Cikitsā-sāra: Doṣa Nidāna–Lakṣaṇa, Agni, Ajīrṇa/Āma Cikitsā, Daśamūla, and Prognostic Signs
आमाद्विषूचिका चैव हृदालस्यादयस्तथा / वचालवणतोयेन छर्दनं तत्र कारयेत्
āmādviṣūcikā caiva hṛdālasyādayastathā / vacālavaṇatoyena chardanaṃ tatra kārayet
จากอามะเกิดวิษูจิกา รวมทั้งแน่นหนักที่หัวใจและความเกียจคร้าน เป็นต้น ในกรณีนั้นพึงทำให้อาเจียนด้วยน้ำต้มผสมวะจาและเกลือ
Lord Vishnu (in discourse to Garuda)
Concept: Āma precipitates severe disorders (viṣūcikā etc.); timely śodhana (vamana) can avert escalation.
Vedantic Theme: Removal of impurities (mala/āma) as a prerequisite for clarity—parallel to inner purification in sādhana.
Application: In āma-dominant acute states with heaviness/lethargy, consider supervised emesis using vacā-salt water (as per traditional protocol), with caution and proper assessment.
Primary Rasa: bhayanaka
Secondary Rasa: karuna
Related Themes: Garuda Purana 1.168.38 (āma as sign of ajīrṇa); Garuda Purana 1.168.40 (amla complications and regimen)
It is presented as an acute, severe disorder arising from āma, resembling a sudden gastro-intestinal affliction with dangerous systemic effects.
It recommends therapeutic vomiting (chardana) using vacā mixed in salted water as a cleansing measure.
The takeaway is to address toxic indigestion promptly with appropriate cleansing and medical care; traditional measures should be used responsibly and with guidance.