Author Archives: Dr. Vaidya Karanvir Singh

INTRODUCTION-

Ayurveda is an ancient Indian medical science, which offers various regimens including Dinacharya (daily regimen), Ritucharya (seasonal regimen), Panchakarma (five detoxification therapies), and Rasayana (rejuvenation) therapies.

 These are most significant to maintain a healthy and happy psychological perspective.  Ayurveda does not give instant relief from diseases but it goes down to the root cause of diseases, thus ensuring there is no relapse of disease. The mainstay of Ayurveda, which makes this possible, is Panchkarma which detoxify the body internally as well as externally.

CAUSE OF DISEASE-

According to Ayurveda, the root cause of any disease is always the doshas imbalance, or body humors, which further manifests as imbalance in other body components inevitably leading to disease.

• Prajnaparadh (Misuse of intellect)
• Asatmendriyartha samyoga (Misuse of senses)
• Parinama or kala (Seasonal variations)

CLASSIFICATION OF DISEASE-

Ayurveda classifies disease according to its origin- 

• Physical
• Psychological 
• Spiritual.

STAGES OF DISEASE MANIFESTATION-

In ayurveda science stages of diseases manifestation are six which mentioned below-

1. Sanchayaavastha- The stage of accumulation
2. Prakopaavastha-The stage of aggravation
3. Prasaraavastha– The stage of migration
4. Sthana Sanshrayaavasth-The stage of disease augmentation
5. Vyaktaavastha-The stage of symptom manifestation 
6. Bhedaavastha- The stage of complications 

The three traditional approaches to curing diseases in Ayurveda science are as follows:

• Daivavyapasraya Chikitsa/Spiritual therapy
• Sattvavajaya Chikitsa/Mental & Physical therapy
• Yuktivyapasraya Chikitsa/ Rational treatment

YUKTIVYAPASRAYA CHIKITSA-

Rational treatment includes two main modalities named  Shamana (palliation) and Shodhana (purification). yuktivyapasraya chikitsa is directed towards restoring the balance of the tridoshas.

Ayurveda uses three main modalities in the treatment are as follows:

• Samana– To palliate care or  manage the disease 
• Shodhana- To eliminate the cause of disease or Panchkarma therapy or bio cleansing
• Nidana parivarjana- Avoidance of causative factors

1. SAMANA CHIKITSA-

• Samana means to Supress, Reduces or eliminates symptoms.
• Samana therapies make the patient feel better by suppressing the effects of the body accumulated AMA (toxins).
• Samana involves neutralising the toxins (Aama) by activating Agni and stimulating the digestion through fasting.
• if do not eliminate toxins , the source of disease, and change the diet and life style that created it, the symptoms will continue to manifest.
• However, samana does not deal directly with root causes of the disease and thus can never effect a complete cure.
• Example- when a person feel headache, he takes aspirin to reduce the pain. He feels better but not curing the root cause of headache. In this case to take aspirin is the Samana therapy-without work on root cause will try to suppress or eliminate the symptoms.
• Sustained hunger and thirst, exercise, sunbathing and sitting in the fresh air are other means of neutralizing toxins.

2. SHODHANA CHIKITSA-

• Shodhana means to go away.
• The cause of disease will to go away from body and detoxify it.
• The aim of treatment is to give relief to the patient and treat root cause of disease.
• Shodhana chikitsa get rids of Ama and Mala- the form of toxins and restores balance to the doshas.
• It’s consider as and their cause as well.
• Panchkarma constitutes the foremost shodhana chikitsa/ purification (Detox) Therapy in Ayurveda.
• It reverses the disease mechanisms which carry toxic waste products from the digestive tract in to the tissues of the body. 
• This procedure should be done in Prasara and Sthana Sanshraya awastha of disease.
• 3rd and 4th stages are initial accumulation of toxins in gastrointestional tract and toxins taking shelter in a body.
• The perfect treatment is to find the root cause of disease is purification therapy. Then only can cure the disease

