panchakarma therapy_shekhar annambhotla - bams, md-ayu

Panchakarma Therapy

Shekhar Annambhotla

BAMS, MD-Ayurved, CMT, RYT

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.

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)

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)

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

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

Objective of Pancha Karma

Three major objectives: Health maintenance Elimination of the disease Prepare for rejuvenation

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

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

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.

Rejuvenation / Revitalization therapies: After completion of Pancha Karma,

rejuvenation (Rasayana) and revitalization (Vajeekarana) therapies are performed to enhance strengthen tissues

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

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

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

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

Pancha KarmaClassified as – Poorva karma - preparatory actions Pradhana karma - main actions Paschath karma - post-therapeutic actions

Poorva karma (Preparatory therapy) Pachana - Digestive Therapy

Snehana - External & Internal Oleation Therapy

Swedana - Sudation / Fomentation Therapy

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

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

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.

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.

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

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

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

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.

The yellow colored bile with mucus shown

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.

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.

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.

BENEFITS Allows the body to eliminate Pitta disorders,

blood disorders Improves skin conditions, rejuvenate the

tissues, abdominal organs Enhances immunity

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.

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)

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.

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.

Ingredients 1 person

Honey 80 ml

Salt 5 grams

Sesame oil 120 ml

Kashaya 300 ml

TOTAL 505 ml

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.

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.

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

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

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

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

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

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

CONTRAINDICATIONS

Severe digestive disorders, fever, immediately after physical exertion, pregnant women, children under 5 years.

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

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

GARSHANA Vigorous, dry, full body massage performed

with woolen gloves; enlivens the physiology, promotes circulation, pulls the deep rooted impurities from the body

VISHESHA

A deep tissue friction massage performed with two therapists; loosens and eliminates deep rooted tension

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

NETRA TARPANA

Specialized eye bath that calms, cools and strengthen the optic system; performed with ghee (clarified butter) or herbalized ghee

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

Navarakizhi

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 AbhyangaIt is performed 90 minutes with two therapistsBenefitsParalytic strokes, anti-aging & rejuvenating, strengthens tissues, body ache, emaciation, debility, hemiplegia, paralysis, osteoarthritis, rheumatoid arthritis

Shiro Pichu

Cotton cloth is soaked in herbalized oil and applied to the head for 45 minutes BENEFITSFacial palsy, headache, chronic insomnia, improves memory, dermatitis of the scalp, dandruff, paralysis, other neurological disorders, skin disorders such as eczema, psoriasis, stress related problems

OTHER TYPES OF BASTI SHIRO BASTI HRUT BASTI KATI BASTI JANU BASTI NABHI BASTI

Hrut Basti, Nabhi Basti

PASHCHAT KARMA

Samsarjana Krama - Special dietetics Rules to follow specific activities:

Diet Regimen

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

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

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

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

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

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)

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

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

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

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

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

CLINICAL RESULTS

Age distribution of 80 Panchakarma subjects (Table: 1)

Age Number of subjects Percentage

20 – 30 years 12 15 %

30 – 40 years 14 17.5 %

40 – 50 years 28 35 %

50 – 60 years 18 22.5 %

60 – 70 years 8 10 %

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5

10

15

20

25

30

Subjects

20-30

30-40

40-50

50-60

60-70

Gender Distribution of 80 Panchakarma subjects (Table: 2)

Gender Number of subjects Percentage

Male 22 27.5 %

Female 58 72.5 %

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10

20

30

40

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60

Subjects

Male

Female

Deha Prakriti (Physical constitution) Distribution of 80 Panchakarma subjects

(Table: 3)

Deha Prakriti Number of subjects PercentageVata 2 2.5 %Pitta 1 1.25 %Kapha 4 5 %Vata Pitta 8 10 %Vata Kapha 11 13.75 %Pitta Vata 13 16.25 %Pitta Kapha 12 15 %Kapha Vata 16 20 %Kapha Pitta 10 12.5 %Tridosha 3 3.75 %

Deha Prakriti

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2

4

6

8

10

12

14

16

Subjects

Vata

Pitta

Kapha

Vata Pitta

Vata Kapha

Pitta Vata

Pitta Kapha

Kapha Vata

Kapha Pitta

Tridosha

Manasa Prakriti (Psychological constitution) Distribution of 80 Panchakarma (Table: 4)

Manasa Prakriti Number of subjects Percentage

Satvik 12 15 %

Rajasik 41 51.25 %

Tamasik 27 33.75 %

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5

10

15

20

25

30

35

40

45

Subjects

Satvik

Rajasik

Tamasik

Sub Dosha Imbalance Distribution of 80 Panchakarma subjects (Table: 5)

