Panchakarma

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 Ayurved
• Ayurved is one of the
greatest gift of the sages of
ancient India to mankind
• It is not only a system of
medicine, but also a way of
life
• It teaches us to maintain &
www.Aarogya.com protect physical, mental &
emotional health & achieve
longer life
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Professor Subhash Ranade, “A Textbook of Swasthavritta”, Chaukhamba Sanskrit Pratishthan:Delhi, 2007.
 Ayurved
Ayurved is made up of two
words – Ayu & Veda
• Ayu → all aspects of life
from birth till death
• Veda → knowledge /
api.ning.com/files/sa0xChAqo7c3iiSa8U7WZfKHvpK1JLjCSca6c0FKwqu4I31IOkQPhgi
WJo5ia5mW6P4MH7HKnWXApg9E-ZnMYuCranOxlNMy/panchakarma3.jpg
science / learning
Ayu + Ved Thus, Ayurved is the science
(Science of Life) of life by which life can be
understood in its totality
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Professor Subhash Ranade, “A Textbook of Swasthavritta”, Chaukhamba Sanskrit Pratishthan:Delhi, 2007.
 Definition of Health
According to Ayurved
Samadoshah
samanagnischa
samdhatumalkriyah

Prasanna
aatmendriyamanaah
swasth ityabhidhiyate

http://www.counsellorsvictoriabc.com/wp-co
(Shushrut sutra 15:48)
ntent/uploads/2011/05/counselling-picture3.jpg

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 Definition of Health
According
Vata,toPitta,
Ayurved
Kapha
Dynamic energies, whose
Samadoshah samanagnischa samdhatumalkriyah
balance decides proper
(Shushrut Sutra15:48)
metabolic functioning and
body sustainability
Samadoshah
Digestive
(Balanced state of Doshas)
Power
Samanagnischa
(Balanced
Body Tissues and state of Agni)
Samdhatumalkriyah
Excretory Organs
(Balanced state of
Dhatus and Mal)
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 Definition of Health
According to Ayurved
Prasanna aatmendriyamanaah
(Shushrut Sutra15:48)

Prasanna (Happy)
Aatma (Soul)
Endriya (Senses)
Manaah (Mind)

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Human Being
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 Objective of Ayurved
Prayojanam chasya swasthasya
swasthya rakshanam aturasya
vikara prashmanam cha
(charaka Sutra 30:26)

Primary
Objective www.Aarogya.com

Secondary

Objective
Maintain Health

Cure Diseases
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Prevention is Better than Cure
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 How is
Panchakarma
Related to
Ayurved?
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9
Three Types of Treatments in Ayurved

• Sanshodhan (purification)
• Sanshaman (pacification)
• Nidan Parivarjan (avoid
causative factor)

Panchakarma is a part of
Sanshodhan Treatment
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 Purpose of Sanshodhan
1. To eradicate the
disease
2. To enhance non-
specific immunity
against all diseases

Every channel
http://www.applesandpeanutbutter.net/wp-content/uploads/2010/01/20100127-
(shrotas) of the body
Lifestyle-changes-to-help-boost-your-immunity-POSTED.jpg

gets purified through

Sanshodhan
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 Doctrine of Shrotas

The body is made up of

innumerable channels,
which carry biological
fluids, energies and
impulses as well as
nutrients and medication

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 Doctrine of Shrotas

Channels lose their

competence and function
because of environmental
pollution, stress and disease
moef.nic.in/modules/recent-initiatives/NRCD/air-pollution.jpg

Panchakarma’s purpose is to restore

the shrotas system by specialized care
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 Panchakarma Therapy

Means five therapeutic

procedures
Pancha: number five
Karma: therapy to
maintain homeostasis by
way of evacuation of www.shubhdeep.com/images/Panchakarma_1new%20copy.jpg

accumulated morbid dosha,

i.e. process of purification
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Aims & Objectives of Panchakarma

1. To treat the diseased person with

various purification procedures
2. To prevent diseases by enhancing
the non-specific immunity
3. To attain rejuvenation properties
4. To maintain the health of a healthy
individual
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Dr. P. Yadaiah, “Clinical Panchakarma”, Jaya Publications, Akola, 2008.
 Panchakarma Therapy
Three step procedure
1. Poorva karma
(pre-procedure)
2. Pradhan karma
(main-procedure)
3. Pashchat karma
(post-procedure)
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 Poorva Karma
(Pre-Procedure)