 PANCHKARMA THERAPY-

There are certain diseases that require a physical treatment to remove toxins from the body. Ayurveda suggests the Panchkarma or ‘five types of bio-cleansing processes’. These five processes are as follows:

1. Vamana karma (Emesis therapy) – 

• Therapeutic vomiting, also known as medical emesis or medical vomiting is one of the five Pradhana Karmas of Panchakarma which is used in treating Kapha diseases. 
• The procedure has been carried out in kapha kala (Basant ritu)  to expelled out kapha in toxic form, which causes major diseases such as  skin disorders, ILD, Lungs fibrosis, asthma, hypothyroidism, hearts disorders, chronic rhinitis.

2. Virecana karma –

• Therapeutic purgation is the cleansing process for Pitta and the purification of the blood toxins from the body that are accumulated in the liver and intestines; it completely cleanses the gastro intestinal tract. 
• This karma mainly aims to eliminate Pitta doshas that cannot be expelled out by Vaman karma. This is relieved by the use of Ayurvedic laxatives.

3. Nasya (Nasal Medication) – 

Medicines administred through the nostrils An excess of the tridoshas accumulating in the forehead, throat, nose and nasal area, etc. is relieved by introducing medication through the nose.

4. Basti karma-

• The medicated oil or herbal decoction is administered through the rectum. 
• This method is used to relieve all vata disorders such as acidity, diarrhoea, constipation, kidney stones, chest pain, backache etc.
• basti having broader therapeutic action on almost all the tissues of the body and have rejuventive , curative, preventive and health promotive actions.

5. Raktamokshana –

• The bloodletting procedure is used especially for the treatment of Raktadusti The vitiated blood should be expelled out from the body to reduce the amount of toxic sub- stances or else it leads to several blood borne disorders. 
• This method is most useful in treating skin and joint disorders.

 These five-fold therapies are aimed at shodhana, i.e. complete removal of the basic cause of the disease by bio-cleansing and progress towards samana i.e. reducing severity of the disease by taking palliative care.

3. NIDAN PARIVARJAN

• Nidan Parivarjan is to avoid the known disease causing factors in diet and lifestyle of the patient.
• It also encompasses the idea to refrain from precipitating or aggravating factors of the disease.
• A healthy person should follow the right dincharya (daily routine), adapt to seasonal changes and eat a nutritious diet to avoid any disease.

The basic difference between Ayurveda and Western allopathic medicine is important to understand. Western allopathic medicine currently tends to focus on symptomatic treatment. Ayurveda does not focus on symptoms of disease, it works root cause of diseases.

INTRODUCTION –

 Ayurveda – The science of life,that originated with the need to understand  and cure diseases and to maintain the health of the human being.

For the completion of this hetu , Linga (symptoms) and Aushadha (medicine) i.e. concept of Trisutra is explained  in Ayurveda of these three sutras two are meant for diagnosis of disease and the third one is meant for treatment purpose. For treatment of any disease it is very important to make proper diagnose of the disease. Nidana panchaka is very important  tool for making diagnosis of diseases in Ayurveda.

CLINICAL IMPORTANCE OF NIDANA PANCHAKA

In Ayurveda the diagnostic approach is of two types  which consists of Rogi Pariksha and roga pariksha. In which Rogi preeksha gives us knowledge about diseased person. In this we examine the patient with different tools And roga pariksha gives us   complete knowledge about a disease from  starting  to complete manifestation of disease.

 In Ayurveda there are five means of diagnosis known is nidanpanchak i.e. 

Nidan- Causative factors 

Purvarupa – Pre- symptomatic features

Rupa – Sign & Symptoms of disease

Upshaya- Relieving and Aggravating factors 

 Samprapti- Pathogenesis of disease.

 These five factors gives information not only  about complete process of menifestation of disease but also about prognosis, treatment and differential diagnosis of the disease. 

In Modern science diagnosis of the disease is done by using investigations and imaging techniques like X-Ray, CT scan, MRI  But sometimes the patient can’t afford the costly imagining techniques like CT scan, MRI etc. Thus we have to know the diagnosis parameters according to Ayurveda which helps in reducing the burden on the suffering patients .

