1. The document introduces Panchakarma, which are five Ayurvedic cleansing techniques used to eliminate toxins from the body. These include vomiting therapy, purgation therapy, medicated enema, oil enema, and nasal instillation of medicines. 2. Panchakarma aims to purge the vitiated doshas through natural elimination processes without incision. It is defined as treating imbalance of doshas through snehana and swedana over a period of time. 3. The document differentiates Panchakarma and shodhana, noting that while both aim to purge doshas, Panchakarma also includes therapies that do not eliminate doshas like basti.

1. INTRODUCTION TO
PANCHAKARMA
Dr Akshay Shetty
Associate Professor
Department of Panchakarma
SSRAMC & H Inchal

2. Contents
Objectives
Introduction to
Panchakarma
Definition of
Panchakarma
Definition of
Shodhana
Panchakarma and
Raktamokshana
Panchakarma and
Shodhana
Summary
References
12/06/2023 INTRODUCTION TO PANCHAKARMA (Dr Akshay Shetty) 2

3. Objectives
By the end of the presentation the students must be
able to—
1. Discuss Introduction of Panchakarma
2. Define Panchakarma
3. Define Shodhana
4. Discuss Panchakarma and Raktamokshana
5. Differentiate Panchakarma and Shodhana
12/06/2023 INTRODUCTION TO PANCHAKARMA (Dr Akshay Shetty) 3

4. Introduction to Panchakarma
Panchakarma is a complex
system of expulsion of
vitiated Doshas (toxins or
waste) and bio purification
of the body without giving
incision.
"Pancha"means “five” and
"karma"means “treatment
done to detoxify the body”.
12/06/2023 INTRODUCTION TO PANCHAKARMA (Dr Akshay Shetty) 4

5. Cont…
Five procedures are claimed to eliminate the vitiated Dosha's from the
body,they are---
पञ्ह्चकर्मोक्तिप्रस्तावे वर्मनववरेकान्वासनवनरूहानुक्त्वा नस्यववविर्माह
A.H Su 20/1
• Vamana (therapeutic emesis),
• Virechana (therapeutic purgation),
• Niroohabasti (Decoction enema),
• Anuvasanabasti (Oil enema)and
• Nasya (Instillation of medicine through nostrils)
12/06/2023 INTRODUCTION TO PANCHAKARMA (Dr Akshay Shetty) 5

6. Cont….
Ayurveda has two equally important
domains known as Swasthavritta
(preventive&promotion of health) and
Aturavritta (treatment of diseased)
which helps to maintain normal health
situations and restores the equilibrium
of Doshas by different modalities of
Panchakarma respectively.
According to Ayurvedic theory each
individual is made up of three pillars
(Dosha, Dhatu & Mala) and three
supportive pillars (Ahara, Nidra &
Bramhacharya).Dosha, Dhatu and Mala
are moving in entire body as nutrients
through Srotas (channels) and on the
specific Srotas.
12/06/2023 INTRODUCTION TO PANCHAKARMA (Dr Akshay Shetty) 6

7. Cont…
If any of the Doshas gets
vitiated due to imbalance of
supportive pillar of individuals,
it leads to abnormality of the
Srotas (channel) and leads to
imbalance of normal Dosha,
Dhatu and Mala.
If an imbalance occurs, it leads
to manifestation of disease.
Panchakarma rebalances the
Doshas, bringing them back to
equilibrium and the individual
back to good health and
prevents the disease.
12/06/2023 INTRODUCTION TO PANCHAKARMA (Dr Akshay Shetty) 7

8. Scope of Panchakarma
Prevention of
disease
Promotion and
rehabilitation
of health
Cure of
disease
Preconception
health
Pediatric
health
Rejuvenation
health
Geriatric
health
Sensory health
care
Psychiatric
health
12/06/2023 INTRODUCTION TO PANCHAKARMA (Dr Akshay Shetty) 8

9. Definition of Pachakarma
तान्युपस्थितदोषाणाां स्नेहस्वेदोपपादनैः|
पञ्चकर्ााणण क
ु र्वीत र्ात्राकालौ णर्वचारयन्||१५|| Cha.Su 2/15
इह र्वर्नाणदषु कर्ालक्षणां बणिणतकताव्यतायोणिदोषणनहारणशस्िज्या
यस्त्वर््| Chakrapani
12/06/2023 INTRODUCTION TO PANCHAKARMA (Dr Akshay Shetty) 9

10. Cont…
12/06/2023 INTRODUCTION TO PANCHAKARMA (Dr Akshay Shetty) 10

11. Sequential order of Panchakarma
प्रिर्ां र्वर्नां पश्चात् णर्वरेकश्चानुर्वासनर्् I
एतणन पांचकर्ााणण णनरुहो नार्वनां तिा II Bh.Pr. Pu
12/06/2023 INTRODUCTION TO PANCHAKARMA (Dr Akshay Shetty) 11

