Panchakarma

Massage should be avoided when there is increase of Kapha in the body, soon after Shodhana (Panchakarma procedure) and during indigestion.

— Astanga Hridaya Sutrasthan, Dinacharya Daily Routine

Hence Kapha should be controlled quickly, by resorting to strong emesis therapy (Vamana Panchakarma procedure), Nasya (nasal medication) and other therapies.

— Astanga Hridaya Sutrasthan, Ritucharya adhyaya Seasonal

42-44 आ थापनं शु तनुज ण धा यं रसान ् कृतान ् जा गलं प शतं यूषान ् म व र टं चर तनम ् म त ु सौवचला यं वा प चकोलावचू णतम ् द यं कौपं शत ृ ं चा भो भोजनं व तद ु दने य ता ललवणा नेहं संशु कं ौ व लघु One should undergo Panchakarma therapies.

— Astanga Hridaya Sutrasthan, Ritucharya adhyaya Seasonal

Suppression of vomiting: वसपकोठकु ठ अ सकास वास क डूपा वामय वराः लास य ग वयथवो वमेः १७ Suppression of vomiting causes Visarpa – Herpes, spreading skin disease Kotha – allergic skin rashes Kushta – skin diseases Akshi Roga – eye disorders Kandu – itching sensation Pandu – Anemia, intial stages of liver diseases Jvara – fever Kasa – cough, cold Shwasa – Asthma, COPD, wheezing, breathing difficulty Hrullasa – nausea – vomiting sensation Vyanga – Pigmented patches on face Shvayathu – oedema, in

— Astanga Hridaya Sutrasthan, Roganutpadaniya

धारणीय वे गा: – Urges that should be suppressed – धारये तु सदा वे गान ् हतैषी य चेह च लोभ ई या वेषमा सयरागाद नां िजतेि यः २४ The urges that should be suppressed forcefully are – Lobha – greed Irshya – envy Dvesha – hatredness Matsarya – jealous Raga – unlawful, excessive attraction Shodhana –Panchakarma – purification procedure – timing यतेत ् च यथा कालं मलानां शोधनं त अ यथ सि चता ते ह ु ाः युज वति छदः One must exercise precaution to clear out Doshas and waste products at suitable times

— Astanga Hridaya Sutrasthan, Roganutpadaniya

18 types: 7 major (mahakushtha) and 11 minor (kshudrakushtha) Seven major types: Kapala, Udumbara, Mandala, Rishyajihva, Pundarika, Sidhma, Kakanaka Dosha-specific primary treatment: Vataja → ghee (sneha), Kaphaja → vamana (emesis), Pittaja → virechana (purgation) + raktamokshana (bloodletting) All three doshas plus four tissues (skin, blood, lymph, muscle) are involved Antagonistic foods and suppressed natural urges are major causative factors Panchakarma (five purification therapies) is the pr

— Charaka Samhita, Chikitsa Sthana — Therapeutic Principles, Ch. 7

Panchakarma prerequisites - oleation and sudation must precede purification.

— Charaka Samhita, Sutra Sthana — Fundamental Principles, Chapter 2: Dehusked Seeds of Apamarga & Panchakarma (Apamarga Tanduliya Adhyaya / अपामार्गतण्डुलीय अध्याय)

Now we shall expound the chapter on assessment and care in Panchakarma therapies.

— Charaka Samhita, Sutra Sthana — Fundamental Principles, Chapter 16: Assessment & Care in Panchakarma (Chikitsaprabhritiya Adhyaya / चिकित्साप्राभृतीय अध्याय)

In tridoshaja grahani, Panchakarma should be carried out as per predominance of dosha.

— Charaka Samhita, Chikitsa Sthana — Therapeutic Principles, Chapter 15: Digestive Disorders Treatment (Grahani Chikitsa / ग्रहणीचिकित्सा)

not following preventive seasonal Panchakarma purification.

— Charaka Samhita, Chikitsa Sthana — Therapeutic Principles, Chapter 21: Erysipelas Treatment (Visarpa Chikitsa / विसर्पचिकित्सा)

Lists the Panchakarma procedures covered in the Uttara Khanda.

— Sharangadhara Samhita, Purva Khanda, Chapter 1: Paribhashakathana (Definitions)

Diseases arising from the faulty application (Hina/Mithya/Ati-yoga) of the five Panchakarma procedures are fifteen.

— Sharangadhara Samhita, Purva Khanda, Chapter 7: Rogagananam (Enumeration of Diseases)

The four Sneha Dravyas form the foundation of internal oleation (Snehapana), a crucial preparatory step before Panchakarma.

— Sharangadhara Samhita, Uttara Khanda, Chapter 1: Snehapana Vidhi (Oleation Therapy)

Sudation is an essential preparatory step (Purvakarma) before Panchakarma procedures, as it loosens Doshas from tissues for easier elimination.

— Sharangadhara Samhita, Uttara Khanda, Chapter 2: Sveda Vidhi (Sudation Therapy)

Seasonal timing for Panchakarma.

— Sharangadhara Samhita, Uttara Khanda, Chapter 3: Vamana Vidhi (Emesis Therapy)

Four pillars of treatment: (1) Samshodhana — Panchakarma/detox, (2) Samshamana — palliative medicine, (3) Ahara — dietary therapy, (4) Achara — lifestyle/behavioral modification.

— Sushruta Samhita, Sutra Sthana, Chapter 1: Vedotpatti Adhyaya - Origin of Ayurveda

Chapters on rasa (taste) theory and Panchakarma procedures — emesis and purgation.

— Sushruta Samhita, Sutra Sthana, Chapter 3: Adhyayana Sampradaniya Adhyaya - Method of Study and Teaching

Completes the Chikitsa Sthana — covers Panchakarma procedures (the five purificatory therapies) in detail.

— Sushruta Samhita, Sutra Sthana, Chapter 3: Adhyayana Sampradaniya Adhyaya - Method of Study and Teaching

Panchakarma timing is based on these seasonal dosha patterns.

— Sushruta Samhita, Sutra Sthana, Chapter 6: Ritucharya Adhyaya - Seasonal Regimen

Panchakarma refers to the five classical cleansing therapies of Ayurveda used to eliminate excess dosha and ama from the body: vamana (therapeutic vomiting), virechana (purgation), basti (medicated enema), rakta moksha (bloodletting), and nasya (nasal administration).