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Discover the Power of Ayurvedic Panchakarma Treatment Therapy for Rejuvenation and Well-being

A  beginners manual to Panchakarma: All you need to know about this holistic detox  therapy

Panchakarma is a traditional Ayurvedic therapy that involves a series of five different cleansing procedures to detoxify the body and balance the doshas (Vata, pitta, and kapha) in order to promote overall health and wellness. The word  “panchakarma” means “five actions” in Sanskrit, and these actions are designed to purify and rejuvenate the body, mind, and spirit.

This treatments work on the body by utilising a combination of treatments — from steams, saunas, massages, and specific diets that help the body get rid of ‘ama’ or toxins.

Panchakarma treatment includes preventive, curative and promotive actions for various issues.

Understanding the imbalance of your doshas is the fundamental of the  treatment.

Every individual constitution has its own unique balance of vata, pitta, and kapha according to its own nature. This balance of VPK,when disturbed  creates illhealth , which is disorder. Three doshas of the body,broadly represent the nervous system, the metabolic system and the nutritive system,Whenever the delicate balance between these doshas is disturbed, a disease may be manifested

Health exists when the digestive fire  is in a balanced condition; the bodily humors  are in equilibrium, the three waste products (urine, feces, and sweat) are produced and eliminated normally, the seven bodily tissues (rasa, rakta, mamsa, meda, asthi, majja and shukra/artava) are functioning normally, and the mind, senses, and consciousness are working harmoniously together. It also includes the Prasanna Atma (soul), Indriya (sense organs) and Manas (mind).

On a Out of Balance  state ,one can experience Hypertension,constipation,weight loss weakness,arthritis,mental illness ,digestive issues ,disturbe sleep Where as In Balanced state of doshas ,one can be  of excellent agility,creative,energetic,flexible

According to Ayurveda, the human body is submerged under a load of improper and untimely  food, poor lifestyle  habits , and tremendous  stress. These  affect our body both mentally and physically, leading to blockages in the various systems in the body, ultimately resulting in diseases.

Seasonal changes additionally create illnesses in the body aggravating the doshas and throwing them off balance. 

In order to achieve the health ,Ayurveda has advocated certain regimens and treatment modalities such as Dinacharya, Ritucharya, Vega Adharana, Rasayana–Vajikarana and Panchakarma.

Therefore, one needs to cleanse and re-balance the body by way of adopting a lifestyle that encourages the habit of correct eating, regular exercising, and mindful living. 

Ayurveda is an age-old science that uses body intelligence, seasonal wisdom, and nature’s cure by way of Panchakarma to balance and detoxify the body. It is designed to restore the degenerative process of the human body, holding within it the potential of long-lasting wellness. Panchakarma treatments are typically administered by trained practitioners and are tailored to the individual’s specific needs and health conditions. In addition to the five main treatments, Panchakarma may also include dietary changes, massage, and other therapies to support the body’s natural healing process.

In addition, Panchakarma Therapy is also thought to help boost the immune system, improve digestion, reduce stress and anxiety, increase energy levels, and improve sleep quality. By addressing these factors, Panchakarma can play an important role in promoting physical, mental, and emotional health.In other words, Panchakarma healing technique is a pillar on which majority of Ayurvedic techniques stand.

The five Procedure of Panchakarma treatment each target specific areas of the body and help to release toxins through different methods.

What is a Panchakarma Cleanse?

Our bodies are not meant to be toxic but improper digestion, high levels of stress and pollution of the environment, water and food continuously create toxins in the body. If not flushed out effectively and on a regular basis, a toxic build up can eventually manifest as disorders.

Panchakama cleanse is a  sub-section of ayurveda, which entails five different types of activities aimed at detoxification mainly for the prevention and control of diseases. They are:

- Vamana (Emesis Therapy)

- Virechana (Purgation Therapy)

- Bastis (classified as Niruna and Anuvasana) , Herbal and/or oil decoction enemas

- Nasya (Inhalation)

- Rakta Moksha (Bloodletting)

Detox programmes are recommended once every season for most people, as a way of preparing the body for the next season; thus aiding the preventive aspect of this healing system.

Panchakarma is a highly personalized treatment plan and no two patients may receive the same treatment even though they may both be experiencing a “Panchakarma”.

Now Lets  explore  how Panchakarma works

Panchakarma – Indeed, disposal of metabolized products is a fundamental process in all living beings, including humans. Metabolism refers to the biochemical processes that occur within an organism to maintain life, including the breakdown of nutrients to produce energy and the synthesis of molecules needed for growth, repair, and maintenance.

Cellular metabolism, the process by which cells produce energy and carry out their functions, generates waste products as byproducts. These waste products need to be efficiently removed from the cells and the body to maintain proper cellular function and overall health.

Yes, the body does have mechanisms for processing and eliminating toxins as part of its natural metabolic processes. This includes the liver filtering toxins from the blood, the kidneys removing waste products through urine, and the intestines expelling toxins through feces. However, certain toxins can overwhelm these natural detoxification pathways or accumulate in the body faster than they can be eliminated, leading to various health problems.

Unless these wastes are removed from the body they tend to stick into minute channels called as “srotas” and begin creating disease. Consequently to remain healthy, it is important to dispose of wastes from these channels.

Panchakarma is a traditional Ayurvedic detoxification and rejuvenation therapy involving various cleansing and purification techniques. While there is anecdotal evidence suggesting its benefits for relaxation and mental clarity, scientific studies on its effects on brain wave coherence and metabolic activity are limited.

This traditional detoxification process involves various therapeutic procedures that target different organs and systems of the body. Here's how it works:

Cleansing toxins :

The methods of panchakarma  help to dislodge toxins from cells and tissues, facilitating their removal from the body

Emotional release and Profound relaxation :

In addition to physical detoxification, Panchakarma is believed to aid in the release of deeply held emotional tensions. The effects of the therapy can help individuals let go of stress, anxiety, and emotional baggage

Panchakarma treatments are profoundly relaxing and soothing, providing a sense of deep relaxation and rejuvenation.

