Panchakarma is a primary Ayurvedic purification treatment involving five therapies: vamana, virechana, nasya, basti, and raktamoskshana, aimed at detoxifying the body and balancing doshas. The document details oleo therapy procedures, indications, contraindications, and the methods of various therapies including sudation and specific treatments like akshi tarpan and shirovasti. It also emphasizes the importance of proper pre- and post-treatment management to optimize health benefits and avoid complications.

2. INTRODUCTION Panchakarma is Ayurveda's primary purification and detoxification treatment. Panchakarma means the "five therapies". These 5 therapeutic means of eliminating toxins from the body are Vamana, Virechana, Nasya, Basti and Raktamoskshana. This series of five therapies help remove deep rooted stress and illness causing toxins from the body while balancing the doshas (energies that govern all biological functions).

3. SNEHAN

4. Properties of Sneha Drugs Heaviness Coolness Softness Easily penetrating Liquidness

5. TYPES OF SNEH MATERIAL Ghee Oil Fat Bone marrow

6. Common oil used in external oleation Sesame oil Sunflower oil Dhanwantri oil Ashvgandha oil Mahanarayan oil Bala oil Vishgarbha oil

7. Indications of Oleo Therapy Before fomentation therapy Before purification therapy Vata vitiated conditions Anxiety Mental stress To improve stamina

8. PROCEDURE Warm ¼ cup of oil to slightly above body temp place a small amount of oil on the finger tips and palms and begin to massage, using the open part of the hand rather than the fingertips. Start with the head. Apply oil directly to the scalp and then cover the entire scalp with small circular strokes. Next apply oil gently to face and outer part of ears. Massage both the front and back of the neck, and the upper part of the spine. Apply a small amount of oil to entire body and then proceed with the massage to each area of the body Massage arms with back and forth motion over long bones

9. Put oil on chest and abdomen , over the abdomen, use a gentle circular clockwise motion, and over the breast bone, a straight up and down motion. Massage the back and spine Massage the legs use a back and forth motion over the long bones and circular over the joints. Lastly, massage the bottom of the feet. The feet are especially important, and more time should be spent here than on other parts of the body. Use the open part of your hand and massage vigorously back and forth over the soles of the feet. Shower or bathe with warm, not hot water and a mild soap. This will keep a small undetectable film of oil on the body even after the bath. This is very beneficial.

10. Contraindications Vitiated conditions of Kapha Pregnancy Anorexia Indigestion Person with excessive digestive fire Fever Diarrhoea

11. Different Types of Oleo therapy Materials Oral usage MEDIUM COOKED (Panchtikta ghrita) Nasal drops MEDIUM COOKED (Anu oil) Massage WELL COOKED (Mahanarayan oil) Enema MEDIUM COOKED (Bala oil) Ear drop MEDIUM COOKED (Mustard oil)

12. Steps of Oleo Therapy Examination of the patient Determination of duration for oleo therapy Determination of dosage Dietary management prior to oleo therapy Collection of materials useful for therapy Procedure of therapy Observation of adequate/inadequate/excessive oleo therapy signs & symptoms Complications of oleo therapy Post-therapy regimen

13. Complications of oleo therapy: Acute complication Anorexia Vomiting Indigestion Abdominal pain.

14. Chronic complication Skin lesions Itching sensation Anaemia Oedema Numbness

15. Adequate symptoms Increased digestive fire Normal bowel movements Lightness of the body Normal movement of Vata in the body

16. Inadequate symptoms Painful, dry stools Weak digestive capacity Improper movements of Vata in the body Dryness

17. Excessive symptoms Heaviness of the body Stiffness of the body Nausea Salivation Anaemic

18. Post-Oleo Therapy Regimen Bed rest Night sleeping Warm water intake Good, easily digestible, fresh foods Do not suppress natural urges No day sleep

19. External oleo therapies Massage Pouring warm/hot medicated liquids on the body Gargling with medicated fluids Medicated oil application on the head Keeping the medicated oil on the eye Medicated nasal drops Instillation of eye drops Application of medicated oil with paste on the head

20. Swedana Karma Inducing sweating by heat application is known as "Sudation therapy". It is good for Vata and Kapha diseases and bad for Pitta and blood diseases. It is also a specific treatment for a number of diseases like Vata diseases etc.

21. SWEDAN DRUGS Shobhanjan Ark Erand Punarnava Kulath Badar Maash Til Yava

22. Qualities of Swedan materials Hot Quickly spreading Roughness Penetrating Heavy/bulkiness

23. TYPES OF SWEDAN Tapa Sweda - Direct touch of hot/heated objects Ushma Sweda - Indirect fomentation Upanaha Sweda - Application of herbs Drava Sweda - Hot medicated liquids

24. Indications Cough Hiccough Heaviness of the body Stiffness and pain in the neck region Rigid neck - flanks- body parts Facial palsy Paralysis All Vata diseases and vitiated conditions Numbness and loss of sensation Vata and Kapha diseases

25. Contraindications of sudation therapy Vitiated conditions of Pitta/diseases of Pitta (Blood) Alcoholism Burns Poisoning Indigestion anger sorrow pregnancy

