On the morning of the Panchakarma., kapha aggravating foods such as basmati rice and yogurt with salt is given to further aggravate the kapha. Oil massage and fomentation are administered on the night before the day of Vamana. The application of the heat to the chest and back will liquefy kapha. The objective of the therapy is to induce vomiting to get rid of the mucus causing excess kapha. A drink consisting of licorice and honey, or calamus root tea is given to the patient.
Vomiting is induced by rubbing on the tongue.
4-8 vomiting is the target. Virechan is the cleansing of the pitta and the purification of the blood toxins. Generally, it is administered three days after the Vamana treatment. If Vamana therapy is not needed, Virechan can be administered directly. Virechan cleanses the sweat glands, small intestine, colon, kidneys, stomach, liver and spleen.