Panchkarma is a speciality of Ayurveda having diversified preventive, curative, and promotive actions indicated in wide range of disease/ health problems.Panchkarma procedures purify various system of the human body and expel out cumulated toxic metabolites (waste product) from the body and maintain normal functioning of tissue, digestion, metabolism, mental functions etc.

Definition of Panchkarma

Panchkarma is basically a bio-cleansing regimen, which facilitates the body system for better bioavailability of the Pharmacological therapies, besides achieving homeostasis of humans (doshas) and maintains the equilibrium of body tissues (dhatus). It also increases the acceptability of body to various dietary regimens and use of rejuvenation therapy (Rasayana) for promotive health as well as for therapeutic regimens.

Panchkarma has three major components

Poorvakarma – Preparatory Procedures

Before performing Panchkarma, Preparatory procedures are essential. These are

Deepan – Increasing the digestive process but not digest toxic metabolites

Pachana – Digestion of toxic metabolites but not increases the digestive process

Snehan – Internal use of medicated Oil/Ghee and external application of oils

Swedan – Medicated sudation – fomentation

Pradhanakarma – Main procedures

Vaman karma – Therapeutic emesis

Virechan karma – Therapeutic purgation

Anuvasana vasti – Oil/ Unctuous enema

Asthapana vasti – Decoction enema

Nasya karma – Nasal administration of medicaments

Paschatkarma – Post procedures

Sansarjan karma – Dietary regimen

Dainik charya – Lifestyle

Dhoomapana – Medicated smoking

Kavalgraha – retaining of medicated liquids/solids in oral cavity

Principles of Panchkarma

  1. Srotosodhan – Expel out the accumulated metabolic waste products at cellular level.
  2. Disease managed by Panchkarma therapy may not be recurred
  3. Poorvakarma (Preparatory procedures) are beneficial for lubricating and liquefying the waste products (malas) accumulated in various transport systems of the body and to bring waste products to the alimentary canal (koshtha ) for easy elimination through nearest root
  4. After therapeutic emesis (Vaman karma) and therapeutic purgation (Virechan karma), one should follow a special dietary regimen called as Samsarjana Karma  It is essential to restore the normalcy of body tissue & systems as well as help to rejuvenate the person. Sansarjana Karma is also essential for better effect of medicine on the body. Beside this, the specified restriction, guidelines and post therapeutic procedure (Paschat Karma) mentioned in the classics should also be considered
  5. Main procedure (Pradhana Karma) depends on the nature of the vitiated humours (doshas) as well as the involvement of a particular system in a disease.

Vaman karma (Therapeutic emesis) for Kapha dosha predominanant conditions

Virechan karma (Therapeutic purgation) for Pitta dosha predominanant conditions

Anuvasana vasti (Oil/ Unctuous enema) for Vatta dosha predominanant conditions

Asthapana vasti (Decoction enema) for vitiation of Tridosha conditions

Nasya karma (Nasal administration of medicaments) is the procedure of choice in diseases of Supra – clavicular region (Brain, Ear, Nose, Throat and Sensory organs)

Application of Panchkarma

Panchkarma is beneficial for

  • Preventive, promotive health purposes
  • Management of various systemic diseases viz. Joint disorders, Musculoskeletal, Dermatological, Neurological, Psychiatric, Geriatric, Gynecological disorders, Respiratory disorders etc
  • The regimen is also widely prescribed in chronic incurable diseases for improving the quality of life

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Dr kamaljeet singh

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