Ayurveda Panchakarma: Five Main Procedures of Panchakarma

According to the Charaka Samhita, the body normally uses three routes to eliminate waste products and toxins: the mouth, anus, and pores of the skin. The three doshas act as the vehicle which carries ama either upward, downward, or out through the periphery. Through dosha gati, the doshas move these impurities from the deep structures to the G-I tract and from the G-I tract to the body’s three main outlets. Panchakarma curative and rejuvenating power lies in its ability to utilize and stimulate the natural movement of the doshas to eliminate ama.

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Ayurveda Panchakarma: Vamana – Therapeitic Emesis

Vamana is one of the least understood of Ayurveda’s five elimination therapies. Most people associate emesis or vomiting with nausea and sickness and are repulsed by it. As some of my patient’s have said, “Just the thought of vomiting makes me vomit!” However, the emesis procedure used in vamana is quite smooth and painless, with little or no nausea, retching or discomfort.

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Ayurveda Panchakarma: Nasya – Therapeutic Cleansing Of The Head Region

Shirovirechana and nasya are terms that are used interchangeably. In Sanskrit, shiro means “head,” and virechana means “purging.” This procedure purges and rejuvenates the tissues and organs of the head and neck. It introduces medicated oils and powders into the nose, the nearest access and outlet to the organs of the head. It removes ama and toxins from the nose, larynx, pharynx, mouth, para-nasal sinuses, ears and eyes.

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Ayurveda Panchakarma: Basti – Therapeutic Purification and Rejuvenation of the Colon

Basti therapy is perhaps the most powerful of the five main procedures of Panchakarma. Charaka, as well as many later Ayurvedic scholars, unanimously praise the value of basti. They say that while vamana, nasya and virechana together contribute fifty-percent of the benefits of Panchakarma, basti by itself, provides the other fifty-percent. The literal meaning of Basti is “bladder,” because centuries ago, bladders made of animal skins or organs were used to administer this procedure. Bas carries the meaning, “to stay in place,” and therefore can be understood as “that which is retained or kept inside.”

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Ayurveda Panchakarma: Types of Basti Therapy

Basti fulfills many needs, so the type of basti used during Panchakarma varies according to the intended purpose of the treatment. One type of basti eliminates the ama that has gathered in the colon from throughout the body. Another normalizes vata function. If the prime mover is out of balance, everything is out of balance. Once vata has returned to normal functioning, basti therapy is then used to nourish and revitalize the dhatus.

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Ayurveda Panchakarma: Types of Basti Used in Panchakarma

Due to the importance of the colon’s eliminative and rejuvenating functions, Panchakarma largely employs pakwashaya gata bastis. We will now discuss the two main types of pakwashaya gata bastis given during this therapy. They are called nirooha and anuwasan basti. All other bastis, whether based on administrative site or specific purpose, serve only an adjunctive function in Panchakarma.

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Ayurveda Panchakarma: Preparing and Administering Basti Therapy

Preparing for Basti Therapy

As with all Panchakarma purification procedures, proper preparation is crucial for successful basti treatment. First, snehanaand swedana must loosen ama and open the body’s channels so that it can be moved out. This greatly aids the effectiveness of both the cleansing and nourishing bastis. Bastis are always administered immediately after oleation and sudation (heating). Because of these preparatory procedures, the patient feels calm and settled and his shrotas (channels) are dilated. This facilitates the work of the doshas, which is to remove ama from the colon and deliver nutritive substances to the dhatus.

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Ayurveda Panchakarma: Raktamokshana – Therapeutic Withdrawal of Blood

Thousands of years ago, Charaka wrote the oldest and most extensive text of Ayurveda, thoroughly explaining the science of Ayurveda. In this treatise, he also delineated the five karmas or major procedures of vamana, nasya, virechana, cleansing and nourishing bastis for purifying and rejuvenating the body. He is consequently considered to be the father of Ayurvedic internal medicine.

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Ayurveda Panchakarma: Cure for Obesity, Menstrual Irregularity, Infertility, Arthritis, Parkinson Disease and Other Degerative Disorders

Earlier I gave some examples from my clinical experiences regarding the healing potential of nasya, virechana, vamana and basti. However, treatment of most diseased conditions demands that these procedures be applied in unison in order to eradicate the root cause of the disease. The following case histories address specific conditions:

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Ayurveda Panchakarma: Cure for Irritable Bowel Syndrome

Irritable Bowel Syndrome

I saw a physician who had suffered from irritable bowel syndrome for three years. This condition was initially caused by amoebic dysentery contracted during visits to Asia and had generated complications involving acute digestive disorders, food allergies and severe skin rashes. With one eight-day treatment regimen, almost all his symptoms disappeared. After six months, he returned to see me and commented that even after a stressful period, which included his father’s death, the symptoms did not return.

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