Vamana
This is one among the panchakarma therapy manily advised for kapha disorders and should be done with utmost care and only under medical supervision.

Procedure (After Snehana & Swedanam): This procedure should be conducted in morning before 10 am. Suitable oil should be applied over cheat and back and then subjected to swedana. Then he is allowed to drink milk/decoction up to his stomach full. Then anemtic drug with honey and rock salt should the sensationof vomiting, he is permitted to vomit. If vomiting does not occur within an hour, mechanical induction is done by touching palate with his finger. While vomiting his chest and back shoulbd be massaged gently in the upward direction.

Requirement : Emetic drug, honey, rock salt, decoction, milk, bucket, oil, hot water.

Indication : In toxicity, Indigestion, skin diseases, mental disorders etc.

Contra Indication : In piles, constipation, hypertension, cardiac complaints etc.

Procedure : This is usually done in the morning before 9.30a.m. and in the evening before sunset. The patient is asked to sit in a stool and prescribed oil is applied over scalp, neck and shoulder. Sudation must done with warm water. Then he is made to lie down in supine position on the table. Pillow is used in such way to make the nostrils almost upward position. The required quantity of medicine is made warm with indirect heat and poured into the pranate (gokarna). By closing the left nostril, with the left hand, medicine is slowly poured into the right nostril and vice versa. The patient is asked to inhale vigorously so that the medicine sets n easily. Gentle massage should be given to palm, foot, face and shoulder and advised to sprit.

Requirement : Table, bucket, towel, gokarna, stove etc..

Indication : In fits, running nose, cervical spondylosis, facial plasy, sinusits.

Contra Indication : In cough, swasa, early stage of running nose.

This therapy is also purifactory process and is one among the panchakarma.

Procedure : The patient is first subjected to oil application and sudation, purgative drug should be given orally along with decoction, milk or warm water. The does of drug should be decided according to dosha, disease and age. He is advised to take warm water frequently. After getting sufficient defecation, he is allowed to take rest. Light and easily digestible food as per peyadi karma (order) should be given.

Contra Indication : indigestion, heart diseases, tuberculosis.

This is one among panchakarma techniques and has a high clinical value and is a method of administering medicines through a rectal route. Basically Vasthi are of 3 types. Anuvasna vasthi, asthapana vasthi, uthara vasthi.

This is usually done before Kashayavasthi. For this oil is used and is administered after the intake of food.

Procedure : At noon, after intake food, patient should lie on left lateral position with right leg flexed.60ml (2 oz) of prescribed oil should be filled in vasthiyanthra and tied properly. Oil is applied at tip of vasthi nethra . Then insert the vasthi nethra in to the rectum and squeeze the content slowly and steadily by the physician. After the administration, the patient should be lie in his back. The buttocks are patted by the palms and allow to flex both legs simultaneously with the ankles touching the buttocks for 3-5 times. Maximum time for oil to come out is 9 hours.

Requirement : Vasthinethra and Vasthi putaka, tray, medicated oil.

Indication : In Arthritis, Hemiplegia, Low back pain, Constipation.

This is one amoung the panchakarma therapy.

Procedure : This therapy is given in empty stomach. Before administrating Kashaya Vasthi abdomen and low back area should be applied with oil and subjected to swedana. Salt, honey, oil, kalka, decoction are mixed, churned well and warmed over hot water. Oil is applied at tip of Vasthinethra and insert vasthinethra in to the rectum and squeeze the content slowly ans steadily by the physician. After administration of vasthi, the patient should lie on his back. The maximum time for the material to come out is 45 minutes, if it does not come ,another Kashyavasthi should be given and sudate properly. After kashyavasthi bath in warm water should be given and allow to take light food.

Requirement : Vasthiputaka, vasthinethra, tray, medicated oil (8 oz.), salt 15 gm, honey (8 oz), medicated paste (Kalka) 30 gm, decoction 450 ml.

Indication : Inlow back pain, hemiplegia, constipation.

Contra Indication : General weakness, indigestion, heamorrhoids, diabetes.

This therapy is applied to let out impure blood from the body. Jalookavacharanam and prachanna are more prevalent among them.

a ]. Prachana

This therapy is used to remove blood from alocalised area.

Procedure : The part of the body where prachana has to be perfoemed is cleaned and tied with a thread just about that area with a sharp pointed surgical blade, pricking is conducted in a regular pattern downward oving to upward making easy flow of blood then thread is removed and clean the area and apply antiseptic oil or ghee.

Requirement : thread, surgical blade, stool tray.

Indication : Skin diseases, gambheera stage or vatharaktha.

Contra Indication : indigestion, vomiting, asthma, cough, Diarrohoea, anaemia.

b ]. Jalookavacharanam

Procedure : with a sharp blade, the affected area is slightly punched and two or three jalookas are made to adhere there. When jalooka starts sucking impure blood, it is covered with wet cotton and its size gradually increases and finally fall of by itself ot its made to detach from the wound by applying turmeric powder. Then immense in it water mixed with turmeric powder it will vomit the pure blood and after that they are kept in fresh water for later use the affected area is then cleaned and pasted with antiosepic oil.

Indication : Skin diseases

Contra Indication : Asthma. Cough, Anaemia, indigestion.