Increased quality of life span, a profound benefit of panchakarma. : By optimizing bodily functions and enhancing vitality, it is believed to contribute to a longer and healthier life

Stress buster : Through its calming and balancing effects, it helps to reduce tension, promote relaxation, and enhance resilience to stress

Restoration of balance and harmony

Panchakarma works by restoring the body's natural balance, harmonizing the doshas (energetic forces) and optimizing the functioning of bodily systems

Holistic revival :

By addressing physical, mental, and emotional aspects of health, it promotes overall rejuvenation and vitality, helping individuals feel refreshed and revitalized

Ayurveda offers mainly two types of treatments:

Shamana Chikitsa: Shamana Chikitsa involves the administration of herbal medicines to subside the symptoms.

Shodhana Chikitsa: Shodhana Chikitsa refers to the purification of the body from within using various procedures that combine to form Panchakarma.

As per the Ayurvedic texts, the disease cured by Shodhana or Panchakarma Therapy will never recur, whereas the conditions treated with Shamana therapy may recur

Panchakarma Treatment: For those seeking the best panchakarma experience, consider our panchakarma treatment centre in Bangalore.

Ayurvedic Panchakarma quietly expels build up toxins from mind and body. By restoring your circadian rhythm, all systems in the body begin working at their peak and the immune system becomes strong. Mental clarity enhances and the body becomes healthy and well. This is how panchkarma works.

Steps followed in panchakarma

The complete process of Panchakarma consists of three steps.

Poorva Karma-Before the actual purification begins, there is a need to prepare the body with prescribed methods to encourage it to let go of the toxins. It consists of three  main processes – deepana ,pachana ,Snehan (oleation) and Swedan (fomentation). These methods help to dislodge the accumulated poisonous substances in the body, thus preparing them for their complete removal.

Deepana-pachana -means oral administration of digestive herbs to increase Agni (the digestive fire) and liquefy the toxins so they can be removed easily from the body.

Snehan-Snehan is an oil massage. Oil is applied to the entire body with a particular type of massage that helps the toxins to move toward the gastrointestinal tract. Aside from oils and ghee utilized especially for internal application. The fatty substance goes about as a viable medium, figures out how to achieve the more profound tissues, helps in carrying the medicinal ingredients every cell of the body and loosen up toxins stuck in the cells.

Svedana-Svedana is sudation or sweating and is given every day immediately following the snehan. An herbal concoction may be added to the steam to further loosen the toxins from the individual. Svedana liquefies the toxins and increases the movement of toxins into the gastrointestinal tract.

After three to seven days of snehan and svedana, the doshas become well “ripened.” A particular panchakarma method is then given according to the individual’s constitution and disorder, prakriti and vikruti, respectively

Pradhan Karma or the main procedure. On completion of the first step, it is decided which of these are to be done depending upon the proximity of the waste.

·      Vamana: (therapeutic emesis) - induced vomiting helps clear the upper gastro till the duodenum (end of stomach) and part of the respiratory tract.

When there is congestion in the lungs causing repeated attacks of bronchitis, colds, cough, or asthma, the Ayurvedic treatment is therapeutic vomiting, vamana, to eliminate the kapha causing the excess mucus.

Therapeutic vomiting is also indicated in chronic asthma, diabetes, chronic cold, lymphatic congestion, chronic indigestion, infertility ,Allergies,Skin diseases and edema. After vamana, resting, fasting, smoking certain herbal cigarettes, and not suppressing natural urges s recommended.

Vamana, one of the five primary procedures in Panchakarma, is indeed considered as a potentially risky procedure if not performed properly under the guidance of a qualified Ayurvedic practitioner. It involves therapeutic vomiting to eliminate excess doshas (bioenergies) from the body. The concerns about Vamana therapy relate to its potential impacts on various systems in the body, including the nervous and cardiac systems.

When undergoing Vamana therapy, there is a risk of disturbing the delicate balance of the body's systems, which could lead to adverse effects if not administered correctly. Vomiting induced during Vamana can stimulate the nervous system and heart, which may pose risks, especially for individuals with pre-existing conditions or those who are not suitable candidates for this therapy.

It's crucial to emphasize that any Panchakarma therapy, including Vamana, should only be undertaken under the supervision of a qualified Ayurvedic practitioner who can assess the individual's health status, customize the treatment plan accordingly, and monitor the process to ensure safety and effectiveness.

This preparatory phase of therapeutic emesis  includes the following steps-

Snehana: Medicated ghee is used to oleate the body, internally, an important treatment step in Ayurveda. Selection of ghee is according to condition, prakruti of patient and disease.The medicated fats helps to solute the deep seated toxins. This process takes 3, 5 or 7 days to achieve the proper condition of patient.

Swedana– steam follows along with external application of medicated oils.

Vitiation of Kapha: Diet to increase the Kapha is given to patient on the previous evening of Vamana procedure.

Pradhan Karma: The main phase

The main procedure takes place early in morning,Physician tells patient to take milk.After milk, medicines for Vaman are given to patient.The medicine helps in initiating the process of Vamana.A vaidya continuously observes the patient and makes further decision.

Mode of action of Vamana(emetic)  herbs:

As Vamaka Drugs posses the qualities like ushna (hot), Tikshna (irritating), sukshma (deep penetrating) Vyavayi (spreading speedily). These medicines act by their potency. Vamana medicines spread throughout the body channels immediately. Medicines break up the hard masses of toxins, which are already soft by the purva karma (snehana and swedana) producers.Now these toxins gather inside stomach. The Vamana medicines give rise to reflex vomiting.

The completion of procedure depends on the following points-

Number of bouts of vomiting.

Quantity of vomitus.

Condition of the patient.

Pashchat Karma: The post treatment management

Once the process of Vamana completes. Patient needs rest first of all. And because, body needs complete rest. There are restrictions on food. These restrictions are decided according to the final results of the Vamana procedure.

Two types of  Vamana herbs exist:

Vamaka Drugs: – Those that induce vomiting (vamaka). They are hot (circulating throughout the body, loosening and liquefying), sharp (separating qualities), and penetrating (throughout the body). Therapies include kutaj, salt water, liquorice, and vacha.

Vamanopaga Drugs: – Herbs that further help or enhance the inducing herbs (vamanopaga). Herbs include pippali, amalaki, rock salt, neem, and madana phala.

