It’s Panchakarma Treatment (Detoxification)
In Ayurveda, the treatment protocol is basically classified under two main categories- 1) Shamana Chikitsa – remedial therapy 2) Shodhana Chikitsa – Eliminative or cleansing therapy. The latter consists of PANCHAKARMA.

Panchakarma though normally preceded by Purvakarma (see below) is the prime process in Ayurveda. Through Panchakarma the impurities in the body are cleansed and a harmonious equilibrium of humors achieved.

As the name indicates – Panchakarma consists of 5 therapies, namely,
VASTHI (Herbal Enema Therapy)
VAMANA (Emesis)
VIRECHANA( Purgation)
NASYA ( Nasal instillation of medicine)
RAKTHAMOKSHA ( Liberation of blood)

Vasthi [Enema]
Vasthi is aimed at the most vital element of the three humors- Vata(Rheum). Hence it is the most motivated of all Panchakarmas. Vasthi can be either Anuvasana or Asthapana. While the former injects medicated oil, the latter uses a specially prepared herbal mixture. Through this Vasthi the body toxins, especially the free radicals are washed away from the body. Vasthi is the exclusive treatment that has an effect addressing to the entire body and entire Doshas.

Indication: All neural disorders like
1. MND
2. Parkinsonism
3. Multiple sclerosis
4. Osteoarthritis and all other joint disorders
5. Auto immune diseases like Rheumatoid arthritis, SLE.
6. Gout.

Vamana [Emesis]
A medicine is orally administered, which induces the necessary oral expulsion for cleansing the alimentary and digestive systems.
Indications: Skin ailments especially of allergic origin, Respiratory diseases – (Due to infected and blocked phlegm), Disorders of Psychic origin and all other Kapha based disorders.

Virechana [Purgation]

After the required Poorvakarmas the individual is given a specific medicament, based on his/her metabolic typing, which induces purgation.
Indication: Skin ailments especially of chronic and infective type, Obesity, Ascitis, Liver disorders and all other Pitha induced disorders.

Nasya [Nasal Instillation]
Nasya involves nasal inhalation of medicated fluids to cleance the pulmonary and breathing apparatus as well as the sinus cavities. It also acts as a stimulant to the neural system.
Indication: Disorders affecting the organs situated at and above the neck – especially Paralytic stroke, Facial Palsy [Bell’s palsy], Severe varieties of migraine, Sinusitis and other Neurological and Psychic disorders.

Rakthamokshana [Blood purification]

Considering raktha (blood) as the fourth dosha, Acharya Susrutha explains various processes to bring out the vitiated blood from the various body parts.
Indication: Skin Diseases, Pimples (Acne vulgaris), Diabetic and other non healing ulcers and Varicose veins 

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Poorvakarmas (Pre-Panchakarma Measures)
Before performing Panchakarma, the body has to be prepared. The doshas accumulated in and adhering to cells, tissues and organs need to be detached from their sites so that they can be expelled through various panchakarma therapies. Poorvakarma serves this purpose.

Poorvakarma is broadly classified into
1. Snehana and
2. Swedana

Administration of unctional medicaments, transdermally, lymphatically and orally (Snehapanam). Some random examples are given below

Rubbing in warm medicated oil on various body parts or the whole body and doing mild massage. This procedure relieves body pain and muscle spasms, ensures better peripheral blood circulation and is also a soothing and a relaxing procedure.

Drip-pouring warm medicated oil on/over the body. The therapists squeeze the oil with one hand and simultaneously massages with the other in downward strokes. This procedure is indicated in degenerative bone and joint disorders. It relieves joint stiffness and promotes muscular development.

Continuous pouring of medicated oils [Thaila Dhara], decoction [Kashaya Dhara], or medicated buttermilk [Thakra dhara].This is indicated in neurological and endocrinal disorders, joint diseases and mental problems. This can also be a relaxing and calming procedure.

