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Panchakarma

Panchakarma

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Panchakarma
Panchakarma

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Panchakarma Therapy

Shekhar Annambhotla BAMS, MD-Ayurved, CMT, RYT

 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.

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)

   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) .

from which any ailments may have arisen  Administration of various medicinal herbo-mineral preparations . Shamana: Palliation therapy  Used to subdue the vitiated or disturbed Doshas.

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 . they give rise to various endo-toxins (Ama).Shodhana: Purification  If the doshas are vitiated beyond a particular level.

Objective of Pancha Karma Three major objectives:  Health maintenance  Elimination of the disease  Prepare for rejuvenation .

as part of regular seasonal regimens  The doshas naturally accumulate owing to seasonal changes and can cause disease if they are not timely removed . even those who are healthy.Health maintenance: (Swasthya Rakshana)  PK is recommended for most individuals.

SEASONAL PANCHAKARMA    In autumn (Vata season). Basti (medicated enema) is recommended to alleviate the normal aggravation of vata caused by the cold wind. Vamana (induced emesis) & Nasya (nasal therapy) is performed to remove excess kapha caused by the coolness and dampness of the season . Virechana (induced purgation) is given to remove excess pitta dosha. caused by excessive heat In spring (Kapha season). dryness of the season In summer (Pitta season).

disease progression can be immediately arrested. In chronic diseases. Ama (endo-toxins) adhere to organs and cells. if the vitiated doshas are removed timely.  .Removing a disease as a whole  In acute diseases. vitiated doshas are first removed by Pancha Karma therapies.

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

mind and consciousness Beneficial effects on overall health. wellness and selfhealing Relives stress from both body and mind Slows aging process Reduces dependence on drugs and medications Eliminates excess Doshas and toxins from cells .Benefits of Pancha Karma  Strengthens immune system and provides more       resistance to illness Cleansing and rejuvenating therapy for body.

improving health and wellness  Reverses the negative effects of stress on body and mind. energy. thereby slowing the aging process  Enhances self-reliance. mind. Enhances digestion and metabolism  Clears the sense faculties. strength. intelligence and complexion  Increases strength. nourishes the body  Revitalizes the nervous system  Restores constitutional balance. vitality and mental clarity .

. 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). PCB. increased HDL cholesterol Reduction in diastolic blood pressure Reduced anxiety levels and dioxins  Reduction in levels of toxins such as lead.

active HIV or AIDS. cancer of lungs. hypertension. melanoma.CONTRAINDICATIONS OF PANCHA KARMA  Pregnancy. emaciation. or any active infectious disease . CCF. angina. lympho-sacroma. during menstruation. lactation. extreme obesity.

main actions  Paschath karma .post-therapeutic actions .preparatory actions  Pradhana karma .Pancha Karma Classified as –  Poorva karma .

External & Internal Oleation Therapy Swedana .Poorva karma (Preparatory therapy)  Pachana .Digestive Therapy Snehana .Sudation / Fomentation Therapy   .

which are pungent. bitter in taste and hot in potency. depending upon Ama condition  These herbs stimulate the metabolism. activate digestive enzymes. increase peristalsis. cleansing is achieved by the ingestion of various herbs and decoctions. improve circulation and enhance mental concentration .Digestive Therapy (Pachana)  During digestive therapy.

Pippali. Triphala. some enhance the immune system  These herbs are .Trikatu. Chitrak. Many of the herbs are anti-parasitic or antibacterial in activity. Fennel . Black pepper. Turmeric.

oil is applied to the skin using a variety of Ayurvedic massage techniques . gradually increasing the quantity over a period of 3-7 days.SNEHANA THERAPY  During Snehana Therapy patients are oleated externally and internally  Ghee or flaxseed oil are ingested. according to an individual’s digestive power  Simultaneously.

 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.

asthma. nervous problems. headache. indigestion. emotional stress. during basti. facial palsy. anorexia. coryza. earache. ascites. nasya therapy. hemiplegia.Indications  Persons who suffer from the following may undergo Pancha Karma: Vata disorders. arthritis. cough. menstruation. hiccough. constipation. sciatica. pregnant women. spasmodic pains. physical strain. . joint disorders. psychological problems anxiety. adipose or fat tissue. Contraindications  Kapha predominance. nausea.

