Panchakarma Therapy

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Panchakarma Therapy

• Shekhar Annambhotla
• BAMS, MD-Ayurved, CMT, RYT

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• 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.
  

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• 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)

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• 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)

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• 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

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• 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

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• Objective of Pancha Karma
• Three major objectives
• Health maintenance
• Elimination of the disease
• Prepare for rejuvenation

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• 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

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• 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

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• 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.

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• Rejuvenation / Revitalization therapies
• After completion of Pancha Karma, rejuvenation
  (Rasayana) and revitalization (Vajeekarana)
  therapies are performed to enhance strengthen
  tissues

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• 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

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• 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

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• 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

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• 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

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• Pancha Karma
• Classified as
• Poorva karma - preparatory actions
• Pradhana karma - main actions
• Paschath karma - post-therapeutic actions

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• Poorva karma (Preparatory therapy)
• Pachana - Digestive Therapy
• Snehana - External Internal Oleation Therapy
• Swedana - Sudation / Fomentation Therapy

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• 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

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• 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

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• 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 individuals digestive
  power
• Simultaneously, oil is applied to the skin using
  a variety of Ayurvedic massage techniques

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• 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.

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• 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.

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• 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

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• 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

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• 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

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• 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.

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The yellow colored bile with mucus shown
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• 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.

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• 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.

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• 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.

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• BENEFITS
• Allows the body to eliminate Pitta disorders,
  blood disorders
• Improves skin conditions, rejuvenate the tissues,
  abdominal organs
• Enhances immunity

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• 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.

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• 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.

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• 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)

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• 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.

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• 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.

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Take 1 part Kashaya Dravya 4 parts of water,
reduced to ½ quantity and filter several times.
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• 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.

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• 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.

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• 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

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• 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

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• 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

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• Types of Nasya
• According to action
• Purification (Shodhana) to eliminate doshas
• Palliation (Shamana) to reduce dosha provocation
• Tonifying (Brimhana) to strengthen Vata

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• 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

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• 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

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• 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

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• 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

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• CONTRAINDICATIONS
• Severe digestive disorders, fever, immediately
  after physical exertion, pregnant women, children
  under 5 years.

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• 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

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• 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

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• GARSHANA
• Vigorous, dry, full body massage performed with
  woolen gloves enlivens the physiology, promotes
  circulation, pulls the deep rooted impurities
  from the body

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• VISHESHA
• A deep tissue friction massage performed with two
  therapists loosens and eliminates deep rooted
  tension

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• 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

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• NETRA TARPANA
• Specialized eye bath that calms, cools and
  strengthen the optic system performed with ghee
  (clarified butter) or herbalized ghee

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• 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

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Navarakizhi
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 AbhyangaIt is performed 90 minutes with two
therapists Benefits Paralytic strokes, anti-aging
rejuvenating, strengthens tissues, body ache,
emaciation, debility, hemiplegia, paralysis,
osteoarthritis, rheumatoid arthritis
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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
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• OTHER TYPES OF BASTI
• SHIRO BASTI
• HRUT BASTI
• KATI BASTI
• JANU BASTI
• NABHI BASTI

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Hrut Basti, Nabhi Basti
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• PASHCHAT KARMA
• Samsarjana Krama - Special dietetics
• Rules to follow specific activities
• Diet
• Regimen

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• 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

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• 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

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• 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

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• Grains
• Rice (basmati, white), rice cakes, couscous,
  quinoa, corn, polenta, wheat
• Legumes
• Yellow moong dal
• Dairy
• Cow's milk, goats 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

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• 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

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• 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)

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• 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

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• 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

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• 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

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• 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

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• 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

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• CLINICAL RESULTS

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• Age distribution of 80 Panchakarma subjects
  (Table 1)
• Age Number of subjects Percentage
• 20 30 years 12 15
• 30 40 years 14 17.5
• 40 50 years 28 35
• 50 60 years 18 22.5
• 60 70 years 8 10

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Gender Distribution of 80 Panchakarma subjects
(Table 2)

• Gender Number of subjects Percentage
• Male 22 27.5
• Female 58 72.5

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Deha Prakriti (Physical constitution)
Distribution of 80 Panchakarma subjects (Table 3)

• Deha Prakriti Number of subjects Percentage
• Vata 2 2.5
• Pitta 1 1.25
• Kapha 4 5
• Vata Pitta 8 10
• Vata Kapha 11 13.75
• Pitta Vata 13 16.25
• Pitta Kapha 12 15
• Kapha Vata 16 20
• Kapha Pitta 10 12.5
• Tridosha 3 3.75

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Deha Prakriti
80
Manasa Prakriti (Psychological constitution)
Distribution of 80 Panchakarma (Table 4)

• Manasa Prakriti Number of subjects Percentage
• Satvik 12 15
• Rajasik 41 51.25
• Tamasik 27 33.75

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Sub Dosha Imbalance Distribution of 80
Panchakarma subjects (Table 5)

• Sub Dosha Number of subjects Percentage
• Prana Vata 52 65.0
• Udana Vata 24 30.0
• Samana Vata 29 36.25
• Apana Vata 34 42.5
• Vyana Vata 15 18.75
• Pachaka Pitta 38 47.5
• Ranjaka Pitta 24 30.0
• Sadhaka Pitta 59 73.75
• Alochoaka Pitta 28 35
• Bhrajaka Pitta 42 52.5
• Kledaka Kapha 32 40
• Avalambaka Kapha 14 17.5
• Bodhaka Kapha 18 22.5
• Tarpaka Kapha 12 15
• Sleshaka Kapha 32 40

