Article by Dr Raghuram Y.S. MD (Ay) & Dr Manasa, B.A.M.S
Madanaphala – Randia dumetorum, an emetic nut as it’s known as, is the perfect and most secure emetic in line with Ayurveda. It’s used both singly or together with different herbs to induce secure vomiting and is subsequently an integral a part of Vamana remedy – therapeutic emesis.
Any Panchakarma unit or division of remedy room is incomplete with out having ‘Madanaphala’ in its retailer financial institution.
The primary chapter of ‘Charaka Kalpa Sthana’ has been totally devoted to the reason of ‘Madanaphala’ and its preparations / recipes which might be utilized in ‘emesis remedy’ as part of Panchakarma therapies.
A complete of 100 and thirty-three recipes of Madanaphala have been detailed on this chapter whereby the medication is seen for use in numerous kinds.
One recipe amongst these 133 Madanaphala preparations is the ‘Ghreya Yoga’. It’s a methodology during which the affected person is made to odor the ‘Madanaphala’ recipe ready for the aim of smelling. On this methodology of preparation, the odor of this recipe will induce secure emesis. Since it’s used via the nasal route, additionally it is known as as ‘Madanaphala Nasya Yoga’.
There is just one recipe discovered defined on this chapter which can be utilized within the type of ‘Ghreya’.
Process of administering emetic remedy utilizing Madanaphala Ghreya Yoga
1. Purvakarma: Preparatory procedures
a. Preparation of ‘Madanaphala Ghreya Yoga’ – Recipe of madana-phala for inhalation
फलपिप्पलीनांफलादिकषायेणत्रिःसप्तकृत्वःसुपरिभावितेनपुष्परजःप्रकाशेनचूर्णेनसरसिसञ्जातंबृहत्सरोरुहंसायाह्नेऽवचूर्णयेत्, तद्रात्रिव्युषितंप्रभातेपुनरवचूर्णितमुद्धृत्यहरिद्राकृसरक्षीरयवागूनामन्यतमंसैन्धवगुडफाणितयुक्तमाकण्ठंपीतवन्तमाघ्रापयेत्सुकुमारमुत्क्लिष्टपित्तकफमौषधद्वेषिणमिति समानंपूर्वेण||१९||
Technique of preparation of ‘Ghreya’ recipe
1. Bhavana – impregnation of Madanaphala seeds
Seeds of madanaphala are collected.
These seeds are effectively impregnated with the decoctions of the under talked about herbs –
1. Madanaphala
2. Jimutaka
3. Ikshvaku
4. Dhamargava
5. Kutaja
6. Kritavedhana
This impregnation needs to be finished twenty-one instances.
2. Drying and powdering the impregnated seeds
After this, when the process is full and the seeds have been dried correctly, they’re made into positive powder resembling the pollen of flowers.
3. Sprinkling the Madanaphala powder on lotus flower
On the identical day, within the night, an enormous sized lotus flower rising in a pond is chosen. The Madanaphala powder which has been ready within the methodology as defined above needs to be sprinkled over the lotus flower and left on it in a single day.
Subsequent morning, the identical powder of Madanaphala is as soon as once more sprinkled over the lotus petals and the flower is plucked.
4. Indications for ghreya yoga
The Ghreya Yoga – inhalation recipe ready utilizing madanaphala seeds and sprinkled on the petals of lotus is given for inhalation within the under talked about circumstances –
– Sukumara – sufferers who’re tender in nature / structure
– Utklishta pitta kapha – sufferers having excited pitta and kapha
– Aushadha dweshi – sufferers who has aversion in direction of oral consumption of medicines
b. Preparation of the affected person for emesis remedy
अथच्छर्दनीयमातुरंद्व्यहंत्र्यहंवास्नेहस्वेदोपपन्नंश्वश्छर्दयितव्यमितिग्राम्यानूपौदकमांसरस-क्षीर-दधि-माष-तिल शाकादिभिःसमुत्क्लेशितश्लेष्माणंव्युषितंजीर्णाहारंपूर्वाह्णेकृतबलिहोममङ्गलप्रायश्चित्तंनिरन्नमनतिस्निग्धं……..मन्त्रेणानेनाभिमन्त्रयेत्- Cha.Ka.Sth.1/14
1. Snehana and Swedana – Oleation and Sudation
Earlier than administering vamana – emetic remedy, the affected person needs to be administered with snehana – oleation and swedana – sudation / fomentation therapies for a time interval of two or three days.
2. Kapha Utkleshakara Ahara – Kapha thrilling food regimen
He needs to be given the food regimen consisting of the soup of the meat of gramya (domesticated), anupa (marshy land- inhabiting) and audaka (aquatic) animals and birds, milk, curd, black gram, sesame seeds, greens, and so forth, throughout the night time earlier than the day of administration of vamana. These meals are given with an intention of inflicting excitation of kapha. When kapha will get excited, it may be simply expelled via emesis remedy.
3. Rituals and gruel
On the subsequent morning the doctor ought to be sure that the meals taken the earlier night time by the affected person ought to have been digested correctly.
Later, the rituals together with bali – non secular sacrifices, homa – sacred ritual of providing oblations of ghee to fireplace, mangala – auspicious rituals and prayaschita – rituals for neutralizing the consequences of potential sinful acts needs to be carried out.
2. Pradhana Karma: Administration of Vamana – Ghreya Yoga
The emetic drugs – Ghreya Yoga (the preparation of which has been defined above) on this context – needs to be impregnated with the under talked about mantra.