 Swedana allows the body to remove endo-toxins (Ama) through opened skin pores  Swedana relieves stiffness. soreness. steam baths. sauna.SWEDANA THERAPY  Applies heat through various methods including the use of hot poultice. coldness in the body . heating stones. hot showers/baths. covering the body with thick woolen clothes etc. heaviness.

hemiplegia. joint disorders. arthritis. cough.Indications  Chronic coryza. malnourished persons. oedema. urinary obstruction. during menstruation. headache. sciatica. etc. diabetics. Contraindications  Alcoholics. cataract. spasmodic pains. very old people . liver disorders. hiccough. asthma. glaucoma. paraplegia. backache. constipation. facial paralysis. pregnant women. pharyngitis.

herbal oil enema  Nasya .Nasal medication .Medicated enema  Kashaya basti .Induced vomiting  Virechana .Induced purgation  Basti .PRADHANA KARMA  Vamana .herbal decoction enema  Taila basti (matra) .

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.

The yellow colored bile with mucus shown

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.

Purgation  Induced by herbal purgatives such as castor oil. blood pressure. and consistency of waste. color. pulse. . respiration chart maintained. urine) from the body  Virechana can be given in the morning  Observe quantity. triphala.VIRECHANA . times. katuki. Abhaya or senna tea to eliminate solid/liquid wastes (feces.

hemorrhoids. ano-rectal bleeding. anorexia. fistula. pregnant women. asthma. diabetes. alcoholism. edema. gout. liver disorders CONTRA INDICATIONS  Anal fissures. . cough. indigestion. old age and children. migraine. anemia. weak persons. jaundice. ascites. fever.INDICATIONS  Chronic skin disorders.

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

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. .

 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. .

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) .

salt.. . and herbal (dasamoola etc. disease and condition of the patient  Enema should be given on an empty stomach in the morning.  Administered in left-lateral position.Cleansing Enema (Kashaya Basti)  Administered with honey. The quantity of the total mixture should be 500 cc depending upon the age. oil.) decoctions.

. be given warm herbal tea. the person should take rest. 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. and when hungry. should take a nutritive grain soup.  After cleansing enema.

TOTAL 250 grams . reduced to ½ quantity and filter several times.Herbs Dasamoola Bala Guduchi Triphala Ashwagandha Gokshura Kutki Bilva Vacha Fennel Musta Pippali Vidanga 1 person / 2 doses 150 grams 10 grams 10 grams 30 grams 10 grams 5 grams 5 grams 5 grams 5 grams 5 grams 5 grams 5 grams 5 grams Take 1 part Kashaya Dravya 4 parts of water.

Ingredients Honey 1 person 80 ml Salt Sesame oil Kashaya TOTAL 5 grams 120 ml 300 ml 505 ml .

endotoxins (Ama) in the GI tract. diarrhea. amenorrhoea. dysentery. .pain in the abdomen. cardiac pain. nervous disorders. eyes. pelvic region. ears or legs. vomiting. CONTRAINDICATIONS  Indigestion. for very old or debilitated patients. stools and flatus. hemiplegia or facial paralysis. headache. obstruction of urine.INDICATIONS  Pain disorders . arthritis. ascites. infertility. tuberculosis. obstruction or perforation in the intestines. chest. peritonitis.

. even if retained in the intestines more than 24 hours  Generally the oil is absorbed slowly through the intestines. no harm to the person. preferably during night  Because of the small quantity of content.Oil enema (Asthapana / taila basti)  Herbal or plain sesame oil is used  Generally 100 cc of herbal oil is administered after a meal.

sexual debility or low body weight. excessive anemia. skin diseases. tuberculosis. CONTRAINDICATIONS  Severe hemorrhoids. diabetes.INDICATIONS  Vata disorders . asthma. nervous exhaustion. intestinal worms . excessive Kapha in GI tract. jaundice. ascites. low digestive fire. obesity.tissue (wasting and debilitating diseases).

face.NASYA. herbal juices. neck with herbal oils. powders.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. fomentation  Oil massage and fomentation loosens toxins in the head . infusions or smoke  Massaging the forehead.

