Panchkarma Treatment PPT. Pancha means FIVE Karma means actions or procedures Treatments in Ayurveda are classified into two groups: Shamana Chikitsa (Pacification therapy) Shodhana Chikitsa (Purification therapy) Pancha Karma is classified as “Shodhana Chikitsa” (purification/detoxification procedure)

1. DEEP AYURVDA
Clinics & Panchkarma Center
161 A, Dasmesh Nagar, Kharar, Mohali (Punjab) India- 140301
Phone: +91-160-5000100 , MobIle :- +91-99885-55536
Website : www.deepayurveda.com
Email : info@deepayurveda.com
Presentation for Panchkarma Training Program

2. PANCHKARMA
THERAPY
Prepared & Presented By
Dr. Baldeep Kour
Chief Ayurveda Consultant & Medical Director of DEEP AYURVEDA
B.A.M.S, N.D.D.Y, CC in Panchkarma

3.  Panchakarma therapy is considered a
complete, holistic approach to the elimination
of the root cause of each and every chronic
disease.
 Today, in the USA, 70% of deaths are due to
chronic diseases rather than infectious
diseases.

4. Acharya Charaka emphasized the importance of Panchakarma as –
“Doshah Kadachith Kupyati Jitaa Langhana Pachanaih /
Jitaah Samsodhanardhe Tu
Na Tesham Punarudbhavaha” //
(Charak Sutra Sthana 16-20)

5. Pancha means FIVE
Karma means actions or procedures
Treatments in Ayurveda are classified into two groups:
Shamana Chikitsa (Pacification therapy)
Shodhana Chikitsa (Purification therapy)
Pancha Karma is classified as “Shodhana Chikitsa”
(purification/detoxification procedure)

6. Shamana: Palliation therapy
Used to subdue the vitiated or disturbed Doshas,
from which any ailments may have arisen
Administration of various medicinal herbo-mineral
preparations

7. Shodhana: Purification
If the doshas are vitiated beyond a particular level, they
give rise to various endo-toxins (Ama), which have a
tendency to be accumulated in the minute channels
(Srotas)
These endo-toxins (Ama) are beyond the level of
pacification and hence they need to be eliminated from
the body through Sodhana therapy
Ayurveda recommends purification therapy for the
majority of chronic diseases

8. Objective of Pancha Karma
Three major objectives:
Health maintenance
Elimination of the disease
Prepare for rejuvenation

9. Health maintenance:
(Swasthya Rakshana)
 PK is recommended for most individuals, even those
who are healthy, as part of regular seasonal regimens
 The doshas naturally accumulate owing to seasonal
changes and can cause disease if they are not timely
removed

10. SEASONAL PANCHAKARMA
In autumn (Vata season), Basti (medicated enema) is
recommended to alleviate the normal aggravation of
vata caused by the cold wind, dryness of the season
In summer (Pitta season), Virechana (induced
purgation) is given to remove excess pitta dosha,
caused by excessive heat
In spring (Kapha season), Vamana (induced emesis)
& Nasya (nasal therapy) is performed to remove excess
kapha caused by the coolness and dampness of the
season

11. Removing a disease as a whole
In acute diseases, if the vitiated doshas are removed
timely, disease progression can be immediately
arrested.
In chronic diseases, Ama (endo-toxins) adhere to
organs and cells; vitiated doshas are first removed by
Pancha Karma therapies.

12. Rejuvenation / Revitalization therapies:
After completion of Pancha Karma,
rejuvenation (Rasayana) and revitalization
(Vajeekarana) therapies are performed to
enhance strengthen tissues

13. Benefits of Pancha Karma
 Strengthens immune system and provides more
resistance to illness
 Cleansing and rejuvenating therapy for body, mind
and consciousness
 Beneficial effects on overall health, wellness and self-
healing
 Relives stress from both body and mind
 Slows aging process
 Reduces dependence on drugs and medications
 Eliminates excess Doshas and toxins from cells

14.  Enhances digestion and metabolism
 Clears the sense faculties, mind, intelligence and
complexion
 Increases strength, nourishes the body
 Revitalizes the nervous system
 Restores constitutional balance, improving health
and wellness
 Reverses the negative effects of stress on body
and mind, thereby slowing the aging process
 Enhances self-reliance, strength, energy, vitality
and mental clarity

