वामयेत्तु ततः शेषमौषधं न त्वलाघवे| स्तैमित्येऽनिलसङ्गे च निरुद्गारेऽपि वामयेत्||२१||
If after the completion of the purificatory procedures, there is presence of residual medicines, vamana must be administered. If there is no feeling of lightness, then also vamana should be performed. Vamana must be specifically performed, when there is staimitya (a feeling of wet covering), obstruction of vayu and absence of belching.
Vamana should be continued till there is lightness of the body and reduction of kapha. If continued, it can result in serious consequences. The one who has been purified by vamana will have augmented agni, leading to the alleviation of dosha.
He need to undergo fasting till the signs of proper digestion of drugs for vamana is seen. For one having those signs, peyadi kramam (regulatory diet regimen) has to be initiated. He should not undergo further langhana (fasting).
The individual who is purified after elimination therapy and removal of dosha from the body, has his agni diminished. Hence it is highly pertinent to institute dietary regimen termed peyaadi kramam.
When there is little elimination of kapha and pitta through purification therapy, in alcoholics and in persons with predominance of vata and pitta dosha, the dietary regimen called tarpanaadi kramam need to be started instead of peyaadi kramam, as peyadi may increase kapha causing abhishyandam (clogging of the channels of circulation).