Retaining for varying periods, pools of medicated oil on top of the head, held up by a goblet cap cemented by Urad dal dough walls. This gives excellent result in Bell’s palsy and paralytic strokes and insomnia

Medicated ghee the composition of which varies with the diagnosed illness is given orally on daily basis in increasing doses for about 5-7 days. This is a procedure where there is cell to cell purification due to osmosis through cell saturation.

This is a method to induce hyper hydration in individual through various means as explained below -

A poultice is made out of the leaves of various medicinal plants or dry powdered form of plant parts which is then applied to the whole body or a definite body part after Abhyangam. This procedure is indicated in relieving aches and pain.

A type of kizhi where a special type of rice called njavara is processed with herbal mix and with milk, and made into a poultice. It is then applied over the affected area or all over the body. This relieves neuromuscular problems, degenerative bone and joint disorders, and muscular dystrophy.

Rasayana Therapy (Rejuvenation measures) The Rasayana therapy (Rejuvenation measures) is usually prescribed after Panchakarma treatment. Through this therapy the health and vigor of the individual is restored.
Allergic disorders
Allergy is also known as allergic disease; are a number of conditions caused by hypersensitivity of the immune system to something in the environment that usually causes little or no problem in most people. It includes hay fever, food allergies, atopic dermatitis, allergic asthma and anaphylaxis. Symptoms may include red eyes and itchy rash, sneezing, running nose, shortness of breath; swelling, food intolerance and food poisoning are separate conditions.
Common allergens include pollen and certain food .Metals and other substance may also cause problems. Food, insect’s stings and medications are common cause of severe reactions. The development is due to the genetic and environmental factors. The underlying mechanism involves immunoglobin E (IgE) antibodies. Diagnosis is typically based on a person’s medical history. Further testing of the skin or blood may be useful in certain cases.
Ayurvedic management includes purificatory procedures like vamana,virechana etc.

• Anal fissure
Anal fissure is a small cut/tear in the lining of anus .The crack in the skin causes severe pain and some bright red bleeding during and after bowel movements .These tears can be caused due to hard stools / repeated episodes of diarrhoea etc.
This condition can be effectively treated with ayurvedic internal and external medications.

• Arthritis & Rheumatic Disorders
Arthritis is a joint inflammation and though it’s a symptom rather than a diagnosis, the term is often used to refer to any disorder affecting the joint. Rheumatic disorders usually affect joints, tendons, ligaments, bones and muscles. Sometimes they are called musculoskeletal disease. Its common symptoms include –joint pain, loss of movement in joints, inflammation (swelling, redness and warmth) in joint or affected area. There are more than 100 rheumatic disorders. Among the most common ones are osteoarthritis, rheumatoid arthritis, SLE, ankylosing spondylitis, psoariatic arthritis, gout, scleroderma, infectious arthritis , juvenile idiopathic arthritis, cervical and lumbar spondylitis.
Ayurvedic management for arthrirtis and rheumatic disorders varies depending on the specific disease or condition; however treatment generally includes the following – ruksha sweda , dhanyamala dhara, patra pinda sweda, jambeera pinda sweda, upanaham, avagaham , vasthi and lepam etc .

• Cervical spondylosis(Neck pain)
Cervical spondylosis is also called cervical osteoarthritis. It’s a condition involving changes to the bone, disc and joint of the neck. The changes are caused by the normal wear and tear of ageing. With age, the disc of the cervical spine gradually breakdown, loss fluid and become stiff. Cervical spondylosis usually occurs in middle aged and elderly people.
Cervical spondylosis most often causes neck pain and stiffness. Pain may spread to the upper arm or fingers. The risk factors for cervical spondylosis are ageing, previous injury to neck, poor posture, overweight, heavy lifting or lots of bending and twisting.
The general treatments include nasya , lepa ,greeva vasti, various pinda sweda etc.

