Context: Vamana karma (therapeutic emesis) is considered as best for the elimination
of morbid Kapha dosha among all the Panchakarmas. Though many drugs are mentioned under
Vamaka dravyas, the drug Madanaphala (Randia spinosa) is most commonly utilized because of
its easy utility and safe property. There are 133 formulations of Madanaphala mentioned in
classics but only few formulations are in practice. Hence, in this trial Madanaphala pippali choorna
yoga (powder) and Madanaphala pippali sheetha kashaya yoga (decoction) has been selected for
Vamana karma (therapeutic emesis) to see their comparative effects. Materials and Methods: Study
is carried out in 30 patients (2 groups of 15 each). The observations on time taken for the initiation
of first bout and completion of Vamana procedure, Vegiki shuddhi (number of bouts), Maniki
shuddhi (quantity of expelled morbid factors), Antiki shuddhi (appearance of Pitta), Lainghiki
shuddhi (appearance of procedural benefits), were made. Results: Both the groups showed the
same efficacy. Earlier initiation, completion of Vamana procedure and easier oral administration of
drug was observed in Madanaphala pippali sheetha kashaya yoga.
Key words: Vamana karma, Madanaphala pippali choorna yoga, Madanaphala pippali
sheetha kashaya yoga, Panchakarma, Randia spinosa, Acorus calamus.