara – Lavanambu (SU,UTT –

39/180)Ajeerna – Vacha, Lavanambu (B.R. –

AGNI/65) Alasaka – Ushna Lavanambu (CHA,VI – 2/3)Visuchika – Ushna Lavanambu

(VANGASENA – AJEERNA/160)Visha – Madana phala, Sunthi

(VANGASENA – VISHA/24)Amlapitta –

Lavanambu,ksheera,ikshurasa (KA –AMLA/18)

Madatyaya – Iksurasa, Madya (SU,UTT – 47/27)

DISCUSSION In sadyo vamana we are not following arohana krama snehapana and the vishrama kala etc as per the guidelines by the acharyas. Because of these we are not eliminating prabhuta dosha from the deeper tissue.

Sadyo vamana has very minimal efficacy and instant relief like as Ajeerna.

CONCLUSIONSadyo vamana is carried out when dosha utklista lakshanas like hrullas, lala praseka, shiro gourava, kapha sthivana, bhaktwa dwesha etc are present.

Purva karmas like ama pachana, snehana, swedana are not mandatory for sadyo vamana and vishrama kala also. Otherwise the dosha utklista avastha is reduced.

Sadyo vamana may be practiced instantly in conditions like tamaka swasa, urdhaga amla pitta, ajeerna etc.

It can be practiced in some of the Atyaika avastha like visha pana as an emergency treatment.

THANK

YOU