The Compendium of Caraka 6.20: viṃśo 'adhyāyaḥ/

Now we shall explain the treatment of vomiting (chardi).

Thus spoke the venerable Ātreya.

Agniveśa the pupil questioned the son of Atri, Punarvasu, / illustrious, blazing with the splendour of sacred knowledge and ascetic practice, endowed with the lustre of fire and sun, devoted to the welfare of living beings:

"Those five kinds of vomiting which were previously taught by you in the context of diseases, O best of physicians! / Declare their treatment properly, along with etiology and symptoms, for the benefit of humankind."

Hearing those words of Agniveśa, the best of physicians, pleased, spoke this: / "Understand from me as I speak in detail of those five kinds of vomiting which were previously stated by me:

Four arise from the doṣas individually and from all three combined, and there is also a fifth from contact with abhorrent things. / Nausea, spitting of phlegm, and aversion to food are indeed their premonitory signs.

In a person excessively emaciated by exercise, sharp medicines, grief, illness, fear, fasting, and the like, / vāyu, highly aggravated in the great channel, agitating the doṣas and throwing them upwards,

and oppressing the vital parts, produces vomiting caused by the agitation of the stomach, / accompanied by pain in the heart and flanks, dryness of the mouth, piercing pain in the head and navel, cough, hoarseness, and aching.

With loud sounds of eructation, frothy, broken, black, thin, astringent, / with difficulty and in small amounts, yet with great force, the afflicted person vomits with distress due to vāta.

Due to undigested, pungent, sour, burning, and uncooled foods, pitta with its force risen in the stomach, / spreading through the vessels and oppressing the vital parts, moves upward and causes vomiting.

Afflicted by fainting, thirst, dryness of the mouth, burning sensation in the head, palate, and eyes, darkness before the eyes, and giddiness, / he vomits yellow, very hot, green, bitter, and smoky [matter] with burning, due to pitta.

By unctuous, overly heavy, raw, and burning foods, and by sleep and the like, kapha greatly increased, / obstructing the chest, head, vital parts, and all the vessels, produces vomiting.

Afflicted by drowsiness, sweetness in the mouth, spitting of phlegm, satiety, sleep, anorexia, and heaviness, / he vomits unctuous, dense, sweet, pure [matter] from kapha, with horripilation and little pain.

In one who eats all tastes mixed together continually, and by indigestion-disorders and seasonal irregularities, / all the doṣas, simultaneously aggravated, generate vomiting born of the three doṣas.

Colic, indigestion, anorexia, burning, thirst, dyspnoea, and deep stupor are predominant; persistently / there is vomiting from all three doṣas, in which people vomit salty, sour, blue, thick, hot, and bloody matter.

When vāyu, blocking the channels carrying feces, sweat, urine, and water, moves upward, / having agitated that accumulated doṣa from the alimentary canal of the person with heightened doṣas,

he vomits that [matter], having the colour and smell of feces and urine, accompanied by thirst, dyspnoea, and hiccup, persistently / and corruptly with excessive force; and afflicted by this, he quickly meets his death.

When one vomits with an afflicted mind from the sight and smell of despised, contrary, impure, putrid, unwholesome, / and gruesome food, [that vomiting] caused by repulsive objects is considered born of contact with abhorrent things.

The vomiting in an emaciated person which is excessively increased, has complications, and contains blood and pus, / and has circular oily glints—they declare that incurable; but that which is curable and devoid of complications one should treat.

All kinds of vomiting are indeed considered to arise from agitation of the stomach; therefore, fasting alone / one should administer first, except in that born of vāta; or purification eliminating kapha and pitta.

One should lick powders of abhayā with honey, or purgatives that are agreeable to the heart,
administered properly with wines and milks; they carry downward the humor that has surged upward.

Or one should drink an emetic of vine-fruits and the like; but he who is weak one should treat with pacifying measures—
with delightful, light, dried meat juices, foods, varied drinks, and eatables.

Well-prepared broths of partridge, peacock, and quail dispel that vomiting arising from wind,
as does a soup made with kola, kulattha, coriander, roots of the bilva group, sour [substances], and barley.

In [vomiting] of vāta nature, a man afflicted with palpitations should drink ghee with rock salt,
or [ghee] prepared with coriander and dried ginger, curd, and pomegranate water.

Or one should administer a dose of ghee mixed with the three pungents and the three salts,
and unctuous, agreeable meals with meat juices and soups soured with curd and pomegranate.