 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 .

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

applying medicinal powders into the nose with special apparatus .inhaling smoke of various herbs  Virechana . juices  Naavana .According to substance used  Avapeeda .instilling milk.  Dhuma . oils etc.uses herbal extracts..

head). eye.8 .2 drops in each nostril  Marsha .32 drops in each nostril  Nasya can eliminate accumulated doshas above the clavicle (ear. throat. nose. strengthens the hair and improves mental functions .According to dose:  Pratimarsha .

Indications for liquid Nasya  Vata . eyes. mouth. dental disorders. facial paralysis. dryness of the throat. ears. tonsillitis. nose.pitta disorders of head. graying of hair. hair loss. allergic and breathing problems .

sinusitis. garlic. heaviness in the head. epilepsy.Indications of dry Nasya  Kapha related problems in head region. boswellia can used . excessive congestion. dry ginger. turmeric can be used  For smoking purpose . calamus. black pepper.guggul. loss of voice.  Rock salt.

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

 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.45 minutes with one or two therapists . integrates the mind and body  Performed for about 30.

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 .

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

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

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 .        UDVARTANA Full body massage with warm herbal paste performed by two therapists. Drains impurities from the the lymphatics.

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

helps in preventing early formation of Cataract  Improper co-ordination and loss of movement of the eyeballs. Pain and burning sensation in the eyes . Glaucoma.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.

which is grown in 60 days) that is cooked. then skillfully massaged simultaneously by four therapists all over the body for one hour after the Abhyanga It is performed 90 minutes with two therapists Benefits Paralytic strokes. strengthens tissues. body ache.Navarakizhi Rejuvenation technique using a special type of rice (navara rice. debility. hemiplegia. osteoarthritis. rheumatoid arthritis . emaciation. anti-aging & rejuvenating. paralysis. tied into boluses and dipped into an herbal decoction and warm milk.

paralysis. stress related problems . dermatitis of the scalp. skin disorders such as eczema. improves memory. psoriasis. headache.Shiro Pichu Cotton cloth is soaked in herbalized oil and applied to the head for 45 minutes BENEFITS Facial palsy. other neurological disorders. chronic insomnia. dandruff.

OTHER TYPES OF BASTI  SHIRO BASTI  HRUT BASTI  KATI BASTI  JANU BASTI  NABHI BASTI .

Hrut Basti. Nabhi Basti .

PASHCHAT KARMA  Samsarjana Krama .Special dietetics  Rules to follow specific activities:  Diet  Regimen .

boil to cook rice.Thick gruel  14  Vilepi .Solid food .Sansarjana Krama:  Manda . 1 part rice.Thick porridge 4 parts water. boil to cook rice until completely mashed like a thin gruel  Peya . cook to become soft  Anna . strain.Thin gruel  14 parts water. 1 part rice. 1 part rice. drink the liquid portion parts water.

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 . First three meals: advisable to take a liquid diet of bland. thin gruel with salt Next three meals: thick gruel .     warm.

carrots. bottle gourd (louki). rutabaga.DIET REGIMEN Favor Vegetables:  Fresh dark green leafy vegetables such as spinach. figs . oregano. mint. prunes. cilantro. basil Fruits:  Cooked or stewed apples. okra. ridge gourd. thyme. asparagus. kale. squash. pears. chard. parsley. rosemary. celery. zucchini. broccoli. pumpkin. mustard greens. fennel (anise). artichoke. dates. snake gourd. raisins. dandelion greens. papaya. green beans.

couscous. rice cakes. maple syrup. stevia . polenta. jaggery. wheat Legumes:  Yellow moong dal Dairy:  Cow's milk. cumin. corn. ghee. turbinado sugar.roasted fennel. cane sugar. yogurt diluted with water and spices . rice syrup. quinoa. white). honey. or coriander seed powder Sweeteners:  Sucanat. goat’s milk with spices.Grains:  Rice (basmati.

