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Emesis is judged proper when first the medicine, then kapha and then pitta are expelled and the doshas and the disease subside.

The complication in which a purifying medicine goes neither up nor down or acts too little; the text gives its causes, signs and stepwise management.

After oleation and sudation the patient sits on a knee-high, steady, soft seat and drinks the lukewarm emetic milk in the morning; vomiting is then encouraged with a finger or a soft stick…

The subject of chapter 22: disorders that arise when therapeutic procedures such as oleation, sweating, emesis and purgation are applied wrongly, too little or too much.