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Category Archives: Procedure of Panchkarma

Procedure of Panchkarma


Panchkarma is a basically a cleansing process that not only treat the disease from root cause but also improves longevity and rejuvenation. It has two poorav karma like Snehan (oilification) and Swedan (fomentation).


1) Snehan :

The first step of Panchkarma ,saturates the body with herbal and medicated oils .It consists of two parts:



External Oilification :In this medicated oils are vigorously massaged into the body. Sesame oil is the primarily vegetable oil used for external application. Internal Oilification : In this medicated oil are ingested. Herbalized ghee (clarified butter) is the main substance used for internal Oilification.

2) Swedan :



In swedan body is made to undergo sudation or sweating by exposure to steam. With herbs added steam the body is made to perspire to loosen and excrete the toxins. Swedan is done locally or full body. a). Forced vomiting (Vaman) :

Vomiting (Vaman) is intended to the removal of “Kapha dosha“. It is not to be adopted for ‘Kapha’s only but necessarily in case of ‘kapha’s” conjunction with one or both ‘Doshas’s. Vaman is essential for in the case of food poisoning or other type of poisoning. Vaman employs certain emetic drugs that induce a severe spell of vomiting to clean the upper gut. Bronchial astma is prevented by periodically inducing ‘Vaman’.

b). Purging (Virechan) :

Purging is a purifactory treatment as important as emisis or vomiting. ‘Virachan’ concentrates on the lower part of the gut and uses purgatives to clean the bowel. This procedure helps get rid of all three Doshas, though Pitta and Kapha benefit the most. To cure piles, boils, discolouration of face, jaundice, chronic fever, spleen enlargement cataract, intenstinal disorders, ailments of the womb, arthritis, haemothermia, constipation, diabetes, skin diseases, tumors, asthma cough, ailments in the head and many other diseases in the Ayurvedic way, purging is essential.

c). Medical enema (Vasti) :

The classical Text ‘Ashtanga Hridaya’ says, “A purge properly carried out leads to clarity of intellect, power to the organs, elemental stability and glow to digestive fire and it delays aging”. Medical enema ‘Vasti’ predominates in the five course of treatment (Panchakrama). This is prescribed for ‘Vata’ dominated patients and helps to overcome all diseases, revives vital force, and rejuvanates body. The rectal lining is very permeable and the drug reaches the circulation directly without passing through liver. Ayurveda offers ‘Vasti’ as a therapy for several indications. These are digestive, evacuative, rejuvanative and health promotive ‘Vastis’. In general ‘Vastis’ tackle ‘Vata dosha’ the best way. The fluid for ‘Vasti’ is either medicinal decoction or herbal oil to suit the ailment. ‘Vasthi’ for the head gives extra ordinary relief for all ailments connected with ‘Vata’ in the head, ear ache, humming in the year, deafness, numbness of the head and all ailments based on the cranical nerves. This procedure is usually done for 7 days.

d). Nasal administration of substances (Nasya) :

NasyaNasya’ (Nasal administration of substances) is essential for more or less all the ailments above the neck. This is effective for many diseases like facial paralysis. ‘Nasya’ is of three types, purgative, nourishing and palliative. For each ailment a substance that gives desirable result is selected. By this procedure shoulders, neck and face will become dense and firm, the skin soft. All organs become firm and hair will not gray. e). Shirodhara: Shirodhara Shir means Head, and Dhara means to pour. That means to pour something on head especially on the third eye. It may be anything liquid as described in our old Ayurvedic texts. So Shirodhara means a purifying and detoxification technique used to manage physical and mental exertion and fatigue. Shirodhara is a unique form of ancient therapy of pouring oil on the forehead from a specific height and for a specific period continuously and rythmatically allowing the oil to run through the scalp and into the hair.


The content used for Shirodhara may be oil, ghee, decoction, milk, buttermilk, almond oil or coconut water.


  • Polio
  • Paralysis
  • Autism
  • ADD (Attention Deficit Disorder)
  • Peripheral or Vascular Headache
  • Migraine
  • Chronic Fatigue Syndrome
  • Stress management
  • Exam phobia
  • Psychological problems
  • Neurological conditions
  • Depression
  • Anxiety Neurosis
  • Drugs De addiction
  • Hair fall
  • High blood pressure


In our centre at Ayurveda Yogashram Amritsar India , we perform Shirodhara after pulse diagnosis. Our team of doctors then decide what material should be used for Shirodhara. We do this process for 40 to 60 minutes according to the disease.

Some more about Panchkarma

(a) Pizhichil:

Indication: Arthritis, Paralysis, Hemiplegic, Paralysis, Sexual and nervous weakness.Procedure: Luke warm herbal oils are applied all over the body and rhythmic massage is done for 60 – 90 minutes/day for 7 to 21 days.


(b) Njavarakizhi:

Indication: Rheumatism, Joint pain. Hypertension, Hypercholesterolemia, Skin disordersProcedure: A medicinal pudding in muslin cloth bags is applied all over the body for 60 – 90 minutes/ day for 14 days


(c) Kizhi:

Indication : Osteo arthritis, arthritis, spondilosisProcedure : Application of luke warm medicaments and medicinal leaves in boluses on selected body parts.

(d) Yoni Prakshalanam:

Indication: Gynaecological problems. Procedure: Vaginal application of herbal oils and decoction.

(e) Dhara:

Indication: Insomnia, mental tension, some skin ailmentsProcedure: Herb enriched oils, medicated milk, medicated butter milk are poured in a continuous steam on the forehead for 45 minutes every day for 7 to 21 days.



(f) Sirovasthi:

Indication: Facial paralysis, Dryness of mouth, throat, severe head ache.Procedure: Herbal oils are retained in a cap filled on the head for 15 to 60 minutes every day for 7 days.



(g) Thalam:

Indication: ENT problems, migraine, insomnia. Procedure: Herbal powder in oil/herbal juice is retained on the head for 30 to 45 minutes.

(h) Lepanam:

Indication: Inflammation of specific points. Procedure: Application of herbal paste on the affiliated part.

(i) Karnapooranam:

Indication: Ear problems Procedure: Application of herb enriched fumes to exterior ear

(j) Tharpanam:

Indication: Eye problems and strain of the optic nerve. Procedure: Application of herb enriched preparation on the eye.

(k) Mukhalepam:

A procedure to reduce wrinkles and improve skin tone. The procedure involves application of herb enriched face powders and creams.

Blood letting (Raktamochana) is a therapy advised by Ayurveda to treat heart conditions and varicose veins. Ayurveda advocates the use of leeches applied ever alternate day to reduce venomous congestion. The digestive fire is low after the ‘panchakrama’. So the diet first should be liquid followed by solids.

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