clove. papaya juice. green tea . tulasi. rice milk. almond milk. small amount of cashews Beverages: •Aloe vera juice. spearmint. licorice. lavender. rosehips. coconut. sesame. ginger (fresh). soy milk Herbal teas: •Ajwan. lemongrass. hibiscus. peppermint.Nuts & Seeds: •Almonds soaked & peeled. sage. mango juice. saffron. orange peel. fennel.

tomatoes. garlic. capsicum. cheese (hard/soft) . onions Dairy:  Yogurt. eggplant. animal protein. cauliflower. Brussels sprouts.AVOID or REDUCE Vegetables:  Nightshade vegetables such as potatoes. chilies. cabbage.

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

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

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

feces. sleep.AVOID or REDUCE Climate:  Exposure to cold. snow Exercise:  Vigorous physical exercise. urine. vomiting and semen . stress. loud talking. sunlight. mental exhaustion. sexual intercourse. sitting constantly in one place Habits:  Smoking cigarettes. sneeze. thirst. traveling. sleeping during the day. suppression of natural urges . moist. recreational drugs. dry wind. rain. yawn. breathing on exertion. hunger. standing for a long time. tears. laughing excessively.flatus. cough.

while angry. drinking milk with a meal . standing. sadness. eating without hunger. pity Eating habits:  Munching between meals. drinking too much water or ice cold water during. eating too much or too little food. anger. eating a heavy meal at night. overeating. boredom. eating at irregular times. talking. while watching television. sorrow. engaging in frustrating activities. eating excessively fatty foods and oils. reading.Emotions:  Repressing feelings. denying one's creative self. or driving. eating when emotionally upset. before or after a meal.

CLINICAL RESULTS .

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

30 25 20 15 10 5 0 Subjects 20-30 30-40 40-50 50-60 60-70 .

5 % .Gender Distribution of 80 Panchakarma subjects (Table: 2) Gender Male Female Number of subjects Percentage 22 27.5 % 58 72.

60 50 40 30 20 10 0 Subjects Male Female .

75 % 16.75 % .25 % 15 % 20 % 12.25 % 5% 10 % 13.5 % 3.Deha Prakriti (Physical constitution) Distribution of 80 Panchakarma subjects (Table: 3) Deha Prakriti Vata Pitta Kapha Vata Pitta Vata Kapha Pitta Vata Pitta Kapha Kapha Vata Kapha Pitta Tridosha Number of subjects 2 1 4 8 11 13 12 16 10 3 Percentage 2.5 % 1.

Deha Prakriti 16 14 12 10 8 6 4 2 0 Subjects Vata Pitta Kapha Vata Pitta Vata Kapha Pitta Vata Pitta Kapha Kapha Vata Kapha Pitta Tridosha .

Manasa Prakriti (Psychological constitution) Distribution of 80 Panchakarma (Table: 4) Manasa Prakriti Satvik Rajasik Tamasik Number of subjects 12 41 27 Percentage 15 % 51.75 % .25 % 33.

45 40 35 30 25 20 15 10 5 0 Subjects Satvik Rajasik Tamasik .

5 % 15 % 40 % .75 % 47.Sub Dosha Imbalance Distribution of 80 Panchakarma subjects (Table: 5) Sub Dosha Prana Vata Udana Vata Samana Vata Apana Vata Vyana Vata Pachaka Pitta Ranjaka Pitta Sadhaka Pitta Alochoaka Pitta Bhrajaka Pitta Kledaka Kapha Avalambaka Kapha Bodhaka Kapha Tarpaka Kapha Sleshaka Kapha Number of subjects 52 24 29 34 15 38 24 59 28 42 32 14 18 12 32 Percentage 65.0% 30.5 % 18.5 % 40 % 17.25 % 42.5 % 22.0 % 36.0 % 73.75 % 35 % 52.5 % 30.

60 Prana Udana 50 Samana Apana Vyana 40 Pachaka Ranjaka 30 Sadhaka Alochaka 20 Bhrajaka Kledaka 10 Avalambaka Bodhaka 0 Subjects Tarpaka Sleshaka .