 In Ayurveda there are five means of diagnosis (Nidana Panchaka) namely Nidana (cause or etiology), Purvarupa (Prodromal symptoms or Premonitory symptoms), Rupa (Specific sign and symptoms or clinical features), Upasaya (Relieving and Aggravating factors), Samprapti (Pathogenesis) . These five elements collectively or selectively help in making the accurate diagnosis.

Explaination of Nidana Panchaka –

A) Nidana (Etiological factors):

“Tatranidanmkaranmiyuktamagre”.

Nidana is the causative factors of disease. 

Clinical importance of Nidana –  

Knowledge of Nidana helps in identifying the causes of the disease –  If the Nidana is not identified we can’t isolate them. If the causative factors are in contact with the body for a longer time, the disease caused by them keeps worsening with time and become incurable.

 Nidana gives a clue towards the chronicity of the disorder- For e.g. If the patient having liver cirrhosis has a history of consumption of alcohol for long time, we can assume  that the disease is a chronic one .

 Knowledge of Nidana helps in rectifying the causative factors causing the disease – as it is said in ayurveda 

‘Sankshepataha Kriya Yogo Nidana Parivarjanam’  .

 The best and simplest form of the treatment is avoiding the causative factors, which are responsible for disease.

B) Purvarupa (Prodromal features): 

The symptoms which give indication of a future disease are known as prodromal symptoms.

”pragutpattilakshanam”

 These prodromal features helps to know the dosha responsible for that particular disease but not the nature of forthcoming disease. Basically there are two types of puravrupa, one which indicate the forthcoming disease but doesn’t specify the involvement of dosha is known as samanya purvarupa (general prodromal symptoms). Second variety of puravrupa is known as vishishta (specific) purvarupa, in which appearance of prodromal symptoms observed specifically by specific dosha. Clinical importance of Puravarupa

 For diagnosis of disease – If two diseases are having identical Nidana, then Purvarupa help in making correct diagnosis. For eg. Nidana of Hikka (Hiccup) and Swasa (Dyspnea) are identical. Here disease will be diagnosed in its Purvarupa avastha (Stage) with the help of specific prodromal symptoms such as heaviness in throat and chest, astringent taste in mouth and gurgling sound in abdomen are the prodromal symptoms of Hikka while hardness in bowel, pain in sides, compression in cardiac region, miss passage of vital breath are prodromal symptoms of Swasa.

 For differential diagnosis – E.g. If the color of the urine is either yellow or mixed with blood eliminated through the urine without the manifestation of prodromal symptoms and sign of Prameha (Diabetes), such patient should not be diagnosed as Prameha rogi (Diabetes), on other hand it diagnosed as Raktapitta (Bleeding disorder).

 For treatment of disease – With the help of knowing puravrupa of disease we can detect the disease at an earlier (i.e. before the actual manifestation of disease) stage and plan for treatment can be started to prevent further manifestation of disease. E.g. In Jwara, Langhana chikitsa is indicated in Purvarupa and in Ashmari, Snehadi karma is indicated in puravrupa avastha to cure the disease from root .   

For prognosis of disease – If number of prodromal symptoms is few, then the disease is easily curable. If Purvarupa manifest with moderate intensity then disease is krichhasadhya (difficult to cure). If all  prodromal features are present in a patient then the disease is incurable.

C) Rupa (Specific sign and symptoms):

“Pradurbhutalakshanampunarlingam”

 Rupa of a disease indicate the actual onset of the manifestation process. The pathogenesis gives rise to various symptoms of the disease. Hence the pathogenesis (Dosha dushya sammurcchhana) occurring inside the body is expressed externally as the symptoms of that disease . i.e. It indicates the specific disease by manifesting specific symptoms of that disease. For e.g excessive unclean urination in Prameha (Diabetes).

