Panchkarma is a Sanskrit term which literally means five actions. Panchkarma is considered a “Shodhan” treatment which helps in clearing out the toxins (Ama) in the body, balancing the doshas and rejuvenating the body with more vitality and vigour. The toxins that collect in the body due to unhealthy diet and lifestyle practices have the tendency to block microchannels in the body. These blockages hamper the optimal functions of the body organs causing chronic diseases such as cancer and diabetes. An ancient Ayurvedic therapeutic treatment, Panckarma takes a holistic approach to treating diseases or ailments at the root cause by cleansing and detoxifying the body and which essentially leads to purification of the mind and soul.

The five techniques of a Panchkarma treatment are called Vamana (Emesis), Virechana (Purgation) Basti (Enema), Nasya (Nasal insufflations) and Rakta Mokshana (Blood-letting). These five techniques depend on five different elemental actions earth, fire, water, air and ether, that control bodily functions.

Vamana (Emesis)

Vamana is a Panchkarma treatment in which medicated vomiting is induced to remove toxins through the upper channel i.e. mouth. Vamana treatment is typically performed to balance aggravated Kapha dosha and help cure many Kapha diseases and disorders such as cold, cough, obesity, and lethargy. Since the chest is the seat of Kapha, Vamana is the right treatment to dislodge Kapha toxins from the body. In addition to curing Kapha disorders, Vamana is beneficial in restoring health in many ways. Vamana not only helps in cleansing the body but also improves metabolism, complexion, cognitive abilities, immunity, fertility, and bodily strength.

Before Vamana therapy is performed, a patient is asked to take some digestive medicine and a certain kind of ghee for 3 – 7 days. Closer to the day of treatment, the patient is given an oil massage. And before the night of the treatment, the patient is given Kapha aggravating foods such as curd, rice, black gram etc and asked to take proper sleep. On the day of treatment, the patient is administered an Ayurvedic decoction after which they wait for 48 minutes before the commencement of vomiting. The patient should perform the vomiting in a seated position in the presence of an Ayurvedic doctor. The signs of perspiration, goose bumps, abdominal relaxation and nausea are signs that the medication has reacted well. Depending on the patient and the intensity of dosha, 4 – 8 rounds of Vamana can be performed.

Virechana (Purgation)

A colon and liver cleanse, Virechana is the pitta pacifying detox treatment in Ayurveda where one ingests some purgative medicine to flush toxins from the lower pathways. Virechana can help treat many Pitta-related issues and diseases such as skin disorders, liver disorders, haemorrhoids (piles), jaundice, worms, ulcers, gouts and anaemia. Additionally, Virechana brings about many health benefits such as enhanced mental clarity, blood purification, improved skin and better digestion.

In a Panchakarma treatment, Virechana is typically performed 3 days after Vamana and if Vamana is not prescribed to the patient due to any reason then Virechana is given. The three days before Virechana is when the patient goes through a proper oleation (snehana) and sweating (svedana) procedures to get ready for Virechana administration. On the day of administration, the patient is given a purgation medicine based on the kind and level of dosha imbalance. Taking the medication leads up to controlled bouts of purgation with a normal bout of purgation being 750 gms of fecal matter.

Basti (Enema)

Considered one of the most important Panchkarma treatments for curing ailments and diseases, Basti is a medical enema given to treat Vata imbalances. In Ayurveda, Vata imbalances are known to be the root cause of major diseases such as inflammation, sciatica, constipation, arthritis, nerve pain etc. Balancing Vata dosha can help in stabilising energy levels, improving digestion, strengthening bones, bringing creativity and confidence and reducing fear and anxiety.

To cure Vata borne diseases and bring the body in balance, it is necessary to perform treatment at the seat of Vata, which is the colon. Therefore, a medical decoction is administered rectally in two stages: oil and decoction stage. In the first stage, the patient is administered with 5 ounces of sesame oil and after ten minutes without expelling a 21 ounce liquid blend of herbal tea and oils is administered again and retained for thirty minutes. After the ideal time has passed, patient may sit on the toilet seat to evacuate their bowels and pass liquid and fecal matter. A couple of bowel movements accompanied by a feeling of lightness and mental clarity is a sign that the treatment is a success

Nasyam (Nasal insufflations)

A rejuvenating Panchkarma therapy which is mainly used to cure Vata-Pitta or Kapha-Pitta imbalances, Nasyam is an application of herbal decoction (typically infused with oils or ghee) into the nostrils of the patient. As per Ayurveda, the nasal passages are the doorway to our nervous system and essential to our consciousness. Thus, there is a wide range of mind and nervous system-related ailments that Nasyam therapy can treat such as sinus problems, memory loss, Parkinson’s disease, neck pain, insomnia, mental issues, skin diseases and chronic headaches. Administration of this herbal medicine into the nostrils helps in clearing toxins from nasal passages, throat, ear, neck, brain, and eyes as a result improving immunity, enhancing memory power, calming the nervous system, and strengthening sensory organs.

In Nasyam, initially, oil is applied to the neck, head and shoulders after which a gentle massage is performed followed by fermentation. Then the medicine is administered in the left nostril in a single stream after closing the other nostril and the same is repeated in the right nostril. After that, a gentle massage is performed on the face and the extremities and then the patient is made to spit on either side until the throat is completely clear. The treatment is finished with Dhoomrapanum in which the smoke of medicated herbs smeared with ghee/oil is inhaled through the nostrils and mouth.

Rakta Mokshana (Blood-letting)

A blood purification therapy, Raktamokshana is a controlled elimination of impure blood from the body. This Panchakarma treatment is performed to cure Pitta-related imbalances and diseases such as rheumatic diseases, migraine, acne, eczema, tonsillitis, sciatica, breast cancer, STDs, liver and spleen disorders, tumours etc. The least performed of all Panchkarma therapies, Raktamokshana is performed only when herbs or any other procedure cant cure the ailment or disease. In general, the treatment helps in improving blood circulation and blood health and reducing inflammation

There are a few different ways of performing Rakta Moksha: one of them is by applying a few leeches on a specific part of the body or by puncturing a vein or making several small punctures on a focused area of the body to initiate bloodletting.