Sub Dosha Number of subjects PercentagePrana Vata 52 65.0%Udana Vata 24 30.0 %Samana Vata 29 36.25 %Apana Vata 34 42.5 %Vyana Vata 15 18.75 %Pachaka Pitta 38 47.5 %Ranjaka Pitta 24 30.0 %Sadhaka Pitta 59 73.75 %Alochoaka Pitta 28 35 %Bhrajaka Pitta 42 52.5 %Kledaka Kapha 32 40 %Avalambaka Kapha 14 17.5 %Bodhaka Kapha 18 22.5 %Tarpaka Kapha 12 15 %Sleshaka Kapha 32 40 %

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20

30

40

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Subjects

Prana

Udana

Samana

Apana

Vyana

Pachaka

Ranjaka

Sadhaka

Alochaka

Bhrajaka

Kledaka

Avalambaka

Bodhaka

Tarpaka

Sleshaka

Dhatu (tissue) Imbalance Distribution of 80 Panchakarma subjects (Table: 6)

Dhatu Number of subjectsPercentage

Rasa (Plasma) 48 60.0 %

Rakta (Blood) 29 36.25 %

Mamsa (Muscle) 13 16.25 %

Medas (Adipose tissue) 56 70.0 %

Asthi (Bone) 19 23.75 %

Majja (Bone marrow) 12 15 %

Shukra (Reproductive tissue) 24 30 %

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Subjects

Rasa Rakta Mamsa Medas

Asthi Majja Shukra

Agni (digestive fire) Distribution of 80 Panchakarma subjects (Table: 7)

Agni Number of subjectsPercentage

Sama - Balanced 13 16.25 %

Vishama - Irregular33 41.25 %

Teekshna - Sharp 8 10 %

Manda - Dull 26 32.5 %

0

5

10

15

20

25

30

35

Subjects

Sama

Vishama

Tikshna

Manda

Koshta (Competence of stomach) Distribution of 80 Panchakarma subjects (Table: 8)

Koshta Number of subjects Percentage

Mrudu – soft, supple 17 21.25 %

Madhyama - medium25 31.25 %

Krura – rigid, tough 38 47.5 %

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5

10

15

20

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35

40

Subjects

Mrudu

Madhyama

Krura

Diet and Pattern of Eating Habits Distribution among 80 Panchakarma subjects (Table: 9)

Diet Number of subjects Percentage

Vegan 12 15 %

Vegetarian including diary 23 28.75%

Mixed (Veg + Non-Veg) 45 56.25 %

Pattern of eating habits

Regular 32 40 %

Irregular 48 60 %

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45

Subjects

Vegan

Vegetarian including diary

Mixed (Veg + Non-Veg)

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Subjects

Regular

Irregular

Pancha Karma Therapies Distribution among 80 Panchakarma subjects (Table: 10) Name of Panchakarma Therapies Number of subjects PercentageSnehana 80 100.0 %Abhyanga 62 77.5 %Vishesha 65 81.25 %Udvartana 58 72.5 %Swedana 80 100.0 %Vamana 12 15.0 %Virechana 80 100.0 %Basti – Asthapana (Matra) 80 100.0 %Basti – Niruha (Kashaya) 48 60.0 %Nasya 72 90.0 %Netra Basti 15 18.75 %Kati Basti 21 26.25Hrut Basti 19 23.75 %Nabhi Basti 34 42.5 %Shiro Basti 11 13.75 %Shirodhara with Oil (Taila dhara) 74 92.5 %Shirodhara with Takra (Takra dhara) 19 23.75 %Shiro Pichu 25 31.25 %Pizhichil 28 35.0 %Gandoosha 14 17.5 %

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10

20

30

40

50

60

70

80

Subjects

Snehana

Abhyanga

Vishesha

Udvartana

Swedana

Vamana

Virechana

Basti - Matra

Basti - Kashaya

Nasya

Netra Basti

Kati Basti

Hrut Basti

Nabhi Basti

Shiro Basti

Taila Dhara

Takra Dhara

Shiro Pichu

Pizhichil

Level of Improvement Distribution among 80 Panchakarma subjects (Table: 11)