 Clinical importance of Rupa 

For diagnosis of disease Few diseases have no prodromal symptoms like Vata vyadhi , Ksataksheena and their diagnosis is made only by observing its clinical feature (i.e. In Rupaavastha). By seen the cardinal sign and symptoms of disease we can diagnose the disease. 

 For differential diagnosis of disease – By observing the signs – symptoms and detailed history of patient we can diagnose the disease which has similar sign and symptoms. E.g. Cough and Tuberculosis, Annadravasoola (Pain is aggravate after intake of food) and Parinamadravasoola (Pain is relief after intake of food) only few symptoms are common. 

For treatment of disease – Knowledge of Rupa is very much important for planning specific treatment of disease. As some diseases have only symptometic treatment. 

For prognosis of disease – If all the symptoms of disease are produced, then that disease is difficult to cure.

D) Upasaya (Relieving and Aggravating factors):

When a patient is relieved of symptoms and feel comfortable by the diet, daily regimen and medicine, then these relieving factors are called as Upasaya. The relief should not be temporary. The symptoms should be reduced permanently. E.g. Cold water gives relief to thirst and burning sensation in case of Nava jwara for a short period but later aggravate the condition. This doesn’t come under upasaya. And opposite to this, the aggravating factors are called as Anupasaya. 

Clinical importance of Upasaya

 For diagnosis of disease-

‘goodhlingamvyadhiupshyaanupshyabhyamparikshet’

 Relieving factors helps in making correct diagnosis, when it is difficult to diagnose a disease due to obscure or mysterious manifestation. Then by the use of aggravating or relieving factors we can diagnose the disease. E.g. In obstructive jaundice the medicine “Trikatu powder” will give relief. But if it is not an obstructive jaundice then the symptoms will aggravate due to hot and sharp property of the medicine.   

 For treatment of disease – This upasaya and anupasaya also help in treatment of disease.  Acharaya chakrapani mentioned 18 types of upshaya for treating diseases .

E) Samprapti (Pathogenesis):

 The changes which take place in the body from initiation of the etiological factors to the manifestation of symptoms are collectively known as Samprapti (Pathogenesis). The Dosha vitiated due to various causes are moving in various directions in the body. Depending upon the cause or type of vitiation and direction or route followed by the vitiated doshas, there is a settlement (Dosha-dushya sammurchchhana) at the defective site (kha-vaigunya).

Samprapti is of six type  i.e Samkhya, Pradhanya, Vidhi, Vikalpa, Bala, Kala samprapti

CONCLUSION –

 In Ayurveda it is said that before the planning of treatment, the correct diagnosis of the disease is very much essential which means a physician must examine the disease thoroughly before prescribing medicine. Nidana panchaka is a tool for diagnosing a disease at various stages. Naming of disease is not given that much importance, but knowing the definite etiological factors, dosha vitiation, pathogenesis or progress of disease and to check it at early stage is given prime importance.  In modern concept of medicine, treatment of a disease starts after actual appearance of a disease. But in Ayurveda, good knowledge of nidan panchak can help the physician to diagnose the disease in early phase , accordingly one can decide his line of treatment and prevent further manifestation  of disease.

Nasya is one among the panchkarma procedures. In nasya karma medicines are administered in the body by the nasal route. In ayurveda definition of nasya karma is given as –

Aushdhi v aushdhisidhasneham nasikabhyam diyte iti nasyam

 In  nasya karma  medications (Medicated Oil/Ghee/ Decoction/ Powder/Smoke etc.) is administered by Nasa (Nose) mainly to remove the vitiated Dosha found in Shira and its constituent parts. As in Ayurveda it is said that that –

‘Nasa hi shirso dwaram ‘

Acharyas  have been placed  Nasya  as one of the Panchkarma procedures, which signify the importance of Nasya  as  Shodhana Karma (Purification procedure) especially for Urddhva-jatrugata Vikara (diseases which related to the upper clavicle part of the body). In panchakarma procedures doshas or the impurities are removed from the body through its nearest route like to remove impurites from  amashya (stamach) vaman is indicated, for detoxification of pakvashyagata dosha (intestines) procedures of virechana and basti   are useful like ways for detoxification of doshas collected in  shira, nasya karma is used.

