The document discusses Panchakarma, its principles and relevance. It defines Panchakarma as the five main purification therapies in Ayurveda - Vamana, Virechana, Nasya, Asthapana, and Anuvasana. It notes increasing incidence of diseases caused by excess intake (santharpanotta vyadhees) and explains why Langhana therapies are more important today. Finally, it emphasizes the importance of Panchakarma's elimination therapies (sodhana) for removing accumulated toxins from the body and treating aggravated doshas.

2. Introduction
 The term Panchakarma has
gained Global attention
 Essentiality of clarification of the
term
 Has special relevance – due to
increasing rate of santarpanotha
vyadhees.

3. Urjaskaram Roganuth
Daivavyapasraya Yukthivyapasraya Sathwavajaya
Antha parimarjanam
Bahi parimarjanam
Shasthra pranidhanam
Rasayana
Vajeekarana
Chikitsa

4. Santharpanam Apatharpanam
SHADUPAKRAMAS
Brimhana
Snehana
Sthambhana
Langhana
Rookshana
Swedana

5. Principle of Treatment
Santharpanothaja vikara – Langhana
Apatharpanothaja vikara - Brimhana

6. Langhana
Sodhana Samana
Pachanam
Deepanam
Kshut
Thrut
Vyayama
Athapa
Marutha
Pancha sodhana by Vagbhata
Nirooha,Vamana,Kayareka,Sir
oreka,Asravisruti

7. Vamana Virechana Vasthi Rakthamo
kshana
SODHANA
(Elimination
Therapy)
Nasya
Asthapana Anuvasana

8. Query
 What are Panchakarmas?
 Is there any difference of
opinion among Acharyas?

9. Pancha -- 5=No of interventions
Karma -- That which the doer wishes to
Achieve through action

10. 5 fold therapeutic
measures
 Vamana
 Virechana
 Nasya
 Asthapana
 Anuvasana
? Why the number is limited to 5.
 Difference of opinion

12. ? Are all panchakarmas
sodhana in nature.
No confusion about other 4
Anuvasana-Brimhana

13. 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

14. 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

15. Scope of panchakarma
Preventive
*
Curative
*
Rejuvenative
Somatic Psychological

16. Preventive
VIRECHANA
VAMANA
VASTHI
KAPHA
PITHA
VATHA
VASANTHA
SARATH
VARSHA
Uniqueness of Ayurveda

17. Panchakarma
Curative
Dosha
Vatha
Pitha
kaph
a
Vasthi
Virechan
a
Vamana

18. 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)

19. POORVAKARMA
Sequence of karmas
PRADHANAKARMA
PASCHATKARMA

20. The order of
therapies
 Pachana
 Deepana
 Snehana
 Swedana
 Sodhana
 Paschat karma –Peyadi for
vamana,Virechana

21. 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

22. 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)

23. Why langhana is more
relevent today?
 Incidence of Santharpanajanya
rogas – more
Eg:Prameha,
Sthoulya,
Buddhimoha etc.
 Owing to present day-
Ahara(Diet)
Vihara

24. Influence of food habits
 Deviation from natural food habits
Snacks
Fastfood
Refrigerated
Recooked
 Biomagnification –Pesticides
Fertilisers
 Incompatible diet
Accumulation
Of toxins
Ama/
Dusheevisha
Agni
vaigunyam

25. Activities
 Sedentary lifestyle
Lack of
exercise
 Stressful professional
atmosphere
 Suppression & forceful
evacuation of Natural urges

26. Acharya Susrutha Divides diseases into four.
1. Sareera
2. Manasika
3. Aganthuka
4. Swabhavika
Kalaja
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27. Increased incidence of
rogas
Heena
Mithya
Athi
Yoga of
Kala
Artha
karma
Sodhana to cut at
Root level

28. Pollution Accumulation of
Toxins in body
Removal by
sodhana
Vayu ,Udakam ,
Desam’ Kalam
Relevence in
Janapadodhwamsa

29. 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.

30. Importance of sodhana
Dosha in excess –To be
evacuated

31. Applicability
 Common in 8 branches of
Ayurveda
 Applicable at different stages of
life.

32. 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)

33. Effects of elimination
therapies

34. 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

35. Thank you