The quantum of Doshas, bala ( Physical –Mental- Resistance, Digestive & Metabolic- Power ), Prakriti are the main factors on the basis of which treatment modalities are decided. If quantum of Doshas is more in person of good bala than Panchakarma therapy is selected. If quantum of Doshas is less whatever the state of bala, and if state of bala is poor in spite of that the more quantum of Doshas then Shamana therapy is selected.  In childhood, old age, pregnancy, lactating mothers also this treatment modality is selected.

The complete purification of body or detoxification of body from disease causing agents is Panchakarma Therapy.  It involves a series of treatment after complete examination of disease and diseased.  It is done for two purposes:

1. TO MAINTAIN AND PROMOTE THE HEALTH STATUS

In healthy person who has no disease, due to age, seasonal variation, habitat some of the Doshas get increased in their physiological range only.  To expel out these vitiated Doshas so that these could not create any disease, affect the resistance power, accelerate the ageing the process in various organ systems.  After excreting out from the body some Rasayana therapy can be advised to retard the ageing process and to remain disease free even in old age.

2. TO REVERSE THE DISEASE PROCESS

To expel out the disease causing vitiated Doshas with the help of one or more process of shodhana therapeutic measures are carryout.

PANCHAKARMA THERAPY (Process of Purification) – It involves a series of processes. To carry out Panchakarma therapy body is prepared [poorva-karma] so that all the toxins can be removed completely, for it Deepana – Pachana, Snehana, Svedana are done.

Internal and external use of medicated oil/ ghee so that toxins accumulated here and there gets dislodged or this process work likes saponification; this process takes 3, 5 / 7 days.

To open all the channels of circulation of Doshas and to dislodge toxins from various tissues to drained into stomach/ gut through circulation so that these toxins can be expelled out through one/ more Panchakarma therapeutics.

PANCHAKARMA THERAPY

Specific type of Panchakarma therapeutic measure is selected among 5 processes for specific type of disease and type of toxins-

Vamana (Therapeutic Vomiting)

To expel out toxins of kapha category through induced vomiting.  More than 600 formulations are described in different diseases conditions for Vamana.  This type of Shodhana karma is done in the disease conditions which are generated with the involvement of kapha dosha i.e. diabetes, some skin disease, asthma, coronary artery disease, obesity etc.

Virechana (Therapeutic Purgation)
This process of purification is done in the diseased person having disorders of pitta type or in health person whom pitta dosha is vitiated.  More than 900 formulations are used for purgation in different kind of disease.  This is done in diseases like hyperacidity, hypertension, bleeding disorders, and pitta type of heart disease which pitta Doshas is basically causing disease.

Asthapana (Therapeutic Enema with herbal Water)
This process is carried out to pacify the vata.  It is done in person in whom vata is vitiated/ vata is main factor in manifestation of disorders like Arthritis, various aches/ pains, slip disc, Spondylitis, the disorders, which affect the lower portion of the body.

Anuvasana (Therapeutic Enema with herbal oil)
This process is a part of complete process of Vasti, practically after every Asthapana Vasti, Anuvasana is given so that vata does not increases.  It can be done alone also to pacify vata and to provide nutrition in emaciated diseased person.

Nasya (Medication through Nose)
This process is done to expel out toxins from supra-clavicle region and used in disease conditions like sinusitis, facial paralysis, migraine etc.

POST PANCHAKARMA THERAPY CARE

After eliminating the toxins by using one / more Panchakarma process, special diet regimen and life style is advised like Laghu Ahara means intake the particular food which get digested easily and then slowly& gradually the person is advised to switch on regular diet.  This process takes time equalant to the time taken in Panchakarma procedures.