COMPLICATIONS OF DRUGS USED IN VAMANA AND VIRECHANA ACCORDING TO DIFFERENT ĀCĀRYAS

Abstract

Charaka Samhita, Sushruta Samhita and Ashtanga Hridaya have described various complications (Vyapat) of Panchakarma procedures like Vamana and Virechana. These complications mainly occur due to improper patient selection, incorrect dosage, inadequate preparation, or faulty administration of drugs. In Vamana therapy, the major complications include Ayoga, Atiyoga, Mithyayoga, Hikka, Kasa, Trishna, Daha, Bhrama, and Raktapitta. Similarly, Virechana therapy may lead to Ayoga, Atiyoga, Atisara, Gudabhramsha, Pravahika, Daurbalya, Murcha, and dehydration-like symptoms. Although the terminology differs among Acharyas, all classical texts emphasize careful assessment of Dosha, Bala, Agni, and Rogi condition before administration. Thus, proper Purvakarma, accurate dosage, and timely management are essential to prevent Vamana and Virechana Vyapat and ensure safe and effective Panchakarma therapy.