• De-addiction
Addiction is a psychological and physiological dependence on alcohol or other drugs of abuse, that affect the central nervous system in such a way that withdrawal symptoms are experienced when the substance is discontinued. De-addiction is a term for the process of medical or psychotherapeutic treatment for dependency of psycho active substance such as alcohol prescription drugs and street drugs such as cocaine .The general intent is to unable the patient to cease substance abuse, in order to avoid the psychological, legal, financial, social and physical consequences that can be caused especially by extreme abuse.
Ayurvedic management includes- takradhara, shirodhara, thalapothichil, virechanam, yoga etc.

• Digestive disorders
Digestive disorders are the disorders which related to the digestive system. Digestive system disorders are also called as Gastro intestine disorders.
The digestive system began at the mouth and ends at the anus. Common digestive symptoms include gastric ulcer, gastritis, peptic ulcer, loss of appetite, diverticulitis, irritable bowel syndrome, gall stone, crohns disease, ulcerative colitis, haemorrhoids , anal fissure, heartburn etc.

• Fistula-in-ano
It’s a small channel that can develop between the end of anal canal and skin near the anus. It can cause bleeding and pus discharge when passing stools and is very painful condition. It occurs mainly due to any previous attack of an anorectal abscess .This can be effectively managed with parasurgical procedures like Ksharasutra & Kshara karma.

• Geriatrics
It’s a branch of medicine concerned with the diagnosis, treatment and prevention of disease in older people and the problems specific to ageing.
Ageing refers to the inevitable, irreversible decline in organ function that occurs over time even in the absence of injury, illness, environmental risks, or poor lifestyle choice. Initially the changes in organ function do not affect baseline function .The first manifestation are reduced capacity of each organ to maintain homeostasis under stress .Cardiovascular ,renal and central nervous system are usually the most vulnerable .Cataract, Alzheimer’s disease ,dementia etc are most common geriatric problems.

Ayurvedic medicines are very helpful; it gives strength to the body and improves the power. Rejuvinative therapies like abhyangam, pizhichil, njavara kizhi, matravasti, snehavasti, tailadhara, pratimarsha nasya, shirodhara, shiro pichu, thalam, tharpanam, karnapooranam, yoga and meditation found very effective in geriatric cases.

• Infertility
It’s often defined as not conceiving after 12 months of regular sexual intercourse without the use of birth controls. Infertility affects men and women equally. The female causative factors include infrequent menstrual periods, ovulation disorders, pelvic inflammatory disease, endometriosis, uterine fibroid, PCOD, age related factor etc. Male causative factor include semen abnormalities, ejaculatory disorders,varicocoele,cancer etc.
Ayurvedic management of infertility is successfully practicing now a days and it has got wide acceptance. It includes shodhana therapies, uttaravasthi and internal usage of rasayana and vajeekarana medicine for both male and female partners.

• Low Back Pain
Low back pain refers to any pain or discomfort experienced in the bottom region of spine ,which is known as lumbar spine .This region support most of the upper body weight, affecting around 80% of adults and ranking as the number one cause of job-related disability. There are many effective treatments to eliminate and alleviate low back pain.
Common complications associated with low back pain include- achy dull pain, muscle spasm, radiating pain, stiffness and difficulty in moving, troubles sleep, tinkling sensation, numbness or weakness.
The most factors contributing to low back pain are strain to ligaments, muscles or tissue ,spinal stenosis , skeletal irregularities, herniated or ruptured disc, disc degeneration, infection traumatic injury, radiculopathy, sciatica, osteoporosis , arthritis , tumors ,fibromyalgia, kidney stones .
Main Ayurvedic treatments include- various pinda swedas, avagaham, lepam, kashayavasthi, snehapanam, virechanam, kati vasti etc.

