PANCHAKARMA IN PHYSICALLY STRONG
Though the eliminatory procedures are said to be the radical approach in the treatment of any disease, it can not be performed in each and every patient. These procedures belonging to the category of apatarpana treatment tend to cause significant strain to the body. Hence is only indicated in physically strong persons. If for any reason the person to be treated is physically weak, then the shodhana therapy is contraindicated all together. In such situations, the different palliative procedures are the only options left to treat the patient irrespective of the severity of the illness as well as the amount of dosha vitiation.
PANCHAKARMA IN DAILY ROUTINE
Certain Panchakarma procedures are included in the daily routines to promote the health in hale and healthy. Regular practice of abhyanga, the oil massage is advised to maintain the physical fitness. Udvartana a form of the massage therapy is ideal for regular practice in fatty persons. Regular application of the oil to the scalp is also very much beneficial. Like wise pratimarsha nasya a kind of nasya karma is administered twice a day which eliminates the risk of diseases related to head. These are few examples revealing the importance of Panchakarma procedures as daily routines.
PANCHAKARMA IN DIFFERENT SEASONS
The cosmic rhythm in a calendar year, which happens in a cyclical way, is described as ritu meaning season. In all, the whole calendar year is divided into to six ritu comprising two months each. They are named as shishira ritu (winter), vasanta ritu (spring), grishma ritu (summer), varsha ritu (monsoon), sharat ritu (autumn) and hemanta ritu (early winter). Among these six, the three shishira ritu, vasanta ritu and grishma ritu are characterized by the predominant influence of heat of sun on individuals. Physically persons tend to become weak during this period for the same reason; and this period of six months is known as adana kala. In contrast to this during varsha ritu, sharat ritu, and hemanta ritu the cooling influence of the moon is predominant. By virtue of this cooling and smoothening effect of the moon persons are likely to experience good physical strength. As the moon influences by way of imparting the cooling effect these six months are categorized as visarga kala. This is one example of the influence of the weather variations in the body. More over, due the extremes of the weather conditions in different seasons, persons are likely to suffer from morbid accumulation of the dosha and the resultant illness. These influences are best treated by the Panchakarma procedures along with other regimen. Here are the few examples elaborating the utility of Panchakarma in negating the deleterious influence of the extremes of weather in different seasons.
Cold weather is characteristic of hemanta ritu, to protect from the biting cold in this season, upakrama like abhyanga (oil massage), utsadana (a kind of massage therapy), murdhni taila (procedure of applying oil to the scalp), jentaka sveda (a type of sudation procedure) etc are advised. Similarly extreme cold as well as dry weather is characteristic of shishira ritu. Procedures like abhyanga, utsadana, murdhni taila are also beneficial in this season to counteract the detrimental effect of the cold weather. Liquefaction followed by provocation of the kapha dosha due to the heat of sun is the major risk during the vasanta ritu. For the same reason the shodhana therapy like vamana karma is most ideal in this season. Udvartana (a kind of massage therapy), dhuma (therapeutic smoking ), kavala (gargling) etc upakrama are also beneficial in this season. Dry hot weather is characteristic of grishma ritu. Upakrama like pralepa are ideal to negate the effect of extreme heat and dryness of the weather. Needless to say, continuous rain is the unique feature of the varsha ritu. Udvartana is ideal for regular practice in this rainy season. After the varsha ritu and before the hemanta ritu is sharat ritu. The sun gradually appears in the sky in this season following the clouds of monsoon. This is the season in which there is every risk of developing provocation of the morbid pitta dosha. Hence different procedures like snehapana, virechana and raktamokshana are advisable. This is the brief account of the deleterious influence of extremes of weather in different seasons and how they are treated by the Panchakarma procedures.
PANCHAKARMA IN TRIVIAL MANIFESTATIONS
Natural urges have to be cleared as and when they manifest, lest they will cause imbalance of dosha and produce symptoms. Urge to urinate, defecate, pass flatus, ejaculate, vomit, belch, sneeze, yawn, sleep, etc are need to be attended immediately. Holding or suppressing these urges produces certain symptoms.
