Author: Sathya N. Dornala Swami Vivekanand Ayurvedic Panchakarma Hospital Dilshad garden, Delhi – 95

1. Introduction To Panchakarma
Sathya N. Dornala
Swami Vivekanand Ayurvedic Panchakarma Hospital
Dilshad garden, Delhi – 95

2. Copyright & Disclaimer
 All material in this presentation particularly ACRONYMS
and other unique thought contents may be copied,
reproduced, distributed, republished, displayed, posted
or transmitted in any form or by any means with proper
citation.

3. VASTI CHIKITSA
KING OF AYURVEDIC THERAPEUTICS
SHIRODHARA
QUEEN OF AYURVEDIC THERAPEUTICS

4. Introduction
 Panchakarma is a “buzzword” in the field of Ayurveda.
 Buzzword - A technical word or phrase that has become
fashionable, typically as a slogan.
 Panchakarma is a therapeutic regime aims at
eliminating toxic elements from the body.
 Superspeciality branch of Ayurveda

5. Therapeutic strategy
Trividha chikitsa - Therapeutic triad
 Nidana parivarjana (Avoidance of causative factors)
 Samshamana (Pacification treatment)
 Samsodhana (Radical/Purification therapy)
(Ch.Vi.7/30)

6. Shadupakrama
Therapeutic principles - Six fold therapeutics
Langhana : Brimhana
Rukshana : Snehanam
Swedanam : Stambhanam

7. Panchakarma
Therapeutic methodology/technology
 Pancha+Karma = (five + regime) Therapeutic Pentad
 The word ‘karma’ in panchakarma denotes “bahu iti
kartavyata” (Ch.Sa.Su.2/15 Chakrapani) which means
multifaceted five therapeutic actions.
 Karmasu iti kaushalam (skillful actions)
 Science of Metabolic detoxification (vishaharan) &
Art of Biopurification (shuddhikaran) and Rejuvenation
(kayakalp)

8. Significance of PK
 Motor vehicle service is a series of maintenance procedures
carried out at a set time interval or after the vehicle has travelled
a certain distance – to extend the life (in terms of Quantity and
Quality) of the vehicle.
 Panchakarma (Bioservicing) – Removal of cumulated impurities
or toxic metabolites, especially from bodily fluids particularly in
LSD/CNCD, which are refractory in nature.

9. Objectives of Panchakarma
 To maintain positive health in a healthy individual (Preventive PK)
 To obtain extraordinary qualities like Rasayana & Vajikarana
(Promotive PK)
 To treat/remove the ailments of a diseased person (Curative PK)
(Ch.Si 1/53)

10. Definition of Panchakarma
 Pancha+Karma= (five + regime) Therapeutic Pentad
 Bio-Cleansing Therapeutic Pentad (BCTP)
 Systemic Detoxification
 Systemic Biopurification
 Def:- It is basically a bio-cleansing regimen, which
facilitates the body system for better bio-availability of
the pharmacological therapies, besides achieving
homeostasis of doshas.

11. Why do we need Biopurification
Major Elimination systems
Pancha Pratyangas - SKILL
 Skin (Twacha)
 Kidneys (Vrikka)
 Intestines (Colon) (Antra)
 Lungs (Phupphusa)
 Liver (Yakrit)

12. Principles of Panchakarma
 Srotoshodhana (Channels/pores cleansing)
 Bringing accumulated doshas from shakha to
Koshta (GIT) and elimination through nearest
route.
 Samsarjana karma
 Non-Relapse/
 Non-Recurrence of the diseases

13. Application of Panchakarma

14. Preventive PK
VIRECHANA
VAMANA
VASTI
KAPHA
PITHA
VATHA
VASANTHA
SARATH
VARSHA
Uniqueness of Ayurveda

15. Dosha Chikitsa (Curative PK)
Dosha/Tx Shodana
Vata Vasti
Pitta Virechana
Kapha Vamana

16. General Guidelines
Don’t s
 Daytime sleep & Curd intake
 Driving of vehicles
 Walking, standing and travelling
for longer duration
 Suppression of natural urges
 Exercise
 Exposure to AC, breezes, sunlight,
smoke, dust etc.,
 Irregular dietary intake
 Sexual Intercourse
 Grief, Anger,
 Swimming
Do’s
 Use lukewarm/normal water
 Following physicians instructions
strictly to avoid complications or to
get maximum benefit