26. Types Of Sudation Sudation therapy with fire (Agni Sweda)- Again divided into 13 types Sudation with out fire (Anagni Sweda)- Again divided into 10 types

27. Sudation with Fire - Agni Sweda Sankara - Pinda Sweda Prasthara Sweda Avagaha Sweda: Nadi Sweda / Bashpa Sweda Pariseka Sweda Avagaha Sweda Jentaka Sweda Ashma Ghana Sweda Karshoo Sweda Kutee Koopa Sweda: Sweda Bhoo Sweda Kumbhee Sweda Holaaka Sweda

28. Pariseka Sweda: Lukewarm medicated decoctions(Dashmula decoction), oil, ghee, milk etc. are poured on the body from a height of 9-inches for a specific time. Drugs used: tulsi, opiun, castor, bhringraaj Indications: sarvaang vaat, pelvic pain

29. Nadi swedan Localised herbal steam is used to relieve joints & muscle pain. Drugs used : punarnava, kulthi, maash, varun ,guduchi decoction, cows urine and cows milk can be used Indications:any kind of pain, vaataz diseases like paralysis,hemiplagia.

30. Avagaha Sweda: Medicated decoctions, oils, milk, ghee, meat soup etc. should be filled in a tub and the person is asked to dip up to the neck for ½ - 1 hours. Drugs used:decoction of neem, dashmool, bala,nirgundi Indication :sciatica,arthritis,pelvic pain,backache

31. Sudation with out fire (Anagni Sweda)- By Anger Sorrow Worry Through sun By keeping in hot room Drinking excessive water Excess alcohol consumption Covering with blanket etc……

32. Pre-treatment procedures Collection of required materials like medicines etc. Assessment of the patient Seasonal indications etc.

33. Features of good sudation symptoms Disappearance of cold Relief from pain Relief from stiffness Relief from heaviness Getting smoothness of the body Adequate sweating Desire for cold items

34. Features of inadequate sudation symptoms Less sweating No relief from pain Stiffness Heaviness and cold

35. Features of excess sudation symptoms Burning sensation of the body Fainting Heaviness Joint pain and body pains Eruption of de-pigmented papules on the skin Vertigo Thirst Fever

36. Post-Treatment Regimen Do not expose to cold/hot open air directly Avoid the use of cold water Warm water sponging for proper cleaning Rest Sleeping after taking light and non-sticky food

37. Benefits of sweating therapy Removes rigidity Reduces heaviness Reduces coldness Induces sweating Liquefies doshas Maintains the normalcy of doshas Brings softness to the organs Promotes appetite Brings normal pigmentation and softness to skin Removes unwanted sleep/laziness of the body

38. Akshi Tarpan

39. PROCEDURE A paste of black gram flour is applied around the eyes and warm medicated oil or ghee is poured inside in such a way that the entire eye is submerged in the medication for some time. The duration for this procedure is adjusted according to the severity of the condition. After a specified time, the medicine is drained out, the surrounding paste is removed, and the eyes are cleaned.

40. INDICATIONS VATTA AND PITTAZ DISEASES OF EYE BLEPHRITIS REFRACTIVE ERRORS MACULAR DEGENERATION DRY EYE ABHISHYAND ADHINMANTH

41. Shirovasti Shirovasti is a very special bathing treatment for the head . In this treatment a long cap open at the top is fitted around the patients head. Some precious lukewarm herbal oils are poured into the cap for 30 to 45 minutes per day, for a period 5 to 7 days.

42. INDICATIONS Cervical Problems Dementia Disease of scalp like aloplecia Facial paralysis Headache Hemiplegia

43. Required Materials For Shiro Vasti : Leather cap Cotton cloth belt Black gram powder Medicated oil

44. Selection Of The Oil: For Dry hair : Coconut and sesame oils. Memory : brahmi, amalaki, bhringaraj oils. Ear Pain : Mustard oil For All : Sesame, brahmi, bhringaraj, amalaki oils

45. PROCEDURE A leather cap should be tied on the patients forehead with the help of cotton cloth belt. Then the paste of the black gram powder is pasted between the cap and the head.. The medicated luke warm oil is kept over the head. The level of the fluid should be about three and half inch from the scalp. The temperature of the oil should be maintained. The oil shouldnot be too hot or too cold.

46. Duration: The duration of shirovasti depends upon the condition of the patient. Generally it is given for 30-40 minutes .

48. Benefits of shirovasti Nourishes the brain hence promotes intellect. Brings mental calmness. Nourishes the hair roots and makes the hair soft and glossy. Cures various eye disorders, sinusitis and improves complexion. Stimulates the marma point in the head acting like acupressure points by its pressure effect. Balances the vata and kapha in the brain in between the brain and skull.

49. Precautions The hair of the patient should not be long. If long, the hair should be cut to shout. The leather cap should be tight so that there is no leakage of any fluid during the treatment. The fluid poured in the leather cap should not be too cold or too warm. The temperature of the fluid should be maintained.

50. THANKS