The treatment in Panchakarma is usually going through three phases of detoxes and that area :
-
Purvakarma - A preparation for cleansing
- Pradhankarma- It is a main course of Panchakarma treatment that includes five cleansing process
- Pashchatkarma- It is an aftercare process which is therapies applied after cleansing
A) Purvakarma : This includes all the following steps :

1. Internal Snehan (Oleation therapy) :
• - Here, medicated oils and ghee are used. All this helps in eliminating impurities so that elimination becomes easier. And similarly External snehan involves various kinds of massage with medicated oils.

2. Swedan (sweating) :
• Swedan (The main purpose of the Poorvakarma therapies is to begin to loosen, liquefy and move Sweating) - Sweating is done shortly after the massage. This is usually done in a sweat box and the Puvakarma process is often underappreciated in the grand scheme of well-organized administration of Panchakarma the vitiated doshas from its abnormal sites in peripheral tissues to the actual central site within the alimentary canal.
B) Pradhan Karma : Well, this main course of treatment consists of five phases which are as follows

1. Vamana (use of emetics) :
• Here, artificial vomiting is induced using herbs and it is highly indicated for people with kapha (phlegm) disorders
.

2. Virechan (use of laxatives): • - Various purgatives are often used depending upon a person's constitution and disease. So it is used mainly to eradicate all excessive Pitta (fire) from its site in the small intestines

3. Vasti :
• It is another most vital purification treatment as it relieves constipation, chronic fever, cold, sexual disorders, kidney stones, heart pain, backache, sciatica, joints pain and also used in treating arthritis, gout, rheumatism, headaches, etc. Thus, Vasti is a treatment where herbal medicines like medicated oils, decoctions, medicated milk are administered through rectum through a device called vasthiyantra.

4. Nasya (Nasal administration): This is the 4th of the five phases of Panchakarma treatment and here medicinal oils or herbal mixtures are inhaled or can be used as drops in the nostrils for clearing the nose and the nasal pathway. It is also good for balancing the air in vata..

5. Rakta Mokshana or bloodletting: • This is the final fifth phase of the treatment. Here, blood donations are recommended by doctors of Panchakarma as it has been shown by the researchers of Kansas Medical Center in the Kansas City have found that people who are non-smokers mainly men who donates blood had a 30% reduced risk of cardiovascular events such as heart attack, bypass and stroke compare to non-donors.
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