17. General Guidelines
Indications
 Chronic & Rehabilitative conditions
like Paralysis, Multiple sclerosis,
Multiple fractures, Psoriasis,
Spondylosis, Arthritis, Parkinsonism,
Cerebral palsy, Obesity, Infertility etc.,
Contra-Indications
 Menstruation phase
 Nursing mother
 Complicated pregnancy
 Acute/Emergency conditions
 Non-co-operative patients
 Indigestion
 Navajwara
 Hungry and thirsty
 Consumed alcohol

18. Administration of Panchakarma
 Major/Main Procedures (Classical PK)
 Sub procedures (Keraliya PK)
 Specialized procedures (Kriyakalp)
 Miscellaneous procedures

19. Major/Main Procedures
(Classical Panchakarma)
Vamana
(Therapeutic emesis)
Virechana
(Therapeutic purgation)
Vasti
(Therapeutic enema)
Nasya
(Therapeutic errhines)
Rakta mokshana
(Blood letting)

21. Vamana
Therapeutic benefits
 Pratishyaya
 Kasa
 Nava jwara
 Skin disease
 Indigestion
 Urticaria
 Obesity
 Hridroga etc.,

22. Virechana
Therapeutic benefits
 Jeerna jwara
 Skin disease, Fistula in ano, Piles
 Diseases of spleen
 Erysipelas
 Udavarta
 Burning sensation in the body
 Jaundice
 Vatarakta (Gout)
 Pakshaghat etc.,

23. Vasti
Therapeutic benefits
 Niruha vasti
 Anuvasana vasti
 Matra vasti
 Uttara vasti

24. Nasya
(Therapeutic benefits)

25. Raktamokshana
(Therapeutic benefits)

26. Sub Procedures
(Keraliya Panchakarma)
Pinda sweda
Sarvanga dhara
(Pizhichil)
Shirodhara
Shirobasti
Lepam
(Shiro/Anna/Ekang)

27. Keraleeya Panchakarma
 The conditions, specially chronic ailments,
where one need to administer ‘sukha snehana
swedana’ simultaneously form of poorvakarma to
transform and bring the doshas from sakha to
kosta and then to eliminate them from the body
intermittently through various routes by five-
fold treatment methods is termed as ‘Keraleeya
Panchakarma’

28. PINDA SWEDA
 VALUKA SWEDA
 ISHTIKA SWEDA
 MRITTIKA SWEDA
 SALVANA SWEDA
 TUSA PINDA SWEDA
 CHURNA SWEDA
(Podikizhi)
 PATRA POTTALI SWEDA (Elakizhi)
 JAMBIRANDA SWEDA
(Naranga/Mutta kizhi)
 Bala/Vacha Kshira Dhumam
(Palpuka)
 BHASPA SWEDA
 SASTIKA SALI PINDA SWEDA
(Njavarakizhi)
 MAMSA KIZHI

29. Before After
Spectral wave Picometer Images

30. SARVANGA DHARA
Oil bathing/Oil birthing
 Benefits in Neuromuscular and musculoskeletal
conditions. This is highly rejuvenative. It gives both
shodana and shamana benefits.

31. SHIRODHARA

32. Shirodhara & Shivalinga

33. SHIRODHARA – Passive Meditation
 Pouring of warm herbal oil over the
forehead.
 Rejuvenates the nervous system, releases
emotions, opens the subtle channels and
unfolds bliss throughout the mind and
body.
 'You are neither asleep nor hypnotised,
but it's like having a deep and
penetrating massage on the mind.
 Effects Psycho and Cardio Neuro
Immunology
AYURVEDIC TRANSCRANIAL OIL DRIPPING STIMULATION THERAPY