• Obesity and Life style diseases
Lifestyle disease is defined as disease linked with the way people live their life. This is commonly caused due to lack of physical activity, unhealthy eating habits and also alcohol, drug, smoking abuse. Diseases that impact on our lifestyle are –heart disease, stroke, obesity and type 2 diabetes. Adults can develop life style diseases through behavioral factors that impact on them. Unemployment, unsafe life, poor social environment, working conditions, stress and home life can change a person’s life style to increase their risk of developing one of these diseases.
Obesity:- It’s a medical condition in which excess body fat has accumulated to the extent that it may have a negative effect on health .People are generally considered obese when their body mass index (BMI)a measure obtained by dividing a person’s weight by the square of the persons height ,is over above the limit.
Heart Disease (Cardiovascular disease):- cardiovascular disease is a class of disease ,that involve the heart or blood vessels .Cardiovascular diseases includes coronary artery disease(CAD) such as angina and myocardial infarctions. Other cardiovascular diseases include stroke, heart failure, hypertension heart disease, rheumatic heart disease.
Type 2 Diabetes: – Diabetes mellitus type 2 is a long term metabolic disorders that is characterized by high blood sugar, insulin resistance and relative lack of insulin. Common symptoms include –increased thirst, frequent urination and unexplained weight loss.
Ayurvedic management mainly according to the condition; diet therapy, ruksha sweda (valuka sweda and churna pinda swedam), udwartana, dhanyamala dhara etc.

• Osteoporosis
Osteoporosis is condition characterized by a decrease in the density of bone, decrease in strength and resulting in fragile bones. Osteoporosis literally leads to abnormally porous bone i.e. compressible, like a sponge. This disorder of the skeleton will weakens the bone and results in frequent fractures (breaks) in the bones .The spine, hips, ribs and wrists are common areas of bone fractures from osteoporosis.
The cause and risk factors of osteoporosis includes hereditary factors, cigarette smoking, alcohol consumption, lack of exercise, diet low in calcium, poor nutrition, malabsorption, hormonal imbalance (testosterone and oestrogen) rheumatoid arthritis, liver diseases and hyperthyroidism.
Ayurvedic management include various pinda swedas, especially njavara kizhi, mamsa kizhi, kashaya vasti ,different vastis, upanaham etc.

• Paralysis
It is a condition involving a loss of muscle function in the body that may be accompanied by sensory loss. Paralysis means disabling of nerves. This is because it is usually due to damage to the nervous system that there is loss of motor function or sensory information.
There are several possible reasons that one may experience temporary or permanent paralysis. It is usually as result of damage to spinal cord or other parts of the nervous system and associated with stroke , trauma ,poliomyelitis, cerebral palsy, peripheral neuropathy, parkinsonism, botulism, spinabifida, multiple sclerosis ,Gullian barre syndrome.
Ayurvedic treatments include thalam, nasyam, shirovasti, shiro dhara, various pinda swedas, different vasti karmas, virechanam etc.

• Parkinson’s disease
This is the second most common neuro degenerative disorder and the most common movement disorder. There is progressive loss of muscle control, which leads to trembling of the limbs and head while at rest, stiffness, slowness and impaired balance. As symptoms worsen the person may become difficult to walk , talk and complete simple tasks.
Ayurvedic management includes – pinda swedas, njavara kizhi, nasya, vasti etc.

• Physiotherapy
The history of physiotherapy can be traced back to ancient India nearly 5000yrs ago in the Ayurvedic classics. It is considered as one of the oldest methods to cure various physical ailments. Physiotherapy has evolved from simple massage to a complex assortment of therapy.
Physiotherapy when combined with Ayurveda is ideal for post accident care, sports injury, professional as well as age related disabilities, rheumatoid arthritis, other neurological conditions and also other conditions causing disability of muscular and bony problems.
The common physiotherapy treatments includes – massage, exercise, joint mobilization, postural training, balance exercises, traction, bandaging, heat therapy, infrared therapy etc.

• Piles
Piles /haemorrhoids are swellings that develop inside and around the anal canal. The swollen and inflammed veins in the anal canal causes discomfort and bleeding which hampers day to day activities. Mostly piles occur due to chronic constipations, chronic diarrhea, untimely food habits, pregnancy, straining when passing stool, hereditary factors.
Ksharakarma and Ksharasutra are effective parasurgical procedures in Ayurveda which bring 100% relief from this condition.