Contraindication for Vamana therapy

Vamana is not recommended for Pregnant women,In children,For elderly people,cardiac patients ,wouned condition ,patient already having vomiting ,eye disease ,he[atomegally ,spleenomegally ,urinary incontinence ,neuropathies

Self-administration of Vamana or any Panchakarma therapy without proper knowledge and guidance can indeed be hazardous and is strongly discouraged. Ayurveda emphasizes the importance of personalized treatments tailored to individual constitutions and health conditions, and professional guidance is essential to achieve therapeutic benefits while minimizing risks.

·      Virechanam (purgation) - induced purgation clears the lower gastro from the duodenum (end of stomach) till the exit.

In virechan, purgation or disposal of toxins happens through the clearing of the bowels. In this treatment too, the patient is given inside and outside oleation and fomentation treatments. From that point onward, the patient is given a natural purgative to encourage clearing of the guts that aides in purifying the body of toxins. Virechan treatment is prescribed fundamentally for pitta -dominated conditions, such as herpes zoster, jaundice , colitis, celiac infection etc.

The Process of Virechana Treatment

Purva Karma (preparatory phase), Pradhana Karma (main procedure), and Paschat Karma (post-treatment care).

Purva Karma (Preparatory Phase): This stage involves internal and external oleation (Snehana) and sweating (Swedana) procedures. Snehana involves consuming medicated ghee or oil for a specified number of days to liquefy and mobilize the toxins.

Pradhana Karma (Main Procedure): On the designated day, the patient is given a specific herbal medicine that induces purgation. The therapy continues until the toxins are expelled from the body through the rectum.

Paschat Karma (Post-Treatment Care): After the purgation, the patient is advised to follow a specific diet and lifestyle regimen to restore digestive power. This period also includes the administration of rejuvenative therapies to enhance overall health and vitality.

Benefits of Virechana Treatment

Digestive Disorders, often treated with the best panchakarma techniques following ayurvedic principles.: Virechana is immensely beneficial in managing a range of digestive disorders, including constipation, hyperacidity, indigestion, and Irritable Bowel Syndrome (IBS).

Skin Diseases: By expelling ama (toxins) from the body, Virechana helps treat various skin conditions, including psoriasis, eczema, and dermatitis, exemplifying the benefits of panchakarma.

Psychological Conditions: Virechana is believed to have a profound impact on mental health, helping to alleviate stress, anxiety, and other psychological disorders.

Respiratory Disorders: Conditions such as asthma, chronic cough, and other respiratory issues can be effectively managed through Virechana therapy.

Strength and immunity is enhanced

Helps in the proper nourishment of the cells, tissues, and organs.

Increases the longevity of the person

Slows down the process of aging.

Helps to maintain the optimal health of the individual.

Who can take Virechana Treatment?

Patients who are

·      Obesity

·      Has Digestive tract issues like increased acidity problems, GERD, Chronic bloating, sluggish digestion, etc

·      Non-healing wounds, Ulcers

·      Abscess, blisters

·      Diseases of the Liver and Spleen

·      PCOS and infertility

·      Skin diseases like Psoriasis, Urticaria, Acne, etc

·      Metabolic diseases like Diabetes Mellitus, Hypertension, Increased Cholesterol, etc

Which month is best of Virechana?

In Ayurveda, the concept of Ritucharya or seasonal regimen plays a crucial role in maintaining health. The spring season, which typically spans mid-February to mid-April, is considered an ideal time for Virechana therapy. This is because during spring, the Kapha dosha, which tends to accumulate during winter, begins to liquefy due to rising temperatures. This liquefaction process facilitates the elimination of accumulated toxins from the body through therapies like Virechana.

Similarly, the monsoon season is also considered favorable for Virechana therapy by some practitioners. During the monsoon, the digestive fire or Agni tends to be strong due to the humidity in the atmosphere. This enhanced digestive capacity can support the purification process of Virechana effectively.

Can Virechana be done at home?

Yes, you're correct. Virechana is indeed an Ayurvedic purification therapy that involves the administration of herbal laxatives to induce controlled purgation and eliminate toxins from the body. While it's technically possible to attempt Virechana at home, it's highly recommended to seek guidance from a qualified Ayurvedic practitioner to ensure safety and effectiveness.

The process involves careful consideration of factors such as the individual's constitution (prakriti), imbalances (vikriti), and overall health status. The practitioner can assess these factors and tailor the treatment accordingly. They'll also provide guidance on the appropriate dosage of herbs, timing of administration, and duration of the therapy.

Additionally, the practitioner can offer valuable advice on pre-treatment procedures such as preparatory diet and lifestyle modifications to optimize the cleansing process. Post-treatment care is equally important to support the body's recovery and maintain balance. This may involve specific dietary recommendations, lifestyle adjustments, and herbal formulations to restore equilibrium and prevent any potential side effects.

Potential side effects of Virechana, such as nausea, vomiting, and diarrhea, underscore the importance of expert guidance. The practitioner can monitor the individual's response to the therapy and intervene if necessary to mitigate adverse reactions.

Overall, consulting an Ayurvedic practitioner ensures that Virechana is undertaken in a safe, supportive, and effective manner, maximizing the benefits while minimizing risks.

How many days do you need for Virechana?

Based on your digestive system the Ayurveda doctor will decide number of days.

What are the disadvantages of Virechana?

Virechana can cause some side effects, such as nausea, vomiting, diarrhea, dehydration, and electrolyte imbalances and also of pregnant ladies  or breastfeeding mothers .

How do you feel after Virechana?

Enhanced mental clarity: With the removal of accumulated toxins from the body, many individuals experience a heightened mental clarity and sharpness after Virechana.

Emotional release: Virechana not only purges physical toxins but can also facilitate the release of loaded -up emotions and mental stress.

Skin health improvement: Many individuals notice clearer, brighter skin with reduced acne, blemishes, and other skin issues following the therapy.

Weight loss: Due to the elimination of excess waste and toxins from the body, some individuals may experience a reduction in weight after Virechana.

Increased energy levels: While initial fatigue may be common after Virechana, many individuals report an increase in energy levels and vitality in the days following the therapy.

Enhanced immune function: Individuals may find themselves less prone to illnesses and infections after undergoing the therapy.

