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)

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
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
Objective of Pancha Karma

Three major objectives:
Health maintenance
Elimination of the disease
Prepare for rejuvenation



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


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
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.


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



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

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

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

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



Poorva karma (Preparatory therapy)
Pachana - Digestive Therapy

Snehana - External & Internal Oleation Therapy

Swedana - Sudation / Fomentation Therapy
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

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
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
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.


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.



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

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

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
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.



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.
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.


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


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)
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.
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.

Herbs 1 person / 2 doses
Dasamoola 150 grams
Bala 10 grams
Guduchi 10 grams
Triphala 30 grams
Ashwagandha 10 grams
Gokshura 5 grams
Kutki 5 grams
Bilva 5 grams
Vacha 5 grams
Fennel 5 grams
Musta 5 grams
Pippali 5 grams
Vidanga 5 grams
TOTAL 250 grams
Take 1 part Kashaya Dravya
4 parts of water, reduced to
quantity and filter several
times.
Ingredients 1 person
Honey 80 ml
Salt 5 grams
Sesame oil 120 ml
Kashaya 300 ml
TOTAL 505 ml
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.


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.
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

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
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
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
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

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
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
CONTRAINDICATIONS

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

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

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

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




NETRA TARPANA

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

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 Abhyanga
It is performed 90 minutes with two therapists
Benefits
Paralytic strokes, anti-aging & rejuvenating, strengthens tissues, body ache,
emaciation, debility, hemiplegia, paralysis, osteoarthritis, rheumatoid arthritis
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

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
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






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
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




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




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

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)
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


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

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

CLINICAL RESULTS
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 %
0
5
10
15
20
25
30
Subjects
20-30
30-40
40-50
50-60
60-70
Gender Distribution of 80 Panchakarma subjects
(Table: 2)
Gender Number of subjects Percentage
Male 22 27.5 %
Female 58 72.5 %
0
10
20
30
40
50
60
Subjects
Male
Female
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 %
Deha Prakriti
0
2
4
6
8
10
12
14
16
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 Number of subjects Percentage
Satvik 12 15 %
Rajasik 41 51.25 %
Tamasik 27 33.75 %
0
5
10
15
20
25
30
35
40
45
Subjects
Satvik
Rajasik
Tamasik
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 %
0
10
20
30
40
50
60
Subjects
Prana
Udana
Samana
Apana
Vyana
Pachaka
Ranjaka
Sadhaka
Alochaka
Bhrajaka
Kledaka
Avalambaka
Bodhaka
Tarpaka
Sleshaka
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 %
0
10
20
30
40
50
60
Subjects
Rasa Rakta Mamsa Medas
Asthi Majja Shukra
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 %
0
5
10
15
20
25
30
35
Subjects
Sama
Vishama
Tikshna
Manda
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 %
0
5
10
15
20
25
30
35
40
Subjects
Mrudu
Madhyama
Krura
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 %
0
5
10
15
20
25
30
35
40
45
Subjects
Vegan
Vegetarian including diary
Mixed (Veg + Non-Veg)
0
5
10
15
20
25
30
35
40
45
50
Subjects
Regular
Irregular
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 %
Pizhichil 28 35.0 %
Gandoosha 14 17.5 %
0
10
20
30
40
50
60
70
80
Subjects
Snehana
Abhyanga
Vishesha
Udvartana
Swedana
Vamana
Virechana
Basti - Matra
Basti - Kashaya
Nasya
Netra Basti
Kati Basti
Hrut Basti
Nabhi Basti
Shiro Basti
Taila Dhara
Takra Dhara
Shiro Pichu
Pizhichil
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)
Allergy 20 (25.0) 16 (20.0) 17 (21.25) 18 (22.5) 9 (11.25)
Immune system 16 (20) 22 (27.5) 14 (17.5) 18 (22.5) 10 (12.5)
Physical endurance 22 (27.5) 12 (15.0) 15 (18.75) 17 (21.25) 14 (17.5)
Strength of spine 16 (20.0) 15 (18.75) 17 (21.25) 15 (18.75) 17(21.25)
Allergies 22 (27.5) 16 (20.0) 18 (22.5) 14 (17.5) 10 (12.5)
Migraine 23 (28.75) 18 (22.5) 21 (26.25) 13 (16.25) 5 (6.25)
Menstrual pain 25 (31.25) 16 (20.0) 14 (17.5) 15 (18.75) 10 (12.5)
Backache 29 (36.25) 17 (21.25) 14 (17.5) 12 (15.0) 8 (10.0)
Overall physical wellness 19 (23.75) 20 (25.0) 18 (22.5) 14 (17.5) 9 (11.25)
0
10
20
30
40
50
60
Complete Moderate No
Digestion
Sleep
Constipation
Sinus clearance
Flexibility of joints
Physical energy
Lightness of body
Discomfort / pain
Dryness of skin
Fatigue
Circulation
Vison
Breathing
Cardiovascular
Gas, flatulence
Complexion
Allergy
Immune system
Physical endurance
Strength of spine
Allergies
Migraine
Menstrual pain
Backache
Overall physical wellness
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 %
0
5
10
15
20
25
30
35
40
45
50
Subjects
5 days
7 days
10 days
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 %
0.00%
5.00%
10.00%
15.00%
20.00%
25.00%
30.00%
Percentage
Complete improvement
Marked improvement
Moderate improvement
Mild improvement
No improvement
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 %
0.00%
5.00%
10.00%
15.00%
20.00%
25.00%
30.00%
Percentage
Complete
Marked
Moderate
Mild
No
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 %
0.00%
5.00%
10.00%
15.00%
20.00%
25.00%
30.00%
Percentage
Complete improvement
Marked improvement
Moderate improvement
Mild improvement
No improvement
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