15.  Brings deep relaxation and sense of well-being
 Implements positive lifestyle changes
 Vitiated doshas are eliminated through the
alimentary tract
 Reduced cardiovascular risk factors
 Reduction in total cholesterol levels: decrease in
lipid peroxide levels (LP); increased HDL
cholesterol
 Reduction in diastolic blood pressure
 Reduced anxiety levels
 Reduction in levels of toxins such as lead, PCB,
and dioxins

16. CONTRAINDICATIONS OF
PANCHA KARMA
 Pregnancy, lactation, extreme obesity, during
menstruation, lympho-sacroma, cancer of lungs,
melanoma, hypertension, angina, CCF, emaciation,
active HIV or AIDS, or any active infectious
disease

17. Pancha Karma
Classified as –
• Poorva karma - preparatory actions
• Pradhana karma - main actions
• Paschath karma - post-therapeutic actions

18. Poorva karma (Preparatory therapy)
• Pachana - Digestive Therapy
• Snehana - External & Internal Oleation Therapy
• Swedana - Sudation / Fomentation Therapy

19. Digestive Therapy (Pachana)
 During digestive therapy, cleansing is achieved by the
ingestion of various herbs and decoctions, which are pungent,
bitter in taste and hot in potency, depending upon Ama
condition
 These herbs stimulate the metabolism, activate digestive
enzymes, increase peristalsis, improve circulation and
enhance mental concentration

20.  Many of the herbs are anti-parasitic or
antibacterial in activity; some enhance the
immune system
 These herbs are - Trikatu, Triphala, Turmeric,
Chitrak, Pippali, Black pepper, Fennel

21. SNEHANA THERAPY
 During Snehana Therapy patients are oleated
externally and internally
 Ghee or flaxseed oil are ingested, gradually
increasing the quantity over a period of 3-7 days,
according to an individual’s digestive power
 Simultaneously, oil is applied to the skin using a
variety of Ayurvedic massage techniques.
 Oleation therapy liquefies the imbalanced or
aggravated doshas and allows the body to maintain
healthy tissues, loosens deep rooted toxins within the
system, and flushes them out through the skin pores.

22. Indications
 Persons who suffer from the following may undergo
Pancha Karma: Vata disorders, arthritis, nervous
problems, physical strain, psychological problems -
anxiety, emotional stress, coryza, cough, asthma,
hiccough, earache, headache, facial palsy, hemiplegia,
sciatica, joint disorders, constipation, spasmodic pains.
Contraindications
 Kapha predominance, adipose or fat tissue, pregnant
women, menstruation, ascites, indigestion, anorexia,
nausea, during basti, nasya therapy.

23. SWEDANA THERAPY
 Applies heat through various methods including the use
of hot poultice, steam baths, hot showers/baths, sauna,
heating stones, covering the body with thick woolen
clothes etc.
 Swedana allows the body to remove endo-toxins (Ama)
through opened skin pores
 Swedana relieves stiffness, soreness, heaviness, coldness
in the body

24. Indications
 Chronic coryza, asthma, cough, hiccough, headache,
pharyngitis, paraplegia, hemiplegia, facial paralysis,
arthritis, sciatica, backache, joint disorders, oedema,
constipation, urinary obstruction, spasmodic pains, etc.
Contraindications
 Alcoholics, pregnant women, during menstruation,
malnourished persons, diabetics, liver disorders, cataract,
glaucoma, very old people

25. PRADHANA KARMA
 Vamana - Induced vomiting
 Virechana - Induced purgation
 Basti - Medicated enema
 Kashaya basti - herbal decoction enema
 Taila basti (matra) - herbal oil enema
 Nasya - Nasal medication

26. VAMANA- Emesis
 During Vamana, person is advised to drink milk, sugar water,
licorice tea, and buttermilk, after which the emetic fruit
Randia dumetorum seed (Madanphala) with calamus
(Vacha) and licorice (Yastimadhu) is administered to induce
vomiting.
 Vamana purges excess Kapha (mucus) and Pitta from the
stomach and all over the body, and purifies the body fluids.

27. The yellow colored bile with mucus shown

28. Indications:
 Helps alleviate asthma, cough, bronchitis, repeated
colds, dyspnea, nausea, loss of appetite, sinusitis,
skin diseases, obesity, diabetes, and all other Kapha
related problems.
Contra indications
 Young children, elderly, debilitated, very weak
patients, stomach ulcers, trauma to the lungs, heart
disease, abdominal tumors, intestinal obstruction.

