Chapter 8.6: Management of Emesis and Purgation Complications (Vamana Virechana Vyapat Siddhi / वमनविरेचनव्यापत्सिद्धि)
Ten cardinal complications of improper therapeutic emesis and purgation, their causes, symptoms, and management. Includes signs of proper elimination and the Samsarjana Krama post-procedure diet.
Source: Astanga Hridaya Sutrasthan by Vagbhata
This chapter addresses the 10 cardinal complications of improperly administered emesis and purgation: abdominal distension, anal fissure, discharge, chest congestion, body stiffness, bleeding, rectal prolapse, stiffness, secondary complications, and fatigue. A root cause analysis framework identifies four sources: attendant, drug, physician, and patient factors. The three-outcome model (samyaka/atiyoga/ayoga) provides objective assessment criteria. The chapter emphasizes that complications arise primarily from practitioner incompetence, reinforcing the need for systematic training in Panchakarma.