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 Poorva Karma - Pre-Procedure

Prior preparation of the body is

necessary to achieve the desired
benefits

1. Snehan (Oil or oleation therapy)

2. Swedan (Sudation)

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 Snehan
(Oleation Therapy)

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 Snehan (Oil or Oleation Therapy)
Two types
1. Internal - includes
medicated ghee or
medicated edible oil to
open the shrotas
2. External - includes oil
massage - the skin
absorbs the medicinal
www.cochinayurvedic.com/images/massage-gallery/abhyanga1.jpg

part of oil
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 Types of External Oleation
Abhyanga Shiro Basti

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www.living-ayurveda.com/img/panchakarma1_with%20text.gif

Shirodhara Netra Basti

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content/uploads/2009/09/netra-basti.jpg
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 Types of External Oleation
Greeva Basti Uro Basti

ayurveda.indianetzone.com/images/ayurveda_074.jpg www.joshnasayurvedicgoa.com/images/P
anchakarma/Uro%20Vasti.jpg

Janu Basti Kati Basti

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www.ayurpanchakarma.com/photo/Janu%20Basti.jpg www.kailashnaturopathy.com/images/kati_basti.jpg
 Abhyanga (Massage)

It is the process by
which the person’s
body is oleated with
medicated oil with
specific pressure and
movements

www.cochinayurvedic.com/images/massage-gallery/abhyanga1.jpg

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Dr. P. Yadaiah, “Clinical Panchakarma”, Jaya Publications, Akola, 2008.
 Abhyanga (Massage)
Indications
• Lean and thin body
• Nervous disorders
• Doing heavy exercise &
physical work daily
• Having mental stress
• Taking alcohol daily
• Aged person
• Children www.cochinayurvedic.com/images/massage-gallery/abhyanga1.jpg

• Suffer from sleeplessness

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Dr. P. Yadaiah, “Clinical Panchakarma”, Jaya Publications, Akola, 2008.
 Abhyanga (Massage)

Contra-Indications
• Acute fever
• Indigestion
• Ascitis
• Diarrhea
• Poisonous Condition
www.cochinayurvedic.com/images/massage-gallery/abhyanga1.jpg
• Kapha Disorders

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Dr. P. Yadaiah, “Clinical Panchakarma”, Jaya Publications, Akola, 2008.
 Shirodhara
Pouring of fluids like
decoction, medicated oil
/ ghee/ milk / butter milk
/ water, etc. over the
head continuously for a
specific period
Selection of fluid or oil
depends upon the
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disease & condition of
the patient
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Dr. P. Yadaiah, “Clinical Panchakarma”, Jaya Publications, Akola, 2008.
 Properties of Shirodhara

• Useful in – headache,
baldness, graying of hairs
• Helpful in – hypertension,
paralysis, polio, seizures,
depression, anxiety
• Helpful in all types of
nervous system disorders img.tradeindia.com/fp/1/770/627.jpg

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Dr. P. Yadaiah, “Clinical Panchakarma”, Jaya Publications, Akola, 2008.
 Properties of Shirodhara
• Induces sleep and has
tranquilizing effect
• Removes the vitiated
doshas
• Prevents urinary
disorders
• Prevents exhaustion
img.tradeindia.com/fp/1/770/627.jpg

• Useful in diseases of ear

& eye
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Dr. P. Yadaiah, “Clinical Panchakarma”, Jaya Publications, Akola, 2008.
 Shirobasti
It is a process in which oil is kept over the head for
certain period with the help of leather cap
Uses
• Loss of sensation of the
skin
• Facial paralysis
• Insomnia
• Dryness in nose & mouth
• Diseases of head
www.gokulaayush.com/gallery/11.JPG • Eruptions on the head
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Dr. P. Yadaiah, “Clinical Panchakarma”, Jaya Publications, Akola, 2008.
 Katibasti
The procedure of applying heat to the sacral or
lumbar region by retaining warm medicated oil
within a specially formed frame
Uses
• Backache
• Sciatica
• Lumbar Spondylitis
• Sacralization of vertebras
• Protrusion of
intervertebral disc
www.kailashnaturopathy.com/images/kati_basti.jpg