Types of Nasya– Based on different type of medications used and procedures used to administration  nasya karma is into five types-

1. Navan – Snehan and shodhan
2. Avpidna- Shodhan and stambhan
3. Dhoompan- Smoking using herbs
4. Pradhooman- Prayogika, snehika, virechanika
5. Pratimarsha- snehaniya and virechanika

Above mentioned types of nasya karma again classified into three types based upon their mode of actions-

Rechana- In this medicines are administered for purifiction

Tarpana – for nourishment

Shaman – for retraining

Medication used in nasya karma-

Medicines used in nasya karma are totally dependent upon the purpose of giving nasya – In vata realted disorders like in headaches, migrain and for nurturing, medicated oil or ghrit are used. In Kapha related disorders, drugs that cause some irritation and releives the blockage of channels are used. Acharaya charak has mentioned shirovirechana gana that contains herbs which clearifies  the  channels used in detoxification .

Sirovirecanopag mahakashya contains drugs – Jyotishmati, Kshavaka, Maricha, Pippali, Vidanga, Shigru, Sarshapa, Apamarga, Shveta, Mahashveta

 Indications of nasya karma– 

– Stiffness or pain of head,neck, or jaw
– Headache and Migraine
– Sinus pain and congestion
– Toothache, loose teeth, receding gums
– Hoarseness of voice
– Twitching or drooping eyelids
– Tingling sensations on face
– Obstruction in throat
– Uvulitis, Tonsillitis, Laryngitis, Pharyngitis

– Speech disorders and loss of speech
– Bell’s Palsy (facial paralysis)
– Goiter
– Glaucoma
– Pituitary or space-occupying tumor
– Unconsciousness/fainting
– Any disorders above clavicle area

Contraindications  of nasya procedures

 – Children (under 7)
– Old age (over 80)
– Pregnancy
– Menstruation
– Just before or after shower/bath
– Indigestion or full stomach
– Diarrhea
– Hunger or Hypoglycemia
– Thirst or Dehydration
– Exertion
– Intoxication
– Physical exercise
– Acute fever
– Just having done virechana procedure or basti

Nasya Procedure–

In Ayurveda every panchakarma procedure consists of three main procedure like ways the procedure of Nasya can be classified under three headings-

1. Poorvakarma 

Poorvakarma includes  facial oil massage or application of steam to face, forehead, head, ears and neck. This helps to loosen the adhesive Doshas.

2. Pradhanakarma 

This is the main step of Nasya and includes instillation of luke warm medication in both the nostrils  alternately, by keeping his neck straight, with the help of proper instrument like dropper.The sole, shoulder, neck, ear and palm are gently massaged after the administration of the medicine.

3. Paschatkarma

In this procedure patients mouth is cleaned by giving luke warm water for gargles and then medicated smoke is given for inhalation.

 Mode of action of  Nasya karma-

The medicines  in nasya karma  administered through the nostrils goes  into the nervous system (Brain) and venous system (Blood circulation) present in and around the nostrils. Then they clear the obstruction in the nearby area. Thus it relieves the blockage of the channels in that area and the diseases are cured. Medicated oils / juices / powders which are administered through the nostrils  stimulate the vital centres of brain to overcome diseases.  

When nasya karma is done three types features are seen according to quantity given to patient-

1. Samyak Yog Lakshan: When medicines are given in proper quantity. 

“Urah Shiro Laghavam Indriyaatacchayam Stroto Vishudhi Bhavet Vishudhe” 

 There is feeling of lightness in the chest region and head,

All the five Gyanendriya work in a proper manner 

 All body channels are open and clear in case of Samyak Yog Lakshan. 

