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[[File:Shirodhara.jpg|thumb|right|'' Ajanmasurabhi'', ''Shirodhara'']]
''Panchakarma'' <ref name="Panchakarma"/> ("Pancha" means five and "karma" means treatment) is done to detoxify the body according to Ayurveda. The five procedures are claimed to eliminate the vitiated Doshas from the body. They are Vamana (Emesis), Virechana (Purgation), Niroohavasti (Decoction enema), Nasya (Instillation of medicine through nostrils), and Anuvasanavasti (Oil enema). Nirooha, Anuvasana and Uttaravasthi form the basic types of Vasti. The term Panchasodhana includes Vamana, Virechana, Nasya, Nirooha, and Rakthamoksha (Blood letting).
Pre Panchakarma procedures
#Snehana: Snehana means Oleation or to make smooth. (मार्दव)
#Swedana: This procedure is very important to liquefy the vitiated Doshas inside the body (which are already made soft by oleation / स्नेहन procedure), later to be brought to Koshtha (कोष्ठ), which will be eliminated by inducing either Vamana / Virechana.
== '''''The Procedure of Panchakarma'''''==
*''Abhyanga'' <ref name="Abhyanga"/>(Sanskrit: अभ्यंग or अभ्यङ्ग "oil massage") is a form of Ayurvedic medicine that involves massage of the body with large amounts of warm oil. The oil is often pre-medicated with herbs for specific conditions. Abhyanga can be done as part of the steps of panchakarma therapy, especially in the first stage: Purva Karma (pre-treatment), or as its own therapy.
It is often followed by svedana therapy, a warm bath, yoga or laying out in the sun. Many times abhyanga is performed by two or more massage therapists working in sync but it can also be done by oneself. Oils used can vary depending on the season and the individuals constitution (prakrti) but commonly used oils include sesame, coconut, sunflower, mustard and almond. In addition to the oil abhyanga massage differs from many Western massage techniques in that it is not very deep.
*''Vamana Karma''<ref name="Vamana Karma"/>, also known as medical emesis or medical vomiting, is one of the five Pradhana Karmas of Panchakarma which is used in treating Kaphaj disorders.
Some clinical trials have used it as a treatment for depressive disorder.Some studies have shown its effectiveness for disorders of various systems of human body.It is used as a treatment for psoriasis.There are studies for its use in young prediabetics.The majority of the studies reviewed showed positive outcomes for panchakarma and allied therapies when compared to a control. Unfortunately, only a limited number of high-quality clinical trials have been conducted to date. Common limitations include low sample size, inadequate descriptions of randomization and blinding protocols, inadequate descriptions of adverse events, and nonstandard outcome measures. In spite of this, preliminary studies support the use of panchakarma and allied therapies and warrant additional large-scale research with rigorously designed trials.
== References ==
<references>
<ref name="Panchakarma">[https://en.wikipedia.org/wiki/Panchakarma "wikipedia"]</ref>
<ref name="Abhyanga">[https://en.wikipedia.org/wiki/Abhyanga "wikipedia"]</ref>
<ref name="Vamana Karma">[https://en.wikipedia.org/wiki/Vamana_(Panchakarma) "wikipedia"]</ref>
</references>
