Panchakarma or bio purification is the method of cleansing the body of all unwanted metabolic wastes and toxins, that includes preventive, curative and rejuvinative domains for various diseases.The therapeutic process areVamana (Therapeutic emesis), Virechana (Purgation), Vasthi (enema using medicated oil/therapeutic decoction enema), Nasya (nasal installation of medicine) and Rakthamoksham (blood letting).

  The complete process of Panchakarma consists ofthreephases: 

1.   Poorva karma: which is the preparatory procedure to enable a person to receive full benefits of the main treatments.It consists of two processes -Snehana (oleation) and Swedana(fomentation).This help to remove the accumulated toxic substances in the body and preparing them for complete removal.

 2.   Pradhana Karma or Main Procedure :On completion of first phase, the next phase is decided depending upon the proximity of toxic accumulation or the disease.An increased level of upper respiratory tract infection shall call for Vamana, a lower gastro intestinal accumulation for Virechana/Vasti and an ENT or eye related disease for Nasya.

3.   Paschat karma or PostOperative therapy: This is done by diet, medicine and specific regimen to restore the body's digestive and absorptive capacity to its normal state.

After panchakarma therapies, internal medicines are administered for a defined period as per the severity of the clinical condition. Rejuvenation therapies prevent or delay the degenerative changes in the body when done after Panchakarma.