• Pre-Natal care
Prenatal care / antenatal care is care to be followed during the pregnancy period to ensure a healthy pregnancy. It includes diet and regimen to be followed during pregnancy in order to ensure normal delivery and healthy baby. The growth of baby does not depend only on mother’s diet and medication but also behaviour or the viharas (regimen) of mother plays an important part in it. In Ayurveda, there is specific medicinal treatment for each month of pregnancy which helps in nourishment of baby and mother, it is called masanumasika chikitsa. It includes intake of various ksheerapakas (medicated milk preparations), medicated ghee, special diets etc.

• Post-Natal care
Post Natal care or the prasava raksha is the care to be followed after child birth to ensure complete restoration of mothers health and strength. The first 45 days after child birth is the period of rest, rejuvenation and bonding. In Ayurveda post natal care is successfully practising and is called sutika paricharya. The main aim after child birth is to balance vata dosa. For that specific dietetics, several medicinal formulations, oil massage, medicated bath (kashaya snana/ vethu kuli), udhara veshtana are practising depending upon the condition of mother. All these measures assist in ensuring successful breast feeding, promoting health of mother and baby, replenishes strength of body.

• Psoriasis
It’s a noncontagious chronic skin condition that produces plaques of thickened, scaling skin. The dry flakes of skin scales results from the excessively rapid proliferation of skin cells. The proliferation of skin cells is triggered by inflammatory chemicals (produced by specialised white blood cells called T- lymphocytes). Common psoriasis symptoms includes- red patches of skin covered with silvery scales, small scaling spots ,dry cracked skin ,itching ,burning or soreness, itchy plaques ,small bleeding points when the scale is peeled away .
Ayurvedic management includes snehapanam, vamanam, virechanam, vasti, takra dhara kashaya dhara, pizhichil, lepam,rakthamoksham etc..

• Respiratory disorders
Respiratory disorders are the diseases affecting the airways and lungs that affect respiration. Common respiratory disorders are –common cold, cough, sinusitis, asthma, rhinitis, tuberculosis, bronchitis, pneumonia etc .
Ayurvedic management includes nasya, vamana, virechana, snehapana, abhyanga, various kizhis etc.

• Sciatica
Sciatica is pain in the lower extremity resulting from irritation of the sciatic nerve. The pain of sciatica is typically felt from the low back (lumbar area) to behind the thigh and can radiate down below the knee Common lower back problems that can cause sciatica symptoms includes a lumbar herniated disc, degeneration, disc disease, spondylosthesis or spinal stenosis.
Ayurvedic management include snehapanam,vamanam,virechanam,various pinda swedas,different vasthi karmas,agnikarmas.etc

• Spine related problems
The spine or back bone is made up of small bones (vertebrae) arranged along with discs-one on top of another. A healthy spine when viewed from the side has gentle curves to it .The vertebrae protects spinal cord and allow to stand and bend. A number of problems can change the structure of the spine or damage the vertebrae and surrounding tissue. The main causes are infections, injuries, tumors, conditions such as ankylosing spondylitis and scoliosis, bone changes that come with age such as spinal stenosis and herniated disc. Spinal diseases often cause pain when bone changes put pressure on the spinal cord or nerves . They can also limit movements.
Ayurvedic management include snehapanam,vamanam,virechanam,various pinda swedas,different vasthi karmas,agnikarmas.etc

• Urinary disorders
Includes any diseases /conditions that affects kidney, ureter, bladder and urethra. The common diseases affecting are urinary tract infection, burning micturation, haematuria, kidney stones, urinary incontinence, cystitis, kidney failure , benign prostatic hypertrophy etc.
The general line of treatment of urinary disorders includes snehanam, swedanam, uttara vasti, virechanam, vasti and other internal medications according to the conditions of the patient.

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