PHYSICAL BENEFITSHealth issue Complete Marked Moderate Mild No (100 %) (75 %) (50%) (25 %) (0%)Digestion 32 (40.0) 21 (26.25) 15 (18.75) 8 (10.0) 4 (5 .0)Sleep 15 (18.75) 24 (30.0) 18 (22.5) 16 (20.0) 7 (8.75)Constipation 37 (46.25) 16 (20.0) 11 (13.75) 14 (17.5) 2 (2.5)Clearance of sinuses 12 (15.0) 18 (22.5) 23 (28.75) 16 (20.0) 11 (13.75)Flexibility of joints 17 (21.25) 20 (25.0) 17 (21.25) 18 (22.5) 8 (10.0)Physical energy 22 (27.5) 13 (16.25) 15 (18.75) 20 (25.0) 10 (12.5)Lightness of body 12 (15.0) 14 (17.5) 20 (25.0) 22 (27.5) 12 (15.0)Discomfort / pain 22 (27.5) 18 (22.5) 14 (17.5) 15 (18.75) 11 (13.75)Dryness of skin 51 (63.75) 8 (10.0) 12 (15.0) 7 (8.75) 2 (2.5)Fatigue 28 (35.0) 16 (20.0) 12 (15.0) 15 (18.75) 9 (11.25)Circulation 18 (22.5) 22 (27.5) 18 (22.5) 14 (17.5) 8 (10.0)Vision 12 (15.0) 15 (18.75) 16 (20.0) 18 (22.5) 19 (23.75)Breathing pattern 14 ((17.5) 15 (18.75) 22 (27.5) 16 (20.0) 13 (16.25)Cardiovascular endurance 6 (7.5) 15 (18.75) 22 (27.5) 25 (31.25) 12 (15.0)Gas, flatulence 29 (36.25) 17(21.25) 12 (15.0) 16 (20.0) 6 (7.5)Complexion 21 (26.25) 18 (22.5) 16 (20.0) 13 (16.25) 12 (15.0)Allergy 20 (25.0) 16 (20.0) 17 (21.25) 18 (22.5) 9 (11.25)Immune system 16 (20) 22 (27.5) 14 (17.5) 18 (22.5) 10 (12.5)Physical endurance 22 (27.5) 12 (15.0) 15 (18.75) 17 (21.25) 14 (17.5)Strength of spine 16 (20.0) 15 (18.75) 17 (21.25) 15 (18.75) 17(21.25)Allergies 22 (27.5) 16 (20.0) 18 (22.5) 14 (17.5) 10 (12.5)Migraine 23 (28.75) 18 (22.5) 21 (26.25) 13 (16.25) 5 (6.25)Menstrual pain 25 (31.25) 16 (20.0) 14 (17.5) 15 (18.75) 10 (12.5)Backache 29 (36.25) 17 (21.25) 14 (17.5) 12 (15.0) 8 (10.0)Overall physical wellness 19 (23.75) 20 (25.0) 18 (22.5) 14 (17.5) 9 (11.25)

0

10

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30

40

50

60

Complete Moderate No

DigestionSleepConstipationSinus clearanceFlexibility of jointsPhysical energyLightness of bodyDiscomfort / painDryness of skinFatigueCirculationVisonBreathing CardiovascularGas, flatulenceComplexionAllergyImmune systemPhysical enduranceStrength of spineAllergiesMigraineMenstrual painBackacheOverall physical wellness

Duration of Panchakarma Distribution among

80 Panchakarma subjects (Table: 12)

Duration of therapy Number of subjects Percentage

5 days 48 60.0 %

7 days 24 30.0 %

10 days 8 10.0 %

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Subjects

5 days

7 days

10 days

Overall Improvement in Physical Health Distribution among 80 Panchakarma subjects

(Table: 13)

Improvement Percentage

Complete improvement 27.85 %

Marked improvement 21.80 %

Moderate improvement 20.75 %

Mild improvement 19.85 %

No improvement 9.75 %

0.00%

5.00%

10.00%

15.00%

20.00%

25.00%

30.00%

Percentage

Complete improvementMarked improvementModerate improvementMild improvementNo improvement

Overall Improvement in Psychological Health Distribution among

80 Panchakarma subjects (Table: 14)

Improvement Percentage

Complete improvement 24.04 %

Marked improvement 20.17 %

Moderate improvement 23.32 %

Mild improvement 19.18 %

No improvement 13.29 %

0.00%

5.00%

10.00%

15.00%

20.00%

25.00%

30.00%

Percentage

CompleteMarkedModerateMildNo

Overall improvement in both physical and psychological health among 80 Panchakarma subjects (Table: 15)

Improvement Percentage

Complete improvement 25.94 %

Marked improvement 20.98 %

Moderate improvement 22.03 %

Mild improvement 19.5 %

No improvement 23.04 %

0.00%

5.00%

10.00%

15.00%

20.00%

25.00%

30.00%

Percentage

Complete improvement

Marked improvement

Moderate improvement

Mild improvement

No improvement

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