Pradhana Karma–
In the early morning, the patient is made sure that he has slept well the previous night and that his previous food is well digested. The patient is made to sit in a comfortable vaman chair. Keeps the record of the pulse and blood pressure before, after and during the vaman karma. The aged, debilitated should be made to drink milk, sugarcane juice added with honey, saindhava salt, appropriate to the disease to their maximum capacity. Determining the nature of his bowel the emetic drug is administered, while the emesis is in process. The physician should administer a dose of the decoction of the fruit of madanphala along with honey rock salt Phanta and a powder of madhuka. After consuming the medicine wait for one muhurta 48 min for the commencement of vomiting. At the time of vomiting, forehead and chest are held and the umbilical region is pressed with a gentle upward massage on the back.
Good effect of Vaman –
पित्ते कफस्यानु सुखं प्रवृत्ते शुद्धेषु हृत्कंठशिरःसु चापि ।
लघौ च देहे कफसंस्त्रवे च स्थिते सुवांतं पुरुषं व्यवस्येत् ।। – Ch. 33 / 7
The indications which characterize the perfect and satisfactory action of an emetic remedy are the free emission of Pitta after that of Kapha, light and pleasing sensation in the heart, the throat, and the head, a lightness of the body, and the complete cessation of the emission of Kapha (mucus).
Pashat Karma–
The patient is under observation till he/she achieves the strength. After vomiting get stop then gives dhumapan. Advised to avoid loud sound, noise, excessive walk or exercise, exposure to excessive cold, heat etc. Along with it special diet is followed.
