Introduction

The term Panchakarma has gained Global attention

Essentiality of clarification of the term

Has special relevance – due to increasing rate of santarpanotha vyadhees.

Urjaskaram Roganuth

Daivavyapasraya Yukthivyapasraya Sathwavajaya

Antha parimarjanam

Bahi parimarjanam

Shasthra pranidhanam

Rasayana Vajeekarana

Chikitsa

Santharpanam Apatharpanam

SHADUPAKRAMAS

Brimhana

Snehana

Sthambhana

Langhana

Rookshana

Swedana

Principle of Treatment

Santharpanothaja vikara – Langhana

Apatharpanothaja vikara - Brimhana

Langhana

Sodhana Samana

PachanamDeepanamKshutThrutVyayamaAthapaMarutha

Pancha sodhana by Vagbhata

Nirooha,Vamana,Kayareka,Siroreka,Asravisruti

Vamana Virechana

Vasthi Rakthamokshana

SODHANA(Elimination

Therapy)

Nasya

Asthapana Anuvasana

Query

What are Panchakarmas?

Is there any difference of opinion among Acharyas?

Pancha -- 5=No of interventions

Karma -- That which the doer wishes to Achieve through action

5 fold therapeutic measures

Vamana

Virechana

Nasya

Asthapana

Anuvasana

? Why the number is limited to 5.

Difference of opinion

? Are all panchakarmas sodhana in nature.

No confusion about other 4Anuvasana-Brimhana

Anuvasana as a Panchakarma Evacuates Pakwasayagatha vata &

pureesha

Not included in 4 -fold sodhana due to Brimhana nature

Nourishing therapies –Sodhana of kevala vata & Samana of pithanubandha vata

Asrayasrayeebhava

Anuvasana yogya-Rooksha,Kevala vatartha

Sodhana of labdhavakasha vata

Why Rakthamokshana is

not included

There is direct elimination of dhatu

It is performed through an artificial route

Advised only when snigdha rukshadi therapies fail as a final measure

Evidences

Rakthamokshana – Contraindicated immediately after Panchakarma

Raktamokshana – separately mentioned

Not along with prakarana of Panchakarmas

Scope of panchakarma

Preventive *

Curative*

Rejuvenative

Somatic

Psychological

Preventive

VIRECHANA

VAMANA

VASTHI

KAPHA

PITHA

VATHA

VASANTHA

SARATH

VARSHA

Uniqueness of Ayurveda

Panchakarma

Curative

Dosha

Vatha

Pitha

kapha

Vasthi

Virechana

Vamana

Sodhana chikitsa as a preoperative measure to Rasayana

Srothonirmalatha Peyadikramam

Dhathusudhi Kayagnideepthi

Dhatwagnideepthi

Dhathu sthiratava

Rasayanaprayogam

Deerghayus

(Body if not detoxified can not accept Rasayana)

POORVAKARMA

Sequence of karmas

PRADHANAKARMA

PASCHATKARMA

The order of therapies

Pachana

Deepana

Snehana

Swedana

Sodhana

Paschat karma –Peyadi for vamana,Virechana

Purpose of Poorva Karma

Snehana – Dosha vriddhi,utkleshana Abhishyandana,protection of body from athikarshana

Swedana- Draveekarana

Brings to koshta

Sodhana without Poorvakarma– extraction of juice from unripe fruit

Purpose of Paschatkarma

An inevitable procedure after panchakarma

Marked reduction of digestive power after Panchakarma

Reduced digestive power is rectified with sequential intake of light diet, beginning from thin gruel & the habitual food is taken only after this (Peyadikrama)

Why langhana is more relevent

today?

Incidence of Santharpanajanya rogas – more

Eg:Prameha,

Sthoulya,

Buddhimoha etc.

Owing to present day-

Ahara(Diet)

Vihara (Lifestyle)

Influence of food habits

Deviation from natural food habits

Snacks

Fastfood

Refrigerated

Recooked

Biomagnification –Pesticides

Fertilisers

Incompatible diet

AccumulationOf toxins

Ama/Dusheevisha

Agni vaigunyam

Activities

Sedentary lifestyle

Lack of exercise

Stressful professional atmosphere

Suppression & forceful evacuation of Natural urges

Acharya Susrutha Divides diseases into four.

1. Sareera

2. Manasika

3. Aganthuka

4. Swabhavika

Kalaja

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Akalaja

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Increased incidence of rogas

Heena

Mithya

Athi

Yoga of

Kala

Artha

karma

Sodhana to cut at Root level

Pollution Accumulation ofToxins in body

Removal bysodhana

Vayu ,Udakam , Desam’ Kalam

Relevence in Janapadodhwamsa

Samana Sodhana

Pacifies doshas locally Removes doshas from

body

Comparitively of temporary action.

Done in alpa dosha & alpa bala.

Effect lasts for long. Done in prabhoota

dosha & pravara bala.

Does not interfere much with dhathoos

Normalises dhathu functions.

Importance of sodhana

Dosha in excess –To be evacuated

Applicability

Common in 8 branches of Ayurveda

Applicable at different stages of life.

It will not be possible to dry up a pond which is full of water without breaking the boundary wall. Similarly it is not possible to subdue doshas, when they are exceedingly aggravated without adopting purificatory therapy.

(Charaka,Vimaana)

Effects of elimination therapies

Conclusion

No difference of opinion about the term Panchakarma

In present day scenario – More Santharpanotta vyadhees — Hence Apatharpana more relevent

All panchakarmas have sodhana property

Sodhana – Panchakarma -highly relevent

Thank you