For example suppression of the urge to urinate causes pain and distension of the lower abdomen, pain in the penis, head ache etc. These symptoms may be treated by therapies like avagaha sveda, abhyanga, nasya and basti karma. Similarly in different symptoms caused by the suppression of any of the naturally manifesting urges may be treated by different Panchakarma procedures.
PANCHAKARMA IN RASAYANA CHIKITSA
Rasayana and vajikarana are the unique classes of treatment practiced to maintain and promote the health in a healthy. These procedures are also advocated to cure certain diseases. To get the desired effect from both of these procedures it is required to cleanse the body before the administration of these procedures. Initially the client is subjected to the shodhana procedure like virechana karma. This prepares the ideal state of the body for the administration of rasayana or vajikarana chikitsa. Thus the Panchakarma is the part and parcel of the therapy even in the practice of rasayana and vajikarana chikitsa.
PANCHAKARMA IN DIFFERENT DISEASES
In different diseases, according to the respective pathogenesis the Panchakarma treatment is planned. Illness due to the kapha dosha is best treated by the vamana chikitsa, diseases due to the vitiation of the pitta dosha are best treated by the virechana karma. Basti is considered as the best treatment in disorders due to the abnormality of the vata dosha. The selection of the shodhana karma is also made according to the site of accumulation of the dosha. Elimination of the dosha from the nearest root is the rule. If the dosha is accumulated in the amashaya (gastrium), then is easily eliminated by the nearest oral route by vamana karma. In contrast to this when accumulation of the dosha is in the pakvashaya; then is best evacuated by the nearest anal route either through virechana karma or basti karma. When the dosha accumulation is found in the head it is eliminated by the nearest nasal route by way of nasya karma. Even the site of lesion hints towards the selection of the Panchakarma. If the pathology is observed in the upper part of the trunk vamana is the choice of treatment. If the lesions are distributed in the lower part of the trunk and extremities it is best treated by virechana or basti treatment.
Similarly when the lesion is located in the head nasya is the ideal procedure for evacuation of the dosha. When the skin lesion is identified in a part of the body, the same part of the body should be selected for the raktamokshana. In certain seasons specific shodhana procedures are easily performed. For example vasanta ritu is ideal for the vamana procedures. As per the possibility of easy evacuation, one can select the shodhana procedure for a given client depending upon the appearance of the illness in a specific season.
PANCHAKARMA IN DIFFERENT SPECIALITIES
In particular, the Panchakarma comes under the realm of the Kayachikitsa, the specialty of general medicine. As the Panchakarma includes methods of administrating the medicine it is also relevant to all the eight specialty branches of Ayurveda. Though some of the shodhana procedures are contraindicated in pediatric practice, Most other procedures like snehana, svedana, basti karma etc are extensively practiced. As the symptoms of the illness caused due to the affliction of the evil spirit are mediated through the morbidity of dosha Panchakarma procedures are also beneficial in the graha chikitsa. Nasal route is the nearest root for the removal of the morbid dosha from the head and is the subject of Panchakarma. This nasya karma is effectively carried out in the practice of urdhvanga chikitsa. Even in surgical practice Panchakarma procedures have their own important role in the cure of the illness. As an example, in common surgical condition like vidradhi (abscess), other than the incision and drainage Panchakarma procedures are also beneficial. The shodhana procedures like vamana, virechana are also done in patients of vidradhi with curative effects. Removal of the poison is the basic approach in poisoning and is also the purpose of Panchakarma, thus explaining its utility in the practice of Agadatantra. As mentioned earlier, the rasayana chikitsa, as well as vajikarana chikitsa, are carried out only after the administration of the shodhana therapy in the form of virechana karma. In short, though the Panchakarma is the subject matter of the Kayachikitsa, it is extensively practiced in each and every specialty branch of Parijatak Ayurveda.