The first step of any Ayurvedic treatment is a thorough examination and diagnosis by an Ayurvedic practitioner, who determines the type and extent of panchakarma treatment required. According to Ayurvedic theory, physical and emotional traits are classified as three doshas vata, kapha, and pitta. Each individual has all three doshas with one predominating. If an imbalance occurs, diseases/conditions appear. Panchakarma rebalances the doshas, bringing them back to equilibrium and the individual back to good health. The physician may prescribe herbal remedies and recommend dietary and lifestyle changes that may be enacted before, during and after panchakarma.
Ayurvedic doctors believe that disease generally starts in the digestive tract. Due to poor diets, bad health habits, and other causes, digestion can be impaired, causing a toxic substance called ama to accumulate in the body. Ama interferes with normal functioning and the flow of energy, creating imbalances and disease. One goal of panchakarma is to cleanse the body of excess ama, and to restore the body's digestive power (agni).
In panchakarma, there are two main types of therapy. Shamana is the supportive therapies that include the preparation and post-therapy measures. The main treatment is called shodhana and refers to pancakarma's five main cleansing and elimination procedures. During preparation for panchakarma, oil therapy (termed snehana in Ayurveda) is the first treatment. Patients are given oil massages—abhyanga is full body massage and shirodhaya is forehead massage.
They are fed dietary oils to lubricate the digestive tract, and are sometimes administered oil enemas. For stress-related and mental conditions, a special oil massage is given during which oil is steadily poured onto the patient's forehead. Oil therapy may be used for up to a week before the main treatment. Sweating therapy (swedana) is another preparation that uses saunas, steam rooms, heated clothing, herbal poultices
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