What are the 4 types of Virechana?

Virechana is a type of Panchakarma therapy that is used for detoxification and purification of the body. There are four main types of Virechana, which are as follows:

Nitya Virechana: This is a daily routine of consuming mild laxatives or herbs to promote regular bowel movements and detoxification of the body. It is recommended for people who have a sedentary lifestyle and tend to suffer from constipation.

Nitya-Vishesh Virechana: This is similar to Nitya Virechana, but the herbs used are stronger and have a more powerful effect on the body. This type of Virechana is recommended for people who have a more active lifestyle and need a stronger detoxification.

Krama Virechana: This involves the gradual administration of increasing doses of laxative herbs over a period of several days. It is recommended for people who have a strong Pitta Dosha and are prone to inflammatory conditions.

Langhana Virechana: This involves fasting and the use of strong purgatives to eliminate toxins from the body. It is recommended for people who have a strong Kapha Dosha and are prone to conditions such as obesity and diabetes.

·      Vasthy (Therapeutic enema)

Vasti involves introducing medicinal substances such as sesame oil, calamus oil, or other herbal decoctions in a liquid medium into the rectum. Vasti is especially good for vata disorders

Benefits of Vasti treatment :

It alleviates constipation, distention, chronic fever, the common cold, sexual disorders, kidney stones, heart pain, vomiting, backache, neck pain and hyper acidity. Vata disorders as sciatica, arthritis, rheumatism, and gout can also be treated by Vasti treatment. There are about 80 vata related disorders in Ayurveda. About 80 percent of them can be treated with medicated enemas.

Basti is of two types:

Anuvasana (enema using medicated oil) – is also known as Snaihika Vasti (Sneha = Medicated fats, mainly ghee and oil). Here, fats or oils are administered as enema mainly to treat disorders of Vata dosha imbalance.This enema is given in a less dosage for about 60ml to 100ml. this medicated oil will lubricate the intestine and pelvic organs, strengthens, and normalize  its funtions. The medicated oil is chosen according to the condition of the patient and his disease.


It should never be administered on an empty stomach. If administered, the medicine quickly travels towards upper parts of the body which is not desired. After having consumed the food, the food present in the stomach and intestine will block the passages due to their occupancy. This doesn’t allow the Sneha vasti to move beyond the colon. The medicine stays back in the colon for the desired period and imparts beneficial results.

Therapeutic indications

·      Constipation,Lower back ache and other joint painsInflammatory disorders like Gout, Rheumatism,Neurological disorders like sciatica, hemiplegia, paraplegia, paralysisNervous disorders like headache (vataja)Obesity,Emaciation,Sexual weakness, infertility.Muscular atrophy

Astapana Vasti (Therapeutic Decoction Enema) – After undergoing snehana and swedana , medicated enema is given. The decoction is selected according to the condition of the disease. After proper analysis of the disease and the patient’s body constitutions, the medicine is administered through the anal route. The procedure should be done in empty stomach. After administering the medicine, the patient is made to lie comfortably till there occurs the urge to defecate. Normally the medicine should not be retained for a longer time period.

This is a peculiar  treatment for eliminating toxin from the body. There are different type of vasti according to the benefit which will nourish the pelvic organs, good for all bones and muscles, relieves all aches and pain and eliminate the toxins from the body, improves nerve funtions etc

Therapeutic Benefits of asthapana vasthy  :-

·      Back pain

·      Obstruction of flatus

·      Constipation

·      Rheumatoid diseases

·      Colicky pain

Paschaat Karma or the post-therapy dietary regimen to restore the body’s digestive and absorptive capacity to its normal state.All these therapies together are  very helpful in rejuvenation, detoxification and healing of the body.

·      Nasyam –

 Nasal instillation of medicated substances helps clear the respiratory tract and para-nasal sinuses. Nasya is a part of the Panchakarma treatment where the central nervous system is cleansed through administering beneficial oils through the nostrils. The oil is customised by the practitioner based on the condition to be treated.

This treatment is extremely effective in clearing and purging the head area. At the beginning of the treatment, the head and shoulder areas are given a delicate massage and fomentation. After that, nasal drops are regulated in both the nostrils. This achieves the cleaning of the whole head area and diminishes different sorts of cerebral pain, headache, hair issues, sleep disorder, neurological disorders, sinusitis, chronic rhinitis and respiratory ailments.

How is Nasyam performed?

The masseurs will first massage the patron from the shoulder in the upward direction. The head is then lowered to a hanging position so that it is not excessively flexed or extended. The foot is slightly raised, and the eyes are covered with a clean cotton cloth.

The Ayurveda practitioner then drops the warm herbal formulation into the nostrils. This procedure must be carried out with the help of proper instruments. Following the Nasyam Panchakarma therapy, a mild massage of the palms, soles, and shoulders are done. The individual is then asked to turn to the side to draw the herbal formulation into the throat and spit it out into the spitting pot.

Paschat Karma

During this step, the individual is asked to lie down. The head, cheek, and neck are then subjected to mild sedation followed by herbal smoking and gargling to expel out any residual oils or medications in the throat.

Post completion of the therapy, patient is  recommended a light meal taken in conjunction with lukewarm water. However, the patrons must avoid smoke, dust, alcohol, traveling, sleeping during the day, and cold water.


·      Avoid speaking, laughing, and sneezing during the procedure.

·      Care must be taken to avoid swallowing the herbal concoction during the procedure. The herbal oil administered through the nose must be drained out along with the mucous and morbid doshas so that none of it is left behind


Nasyam therapy works best for individuals with vitiated Kapha dosha when done in the morning. In the case of vitiated Pitta, experts recommend performing the therapy during midday, and for vitiated Vata, in the evening.

Nasyam therapy is practiced at midday during the winters and in the evening during the summers. On rainy days, it is performed whenever there’s sunlight. As a routine detoxification therapy, Nasyam therapy is given before noon in the spring and autumn seasons.

Types of Nasyam

Virechana Nasyam: Also known as the cleansing Nasyam or Shodhana Nasyam, this method acts to get rid of the doshas immediately from the head region.This method involves pouring down ghee or herbal oils down the nasal passage to clear off toxins and eliminate the same accumulated in the throat or head. 