In that of pitta nature, for the sake of downward movement, trivṛt should be taken with grape, vidārī, and sugarcane juice;
but pitta located in the stomach and excessively increased, one should eliminate upward alone with sweet drugs.

To one who has been purified at the proper time, one should give a mantha with honey, sugar, and parched grain, or indeed a gruel,
or cooked śāli rice with mudga soup or with juices of wild animals.

With sugar candy, honey, and long pepper, one should lick steamed barley-dough, parched grain, roasted barley flour, [and] roasted grain,
or dates, coconut, grapes, or jujube fruits.

One should lick powders of antimony, parched grain, blue lotus, and jujube pulp with honey, and abhayā;
or jujube stone pulp, collyrium, fly dung, parched grain, sugar, and particles of long pepper.

Or one should drink well-cooled grape juice, or water from an earthen clod roasted in the fire;
or one should drink a well-cooled decoction made of rose-apple and mango sprouts mixed with honey.

Or water kept overnight with mudga and kṛṣṇā, with uśīra and coriander, or chickpea water;
one should drink water of gavedhukā root, water of guḍūcī, sugarcane juice, or milk.

One should drink uśīra or red ochre with bālaka in rice-wash water,
or superior sandalwood with emblic myrobalan juice; [these,] mixed with honey, destroy thirst and vomiting.

Likewise a paste of sandalwood, cavya, māṃsī, superior grapes, bālaka, and red ochre;
[or] red ochre and śāli rice powder with cold water, as well as mūrvā in rice-wash water.

In [vomiting] of kapha nature, emesis is commended with water of long pepper, mustard, and neem,
[or] with piṇḍītaka combined with rock salt, for the purpose of purifying kapha and the stomach in a vomiting patient.

One should eat old wheat and śāli rice with barley, with soups of pointed gourd, guḍūcī, and citraka,
or with soups of the three pungents and neem prepared with buttermilk, soured with sour fruits, and pungent.

And meat juices, roasted meats of wild animals, old madhu, sīdhu, and ariṣṭa wines,
and rāga condiments, ṣāḍava drinks, and sherbets made with grapes, wood-apple, and citron.

One should lick roasted mudga, lentils, chickpeas, and peas combined with ginger and honey,
and likewise powder of the three myrobalans and viḍaṅga, or viḍaṅga and plava.

Or powder of sour jujube mixed with rose-apple, karkaṭaśṛṅgī combined with mustā,
or durālabhā combined with honey, one should lick to restrain vomiting of kapha.

Licking powder of realgar with juices of citron and wood-apple, and of long pepper
combined with honey and black pepper, one conquers vomiting whose urge has surged forth.

The treatment which has thus been stated by me separately, combining it with intellect even in a combination of all three humors,
having considered the humor, season, disease, and the strength of the digestive fire, the knower of the treatise should apply heedfully.

In mental trauma, however, agreeable words, consolations, rejoicings,
well-known folklore, friends, and erotic diversions are beneficial.

Varied odors agreeable to the mind—of earth, flowers, fermented vinegar, sour fruits, and the like—
vegetables, eatables, beverages, well-prepared ṣāḍavas, rāgas, and linctuses,

soups, meat juices, kāmbalikā drinks, khaḍa curries, meats, parched grain, various eatables,
fruits, and roots endowed with pleasing odor, color, and taste, conquer vomiting.

Whatever smell, taste, touch, sound, and sight is pleasing, even if unwholesome,
that very thing one should give for its pacification; for a disease born thereof is easily conquered.

And for the complications arising from vomiting, treatment should be done from their own therapeutics;
when [vomiting] is excessive, that which is prescribed for over-action of purgation should be prescribed.

From continuous vomiting, wind also inevitably goes to increase because of depletion of the bodily elements; therefore,
when it has persisted long, supporting and nourishing measures that remove wind should be done.

Ghee-treacles, milk preparations, ghees—kalyāṇaka, tryūṣaṇa, and the life-giving ones—
and aphrodisiac meat juices with linctuses conquer vomiting that has persisted long.

Here is a verse:—

The cause, number, characteristics, complications, curability or incurability, and formulations—
the best of sages proclaimed the treatment for the pacification of vomitings.

Thus, in the treatise made by Agniveśa, redacted by Caraka, and, being incomplete, filled out by Dṛḍhabala, in the Section on Therapeutics, the twentieth chapter, named "The Treatment of Vomiting." //20