2. Ayog Lakshan:  Medicines are given in less quantity then required.

“Galoplepah Shirso Gurutvam Nishtheevanam Cha Api Ath Durvirikte

There is feeling of something covering the throat,

 Heaviness in head and 

Excessive salivation

3. Atiyog Lakshan: In this , medicines are given in more quantity then required.

“Shiro Akshi Shankh Shravan Arti Todav Atyarth Shudham Timiram Ch Pashyet”  

Pricking pain in head, eyes, temporal region, ears

Cataract 

 Benefits of Nasya Karma-

Nasya is the procedure that  cleanses, purifies and strengthens the nasal passages, allowing you to breathe fully and easily again. Due to its many benefits nasya karma is indicated in all type of upper clavicle disorders ( urdhav jatrugata vikara) 

In vata related disorders medicated oil is administered into nostrils to strengthened the nervous systems and in kapha related disorder powder of medicated herbs is administered which does the  purification of  the srotas .

Nasya is a procedure that has to be performed with very  care . The quality and quantity of the medicines that to be used depend upon the patient’s condition. The procedure of nasya karma has to be done by a trained professional .  Nasya therapy will cleanse, purify, and strengthen the nasal passages and  stimulates centres  in nervous systems. 

Activities done by an individual from morning to evening are alluded to as Dincharya. 

In Ayurveda, dincharya is considered as an action to forestall physical, mental and social issues. A decent food style and a limited way of life are the key standards establishing such measures in Ayurveda. Varoius step included as:

• Brahm mahurta Jagran (Waking up) and Malatyag (Defecation)

Brahma muhurta is typically 1-1.5 hours before dawn. It shifts from one locale to another. In the event that the hour of dawn in your nation is 6 a.m. then, at that point your Brahma Muhurata will be somewhere near 4:30 toward the beginning of the day. 

Getting up late causes lethargy and laziness and makes the entire day slow. To work with the absorption of food devoured the earlier evening, getting up early is pivotal. Predominance of Vata in this period assists with passing the Mala (pee/stools) early. In this way, getting up early aides in refinement of body. As the term of the stay of the Mala inside the body expands, the vulnerability of the body to deft diseases increments.

• Nasya – Nasal therapy

Charak Samhita suggests placing a couple of drops of Anu Thailam in every nostril consistently toward the beginning of the day. This cycle is called Nasya or nasal treatment in ayurveda. Charak advocates it during three seasons: 

• Pouring Season 
• Pre-winter
• Spring

• Oral wellbeing brushing, tongue scratching and oil pulling

In the wake of awakening the following most significant custom in Ayurveda is dealing with your oral wellbeing. It’s anything but a three-venture measure, 

• Brushing your teeth (Dhantdhavna)

In Ayurvedic dinacharya, teeth are brushed utilizing a blend of various spices. The flavor of these spices fluctuates from sweet to better and contains every one of the six preferences for Ayurveda. 

Brushing your teeth with spices gives a cleaning activity that eliminates plaque and buildup from your teeth. The counter microbial and hostile to contagious specialists created by the fundamental oils in the spices help in keeping the germs under control. 

• Oil pulling (Kavla-Gandoosha)

The second significant thing you can accomplish for your oral wellbeing is oil pulling. In Ayurveda, the vast majority perform oil pulling as a custom once per week. You can either do a day by day oil pulling or you can do it’s anything but seven days. I like to do it’s anything but seven days as it were. 

• Tongue scratching 

Tongue scratching is the main thing you can accomplish for your oral wellbeing in Ayurveda. No place in current medication, it is needed to scratch your tongue. Every one of the germs and microscopic organisms that produce terrible breath are available on your tongue. 

Your taste buds are available on your tongue. The poisons aggregated for the duration of the night are likewise present on the tongue.

• Drink water (Usha pana)

Water subsequent to awakening is the principal thing that enters your stomach toward the beginning of the day. Ayurveda suggests drinking warm water for all doshas. Warm water builds your digestion toward the beginning of the day and keeps it dynamic for the duration of the day. 

It likewise helps in the disposal and flushing of abundance poisons from the body. 

Drinking warm water with nectar and lemon to builds your admission of Vitamin C toward the beginning of the day and improves your resistance.