Experts hail Virechana Nasyam as an efficient way to treat Kapha-related problems like headaches, skin diseases, cysts, colds, eye diseases, swelling, itching, and stiffness.

Pradhamana Nasyam: In this type of Nasyam treatment, dry powders, instead of oils are administered into the nose using a tube. It is effective in the treatment of conditions like sinusitis, hoarseness of voice, nasal congestion as well as chronic diseases like tumors and cervical lymph.

Snehana Nasyam: Also called Brihmana Nasyam, the Snehana Nasyam administers medicated oil mixed with camphor or other plant extracts into the nose. It works best for dry sinuses, dry nose, stiffness in the neck, bursitis, and loss of sense of smell.

Shamana Nasyam: This form of Nasya treatment uses milk, medicated oils, decoctions, and teas to treat disorders caused due to Pitta imbalance and vitiation of blood. It can prevent premature wrinkles, graying and thinning of hair, discoloration on the face, diseases of the eyes, etc.

Pratimarshya: The Pratimarshya form of Nasya treatment is an excellent therapy for opening up deep nasal tissues and relieving stress. It is suitable for individuals of any age and can be given in any season in the morning or evening. Pratimarshya therapy is generally performed after a head massage, oil pulling, applying collyrium.

Benefits Of Nasya

·      Cleanses Sinuses
·      Heals Migraines and Headaches

·      Highly effective in treating chronic headaches and migraines, eventually cessating them.

·      Expels Mucus buildup

·      The massage, steam and administering of oil clears out mucus buildup in the throat region.

·      Improves Voice

·      The clearing up of toxins and mucus helps improve voice.

·      Releases Toxins
·      ImproveS  memory

·      Cures Trigeminal neuralgia,Bell's palsy

·      Stimulates the centers of the brain that regulate emotions and relieves stress.

·      Improves skin complexion, hair health, and texture, and prevents premature greying.

·      Nasyam benefits brain function and may help in the management of paralysis, a testimony to the comprehensive benefits of panchakarma.

·      Helps in the treatment of disorders that occur with age like muscle and joint pain.

·      Enhances the sense organs’ activity and protects the individual from brain diseases.

·      Smoothens your nasal passage; treats nasal allergies and polyps.

·      Removes toxins from the head and neck area.

·      Prevents goiter, tonsillitis, and motor disorders.

·      Alleviates chronic pain.

·      Cures insomnia.

·      Relieves from pain in the ear, head, and throat.

·      Relieves tension from the neck and shoulder region.

·      Relieves from toothache and other dental problems.

·      Other conditions that Nasyam therapy helps with include hemiplegia, paraplegia, diseases of the eyelid, Multiple sclerosis, and Parkinson’s disease.

Who is not eligible for Nasyam therapy?

Individuals suffering from a serious or chronic illness shouldn’t opt for Nasyam therapy. Besides, Nasyam therapy is also not recommended for pregnant women, during menstruation, or after asthma or heart attack.

What are the post-treatment guidelines?

Immediately after the Nasya treatment, one should avoid rinsing the hair and blowing the nose.

·      Raktamokshan:

It is done using different methods like applying one or a few leeches on a specific part of your body, puncturing any of your veins or making several small punctures on a given part of your body in order to facilitate small quantities of blood to flow out of your body. This procedure is used to treat varicose veins, abscesses, skin diseases, alopecia, high blood pressure, various inflammations and conditions associated with spleen and liver.

What Are the Different Types of Raktamokshana Treatments?

Sushruta had cited Raktamokshana as one of the five purification methods in Panchakarma. One can divide this procedure into two parts, and these are:

1. Shastra Visravana

This type of Raktamokshana procedure uses metallic instruments. Furthermore, Ayurvedic practitioners have divided Shastra Visravana into two subcategories, and they are:

Siravyadhana- We know this method as venipuncture in the modern day. One uses a syringe to remove impure blood from a person’s veins in this method.

Pracchana- In this method, a physician uses a blade or scalpel to make superficial incisions on this skin. This way, blood exudes out through several superficial incisions.

Furthermore, a sub-type of this method is Alabu Pracchana, where an Ayurvedic practitioner uses a bottle gourd or any other conical-shaped vegetable. These vegetables are used to create a vacuum over an incision.

2. Anushastra Visravana

This type of Raktamokshana Panchakarma does not involve any metallic instruments. Anushastra Visravana is also divided into two sub-categories which are:

Jalaukavacharana- In this method, an Ayurvedic practitioner applies leeches to specific areas of a person's body.

Shrungavacharana- This method uses a cow's horns. The Vata conditions are also treated alongside Pitta imbalances in this procedure.

What Are the Procedures of Raktamokshana Treatments?

1. Siravyadhana

·      An Ayurvedic practitioner generally performs this procedure in the morning or late afternoon. He/she selects a prominent vein for puncture

·      An antiseptic is used to clean the site where the puncture has been done.

·      The practitioner covers his/her patient's eyes using a cotton pad during this treatment.

·      He/she can also use a tourniquet to tie just over the puncture site for the patient.

·      An Ayurvedic practitioner uses a sterile needle to prick one’s skin.

·      Furthermore, he/she collects this blood that flows out after pricking in a glass measuring jar.

·      This tourniquet will be removed from the patient's arms once the blood stops flowing naturally.

·      Next, the Ayurvedic doctor will remove the needle and clean this punctured site with antiseptic.

2. Pracchana

·      Typically, an Ayurvedic practitioner performs this procedure in the morning or afternoon. He/she selects an area where he or she will make cuts and treats it with antiseptic.

·      In addition, the doctor also washes the site with medicated liquid.

·      Then the practitioner covers the patient's eyes with cotton pads and a bandage.

·      The Ayurvedic doctor will then use a sterile blade or lancet to make several cuts over the selected area as a crucial step in the ayurvedic panchakarma treatment.

·      The oozing blood coming out from these cuts is wiped off immediately.

·      After this procedure, the practitioner cleans the cut area with an antiseptic and applies herbal medicine.


·      Just like the previous two methods, Ayurvedic doctors perform this method in the morning and late afternoon. First, he/she will apply antiseptic to a selected area.