29. VIRECHANA - Purgation
 Induced by herbal purgatives such as castor oil, triphala,
katuki, Abhaya or senna tea to eliminate solid/liquid wastes
(feces, urine) from the body
 Virechana can be given in the morning
 Observe quantity, times, color, and consistency of waste;
blood pressure, pulse, respiration chart maintained.

30. INDICATIONS
 Chronic skin disorders, diabetes, fistula, hemorrhoids,
ascites, anemia, migraine, asthma, cough, jaundice,
edema, gout, liver disorders
CONTRA INDICATIONS
 Anal fissures, ano-rectal bleeding, anorexia, indigestion,
fever, alcoholism, weak persons, pregnant women, old age
and children.

31. BENEFITS
 Allows the body to eliminate Pitta disorders, blood
disorders
 Improves skin conditions, rejuvenate the tissues,
abdominal organs
 Enhances immunity

32. BASTI ( Medicated enema)
 “Basti” means sac or pouch
 The liquid used for the Basti is either herbal decoction-
based (Niruha / Asthapana) or oil based (Anuvasana /
Sneha / Matra / Taila)
 Various medicated enemas are introduced into the large
intestine through the rectum with the help of an enema
bag.
 Basti serves to cleanse or lubricate the system and
alleviate dryness caused by an excess of Vata
 Vitiated Vata moves to the intestines and is gently
eliminated.

33. Classification of medicated enemas (Basti)
 According to the site where they are administered
 Rectum
 Vagina
 Urethra
 Wound cavity
 According to substance used
 Cleansing (Niruha / Asthapana / Kashaya)
 Oleating (Anuvasana /Taila)

34. Cleansing Enema (Kashaya Basti)
 Administered with honey, salt, oil, and herbal (dasamoola etc.,)
decoctions. The quantity of the total mixture should be 500 cc
depending upon the age, disease and condition of the patient
 Enema should be given on an empty stomach in the morning.
 Administered in left-lateral position.
 Medicated contents of cleansing enema are retained in the
intestines a maximum of 45 minutes and allowed to come out
along with fecal matter and excess Pitta and Kapha
 Person can use bed pan or rest near to the bathroom
 During Kashaya Basti time avoid bath or shower.
 After cleansing enema, the person should take rest, be given
warm herbal tea, and when hungry, should take a nutritive grain
soup.

35. How to Make Kashaya Basti
Herbs 1 person / 2 doses
Dasamoola 150 grams
Bala 10 grams
Guduchi 10 grams
Triphala 30 grams
Ashwagandha 10 grams
Gokshura 5 grams
Kutki 5 grams
Bilva 5 grams
Vacha 5 grams
Fennel 5 grams
Musta 5 grams
Pippali 5 grams
Vidanga 5 grams
TOTAL 250 grams
Take 1 part Kashaya Dravya
4 parts of water, reduced to
½ quantity and filter several times.

36. INDICATIONS
 Pain disorders - pain in the abdomen, chest, pelvic
region, eyes, ears or legs, headache, cardiac pain,
hemiplegia or facial paralysis, arthritis, nervous
disorders, amenorrhoea, infertility, obstruction of
urine, stools and flatus.
CONTRAINDICATIONS
 Indigestion, obstruction or perforation in the
intestines, for very old or debilitated patients, endo-
toxins (Ama) in the GI tract, diarrhea, vomiting,
tuberculosis, ascites, peritonitis, dysentery.

37. Oil enema (Asthapana / taila basti)
 Herbal or plain sesame oil is used
 Generally 100 cc of herbal oil is administered after a
meal, preferably during night
 Because of the small quantity of content, no harm to
the person, even if retained in the intestines more
than 24 hours
 Generally the oil is absorbed slowly through the
intestines.

38. INDICATIONS
 Vata disorders - tissue (wasting and debilitating
diseases), nervous exhaustion, sexual debility or low
body weight, tuberculosis, diabetes, skin diseases,
asthma.
CONTRAINDICATIONS
 Severe hemorrhoids, excessive Kapha in GI tract, low
digestive fire, ascites, excessive anemia, jaundice,
obesity, intestinal worms

39. NASYA- nasal cleansing
 The nose is the doorway to the mind and senses,
where Prana or vital energy is absorbed in the
process of breathing
 Involves the cleansing of the nasal passage by the
administration of oils, powders, herbal juices,
infusions or smoke
 Massaging the forehead, face, neck with herbal oils;
fomentation
 Oil massage and fomentation loosens toxins in the
head