75 % 15 % 30 % .25 % 16.Dhatu (tissue) Imbalance Distribution of 80 Panchakarma subjects (Table: 6) Dhatu Number of subjects Rasa (Plasma) 48 Rakta (Blood) 29 Mamsa (Muscle) 13 Medas (Adipose tissue) 56 Asthi (Bone) 19 Majja (Bone marrow) 12 Shukra (Reproductive tissue) 24 Percentage 60.25 % 70.0 % 36.0 % 23.

Rasa Asthi 60 50 40 30 20 10 0 Subjects Rakta Majja Mamsa Shukra Medas .

Balanced 13 Vishama .25 % 41.Sharp 8 Manda .Agni (digestive fire) Distribution of 80 Panchakarma subjects (Table: 7) Agni Number of subjects Sama .5 % .Dull 26 Percentage 16.25 % 10 % 32.Irregular 33 Teekshna .

35 30 25 20 15 10 5 0 Subjects Sama Vishama Tikshna Manda .

tough 17 25 38 21. supple Madhyama .Koshta (Competence of stomach) Distribution of 80 Panchakarma subjects (Table: 8) Koshta Number of subjects Percentage Mrudu – soft.25 % 47.25 % 31.5 % .medium Krura – rigid.

40 35 30 25 20 15 10 5 0 Subjects Mrudu Madhyama Krura .

Diet and Pattern of Eating Habits Distribution among 80 Panchakarma subjects (Table: 9) Diet Number of subjects Vegan 12 Vegetarian including diary 23 Mixed (Veg + Non-Veg) 45 Pattern of eating habits Regular 32 Irregular 48 Percentage 15 % 28.75% 56.25 % 40 % 60 % .

45 40 35 30 25 20 15 10 5 0 Subjects Vegan Vegetarian including diary Mixed (Veg + Non-Veg) .

50 45 40 35 30 25 20 15 10 5 0 Subjects Regular Irregular .

0 % 17.0 % 15.Pancha Karma Therapies Distribution among 80 Panchakarma subjects (Table: 10) Name of Panchakarma Therapies Snehana Abhyanga Vishesha Udvartana Swedana Vamana Virechana Basti – Asthapana (Matra) Basti – Niruha (Kashaya) Nasya Netra Basti Kati Basti Hrut Basti Nabhi Basti Shiro Basti Shirodhara with Oil (Taila dhara) Shirodhara with Takra (Takra dhara) Shiro Pichu Pizhichil Gandoosha Number of subjects 80 62 65 58 80 12 80 80 48 72 15 21 19 34 11 74 19 25 28 14 Percentage 100.25 23.5 % 100.0 % 60.0 % 77.5 % .75 % 42.0 % 90.75 % 26.5 % 23.0 % 100.25 % 72.25 % 35.0 % 18.75 % 92.75 % 31.0 % 100.5 % 81.5 % 13.

Matra Basti .80 70 60 50 40 30 20 10 0 Subjects Snehana Abhyanga Vishesha Udvartana Swedana Vamana Virechana Basti .Kashaya Nasya Netra Basti Kati Basti Hrut Basti Nabhi Basti Shiro Basti Taila Dhara Takra Dhara Shiro Pichu Pizhichil .

