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Panchkarma PPT- By Dr. Baldeep Kour


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Panchkarma Treatment PPT.

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)

Published in: Health & Medicine

Panchkarma PPT- By Dr. Baldeep Kour

  1. 1. DEEP AYURVDA Clinics & Panchkarma Center 161 A, Dasmesh Nagar, Kharar, Mohali (Punjab) India- 140301 Phone: +91-160-5000100 , MobIle :- +91-99885-55536 Website : Email : Presentation for Panchkarma Training Program
  2. 2. PANCHKARMA THERAPY Prepared & Presented By Dr. Baldeep Kour Chief Ayurveda Consultant & Medical Director of DEEP AYURVEDA B.A.M.S, N.D.D.Y, CC in Panchkarma
  3. 3.  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.
  4. 4. 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)
  5. 5. 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)
  6. 6. 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
  7. 7. 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
  8. 8. Objective of Pancha Karma Three major objectives: Health maintenance Elimination of the disease Prepare for rejuvenation
  9. 9. 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
  10. 10. 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
  11. 11. 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.
  12. 12. Rejuvenation / Revitalization therapies: After completion of Pancha Karma, rejuvenation (Rasayana) and revitalization (Vajeekarana) therapies are performed to enhance strengthen tissues
  13. 13. 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
  14. 14.  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
  15. 15.  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
  16. 16. 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
  17. 17. Pancha Karma Classified as – • Poorva karma - preparatory actions • Pradhana karma - main actions • Paschath karma - post-therapeutic actions
  18. 18. Poorva karma (Preparatory therapy) • Pachana - Digestive Therapy • Snehana - External & Internal Oleation Therapy • Swedana - Sudation / Fomentation Therapy
  19. 19. 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
  20. 20.  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
  21. 21. 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 individual’s 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.
  22. 22. 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.
  23. 23. 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
  24. 24. 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
  25. 25. 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
  26. 26. 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.
  27. 27. The yellow colored bile with mucus shown
  28. 28. 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.
  29. 29. 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.
  30. 30. 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.
  31. 31. BENEFITS  Allows the body to eliminate Pitta disorders, blood disorders  Improves skin conditions, rejuvenate the tissues, abdominal organs  Enhances immunity
  32. 32. 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.
  33. 33. 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)
  34. 34. 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.
  35. 35. How to Make Kashaya Basti 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 ½ quantity and filter several times.
  36. 36. 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.
  37. 37. 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.
  38. 38. 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
  39. 39. 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
  40. 40.  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
  41. 41. 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
  42. 42. 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
  43. 43. 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
  44. 44. CONTRAINDICATIONS  Severe digestive disorders, fever, immediately after physical exertion, pregnant women, children under 5 years.
  45. 45.  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
  46. 46. 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
  47. 47. GARSHANA  Vigorous, dry, full body massage performed with woolen gloves; enlivens the physiology, promotes circulation, pulls the deep rooted impurities from the body
  48. 48. VISHESHA  A deep tissue friction massage performed with two therapists; loosens and eliminates deep rooted tension
  49. 49. 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
  50. 50. NETRA TARPANA Specialized eye bath that calms, cools and strengthen the optic system; performed with ghee (clarified butter) or herbalized ghee
  51. 51. 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
  52. 52. Navarakizhi- Potli Massage 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
  53. 53. 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
  55. 55. PASHCHAT KARMA  Samsarjana Krama - Special dietetics  Rules to follow specific activities: Diet Regimen
  56. 56. 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
  57. 57.  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
  58. 58. 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
  59. 59. Grains:  Rice (basmati, white), rice cakes, couscous, quinoa, corn, polenta, wheat Legumes:  Yellow moong dal Dairy:  Cow's milk, goat’s 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
  60. 60. 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
  61. 61. 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)
  62. 62. 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
  63. 63. 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
  64. 64. 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
  65. 65. 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
  66. 66. 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
  67. 67. Thanks Presented By Dr. Baldeep Kour B.A.M.S, N.DD.Y, CC in Panchkarma Chief Ayurveda Consultant & Medical Director of DEEP AYURVEDA