Emesis (Chhardi)

Emesis Types | Clinical Features of EmesisDefinition: The reflex action of ejecting the contents of the stomach out from the oral cavity is known as emesis. It is also called Vomiting. It is a common symptom of intense anxiety. Aetiology:

  1. Excessive use of liquids
  2. Excessive use of oily substances as also of disagreeable articles
  3. Over intake of salt
  4. Taking meals at undesirable time i.e. overeating
  5. Intake of unsuitable diet
  6. Fatigue, fear and stress
  7. Indigestion
  8. Worm Infestations
  9. Pregnancy
  10. Taking meals very rapidly unnecessarily.

All these lead to a sudden and forceful nausea and when the vitiated doshas mix up in the oral cavity, they are expelled through the mouth distressing the body along with a sensation as if the body parts were being broken; it is therefore called chhardi. Prodromal Symptoms:

  1. Excessive Nausea
  2. Cessation of eructations
  3. Saltish thin salivation
  4. Aversion to food and drinks

Type of emesis and their clinical features:

  1. Vaataj Chhardi: In case of vaataj chhardi, there is:
  2. Pain in precordium and the flanks
  3. Dryness of the mouth
  4. Headache
  5. Discomfort in the umbilical region
  6. Cough
  7. Hoarseness of voice
  8. Pricking sensation
  9. Eructations with loud sounds and frothy, shredded, blackish, thin and astringent vomitus with difficulty and in small quantities but with greater force. The patient with vaataj emesis vomits painfully.
  10. Pittaj Chhardi: A patient of pittaj chhardi suffers from:
  11. Fainting
  12. Thirst
  13. Dryness of mouth
  14. Sensation of warmth in the head, the palate and the eyes
  15. A feeling of sinking into darkness and vertigo
  16. He brings out yellow, very hot, green, bitter and smoky vomitus with a burning sensation.
  17. Kaphaj Chhardi: A case of kaphaj type of emesis presents with drowsiness, sweet taste in the mouth, mucoid salivation, a sense of satiety, anorexia and heaviness in the body. He brings out sticky, thick, sweet and whitish vomitus with mild pain.
  18. Sannipaataj Emesis: A person with tridoshaj vomiting has persistently severe colicky pain, indigestion, anorexia, a burning sensation, thirst, dyspnoea and fainting. HE brings out saltish, sour, bluish, black and hot vomitus.
  19. Agantuj Emesis: It arises due to repulsive sights, pregnancy, ama dosha, unsalutary diet and worm infestations.
  20. Krimij Emesis: Colicky pain in the abdomen and excessive nausea specially characterize the emesis due to worm infestations; the other features are the same.

Characteristics of fatal vomiting: When vayu obstructs the channels of faeces, sweat, urine and fluid systems of the body, it transverses upwards in a person whose doshas are increased as a result he brings out accumulated doshas from his alimentary tract as vomitus. The patient vomits incessantly with great force bringing vitiated substances of the odour and colour of faeces and urine with the associated complications of thirst, dyspnoea and hiccough; a person suffering from such a condition dies soon. Complications of emesis:

  1. Cough
  2. Dyspnoea
  3. Fever
  4. Hiccough
  5. Thirst
  6. A state of confusion
  7. Cardiac disease


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