·      Next, he/she will wash this site with medicated liquid.

·      Like Siravyadhana, here also, the practitioner will cover the patient's eyes with cotton pads in this procedure.

·      One or two needles are pricked on the skin to let out a drop of blood.

·      Then, the practitioner applies one or two leeches to the area where he had pricked the needle.

·      He/she will remove those leeches from the patient's skin once the leeches are enlarged and satiated.

·      After the Ayurvedic doctor removes the leeches from the skin, he or she will clean the skin and disinfect it with herbal Ayurvedic medicine.

4. Shrungavacharana

·      This method is not that popular; hence it is less used in Ayurvedic centres and hospitals in the modern day.

·      In this procedure, an Ayurvedic doctor applies cow's horns on a patient's selected body part.

·      The doctor will select a fleshy area and clean it with antiseptic before using the horn.

·      Next, the Ayurvedic practitioner will prick this area before putting this instrument on one’s skin.

·      This instrument sucks the air out and creates a vacuum. Blood oozes out into this vacuum.

·      One can use a bottle gourd or any other conical-shaped vegetable in place of using the animal horns to create the same effect.

Specific uses of Panchakarma Processes:

·      Skin Diseases like acne, urticaria, psoriasis, and eczema

·      Non-healing wounds

·      Pain management

·      Sciatica

·      Elephantiasis

·      Varicose veins

·      Arthritis


·      You will have to rest for a few hours after the procedure.

·      You can have normal food during the day.

·      Make sure that you have eaten well before the procedure.


·      Avoid any strenuous activity on the day of rakthamokshana, especially after the procedure.

What Are the Benefits of Raktamokshana Treatments?

Ayurveda stated that the Raktamokshana treatment works both as a curative and preventive treatment. The benefits of this ancient treatment technique are:

·      Raktamokshana alleviates acute pain in one's body.

·      It helps in reducing the redness of one's skin.

·      This treatment gets rid of skin pigmentation and patchy dry skin.

·      It aids in combating various bone-related disorders like rheumatoid arthritis, psoriatic arthritis, gouty arthritis, osteoarthritis and pericarditis.

·      Using it, one can remove scars and wounds from his/her body.

·      It gets rid of various skin disorders like eczema, allergies and inflammations.

·      Patients can also get relief from sciatica and tonsillitis with this Ayurvedic treatment.

Who Should Avoid Getting a Raktamokshana Treatment?

Following people should avoid getting a Raktamokshana treatment:

·      Pregnant women

·      A person suffering from haemorrhoids

·      Anaemic person

·      Emaciated person

Paschat Karma of all panchakarma procedures

This is a post-purification regime to restore digestive power and bring normalcy to the body. It is done through specific diet, lifestyle management, rejuvenating medicines, and specific herbal preparations. It includes -

Sansarjan Karma: It is a specific diet protocol aiming to gradually increase diet from liquids to semi-solids to a normal diet.

Administration of Rasayan: taking a rejuvenating medicine as per your condition is used to help physically restore the body.

Shaman Chikitsa: adding appropriate ayurvedic medicine may help further reduce the disease symptoms.

Who should get Panchakarma?

Panchakarma, an integral part of Ayurveda, is a cleansing and rejuvenating program for the body, mind, and consciousness.

Here's how Panchakarma can be customized:

Tailored treatments :

Panchakarma therapies such as Vamana (therapeutic vomiting), Virechana (purgation), Basti (medicated enema), Nasya (nasal administration), and Rakta Mokshana (bloodletting) are tailored to suit individual requirements. For example, someone with high Vata may require more oil-based therapies, while someone with excess Pitta might benefit from cooling treatments.

Adjusting intensity :

Depending on the individual's health status and needs, the intensity of Panchakarma treatments can be adjusted. Some may require a more intense detoxification process, while others may need a gentler approach.

Frequency:As a preventive measure, it's often recommended to undergo Panchakarma once a year to maintain overall health and balance. However, for those dealing with chronic health issues, high stress, or irregular dietary habits, Panchakarma may be needed more frequently or on an "as required" basis

Incorporating life style :

Panchakarma is not just about the treatments but also about adopting healthy lifestyle practices. Ayurvedic practitioners may recommend dietary modifications, herbal supplements, yoga, meditation, and other lifestyle changes to support the effects of Panchakarma and promote long-term well-being.

Follow up care :

After undergoing Panchakarma, individuals are often advised to follow up with specific dietary and lifestyle recommendations to maintain the benefits achieved during the treatment. Regular check-ins with an Ayurvedic practitioner can help monitor progress and make any necessary adjustments

How long is a Panchakarma Treatment? For detailed information, contact us at our panchakarma treatment centre @ The Arya Vaidya Chikitsalayam & Research Centre Campus.

Our specialist will arrange Panchkarma Treatment Packages just according to the wellbeing state of patient, Normally Treatment based Panchkarma is a 7 day program. Every day, a man undergoes different therapies, which keep on going for around 2-3 hours consistently. However relying upon the need, Panchakarma can likewise be a 14 or 21 day program which is decided by the individual’s health condition.

Main Panchakarma Benefits

·      Riddance of toxins

·      Restore your constitutional balance improving health and wellness.

·      Strengthen your immune system and become more resistant to illness.

·      Reverse the negative effects of stress on your body and mind thereby slowing the aging process.

·      Bring about deep relaxation and a sense of well-being.

·      Completely purifies the body

·      Speeding up the metabolism

·      Reducing weight

·      Enhancing the strength of digestive fire, a key focus in panchakarma treatment.

·      Opening up of blocked channels

·      Rejuvenation of tissues

·      Boosts Immunity

·      It helps in providing glowing skin.

Practical uses of Panchakarma Therapy

Panchakarma therapy is becoming increasingly popular since it is an efficient way to cure several chronic conditions. It is helpful even in managing auto-immune diseases, hormonal problems, degenerative diseases, and other problems for which other types of treatments are ineffective. Ayurvedic doctors recommend Panchakarma Treatment for a wide variety of health conditions:

·      Obesity.

·      Joint Pain.

·      Stress, anxiety, and depression.

·      Respiratory problems like asthma.

·      Allergies.

·      Neurological problems like Paralysis, Cerebral Palsy, and Facial Palsy.

