Clinical Interpretation of Samyak, Heena, and Atiyoga in Vamana-Virecana: Analysis Based on the Kalpanacatushka of Carakasamhita and Its Commentaries

Abstract

Introduction:

Vamana (emesis) and Virecana (purgation) are integral purification therapies in Ayurveda, designed to detoxify the body by expelling accumulated dosha. These therapies are widely used to restore balance and treat various health conditions, but their effectiveness depends on precise administration.

Methods:

This review article analyzes the clinical signs of proper, inadequate, and excessive administration of Vamana and Virecana, based on the classical texts of Carakasamhita and its commentaries. By assessing the therapeutic outcomes of these therapies through key symptoms, we provide a framework for evaluating the efficacy and safety of these treatments.

Results:

The signs of Samyak (proper), Heena (inadequate), and Atiyoga (excessive) administration were explored, highlighting the various indicators of successful detoxification as well as potential complications arising from improper therapy. These symptoms include the restoration of vital functions, improved appetite and digestion, and the expulsion of dosha in a controlled manner. Inadequate or excessive administration can lead to symptoms such as abdominal distension, excessive salivation, and fatigue.

Discussion & Conclusion:

Effective Vamana and Virecana therapies require careful monitoring of the patient’s response to ensure that the therapy is neither overdone nor insufficient. Clinical assessment through these signs allows practitioners to adjust treatment protocols, maximizing benefits and minimizing adverse effects.

 By understanding and evaluating the signs of proper, inadequate, and excessive purification therapy, Ayurveda practitioners can ensure optimal therapeutic outcomes, promoting a balanced and healthy body.

Keywords: Vamana, Virecana, Ayurveda purification, Samyak signs, Heena signs, Atiyoga complications