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

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

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.

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)

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)

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

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

Objective of Pancha Karma

Three major objectives:

Health maintenance

Elimination of the disease

Prepare for rejuvenation

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

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

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.

Rejuvenation / Revitalization therapies:

After completion of Pancha Karma,

rejuvenation (Rasayana) and revitalization

(Vajeekarana) therapies are performed to

enhance strengthen tissues

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

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

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

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

Pancha Karma

Classified as –

• Poorva karma - preparatory actions

• Pradhana karma - main actions

• Paschath karma - post-therapeutic actions

Poorva karma (Preparatory therapy)

• Pachana - Digestive Therapy

• Snehana - External & Internal Oleation Therapy

• Swedana - Sudation / Fomentation Therapy

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

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

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.

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.

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

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

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

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.

The yellow colored bile with mucus shown

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.

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.

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.

BENEFITS

Allows the body to eliminate Pitta disorders, blood

disorders

Improves skin conditions, rejuvenate the tissues,

abdominal organs

Enhances immunity

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.

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)

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.

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.

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.

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.

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

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

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

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

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

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

CONTRAINDICATIONS

Severe digestive disorders, fever, immediately after

physical exertion, pregnant women, children under 5

years.

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

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

GARSHANA

Vigorous, dry, full body massage performed with

woolen gloves; enlivens the physiology, promotes

circulation, pulls the deep rooted impurities from the

body

VISHESHA

A deep tissue friction massage performed with two

therapists; loosens and eliminates deep rooted tension

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

NETRA TARPANA

Specialized eye bath that calms, cools and strengthen the

optic system; performed with ghee (clarified butter) or

herbalized ghee

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

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

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

OTHER TYPES OF BASTI

SHIRO BASTI

HRUT BASTI

KATI BASTI

JANU BASTI

NABHI BASTI

PASHCHAT KARMA

Samsarjana Krama - Special dietetics

Rules to follow specific activities:

Diet

Regimen

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

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

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

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

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

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)

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

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

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

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

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

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