Vamana is not done only in patients, but may also be done in normal persons for keeping them healthy, especially in Vasant ritu.The place of Kapha is Urdhvabhaga (upper part) of the body, mainly Amashaya. The elimination of dosha from the nearest route is an admitted principle. It is also a fact that if any dosha is eliminated from its root, the chances of its recurrence become remote. Amashaya being the chief place of Kapha dosha, if it is controlled there itself by the process of Vamana karma, the Kapha dosha of all other parts get controlled.
The place of Vamana in total Panchakarma therapy is of fundamental importance. Vamana is not merely administrated to empty the contents of his chest, as in the treatment of bronchiectasis and the stomach, of its contents, as in the case of poisoning. But it is a measurement to be applied after the patient has been prepared properly with snehana and swedana. Before inducing Vamana therapy it is essential to make the patient metabolically fit by using snehana and swedana, to eliminate various kinds of endogenous toxins, which have been accumulated in the upper part of the body.
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