Vamana- Indication :–
The following ailments and occasions render vomiting more or less essential. When any poisonous matter is consumed, whether knowlingly or not, vomiting is to be induced urgently. This will often have to be done, if bitten by poisonous creatures like snakes. In food poisoning, when incompatible items of food are eaten, immediate vomiting is beneficial. When food stays inside undigested, vomiting brings immediate relief; judicious vomiting has been found effective in case of Cholera, Alasak and Grahni. For fever immediately following meals, doe to ama, in early case of tuberculosis when patient’s bala if good.
Vamana is also very effective in case of anorexia
There is no less importance in adiposity, lunancy and epilepsy. This is may be necessary in asthma , cough and heartburn .This is also find effective in diabetes, ailments of the ear ,nose and throat , anaemia and dropsy .In acne this is the foremost remedy.In addition to all this, it is beneficial in ailments like ever-full stomach , lack of control over limbs, heaviness, slowness, sweet taste in the mouth, watering of the mouth, expectoration, excessive stools, goitre, obesity, chilly feelings, urticaria pallor and lack of colour in stool, urine and eyes.

Contra-indication :-
Vamana is contraindicated in Pregnant ladies , people without internal inunctions. This is not to be given to one who is rushing ,also to the hungry , thirsty ,sorrowing , angry or tired . Those keen on exercise, copulation, study, in children, the aged, weak, exhausted one whose digestive fire is overactive, those who are about to start or have just finished long walks, travelling or load – carrying, those injured in the chest or are heart patients, the obese, the unconscious, those not used to free unobstructed vomiting, constipated and those who have not come to normal diet after vasti with kasaya or sneha. This is also barred In case of mispersistalsis, gulm, painful micturition, enlarged spleen and piles. This should not be tried on those with worms before deworming with vasti .This is better avoided for those with voice constraint, cataract or giddiness and also generally, in cases of vitiated vata, facial paralysis and convulsions. Patient with chest pain never be made to vomit, When one has severe ache in head, eye or ear it is better to refrain from inducing vomiting.

Physician must have planned suitable remedial action for all emergent situations before inducing vomiting.

2. VIRECHANA :–

Introduction :-

Elimination of vitiated doshas through rectum is called Virechana. It cleanses the small intestine and organs, which are pitta dominant.
Purging is as important a purifactory treatment as emesis. The main difference is that its importance is mainly in pitta. In Kapha too, this is more or less effective. In Vatta this is not good but it resorted to circumstantially. In the following cases purging is more or less essential whichever doshas may have given rise to it.

Virechana indication :-
Gulm , piles, boils, discolouration of face, jaundice, chronic fever, ascites, poison ,spleen enlargement, halimak, cataract, womb ailments, semen disorders, worms in intestines, strained urination, constipation, skin problems, wounds, arthritis, tubercular glands, tumour , filaria, lunancy ,asthma, cough, heart burn, erysipelas, breast milk disorders and ailments in the head will all be hard to cure without inducing proper virechana .

Virechana Contra indication :–
Acute stage of fever
Weak digestion
Haemothermia
Wounds in anus
Diarrhoea
Foreign body in the system
Not returned yet to normal food after vasti with kasayam
Very hard bowel
And in excessive unction

But even in the contra –indicated cases, if purging becomes inevitable in emergent situation this may be done with all due precautions.

A purgation properly carried out leads to clarity of intellect power to the organs, elemental stability and glow to the digestive fire and it delays ageing ’’

VASTI :-

Intoduction :-

Vasti is the process of injecting the fluid material through the anal, urinary or vaginal channel. Vasti is two types.
With deccoctions and with oils i.e. ,with kashays and snehas .Sneh vasti in small doses is called matravasti.
There are many vasties like Kala, Karma, Yoga, Prasritika, Shoshana, Samana, Lekhana and Brimhana according to the difference in the number , the order ,dose duration and material . All these however, come under one of the above two types of vasti.

3. SNEHANA VASTI :–
Vasti with unctuous oils is called ‘Snehana vasti’ or ‘Anuvasana vasti’ .In all the vata cases senaha vasti brings good results. Its power is remarkable in extreme dryness and in atyagni (uncontrolled digestive fire). It is contraindicated in diabetes ,anaemia , diarrhoea , enlarged spleen , catarrh , hard bowels, abhishyanda, oorustamba, obesity, emaciation, filaria and goitre as also in cases where aniiruha is disallowed and also before food .

4. KASAYAVASTI :-
This is an important course In difficult cases of vata . This is also called ‘Niruha’ or ‘Aasthapana’. This Vasti controls many ailments like raktavata , gulma , Anaha (distended stomach ) ,Simple diarrhoea, Chronic catarrhea, Chronic fever Impurities of the semen, menstrual flow, obstruction to flatus , urine ,semen ,and faeces .Lack of breast milk . Spleen disorder and is also helpful in many types of pain.

Contra-indicated :–
In Acute Diarrhoea, chest lesion, asthma, vomiting, watering in the mouth, piles, hiccup, enfeeblement of digestive fire. Anal wound, ascites due to bowel obstructions, skin diseases and diabetes and also in case of excessive oleation.
For expectant mothers, this is also contra-indicated untill the eight month , as well as for those who have not come back to the normal routine after Vamana , Virechana and Nasya .This should not be done immediately after meal .

Vayu is capable of expelling faces, Kapha, Pitta and all unwanted stuff and destroying their bases ; there is no way other than vasti of pacing vayu when it is greatly excited, many consider vasti as half the entire range of treatment and some as the complete range.

5. NASYA :-

Introduction :-

Nasya is as important as any of the courses of Ayurvedic treatment .This is more or less essential in all ailments above the neck. Its efficacy is no less in the ailments of the lower body too. It is doubtful if there is any other treatment as efficacious as Nasya.
It is useful not only for immediate result but even as a permanent cure for the terrible diseases. According to Acharya Vagbhata, The nostril is the easiest and closest opening for conveying the potency of the medicines in to the cranial cavity.

Type of Nasya – Nasya is divided in to three types :-

• Virechna - Nasya (purgative)
Which Drain Out the doshas in the nasal passage and the throat and relieves the heaviness of the head.
• Brimhana –Naysa
This nourishes the nerves and all important organs of the head.
• Samana Nasya – (Palliative)
This is neither nourishing nor reducing, but just palliative.

• Nasya with decoctions or paste is also called Avapeed. If this done with strong stimulants it is called Moordha rechana. If done with purging powders it has the separate name of dhamana.

Indication of Nasya :-
Delirious fever, Hemiplegia, Apatantraka, Bahyayama, Antarayama, Facial paralysis and Apabahuka and diseases of the head, Epilepsy, Chronic catarrh, Skin diseases, Tumour, Mums, Migraine, Voice-constrain, Dryness of mouth and nose, Speech impediments, Black patches on the face, Black moles, Breaking and falling hair and chronic eye diseases .

Contra-indication of Nasya :–
Nasya is contra -indicated in the following cases – It is Forbidden immediately after and before consuming water, liquors, Poisons or fatty items and for those who have some poison in their system . This should not be done on those who have just had their food and those who have bathed their head or are about to bathe; also before one has come to the normal diet after blood-letting. In post natal cases and fresh cases of cough and asthma and for those who have had Vamana, Virechana or Vasti, this is not to be done. This is to be avoided when it is cloudy or when the sky is not clear during non rainy seasons. However, these restrictions are not to be observed strictly in emergent cases that can only be cured by Nasya.