• Exercise (Vyayama)

This should be possible in any structure, be it Yoga ex. Surya Namaskar or running. Exercise will eliminate stagnation and fat from your body and will reinforce your muscles. Find out about the different advantages of yoga. 

• Daily Abhyanga/Massage

A day by day Abhyanga practice is suggested in Ayurvedic dinacharya for all dosha types. An every day abhyanga practice ought to be done on an unfilled stomach prior to washing. 

It is otherwise called Snehana in Ayurveda which means love. Kneading your oil with warm oil each day is an extremely cherishing and relieving custom. A day by day abhyanga has a great deal of advantages in Ayurveda, 

• Builds blood course 
• Eliminates poisons 
• Saturates skin 
• Opens up sweat organs for poison development 
• Opens up nerve channels 
• Permits oxygen course in the body 
• Initiates and empowers the body 
• Disposes of dry layered skin

• Bathing (Snana)

Bathing or Snana is one of the Yamas in Ayurveda and has been laid exceptional accentuation on. Washing is the custom of physical and mental cleanliness in Ayurveda. An every day shower permits your body to dispose of the overabundance heat caught for the duration of the evening. 

It revives your psyche and improves cerebrum lucidity toward the beginning of the day. It readies your body for another day. 

Bathing ought to be finished with cleaning activity on your body, to eliminate abundance oil and dead skin from the body. 

• Breakfast

Eating is an individual decision. In the wake of following this dinacharya, a great many people will be eager. On the off chance that you feel hungry, have a basic feast with some fat to keep you full for a more extended time frame. 

Since it is the main dinner, it should uphold and feed your stomach related framework. Eating zesty, difficult to process food in the first part of the day will squeeze your stomach related fire. 

Purvakarma Definition

Viitated Doshas are constantly situated in the body parts where the sickness is delivered. All Doshas are to be gathered into the kostha from where they are killed through Panchakarma, for gathering all Doshas (toxins) in the nutritious waterway Snehana (oleation treatment) and svedana (perspiring treatment) are finished. Both the treatments snehana and svedana assume a significant part as Purvakarma as well as fills in as a line by preliminary measures. Previously, the genuine methodology of decontamination/detoxification starts, there is an extraordinary need to set up the body for the necessary strategies to urge it to relinquish the poisons. Thus, there are 3 procedures of Purvakarma.

1. Deepana & Pachna
2. Snehna
3. Svedna

• Deepna & Pachna

Deepna: The Drugs which builds Agni however doesn’t having Amapachana (digestion of undigested material waste) property called as Deepana. 

Pachna: Which drugs invigorate Agni to do Aharapaka (metabolic change) is called as Pachana. Eg. Langhana (the methodology which achieves daintiness in the body) and Musta 

Deepna & Pachna: The medications which are having the two properties called as Deepana and Pachana drugs. eg. Chitraka so we reason that Deepana-Pachana (hors d’oeuvre digestives) tranquilizes fundamentally Agni Mahabhoot (Elements) overwhelming. 

Advantages of Deepna & Pachna 

Deepana Dravya (drugs) which invigorate the appetite14 (~usually served before a feast) by remedy of Mandaagni (low stomach related fire). All medications of Deepana having Katu Rasa, (Pungent taste)Katu Vipaka (post-digestivetaste) & Usna Virya (dynamic rule) for instance Chitraka (Plumbago zeylanicum) Maricha (Piper nigrum, Pippali (Piperlongum), Pippalimoola (root of Piper longum), and Jeeraka, (Cuminum cyminum) so all medications are useful to improve Agni and Ignite Vata Dosha.

