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What is Panchakarma?
Panchakarma is the cornerstone to Ayurvedic management of disease. Pancha Karma is the process, which gets to the root cause of the problem and re-establishes the essential balance of ‘Tridosha’ (three doshas: Vata, Pitta and Kapha) in body. Pancha Karma is not only good for alleviating disease but is also a useful tool in maintaining excellent health. Ayurveda advises undergoing Pancha Karma at the seasonal changes in order to clean the body and improve the digestion and metabolic processes.
Panchakarma is a Sanskrit word that means “five actions” or “five treatments”. This science of purifying the body is an ancient branch of Ayurveda. The Treatment in Ayurveda consists of two main types.
One is Shaman Chikitsa, used to subdue the vitiated Doshas, which may cause any ailments. It is administered by using various medicinal herbo-mineral preparations.
However, if the Doshas are vitiated beyond a particular level, they give rise to various toxins, which have a tendency to be accumulated in the minute channels. These are beyond the level of pacification and hence need to be eliminating from the body. In such cases, the second type of treatment, which is Shodhan Chikitsa or cleansing therapy, is indicated. Since it consists of the five types of main therapies, it is known as the Panchakarma.
Panchakarma has been given a special place in all ancient Ayurvedic texts. Aacharya Charak, the author of the most important ancient text on internal medicine, has described a wide use of Panchakarma therapy in almost all major diseases. Two separate sections, Kalpa Sthanam, and Siddhi Sthanam in Charak Samhita describe in details special decoctions and other preparations used for Panchakarma therapy.
Way of Treatment in Ayurveda
The treatment in Ayurveda can be classified broadly into two-
1. Shamana Chikitsa (Alleviating Therapy)
2. Sodhana Chikitsa (Purification Therapy)
Samana Chikitsa
This is specially done after the sodhana therapy and in less vitiation. Herbal medicines are used internally and externally to correct the derangement of functions of Doshas, Dhatus, Malas and Agni and also to increase the Immunity. The restoration of normality is brought about without any elimination.
Sodhana Chikitsa
The main aim of this treatment is to eliminate the internal causative factors of the disease. A large quantities of toxic bi-products are formed in the body as a result of continuous metabolic process. All though most of these toxins are eliminated naturally by the body’s excretory system, some may get deposited in the various tissues of the body, which ensures the vitiation of Doshas, Dhatus etc. and then the normal functioning of the system is impaired. Similarly disease causing toxins accumulate in the body as a result of various factors like wrong body habits, wrong food habits, incompatible combination of food items, suppression of the body urges, emotional imbalance etc. Panchakarma therapeutic procedures are used to facilitate the elimination of such harmful factors.
Diagnosis in Ayurveda
There are three main methods mentioned in Ayurveda for diagnosing the Dosha imbalance and disease process in a person. They are –
1. Darsana Pareeksha – By observing the patient’s physical signs and symptoms, Example – colour of skin, hair, eyes, behavior, body condition etc.
2. Prasna Preeksha – By asking minute questions regarding the imbalance of each Doshas.
3. Sparsana Pareeksha – By touching the patient. The pulse diagnosis, palpation, percussion and auscultation are included in this method.
Nadi Pareeksha (Pulse diagnosis) is a very important tool for diagnosis. The physician feels the radial artery pulsations on the wrist of the patient and through his experience he can get a clear picture of the milieu interior.
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