The fifteen complications of purification

Fifteen complications (vyapad) of emesis and purgation are named, arising from errors of the physician, patient or attendant: the emetic going down or the purgative going up; medicine remaining; medicine digested; scanty removal of doshas; excessive removal; vata colic; jivadana (loss of life-blood); ayoga; atiyoga; parisrava; parivartika; hridaya-sanchara (hridayopasarana); vibandha; adhmana; and atipravahana. Their signs and treatment follow.