Pachana Dravya for instance Hingu, (Ferula foetida) Guduchi (Tinospora cordifolia),, Nagkeshar (Mesua ferrea) Musta (Cyperus rotundus)&Ajmoda(Trachyspermum roxburghianum) having Katu-Tikta Rasa, Ushana Virya (dynamic guideline), Katu Vipaka (bio change) are invigorate peristalsis of digestive system, expanded neighborhood blood supply, increment emission of stomach related proteins and increment retention of supplements. So it Deepana(appetizer) medications can be taken before the suppers and Pachana(digestive) medications can be endorsed after feast. So Deepana-Pachana (canapé digestives) drugs having comparative properties act distinctively depending on the time endorsed for their admission. 

• Snehana (Oil therapy)

This treatment makes the body delicate and breaks down the poisons. There are two sorts of snehana for example Inner Snehana and External Snehana. In interior snehana cured Siddha Ghrita or cured Siddha Taila is utilized orally as per the portion recommended by the specialist, this oil or ghee is known as sneha. It’s anything but an ointment and assists with diminishing the dryness of the body. In outer snehana there are incorporated a wide range of body rub with the assistance of Sneha exhorted by the educator. This treatment is helpful for all skin issues. Snehana is likewise executed to the patients of vamana and virechana.

Advantages of Abhyanga (External Snehana)

Abhyanga or External Oleation implies use of unctuous material (with tila oil/different sedated oils/ghrita and so on) on the outside surface of the body for example skin which mellow and gives gloss to the skin and eliminates dryness from the body. The upsides of Abhyanga according to Ayurvedic writings are- 

• It (rub) balances the maturing interaction ( Jaraahara) 
• It loosens up the tractable muscles subsequently helping in unwinding. (Shramahara) 
• As Abhyanga is finished with Sneha Dravyas which pacifiy vata dosha (Vatahara). 
• Abhyanga improves nature of vision. (Drishti Prasadakara) 
• Abhyanga sustains different body segments (dhatu), delivering pushti. (Pushtikara) 
• It expands life expectancy of person. (Ayushyakara) 
• It helps in prompting sound rest. (Swapnakara) 
• It makes skin flawless and expands its sound status. (Twak Dandhyakara) 
• It instigates strength in body, making it versatile for enduring a wide range of unfriendly conditions. (Klesha Sahatva) 
• People who routinely practice Abhyanga are very little influenced by any kind of injury. (Abhighata Sahatva) 
• It eliminates the earth, improves appearance of body and builds its solidarity. (Mrujavarna Balaprada)

• Swedana (Sweating)

Swedana is the method that eases Stambha, Gaurava, Sheeta which actuates Swedana (Sweating). It plays a double part in Purvakarma just as Pradhanakarma. 

Swedana has unwinding and detoxifying consequences for the human body. Sweda is ordered into various assortments as per the diverse Acharyas. 

As per Charaka, two primary types are Sagnisweda (warm) and Niragnisweda (Non thermal). 

Niragnisweda is additionally arranged into ten types viz. Vyayama (work out), Ushnasadana (warm rooms), Guru Pravarana (substantial covers), Kshudha (hunger), Bahupana (over the top drinking), Bhaya (dread), Krodha (outrage), Upanaha (mortars), Ahava (war) and Atapa (sunbath). 

Sagnisweda is ordered into 13 types viz. Sankara (blended), Prastara (hotbed), Nadi (steam pot), Parisheka (baptism), Avagaha (shower), Jentaka (sudatorium), Asmaghana (stone bed), Karshu (channel), Kuti (lodge), Bhu (ground bed), Kumbhi (pitcher bed), Kupa (pit sudation) and Holaka (under the bed). Where as 

Acharya Sushruta ordered Swedana into primary 4 types: 

Tapa sweda (Direct warmth), Ushmasweda (Steam), Upanah Asweda (poultice), Dravasweda (warm liquid)

Advantages of Swedna: 

• Equilibriums Vata and Kapha humors in the body 
• Disengages poisons; ousts them through the minuscule pores of the skin alongside sweat 
• Expands course; decreases aggravation 
• Renews and restores the skin 
• Improves absorption 
• Eliminates daze 
• Follows up on fat tissues 
• Assuages pressure 
• Facilitates sore muscles 
• Diminishes deadness, solidness, unbending nature, substantialness; improves portability