Clinical Experience with Vasanta Vamana Karma (Therapeutic Emesis in Spring Season): A 20-Case Series

Abstract

Vamana Karma, a Panchakarma therapy, is recommended as a Shodhana therapy for Kapha disorders. Ayurveda emphasizes the importance of Ritu (season) in Panchakarma procedures, with Vasant Ritu (spring) being ideal for Vamana. This case series presents clinical experiences from 20 Vamana procedures conducted during Vasant Ritu, highlighting outcomes, challenges, and practical insights. Objective: To evaluate the efficacy, safety, and clinical outcomes of Vamana Karma performed in the Vasant Ritu season. Methods- A retrospective observational study was conducted on 20 patients who underwent Vamana Karma during Vasant Ritu. Selection was based on classical Yogya Lakshana and Kapha Prakopa conditions. Data regarding patient demographics, indications, pre-procedure preparations, procedural details, number of Vega, and Shuddhi Lakshana were collected. Subjective and objective parameters were assessed pre- and post-procedure. Follow-up was done for 14 days to monitor clinical progress and adverse events. Results: The majority of patients exhibited classical Kapha disorders such as PCOD, hypothrodism, Indralupta, Bahudosha Avastha, psoriasis and Sheetapitta. Vamana Karma was well-tolerated, with an average of 7 Vega achieved. Classical Shuddhi Lakshana such as Peeta, Tikta, and Madhura Vamana Vega were observed in 80% of cases. Significant improvements in symptoms, Agni Deepana, and overall well-being were observed. No major adverse events were reported. Conclusion: Vamana Karma performed during Vasant Ritu demonstrates promising clinical outcomes when administered following classical guidelines. This study reinforces the importance of seasonal Panchakarma and highlights the need for further large-scale studies for standardization.