40.  Liquids administration: head is tilted back and liquid
put into the nostrils
 After removal of secretions, massage and mild
fomentation applied
 To clear throat of any residual mucous: gargling with
warm water with salt or turmeric
 Inhalation of medicated smoke

41. Types of Nasya
According to action
Purification (Shodhana) to eliminate doshas
Palliation (Shamana) to reduce dosha provocation
Tonifying (Brimhana) to strengthen Vata
According to substance used
Avapeeda - uses herbal extracts, juices
Naavana - instilling milk, oils etc.,
Dhuma - inhaling smoke of various herbs
Virechana - applying medicinal powders into the nose
with special apparatus

42. According to dose:
Pratimarsha - 2 drops in each nostril
Marsha - 8 - 32 drops in each nostril
 Nasya can eliminate accumulated doshas above the
clavicle (ear, nose, eye, throat, head); strengthens the hair
and improves mental functions
Indications for liquid Nasya
 Vata - pitta disorders of head, ears, eyes, nose, mouth,
dryness of the throat, dental disorders, tonsillitis, facial
paralysis, hair loss, graying of hair, allergic and breathing
problems

43. Indications of dry Nasya
 Kapha related problems in head region, sinusitis, heaviness
in the head, epilepsy, loss of voice, excessive congestion,
Rock salt, garlic, dry ginger, calamus, black pepper,
turmeric can be used
For smoking purpose - guggul, boswellia can used

44. CONTRAINDICATIONS
 Severe digestive disorders, fever, immediately after
physical exertion, pregnant women, children under 5
years.

45.  A profoundly relaxing program in which a continuous
gentle stream of warm herbal oil/ herbal decoctions /
herbal buttermilk is poured over the forehead from a
certain height; helps to calm the nervous system,
synchronize the right and left hemispheres of the
brain, integrates the mind and body
 Performed for about 30- 45 minutes with one or two
therapists

46. Pizzichill (warm oil bath)
 A luxurious treatment in which a continuous stream of
warm herbal oil is poured over the entire body while two
therapists perform massage; a relaxing and deeply
cleansing technique to remove deep rooted toxins

47. GARSHANA
 Vigorous, dry, full body massage performed with
woolen gloves; enlivens the physiology, promotes
circulation, pulls the deep rooted impurities from the
body

48. VISHESHA
 A deep tissue friction massage performed with two
therapists; loosens and eliminates deep rooted tension

49. UDVARTANA
 Full body massage with warm herbal paste performed by
two therapists;
 Drains impurities from the the lymphatics, tissues
 Stimulates circulation
 Removes excessive fat or adipose tissue
 Eliminate impure Kapha dosha
 Exfoliates the body
 Strengthen the musculo-skeletal system
 Brings glow to the skin

50. NETRA TARPANA
Specialized eye bath that calms, cools and strengthen the
optic system; performed with ghee (clarified butter) or
herbalized ghee

51. BENEFITS
 Eye strain due to computer & TV screens
 Refractive errors of the eyes
 Chronic Conjunctivitis Corneal Ulcer
 Eye diseases due to aggravation of Vata and Pitta toxins,
Glaucoma, helps in preventing early formation of Cataract
 Improper co-ordination and loss of movement of the
eyeballs, Pain and burning sensation in the eyes

52. Navarakizhi- Potli Massage
Rejuvenation technique using a special type of rice (navara rice, which is
grown in 60 days) that is cooked, tied into boluses and dipped into an herbal
decoction and warm milk, then skillfully massaged simultaneously by four
therapists all over the body for one hour after the Abhyanga
It is performed 90 minutes with two therapists
Benefits
Paralytic strokes, anti-aging & rejuvenating, strengthens tissues, body ache,
emaciation, debility, hemiplegia, paralysis, osteoarthritis, rheumatoid arthritis

53. Shiro Pichu
Cotton cloth is soaked in herbalized oil and applied to the head for 45
minutes
BENEFITS
Facial palsy, headache, chronic insomnia, improves memory, dermatitis of
the scalp, dandruff, paralysis, other neurological disorders, skin disorders
such as eczema, psoriasis, stress related problems

54. OTHER TYPES OF BASTI
 SHIRO BASTI
 HRUT BASTI
 KATI BASTI
 JANU BASTI
 NABHI BASTI

55. PASHCHAT KARMA
 Samsarjana Krama - Special dietetics
 Rules to follow specific activities:
Diet
Regimen

56. Sansarjana Krama:
Manda - Thin gruel
14 parts water, 1 part rice, boil to cook rice, strain, drink
the liquid portion
Peya - Thick gruel
14 parts water, 1 part rice, boil to cook rice until
completely mashed like a thin gruel
Vilepi - Thick porridge
4 parts water, 1 part rice, cook to become soft
Anna - Solid food