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Dhatu (tissue) Imbalance Distribution of 80
Panchakarma subjects (Table 6)

• Dhatu Number of subjects Percentage
• Rasa (Plasma) 48 60.0
• Rakta (Blood) 29 36.25
• Mamsa (Muscle) 13 16.25
• Medas (Adipose tissue) 56 70.0
• Asthi (Bone) 19 23.75
• Majja (Bone marrow) 12 15
• Shukra (Reproductive tissue) 24 30

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Agni (digestive fire) Distribution of 80
Panchakarma subjects (Table 7)

• Agni Number of subjects Percentage
• Sama - Balanced 13 16.25
• Vishama - Irregular 33 41.25
• Teekshna - Sharp 8 10
• Manda - Dull 26 32.5

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Koshta (Competence of stomach) Distribution of 80
Panchakarma subjects (Table 8)

• Koshta Number of subjects Percentage
• Mrudu soft, supple 17 21.25
• Madhyama - medium 25 31.25
• Krura rigid, tough 38 47.5

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Diet and Pattern of Eating Habits Distribution
among 80 Panchakarma subjects (Table 9)

• Diet Number of subjects Percentage
• Vegan 12 15
• Vegetarian including diary 23 28.75
• Mixed (Veg Non-Veg) 45 56.25
• Pattern of eating habits
• Regular 32 40
• Irregular 48 60

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Pancha Karma Therapies Distribution among 80
Panchakarma subjects (Table 10)

• Name of Panchakarma Therapies Number of subjects
  Percentage
• Snehana 80 100.0
• Abhyanga 62 77.5
• Vishesha 65 81.25
• Udvartana 58 72.5
• Swedana 80 100.0
• Vamana 12 15.0
• Virechana 80 100.0
• Basti Asthapana (Matra) 80 100.0
• Basti Niruha (Kashaya) 48 60.0
• Nasya 72 90.0
• Netra Basti 15 18.75
• Kati Basti 21 26.25
• Hrut Basti 19 23.75
• Nabhi Basti 34 42.5
• Shiro Basti 11 13.75
• Shirodhara with Oil (Taila dhara) 74 92.5
• Shirodhara with Takra (Takra dhara) 19 23.75
• Shiro Pichu 25 31.25

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Level of Improvement Distribution among 80
Panchakarma subjects (Table 11)

• PHYSICAL BENEFITS
• Health issue Complete Marked Moderate Mild No
• (100 ) (75 ) (50) (25 ) (0)
• Digestion 32 (40.0) 21 (26.25) 15 (18.75) 8
  (10.0) 4 (5 .0)
• Sleep 15 (18.75) 24 (30.0) 18 (22.5) 16
  (20.0) 7 (8.75)
• Constipation 37 (46.25) 16 (20.0) 11 (13.75) 14
  (17.5) 2 (2.5)
• Clearance of sinuses 12 (15.0) 18 (22.5) 23
  (28.75) 16 (20.0) 11 (13.75)
• Flexibility of joints 17 (21.25) 20 (25.0) 17
  (21.25) 18 (22.5) 8 (10.0)
• Physical energy 22 (27.5) 13 (16.25) 15
  (18.75) 20 (25.0) 10 (12.5)
• Lightness of body 12 (15.0) 14 (17.5) 20
  (25.0) 22 (27.5) 12 (15.0)
• Discomfort / pain 22 (27.5) 18 (22.5) 14
  (17.5) 15 (18.75) 11 (13.75)
• Dryness of skin 51 (63.75) 8 (10.0) 12 (15.0) 7
  (8.75) 2 (2.5)
• Fatigue 28 (35.0) 16 (20.0) 12 (15.0) 15
  (18.75) 9 (11.25)
• Circulation 18 (22.5) 22 (27.5) 18 (22.5) 14
  (17.5) 8 (10.0)
• Vision 12 (15.0) 15 (18.75) 16 (20.0) 18
  (22.5) 19 (23.75)
• Breathing pattern 14 ((17.5) 15 (18.75) 22
  (27.5) 16 (20.0) 13 (16.25)
• Cardiovascular endurance 6 (7.5) 15 (18.75) 22
  (27.5) 25 (31.25) 12 (15.0)
• Gas, flatulence 29 (36.25) 17(21.25) 12
  (15.0) 16 (20.0) 6 (7.5)
• Complexion 21 (26.25) 18 (22.5) 16 (20.0) 13
  (16.25) 12 (15.0)

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• Duration of Panchakarma Distribution among
• 80 Panchakarma subjects (Table 12)
• Duration of therapy Number of subjects Percentage
• 5 days 48 60.0
• 7 days 24 30.0
• 10 days 8 10.0

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• Overall Improvement in Physical Health
  Distribution among 80 Panchakarma subjects
  (Table 13)
• Improvement Percentage
• Complete improvement 27.85
• Marked improvement 21.80
• Moderate improvement 20.75
• Mild improvement 19.85
• No improvement 9.75

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• Overall Improvement in Psychological Health
  Distribution among
• 80 Panchakarma subjects (Table 14)
• Improvement Percentage
• Complete improvement 24.04
• Marked improvement 20.17
• Moderate improvement 23.32
• Mild improvement 19.18
• No improvement 13.29

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• Overall improvement in both physical and
  psychological health among 80 Panchakarma
  subjects (Table 15)
• Improvement Percentage
• Complete improvement 25.94
• Marked improvement 20.98
• Moderate improvement 22.03
• Mild improvement 19.5
• No improvement 23.04

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