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Home -> Health & Fitness -> Ayurveda India -> Ayurveda Pancha Karma
Ayurveda Pancha Karma – Detoxification of Body
PRELIMINARY PRACTICES (Purva Karma):
Preliminary detoxification and Ama-reducing methods according to one’s dosha, should usually be followed for a period prior to Pancha Karma.
Oleation and Sweating Methods
Application of oils, Snehana, also called ‘Oleation therapy’ is an important therapeutic method in Ayurveda, with oils used both externally and internally. Steam therapy or therapeutic sweating, Svedana, is another important method. These two are significant parts of Pancha Karma but are also useful in themselves for treating various conditions and for health maintenance.
After adequate detoxification, a period of daily oil application and sweating therapy should be followed for at least one week for health maintenance and three weeks for the treatment of severe diseases. Warm sesame oil is applied all over the body in large amounts, while the patient lays on a special Ayurvedic massage table. Special medicated oils (like Narayan or Mahanarayan oil) can be applied, particularly to spexific disease sites. The skill in massage is not the issue here.
Sweating is done a few minutes after oleation, generally using a special Ayurvedic sweatbox, often with the addition of the steam of diaphoretic herbs (camphor, eucalyptus, mint, or bayberry) for most patients, or with tonics (Dashamula and bala) for weaker types. Herbs can be decocted in a pressure cooker, to which a hose is attached at the top (called nadi sveda).
Heavy application of oils, also, will depress the digestive fire and cause loss of appetite or constipation. Hence, oil application should not be heavy, or it should be balanced out by taking ginger or other spicy herbs to improve the digestive fire.
MAIN PRACTICES (Pradhana Karma):

1. THERAPUTIC VOMITING (Vamana)

Herbs- Strong teas of licorice, are used, generally about one ounce of the herb per pint of water, or simply a large amount of salt water can be used instead. One should then apply a finger down the throat. Once the vomiting reflex arises one should follow it out all the way. It is easier to empty the stomach through one or two strong reflexes than through a series of weak ones. It is important to empty the stomach thoroughly. It is mainly for those with congestion of phlegm in the lungs and stomach, usually Kapha constitutions. The best season is spring, particularly late spring when the weather has warmed up. It should not be done during stormy or rainy weather. It gives better results if done around the time of the full moon. Best time is morning after sunrise.

2. PURGATION
Purgation, Virechana, is the simplest Pancha Karma method and its effect is easy to observe. A strong purgative is given like aloe or castor oil. Purgative herbs are usually given in the evening, so that five to eight bowel movements occur the next day, flushing out the intestines. Late spring and summer are the best seasons. Purgation is used to eliminate excess Pitta from its site in the small intestine. This cleansing of the small intestine can weaken the digestive fire and so it is not always advisable for Vata types.

3. CLEANSING ENEMAS
Enemas (basti) are a mild therapy and can be used for many conditions. Cleansing enemas (Niruha basti) are used in Pancha Karma to dispel excess Vata from its site in the large intestine. They are made with decoctions of anti-Vata herbs.

4. NASAL APPLICATION OF HERBS/NASYA
Ayurveda has a whole variety of herbal preparations, including decoctions, oils and ghee, and the smoking of herbs for direct action on the nasal passage. This is called Nasya, literally, ‘what relates to the nose.’ For the purification action of Pancha Karma, cleansing herbs are given through the nose, either as snuffs, decoctions or oils.
Nasya is useful for many Vata and Kapha disorders. It allows for direct action on prana and the brain. It is helpful in some Pitta disorders, as well as any diseases of the head and nasal passages.
5. THERAPUETIC RELEASE OF TOXIC BLOOD
In the proper application of blood-releasing therapy, toxic blood is taken out of various sites in the body, usually along the back. The blood should be dark in colour. Once it becomes bright red, the treatment should stop. The use of alternative and blood-cleansing herbs has a similar effect over a long period of time. Also good are blood-cleansing spices like turmeric and saffron.

FOLLOW-UP PRACTICES (Uttara Karma) :
Pancha Karma treatment has several follow up practices. It is not an isolated therapy that can be done once and forgotten, but must be integrated into one’s entire life-regimen. First, it may be necessary to repeat the whole process of Pancha Karma. More than one session may be needed to cleanse deep-seated toxins,
particularly if shortened (week long sessions or less) versions of Pancha Karma are followed.
Second, after Pancha Karma, we should return to a diet and life-style in harmony with our constitution, or establish one if we have not done so already.

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