0) 22 (27.0) 10 (12.5) 20 (25.75) 16 (20.0) 28 (35.5) 18 (22.5) 9 (11. flatulence Complexion Allergy Immune system Physical endurance Strength of spine Allergies Migraine Menstrual pain Backache Overall physical wellness PHYSICAL BENEFITS Complete Marked Moderate (100 %) (75 %) (50%) 32 (40.0) 25 (31.75) 16 (20.75) 12 (15.25) 12 (15.25) 16 (20.0) 16 (20.5) 23 (28.0) 15 (18.0) 7 (8.75) 17 (21.5) 12 (15.0) 11 (13.5) 13 (16.25) 20 (25.5) 11 (13.75) 15 (18.0) 22 (27.0) 21 (26.25) 25 (31.5) 13 (16.5) 21 (26.0) 16 (20.5) 12 (15.5) 18 (22.75) 8 (10.5) 22 (27.5) 20 (25.0) 11 (13.5) 14 (17.0) 14 ((17.0) 20 (25.5) 15 (18.75) 17 (21.0) 18 (22.0) 18 (22.5) 12 (15.25) 15 (18.5) 22 (27.5) 6 (7.0) 18 (22.75) 2 (2.25) 17(21.5) 17(21.0) 9 (11.0) 15 (18.25) 15 (18.5) 51 (63.25) 18 (22.5) 14 (17.5) 16 (20.0) 16 (20.75) 12 (15.75) 8 (10.25) 10 (12.5) 29 (36.5) 16 (20.5) 29 (36.25) 8 (10.5) 15 (18.0) 17 (21.75) 2 (2.0) 15 (18.25) .75) 24 (30.5) 14 (17.75) 15 (18.25) 14 (17.25) 17 (21.5) 17 (21.75) 22 (27.25) 12 (15.75) 14 (17.25) 16 (20.75) 22 (27.25) 22 (27.25) 10 (12.25) 16 (20) 22 (27.0) 14 (17.0) 6 (7.25) 16 (20.25) 22 (27.0) 12 (15.0) 18 (22.0) 19 (23.5) Mild (25 %) 8 (10.5) 16 (20.0) 18 (22.0) 9 (11.75) 14 (17.5) 8 (10.75) 18 (22.75) 20 (25.75) 7 (8.Level of Improvement Distribution among 80 Panchakarma subjects (Table: 11) Health issue Digestion Sleep Constipation Clearance of sinuses Flexibility of joints Physical energy Lightness of body Discomfort / pain Dryness of skin Fatigue Circulation Vision Breathing pattern Cardiovascular endurance Gas.5) 16 (20.0) 17 (21.5) 19 (23.0) 14 (17.5) 12 (15.0) 18 (22.75) 12 (15.0) 14 (17.5) 15 (18.5) 18 (22.5) 5 (6.75) 13 (16.0) 13 (16.0) 14 (17.25) 15 (18.5) 23 (28.5) 18 (22.5) 37 (46.5) No (0%) 4 (5 .0) 12 (15.0) 21 (26.25) 10 (12.25) 15 (18.25) 18 (22.

flatulence Complexion Allergy Immune system Physical endurance Strength of spine Allergies Migraine Menstrual pain Backache Overall physical wellness Complete Moderate No .60 50 40 30 20 10 0 Digestion Sleep Constipation Sinus clearance Flexibility of joints Physical energy Lightness of body Discomfort / pain Dryness of skin Fatigue Circulation Vison Breathing Cardiovascular Gas.

0 % .0 % 10.0 % 30.Duration of Panchakarma Distribution among 80 Panchakarma subjects (Table: 12) Duration of therapy 5 days 7 days 10 days Number of subjects 48 24 8 Percentage 60.

50 45 40 35 30 25 20 15 10 5 0 Subjects 5 days 7 days 10 days .

75 % 19.Overall Improvement in Physical Health Distribution among 80 Panchakarma subjects (Table: 13) Improvement Complete improvement Marked improvement Moderate improvement Mild improvement No improvement Percentage 27.85 % 9.80 % 20.75 % .85 % 21.

00% 10.30.00% 20.00% 0.00% 25.00% 15.00% 5.00% Percentage Complete improvement Marked improvement Moderate improvement Mild improvement No improvement .

32 % 19.Overall Improvement in Psychological Health Distribution among 80 Panchakarma subjects (Table: 14) Improvement Complete improvement Marked improvement Moderate improvement Mild improvement No improvement Percentage 24.17 % 23.29 % .18 % 13.04 % 20.

00% 25.00% 20.00% 5.00% 10.00% 15.00% Percentage Complete Marked Moderate Mild No .30.00% 0.

Overall improvement in both physical and psychological health among 80 Panchakarma subjects (Table: 15) Improvement Complete improvement Marked improvement Moderate improvement Mild improvement No improvement Percentage 25.94 % 20.04 % .03 % 19.98 % 22.5 % 23.

00% 10.00% 0.00% 5.00% 20.00% Percentage Complete improvement Marked improvement Moderate improvement Mild improvement No improvement .30.00% 25.00% 15.

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