‘ॐब्रह्मदक्षाश्विरुद्रेन्द्रभूचन्द्रार्कानिलानलाः|
ऋषयःसौषधिग्रामाभूतसङ्घाश्चपान्तुते|
रसायनमिवर्षीणांदेवानाममृतंयथा|
सुधेवोत्तमनागानांभैषज्यमिदमस्तुते’|
इत्येवमभिमन्त्र्योदङ्मुखंप्राङ्मुखंवाऽऽतुरंपाययेत्…..पुनःपुनरापित्तागमनात्, तेनसाधुवमति…|Cha.Ka.Sth.1/14
Authentic mantra
“Om brahma- daksasvirudrendra-bhu-candrarkanilanah|
Rsayah sausadhigrama bhutasanghasca pantu te||
Rasayanamivarsinam’devanam amrtam yatha|
Sudhevottamanaganam Bhisajyam idam astu te||”
Translation of the mantra:‘Could Brahma, Daksha, the Asvins, Rudra, Indra, the Earth, the Moon, the Solar, the Wind, the Fireplace, the Sages, all of the medication and all of the residing beings shield you.
Could the recipe produce the identical results on you, identical to the rejuvenating recipes have finished to the sages, because the ambrosia has finished to the gods, and as sudha – a kind of ambrosia has finished to the chief of the nagas.
After the recipe has been impregnated with the mantra described above, it’s administered to the affected person whereas he’s going through in direction of the east or the north repeatedly.
Technique of administration of Madanaphala Ghreya Yoga
The recipe is saved prepared and so is the affected person, after all of the rituals are finished.
After ascertaining that the affected person is on empty abdomen (has not eaten something) and who has not been administered with extreme oleation (anati snigdha) she or he is made to drink throat full (till saturation) Haridra – turmeric, Krshara – a kind of gruel preparation containing or ready from rice and lentils, milk or gruel after including saindhava – rock salt, guda – jaggery and phanita – treacle.
Following this the affected person is run ghreya yoga – inhalation remedy of madanaphala, i.e. she or he is made to inhale the lotus flower on which the powder of madanaphala is sprinkled.
With this, the particular person / affected person will vomit effortlessly.
It needs to be given until the pitta – bile comes out together with the vomited materials and all signs of Samyak vamana i.e. correctly induced emesis remedy are seen.
3. Paschat Karma: Publish emesis observe up
It’s the similar as for any emesis remedy. It contains of –
Remark and administration
The doctor ought to observe for Samyak vanta lakshanas – indicators of correctly finished emesis remedy. If there are indicators of extreme vomiting, the affected person needs to be rested and any associated indicators and signs needs to be managed.
हीनवेगंतुपिप्पल्यामलक-सर्षपवचाकल्कलवणोष्णोदकैः पुनःपुनःप्रवर्तयेदापित्तदर्शनात् ||१४|| Cha.Ka.Sth.1/14
If the urge for vomiting is weak, then that is augmented by the repeated administration of the paste of pippali – Piper longum, amalaka – Emblica officinalis, sarsapa – mustard and vacha – Acorus calamus – added with salt and heat water until the bile seems within the vomited materials.
Dhumapana
If vomiting has taken place correctly and indicators of it are current and famous, the subsequent step is to manage dhumapana (medicated smoking) to expel any remaining kapha.
Samsarjana Krama
Graduated dietetic protocol beginning with liquid food regimen is deliberate preserving in view the energy of agni – digestive fireplace, which has briefly compromised because of the impression of remedy. Over a interval of three, 5 or 7 days, the particular person is introduced again to the format of regular meals which is conducive and habituated to him.
Aushadha, Ahara, Vihara
The dosha balancing and illness checking medicines, food regimen and way of life modifications are really useful within the observe up as half and parcel of upkeep and in addition to stop recurrences.
Mode of motion
How does Ghreya Yoga work?
All of us would have skilled a puking really feel after we odor one thing which doesn’t go effectively with us i.e. incompatible or insupportable smells. These smells could be completely different for various individuals however on a person foundation, any odor which is irritating, uncomfortable, putrid, decaying smells inducing vomiting sensation or vomiting itself by activating vomiting centres within the mind.
Hyperosmia is a situation whereby robust and unsightly odors could be overwhelming and will trigger nausea or vomiting. Folks with this situation can have ‘set off smells’ i.e. smells that are notably offensive to them. Adjustments occurring to the sense of odor could set off a rise in complications and nausea and vomiting.
So, an disagreeable and unfamiliar odor may cause vomiting by stimulating the vomiting centres within the mind. The odor of madanaphala too is disagreeable and unfamiliar. Furthermore, it’s triturated with many different decoctions of varied emetic herbs to boost this impact to induce nausea and vomiting. The collective impact of those herbs would trigger vomiting within the affected person.
Nasya Impact – When the particular person smells the madanaphala powder sprinkled on the lotus petals, he would additionally inhale the particles of the powder, which is able to act as pradhamana or churna nasya – powder errhine. This might irritate and stimulate the nasal mucosa and the nerves therein. This might later stimulate the vomiting centres within the mind and trigger emesis.
This ‘emesis via smelling or nasal stimulation’ is run to those that are tender in structure and can’t tolerate the robust process of vamana whereby the emetic drugs is run orally and in addition to those that have aversion to medicines. Additionally it is given in circumstances whereby there may be excitation of kapha, pitta or physique doshas within the abdomen, able to get expelled. So, nothing a lot aside from making the affected person odor one thing nauseous is crucial to induce the method.