·      Digestive problems like irritable bowel syndrome, often addressed through treatment in Ayurveda.

·      Polycystic Ovarian Diseases.

·      Infertility.

·      Skin diseases like psoriasis, eczema, and vitiligo.

Can I Do Panchakarma At Home?

Performing Panchakarma, a traditional Ayurvedic detoxification and rejuvenation therapy, at home without proper guidance can be potentially risky and ineffective. Panchakarma involves various specialized procedures and the use of specific Ayurvedic products, which require careful supervision and expertise to ensure safety and efficacy.

Here are some reasons why it's important to seek guidance from a qualified Ayurvedic practitioner for Panchakarma:

Individualized Approach: Panchakarma should be tailored to an individual's unique constitution, imbalances, and health conditions. A trained practitioner can assess your specific needs and customize the treatment plan accordingly.

Assessment of Readiness: Not everyone is suitable for Panchakarma, and certain health conditions or contraindications may require modifications or alternative therapies. A practitioner can evaluate your readiness for Panchakarma and suggest suitable alternatives if needed.

Proper Technique: Panchakarma involves a series of therapeutic procedures such as oil massage (Abhyanga), herbal steam therapy (Swedana), therapeutic enemas (Basti), and nasal cleansing (Nasya), among others. Each procedure requires precise technique and timing for optimal results, which a trained practitioner can provide.

Safety Considerations: Some Panchakarma procedures, such as therapeutic enemas, require careful monitoring to ensure safety and avoid complications. A practitioner can oversee the process and address any concerns or adverse reactions promptly.

Ayurvedic Products: Panchakarma often involves the use of specific herbal formulations, oils, and medicated ghee, which are selected based on individual needs and imbalances. A practitioner can recommend appropriate products and dosage based on your Ayurvedic constitution and health condition.

Monitoring and Support: Panchakarma can have profound effects on the body and mind, including detoxification, relaxation, and rejuvenation. A practitioner can provide ongoing support and monitoring throughout the process to ensure a smooth and successful experience.

Overall, seeking guidance from a qualified Ayurvedic practitioner is essential for a safe, effective, and personalized Panchakarma experience. They can provide the necessary expertise, supervision, and support to help you achieve optimal health and wellness goals.

Lifestyle and diet recommendations during panchakarma therapy

During any step of panchakarma therapy, traditional Ayurveda recommends certain lifestyle and diet guidelines. It is advised to get plenty of rest during the panchakarma experience and to avoid strenuous exercise, sexual activity, late nights, loud music, television, and other such stimulating experiences.

It is also advised to take particular care to keep warm and away from the wind and to observe one’s thoughts and experiences during this time.

The restrictions on cold drinks, cold food, caffeine, white sugar, recreational drugs or alcohol, and dairy products are likely intended to support the body's detoxification process and aid in maintaining balance during Panchakarma. These substances can potentially disrupt digestion, aggravate doshas (Ayurvedic body types), and hinder the body's natural cleansing mechanisms.

During Panchakarma, the body undergoes a process of detoxification and purification, during which the digestive fire (agni) may become temporarily weakened. Therefore, it's important to consume foods that are gentle on the digestive system and supportive of the cleansing process.

After completing Panchakarma, reintroducing these restricted substances should be done gradually and with mindfulness, considering their potential effects on the body's balance and overall health. Ayurveda emphasizes the importance of maintaining a balanced diet and lifestyle to support optimal well-being.

Who Can Undergo Panchakarma?

All adults between 18-70 years of age can undergo Panchakarma.

How Much Time is Required for Panchakarma Therapy?

Generally, 21 days are required for a complete panchakarma treatment. Although it can be customized as per your requirement.

How Often Should We Go for Panchakarma Treatment?

Panchakarma is usually recommended during a change of season. Generally, we can take 1-2 complete Panchakarma sessions in one year.

How to Know Which Panchakarma Procedure is Useful for a Patient?

Absolutely, planning a Panchakarma treatment requires careful consideration of numerous factors to ensure its effectiveness and safety. Letting a qualified Ayurvedic practitioner determine the most suitable purification technique is crucial for achieving optimal results and addressing specific health concerns. Each individual's unique constitution, health condition, lifestyle, and environmental factors play a significant role in determining the appropriate approach to Panchakarma. Trusting the expertise of the doctor ensures that the treatment is personalized and tailored to meet your specific needs and circumstances.

Other Popular Ayurvedic Kerala Panchakarma Techniques

Pizhichil– This is a typical kerala treatment where two litres of warm oil is squeezed over the patients body from a piece of cloth by one hand while massaging with the other two masseur will be positioned on either side of the patient for massaging and one person will be continuously heating the oil. The massage is done in different positions such as sitting posture, lying side ways, supine posture and prone posture. The medicated oil used will be different for different people according to the prakriti, dosha, predominance and characteristics of the illness.

Swedana or fomentation is carried out by procedures like potali treatments i.e pathra pinda sweda (potali made with medicinal herbs), a technique employed at many panchakarma treatment to deals with detoxification and rejuvenation . choorna pinda sweda (potali made with medicated powders), shashtikapinda sweda (potali made with shashtika rice).

Navarakizhi– This is a unique treatment procedures followed in kerala. Its also called shashtika pinda sweda. As the name suggest the fomentation using the bolus prepared out of shashtika shali rice. Shashtika or Navara rice is a particular kind of rice which has high nutritional value when taken internally or applied externally. This rice is cooked in milk and a decoction made of bala (sida cordifolia ) and tied to a potali (Kizhi) by dividing into 4 different boluses. Three persons will be doing the treatment; two will be massaging the patient with the potali by dipping it in the warm medicated milk. The other person will be heating the medicated milk and supplying to the two masseurs. After the specified duration of the treatment the paste is wiped off and medicated oil is applied all over the body before bath. Navarakizhi is mainly indicated for muscle wasting, emaciation, general weakness to improve skin texture and muscle tone etc. especially in polio.

Sirodhara– If you are a person who lacks sleep at night, has stress at work and home, sits continuously for too long in front of computers, has late night works, has got migraine or other headaches then you must undergo this treatment. Sirodhara helps to relax the brain and cranial nerves and improve the functioning of the nervous system. During the treatment the patient has to lie down on the droni and the medicated oil will be dripping continuously in the forehead and continuously two people will be massaging the body Which will be providing a complete relaxation to the body and mind.

