Complications of emesis and purgation

Fifteen complications of emesis and purgation are named: the emetic going downward and the purgative going upward (the only ones specific to one procedure), residual medicine, digested medicine, scanty removal of doshas, excessive removal, vata colic, jivadana (loss of life-blood), ayoga, atiyoga, parisrava, parivartika, hridaya-sanchara (hridayopasarana), vibandha, adhmana and atipravahana (pravahika); the rest are common to both procedures.

The commentary says these complications arise when some fault occurs in giving emesis or purgation through the negligence or ignorance of the physician, the patient or the attendant.