57.  First three meals: advisable to take a liquid diet of bland,
warm, thin gruel with salt
 Next three meals: thick gruel - porridge
 Next three meals: a semisolid kichari (rice lentil dish) with
ghee
 Next three meals: bland meat/vegetable soups with cooked
rice
 Next: continue taking regular meals

58. DIET REGIMEN
Favor
Vegetables:
Fresh dark green leafy vegetables such as spinach, kale, chard,
mustard greens, dandelion greens; asparagus, artichoke, fennel
(anise), okra, carrots, pumpkin, rutabaga, squash, zucchini, bottle
gourd (louki), snake gourd, ridge gourd, broccoli, green beans,
celery, cilantro, mint, parsley, oregano, rosemary, thyme, basil
Fruits:
Cooked or stewed apples, pears, raisins, papaya, prunes, dates, figs

59. Grains:
 Rice (basmati, white), rice cakes, couscous, quinoa, corn, polenta,
wheat
Legumes:
 Yellow moong dal
Dairy:
 Cow's milk, goat’s milk with spices, ghee, yogurt diluted with water
and spices - roasted fennel, cumin, or coriander seed powder
Sweeteners:
 Sucanat, cane sugar, jaggery, turbinado sugar, maple syrup, honey,
rice syrup, stevia

60. Nuts & Seeds:
•Almonds soaked & peeled; sesame, coconut, small amount of
cashews
Beverages:
•Aloe vera juice, papaya juice, mango juice, rice milk, almond milk,
soy milk
Herbal teas:
•Ajwan, clove, fennel, ginger (fresh), lemongrass, licorice, saffron,
rosehips, peppermint, spearmint, sage, tulasi, hibiscus, lavender,
orange peel, green tea

61. AVOID or REDUCE
Vegetables:
Nightshade vegetables such as potatoes, tomatoes,
eggplant, capsicum, chilies; cauliflower, cabbage,
Brussels sprouts, garlic, onions
Dairy:
Yogurt, animal protein, cheese (hard/soft)

62. Processed foods:
Fermented foods, highly processed foods, margarine,
leftover, frozen, stale foods, bread leavened with yeast,
caffeine, artificial sweeteners, white flour products,
refined carbohydrates, carbonated drinks, trans fatty
acids, hydrogenated oils, fast foods, food additives,
preservatives, allergenic foods - particularly one's
allergens or MSG foods, spicy food

63. Condiments:
Chocolate, horseradish, chili pepper, Tabasco, ketchup,
mustard, salt (in excess), vinegar, soy sauce, tamari,
mayonnaise, gomasio
Beverages:
Coffee, carbonated drinks, alcohol, ice cold drinks, iced
tea, lemonade, mixed vegetable juice, V-8 juice, tomato
juice

64. REGIMEN
FAVOR
 Sipping hot water throughout the day
 Self oil massage (Abhyanga)
 Early to bed and early to wake
 Gentle yoga
 Pranayama
 Meditation
 Chanting, singing
 Gentle movements
 Walking

65. AVOID or REDUCE
Climate:
 Exposure to cold, moist, dry wind, sunlight, rain, snow
Exercise:
 Vigorous physical exercise, stress, mental exhaustion, sexual
intercourse, loud talking, sleeping during the day, traveling,
laughing excessively, standing for a long time, sitting
constantly in one place
Habits:
 Smoking cigarettes, recreational drugs, suppression of natural
urges - flatus, feces, urine, sneeze, thirst, hunger, sleep, cough,
breathing on exertion, yawn, tears, vomiting and semen

66. Emotions:
 Repressing feelings, denying one's creative self, engaging in
frustrating activities, sadness, boredom, anger, sorrow, pity
Eating habits:
 Munching between meals; eating when emotionally upset,
while angry, while watching television, reading, talking,
standing, or driving; eating too much or too little food, eating at
irregular times, overeating, eating without hunger, drinking too
much water or ice cold water during, before or after a meal,
eating excessively fatty foods and oils, eating a heavy meal at
night, drinking milk with a meal

67. Thanks
Presented By
Dr. Baldeep Kour
B.A.M.S, N.DD.Y, CC in Panchkarma
Chief Ayurveda Consultant & Medical Director of DEEP AYURVEDA
www.deepayurveda.com