• Spondilolythesis
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Dr. P. Yadaiah, “Clinical Panchakarma”, Jaya Publications, Akola, 2008.
 Greevabasti
The procedure of applying heat to the cervical
region by retaining warm medicated oil within
a specially formed frame
Uses
• Neck pain and stiffness
• Cervical spondylitis
• Frozen shoulder
• Intervertebral space
reduction
• Loss of lordosis in
cervical vertebras ayurveda.indianetzone.com/images/ayurveda_074.jpg

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Dr. P. Yadaiah, “Clinical Panchakarma”, Jaya Publications, Akola, 2008.
 Janubasti
The procedure of applying heat over knee joint
by retaining warm medicated oil within a
specially formed frame

Uses
• Knee pain
• Arthritis

www.ayurpanchakarma.com/photo/Janu%20Basti.jpg

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Dr. P. Yadaiah, “Clinical Panchakarma”, Jaya Publications, Akola, 2008.
 Netrabasti
It is the process of keeping the oil / ghrit in the
eye with the help of Masha Pisti.
Uses
• Blurring of vision
• Burning sensation in eyes
• Roughness / stiffness in eyes
• Difficulty in opening the eyes
• Loss of secretion of lacrimal
fluid
• Pain in eyes www.shambhoo.com/en/wp-
content/uploads/2009/09/netra-basti.jpg

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Dr. P. Yadaiah, “Clinical Panchakarma”, Jaya Publications, Akola, 2008.
 Swedan
(Sudation Therapy)

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34
 Swedana (Sudation)
To regulate blood circulation in the
tissues of the body
Done after the Snehan therapy

• Steam bathing or heating

the body to facilitate
sweating
• There are different
treatments depending on
the kind of disease www.jasminvillaayurvedicresort.com/VASHPA-SWEDA.jpg

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 Types of Sudation
Vashpa Sweda Nadi Sweda

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www.gokulaayush.com/gallery/4.JPG

Pinda Sweda Avagaha Sweda

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 Vashpa Sweda
It is a procedure by which perspiration is
produced from the body with the help of
vashpa swedan yantra
Uses
• Nervous disorders
• Obesity
• Paralysis
• Asthma
• Muscular atrophy
• Facial paralysis
• Body
www.jasminvillaayurvedicresort.com/VASHPA-SWEDA.jpg

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ache www.dsvv.ac.in 37
Dr. P. Yadaiah, “Clinical Panchakarma”, Jaya Publications, Akola, 2008.
 Nadi Sweda
It is a procedure by which perspiration is
produced from the affected part of the body by
passing medicated steam to that part
Uses
• Nervous disorders
• Facial paralysis
• Paralysis
• Asthma
• Backache
• Sciatica
www.gokulaayush.com/gallery/4.JPG

• Jaw stiffness
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Dr. P. Yadaiah, “Clinical Panchakarma”, Jaya Publications, Akola, 2008.
 Avagaha Sweda
The process by which the patient is made to
bath in medicated decoction / oil / ghee in a tub

Uses
• Body ache
• Muscular pain
• Ankylosing Spondylosis
• Avascular necrosis of
neck of femur
• Pain of spinal cord
• Induces sleep www.riverretreat.in/images/avagahasweda.jpg

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Dr. P. Yadaiah, “Clinical Panchakarma”, Jaya Publications, Akola, 2008.
 Pradhan Karma
(Main-Procedure)

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 Pradhan Karma - Main-Procedure
Five techniques of purification of doshas
(vata, pita and kapha)
• Vamana (therapeutic emesis)
• Virechana (therapeutic purgation)
• Basti (therapeutic enema)
• Nasya (nasal insufflation)
• Raktamokshana (blood letting)

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 Pradhan Karma - Main-Procedure
Five techniques of
purification of
doshas (vata, pita
and kapha)
• Vamana
• Virechana
• Basti
• Nasya
• Raktamokshana
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 Vamana – Therapeutic Emesis
The endotoxins (vitiated kaph and pitta),
which are present in stomach, in cells and
tissues of entire body are eliminated by the
Vamana Therapy