Udvartana: Massaging the body using herbal powders. It helps in weight loss.

Shiropichu: Put oil-soaked cotton over the head.

Shirovasti: Oil is poured and kept over the head inside a specifically designed cap.

Kati Vasti: Oil is poured and let sit over the back region. It helps in relieving back pain.

Janu Vasti: Oil is poured and retained over the knees. It helps in reducing knee pain and swelling.

UroVasti: Oil is kept over the cardiac region. It helps to strengthen the heart.

Griva Vasti: In patients having neck pain medicated oil is poured and retained over the back of the neck region. This has been proven very effective in neck pain and cervical spondylosis.

Akshitarpan: Oil is retained over the eyes. It improves eyesight, removes dark circles, and helps in preventing cataracts.

Uttara Vasti: Medicinal oil or ghee is administered through urethral or vaginal routes. It has been proven very effective in managing infertility issues in both males and females.

General dos and donts  During Panchakarma Treatment

During panchakarma treatment, the following rules are recommended-

·      Use only warm water to drink and bathe.

·      Avoid sexual intercourse.

·      Avoid sleeping during the day.

·      Avoid using air-conditioners.

·      Avoid late-night working.

·      Avoid heavy food.

·      Avoid stress

·      Do not do heavy exercise.

·      Always keep your head and ears covered with a cotton cloth.

Which panchakarma procedure is the best for weight loss?

Vasti and Virechana are commonly used for weight management programs. There is a special Basti named “Lekhana Basti” which is effective in reducing extra weight. It is prepared after careful assessment of the individual.

Panchakarma for Healthy Individuals

In healthy individuals, Virechana Therapy is the most popular. This provides a feeling of complete detoxification. It should always be done under an expert’s supervision.

What happens after panchakarma?

They feel refreshed and energetic. A comforting lightness in the body can also be expected.

It's important to note that while many patients may not experience side effects from panchakarma treatment, some individuals may encounter minor issues such as mild gastric upset, a slight increase in body temperature, general weakness, headaches, and mild insomnia. Additionally, there have been reports of mental symptoms like mild depression in a few patients, although these effects are usually temporary and self-limiting, requiring no intervention or medication.

It's crucial for individuals considering panchakarma therapy to seek treatment under the supervision of a qualified ayurvedic physician. Panchakarma requires proper assessment and planning by an expert, as inexperienced administration may lead to potential problems or complications. Therefore, it's essential to ensure that the treatment is conducted by trained professionals to maximize its benefits and minimize any risks.

In what conditions Panchakarma is not to be done?

Panchakarma should be avoided in:

·      Pregnancy

·      During periods

·      Lactating mothers

·      HIV positive patients

·      Acute infections like dengue fever, typhoid, etc.

·      Patients with very high blood pressure.

·      In severe heart problems like congestive heart failure, angina pectoris, etc.

Can children take panchakarma ?

Many procedures are contraindicated in children but not all. Panchakarma therapy like shiropichu, njavara theppu, is very useful in a few diseases in children. It is mainly recommended for cerebral palsy, attention deficit hyperactivity disorder (ADHD), mental retardation, etc. It needs to be done strictly under expert supervision.

Is that mandatory  to stay in the hospital for panchakarma treatment.

These treatments typically involve various procedures like massages, herbal steam baths, cleansing enemas, and nasal administrations. Whether conducted in a hospital or on an outpatient basis, certain precautions should indeed be followed to ensure safety and effectiveness:


Before starting any panchakarma treatment, it's essential to consult with a qualified Ayurvedic practitioner. They can assess your health condition, determine the most suitable treatments, and ensure that there are no contraindications.


Depending on the specific panchakarma procedures planned, there may be certain dietary and lifestyle guidelines to follow in the days leading up to the treatment. This might include dietary restrictions, herbal supplements, and lifestyle modifications to prepare the body for detoxification.


Proper hydration is crucial during panchakarma treatments to help flush out toxins from the body. Drinking plenty of warm water and herbal teas can support the detoxification process.


Panchakarma treatments can be physically and emotionally demanding as they stimulate the release of toxins from tissues. It's essential to get plenty of rest during the treatment period to support the body's healing process.

Safety measures

Whether undergoing panchakarma treatments as an inpatient or outpatient, it's crucial to ensure that the procedures are conducted by trained and experienced practitioners in a clean and hygienic environment. Additionally, certain precautions may need to be taken based on individual health conditions and sensitivities.


Regular monitoring of vital signs and symptoms during the treatment process is important to ensure safety and effectiveness. Any adverse reactions or discomfort should be promptly addressed by the healthcare provider.

By following these precautions and guidelines, individuals can undergo panchakarma treatments safely and effectively, whether in a hospital setting or as an outpatient.

Can I  take Panchakarma treatment along with allopathic medicines.

Fact: We can do Panchakarma even if you are on allopathic medicines for any health issue.

What are Lifestyle Recommendations During Panchakarma Therapy

During Panchakarma therapy, certain lifestyle and dietary modifications are recommended to enhance the cleansing and rejuvenating effects of the treatment. Some of the common recommendations during panchakarma treatment include:

Diet: A light, easily digestible diet is recommended during Panchakarma therapy. This typically includes foods that are warm, cooked, and easy to digest, such as soups, stews, and cooked vegetables. Foods that are heavy, cold, and difficult to digest, such as dairy products, cold drinks, and processed foods, should be avoided.

Hydration: Adequate hydration is essential during Panchakarma therapy to support the elimination of toxins from the body. It is recommended to drink plenty of warm water and herbal teas throughout the day.

Rest: Adequate rest is important during Panchakarma treatment to allow the body to focus on the cleansing process. It is recommended to avoid physical exertion and emotional stress.

Yoga and Meditation: Gentle yoga and meditation practices can help to calm the mind and enhance the effects of Panchakarma therapy.

Avoid certain activities: Certain activities, such as sexual intercourse, alcohol consumption, and exposure to extreme temperatures, should be avoided during Panchakarma therapy.