The Vamana procedure is a carefully orchestrated process that spans several days, performed under the strict supervision of an experienced Ayurvedic physician. It is divided into three main stages:
Preparation: This stage can last for 3 to 7 days and is crucial for mobilizing toxins.
- Internal Oleation (Snehana): The patient is given a specific dose of medicated ghee (clarified butter) to consume each morning on an empty stomach. The dose is gradually increased until signs of proper oleation appear, such as a feeling of heaviness and a coating on the tongue. This internal lubrication helps to loosen and mobilize toxins (Ama) and accumulated Kapha from the deep tissues into the stomach.
- External Oleation and Fomentation (Svedana): The patient undergoes daily full-body massages with medicated oils, followed by a steam bath. This further aids in mobilizing Kapha from the body’s periphery and brings it to the stomach for elimination. The patient’s diet is modified to include Kapha-aggravating foods like yogurt, sweets, and pastries to ensure a sufficient quantity of Kapha is present in the stomach for effective emesis.
Main Process: This is the day of the therapeutic vomiting. On an empty stomach, the patient is given an herbal decoction that induces vomiting. This is typically a mix of herbs like licorice root, salt, and honey. Once the patient feels the urge to vomit, they are encouraged to do so repeatedly until all of the Kapha mucus and Ama are expelled. The physician monitors the number of bouts and the quality of the expelled contents to ensure proper purification.
Post-treatment Care: This phase is vital for the patient’s recovery and the complete restoration of digestive fire (Agni). The patient’s diet is gradually re-introduced, starting with light, liquid foods like rice gruel and gradually moving to solid foods. This is a period of rest and minimal activity to allow the body to regain its strength and for the digestive system to return to normal.