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 Vamana – Therapeutic Emesis

Indications
Cough
Asthma
Sinusitis
Indigestion
Hyperacidity
Poisoning
Obesity http://www.indianetzone.com/photos_gallery/22/TypesGastric_20101.jpg

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 Vamana – Therapeutic Emesis
Contra-Indications
Children
Old-age person
Pregnant ladies
Heart Disease
Haemoptysis
Epistaxis
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 Virechana – Therapeutic Purgation

Evacuation of the fecal

matter and other
accumulation of doshas
(especially vitiated
pitta) in the lower
gastro-intestinal tract
through the anal route
http://roshanbaskota.com.np/wp-content/uploads/2011/09/Virechana.jpg

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 Virechana – Therapeutic Purgation
Indications
Febrile illness
Skin disease
Fistula
Piles
Inguinal Hernia
Cystic swelling http://img.webmd.com/dtmcms/live/webmd/consumer_assets/site_images/articles/health_tools/th
yroid_symptoms_and_solutions_slideshow/princ_rm_photo_of_swollen_thyroid.jpg

Thyroid swelling
Slow poisoning
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 Virechana – Therapeutic Purgation
Contra-indications
Emaciation
Children
Old-age person
Pregnant ladies
Obesity
Diarrhea
Heart disease
Indigestion
Acute fever http://clearwisdom.net/emh/article_images/2009-2-7-224056-1.jpg

Traumatic injury
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 Basti – Therapeutic Enema
Administration of the liquid medicine
through the rectal, urethral or vaginal route

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 Classification of Basti

Two Types

Anuvasan Basti Niruha Basti

(Rejuvenation Basti) (Purification Basti)
↓ ↓
Main ingredient - Oil Main ingredient -
decoction

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Dr. P. Yadaiah, “Clinical Panchakarma”, Jaya Publications, Akola, 2008.
 Nasya – Nasal Insufflation
Administration of medicine through nasal route

• Nasya is very useful in

the diseases of upper
part of the neck
• It stimulates the
olfactory – cranial
cortex, hypothalamus,
& pituitary gland
• Gives soothing effect to
brain and induces www.dsvv.ac.in
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51
 Nasya – Nasal Insufflation
Indications
Cervical spondylitis
Frozen shoulder
Mandible stiffness
Sinusitis
Pharyngitis
Tonsillitis
Headache
Facial paralysis
Epilepsy www.healthandphysicaleducationteacher.com/wp-
content/uploads/2011/04/Facial-Paralysis.jpg

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 Nasya – Nasal Insufflation

Contra-indications
Indigestion
Alcoholic person
Pregnant ladies
After exercise
narconon.ca/blog/images/alcoholic-needs-help.jpg

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 Raktamokshana - Blood Letting
Surgical procedure of allowing the blood
to bleed for therapeutic purposes

Two Types

With Instrument Without Instrument

(Venesection) (Leech Application)

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/AAAAAAAAAAQ/0MBTc1WNpLA/s1600/Raktamokshan.jpg
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farm5.staticflickr.com/4134/4738963774_3512fd990d.jpg
 Raktamokshana - Blood Letting

Indications

Blood disorders
Skin disease (psoriasis)
Tumor
Abscess
Gout moogoo.com.au/media//psoriasisonknees.jpg

Varicose veins

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 Raktamokshana - Blood Letting

Contra-indications

Emaciation
Anemia
Ascites
Pregnant ladies

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 Paschat Karma
(Post-Procedure)

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 Pashchat Karma - Post-Procedure
• Purpose of Post
Procedure is to
maintain the balance
of the doshas achieved api.ning.com/files/sa0xChAqo7c3iiSa8U7WZfKHvpK1JLjCSca6c0FKwqu4I31IOkQPhgiWJo5ia
5mW6P4MH7HKnWXApg9E-ZnMYuCranOxlNMy/panchakarma3.jpg

through Main
Procedure
• Diet to re-establish
the full digestive
capacity (sansarjan
karma)
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www.awgp.org