In order to eliminate vitiating factors from the head along with gourava (heaviness of the head), shirahshoola (headache), pinasa (rhinitis), ardhavabhedaka (hemicrania), krimi (infections), apasmara (epilepsy), ghrananasha (anosmia), pramoha (fainting),
Dhamargava (Luffa aegyptiaca Mill.), are the drugs to be used by the physician in the conditions caused by vitiation of kapha and pitta in upper gastrointestinal tract for emesis without causing strain to the body.
Pilu (Salvadora persica Linn.), Aragwadha (Cassia fistula Linn.), Draksha (Vitis vinifera Linn.), Dravanti (Croton tinglium Linn.), Nichula (Barringtonia acutangula (Linn.) Gaertn.) are the drugs used for purgation when vitiating factors are located in Pakwashaya (colon).