34. KINDS OF SHIRODHARA
 Taila dhara
 Takra dhara
 Ksheera dhara
 Ghrita dhara
 Jala dhara
 Stanya dhara
Whom it is compulsory
 Computer professionals
 Lawyers & Doctors
 BPO workers
 Night shift employees
 Frequent flyers
 Writers & Thinkers
 Teachers & Researchers
 Office jobs
 Singers etc.,

35. Therapeutic Benefits
 Hypertension
 Diabetes
 Eye & ENT disorders
 Mental disorders
 Hair problems
 Headaches
 Skin diseases
 Nervous system disorders etc.,
Mode of action
 The processes of Dhara are having
direct links with the brain through
neural pathways connecting the
HYPOTHALAMUS, which is
responsible for the regulation of
mood, sleep rhythm, behavioural
pattern, temperature regulation,
blood pressure and autonomic
balance, by stimulating them and
producing the desired results.

37. SHIROBASTI
 Dryness of the scalp
 Itching on the head
 Head-ache/ Migraine
 ENT diseases
 Burning sensation on the head.
 Diseases of the head.
 Cracking of the skin of the scalp &
hair fall.
 Facial paralysis.
 Diseases of the eye due to
weakness of nerves.
 Insomnia & Stress
 Dry nose
 Cervical spondylosis

38. LEPAM (Poultice)
 A soft, moist mass of material (either hot or
cold), typically of plant material or flour, applied
to the body to relieve soreness and inflammation.

39. Specialized procedures
(Kriyakalp) – S.A.P.T.A
 Seka
 Ashchyotana
 Putpaka,
 Tarpana/ Netra vasti,
 Anjana
 Pindi/Kavalika
 Bidalaka/Vartma lepa

40. Miscellaneous Procedures
Abhyanga
Udwartanam
Kati basti
Greeva basti
Janu vasti
Hrid vasti
Nabhi vasti
Gandush Dhoomapan
Karnapooran
Thalam
Pichu

41. Benefits of Abhyanga
 Jarahar-reduces rate of ageing
 Sramahar – reduces fatigue
 Vatahar – pacifies vata
 Drishti prasadak – improves eye sight
 Pushtikar – strengthens body
 Ayushkar – increses longevity
 Swapnakar – induces normal sleep
 Twakdardya – skin smooth and strong
 Klesha sahatwa – tolerance against disease
 Abhigat sahatwa – tolerance against injuries
 Kapha vata nirodhak – protects against vk disorders
 Mrigavarna bala prada – strength and color to skin

42. CHURNA ABHYANGAM UDWARTANAM

43. AYURVEDIC OIL POOLING
THERAPIES
 Kati vasti
 Greeva vasti
 Janu vasti
 Nabhi vasti
 Hrid vasti
 Prishta vasti

44. KATI BASTI

46. GRIVA BASTI

47. JANU BASTI

48. URO/HRID BASTI

49. NABHI / CHAKRA BASTI

50. GANDOOSHAM DHOOMAPANAM

51. KARNA PURANA
PICHU
THALAPOTHICHIL

52. JARAJANYA SOSHA/ FRAILTY SYNDROME/ DOWAGER’S HUMP

55. Panchakarma in Daily Life
Abhyanga
Siroabhyanga
Padabhyanga
Udwartana
Pratimarsa nasya
Anjana
Gandusha
Dhumapana
Karnapoorna

58. SPAanchakarma
 Solus Per Aqua [S P A] - Latin for health or relaxation
thru water
 Health Club which offering various kinds of health
therapies like traditional massages, facial and body
cleansing procedures and also advises on how to live
healthy like what kind of food and drink diets, various
kinds of exercise or aerobics..etc.

59. Probable mode of action of PK
 It eliminates the metabolic wastes & toxins
 It cleanses the micro & macro channels -- cell to
system
 It helps in early repair off tissues and improves
nourishment & tissue perfusion
 It prevents early ageing and relaxes both body and
mind
 It increases the bioavailability of the drug and
excretion of unwanted substances

60. Conclusion
 PK is the fundamental basis of Ayurvedic therapies.
This internal purification therapy give long lasting /
everlasting results.
 Ayurveda – Being the Science of soil, it suits us
most.
 Centuries hold Ayurveda is Centuries ahead.