12. यदीरयेद्वणहदोषान् पञ्चधा शोधनां च तत्|
णनरूहो र्वर्नां कायणशरोरेकोऽस्रणर्वस्रुणतैः||५|| A.Hu 14/5
तच्च पञ्चिा,-पञ्चवविर्म्| तदेव पञ्चववित्वर्माह-
वनरूह इत्यावद| वनरूहो-
बक्तस्तिः, तथा वर्मनर्म्, तथा कायववरेकिः विरोववरेकश्च,
तथाऽस्रववस्रुवतिः-
रिस्रावश्च, इवत पञ्चिा िोिनर्म्| सवविरीरस्य विरिःप्र
भृतेरिोर्मलवनहवरणं यत् स कायववरेकिब्देनो्यतते| य
त्तु क
े वलं विरिःसंज्ञकस्य िरीरावयवस्य घ्राणेनोर्ध्वर्मल
वनहवरणं स विरोववरेकिः|
12/06/2023 INTRODUCTION TO PANCHAKARMA (Dr Akshay Shetty) 12
Definition of Shodhana

13. Panchakarma & Raktamokshana
• Panchakarma is a term which is mainly used in Charaka samhita and
this term is the contribution of Atreya sampradaya.
• As they have not included rakta-mokshana in panchakarma, literally it
should not be termed under panchakarma.
• Though this procedure is highly associated with Shalya tantra, this has
never been uttered as a part of panchakarma by any samhita or any
commentator.
12/06/2023 INTRODUCTION TO PANCHAKARMA (Dr Akshay Shetty) 13

14. Cont…
• Sushruta has mentioned the term 'panchakarma' just once to mean vamana,
etc.,
• Dalhana, during his commentary regarding panchakarma has given three
dimensions of the term, but never uttered any association of this term with
rakta-mokshana.
• Without considering rakta-mokshana under this heading".,Bhavaprakash,
Bangasen, Sharangadhar, all the scholars have defined 'panchakarma’
• Sushruta, Vagbhatta have rather mentioned it as a part of shodhana chikitsa
12/06/2023 INTRODUCTION TO PANCHAKARMA (Dr Akshay Shetty) 14

15. Cont…
• As panchakarma chikitsa basically deals with the shodhana of the vitiated
doshas, rakta-mokshana has been incorporated in this era into it in a greater
sense
• Considering susceptibility of rakta towards impurity as well as its
importance,rakta has been admitted as fourth dosha'. Therefore dushita
(vitiated) rakta should be let out to protect the health as well as to cure from
the diseases.
• Keeping these in mind, the modern writers of Ayurveda have incorporated
Raktamokshana under Panchakarma chikitsa.
12/06/2023 INTRODUCTION TO PANCHAKARMA (Dr Akshay Shetty) 15

16. Panchakarma
& Shodhana
Some may confuse panchakarma and shodhana as similar but it is
not so. Shodhana is a procedure in which elimination of dosha is
the prime and only part.
The aim of panchakarma is also similar but it is to some extent
different. There are brimhana basti and brimhana nasya as a type
of nasya and basti respectively which have no power of shodhana
Shamana basti is used for pacification of dosha. Charaka has
considered
shodhana therapy as four where he has excluded anuvasana
On the same basis other therapies like netranjana, gandusha,
kavala, etc., which come under associated karma are not included
under panchakarma.
It is due to in their process of administration and therapeutic
effect. They have not shodhana effect as much as vamana, etc
12/06/2023 INTRODUCTION TO PANCHAKARMA (Dr Akshay Shetty) 16

17. Summary
1.Discuss
Introduction of
Panchakarma
1.Define
Panchakarma
1.Define
Shodhana
1.Discuss
Panchakarma and
Raktamokshana
1.Differentiate
Panchakarma and
Shodhana
12/06/2023 INTRODUCTION TO PANCHAKARMA (Dr Akshay Shetty) 17

18. References
1. Charaka Samhita
2. Sushruta Samhita
3. Astanga Hridaya
4. Sharangadhara
5. Bhavaprakasha
6. Principles & Practice of Panchakarma –Dr Pulak Kanti Kar
7. VARIOUS ASPECTS OF PANCHAKARMA IN AYURVEDA , Indian Journal of
Applied Research , December 2020
12/06/2023 INTRODUCTION TO PANCHAKARMA (Dr Akshay Shetty) 18

19. Thank You
12/06/2023 INTRODUCTION TO PANCHAKARMA (Dr Akshay Shetty) 19