Chapter 1.15: Hospital Management & Purification Guidelines (Upakalpaniya Adhyaya / उपकल्पनीय अध्याय)

Establishes protocols for Panchakarma administration including hospital infrastructure, staffing, equipment, pre-treatment preparation, emesis procedure, post-procedure dietary rehabilitation (Samsarjana Karma), and accessibility principles.

Source: Astanga Hridaya Sutrasthan by Vagbhata

This chapter establishes comprehensive protocols for Panchakarma therapy administration, from hospital construction and staffing to detailed procedural sequences. It emphasizes pre-planning, individualized dosing, clinical monitoring at each stage, and the critical post-procedure graduated dietary rehabilitation (Samsarjana Karma). A notable accessibility principle ensures treatment remains available regardless of economic status.