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Shamana

Shamana Chikitsa is employed when the extent of vitiation is less and the duration of onset of the disease is short. Here only pacification of the abnormal components is required. It includes the use of various kinds of internal medication especially medicinal preparations that enhance digestion (deepana and pachana), Fasting (Upavasa), exercises (Vyayama), etc.

Shodhana

Shodhana Chikitsa or elimination therapy is employed when the vitiation of body constituents is extensive to such an amount that the elimination of these toxins from the body is inevitable for the smooth functioning of the body. Depending upon the site of localization of vitiated components and the type of component vitiated, the route of elimination is selected.

Poorvakarmas

Sodhana chikitsa is supported by certain pre treatment procedures called as poorva karmas. They are essential for the successful outcome of elimination therapy. They are:

  • Snehana: External application and internal administration of oil, ghee and other fatty substances.

  • Swedana: Fomentation therapy where patient is made to sweat by the application of heat

Snehana and Swedana can be achieved in a number of ways. In Keraleeya Ayurveda Chikitsa or specific Ayurvedic treatment modalities of Kerala, different methods of poorvakarmas have been in use. 

Shodhana - Pancha Karma

Sodhana Chikitsa or elimination therapy is employed when the vitiation of body constituents is extensive to such an amount that the elimination of these toxins from the body is inevitable for the smooth functioning of the body. Depending upon the site of localization of vitiated components and the type of component vitiated, the route of elimination is selected. The various types are:

  • Vamana: Emesis, indicated when there is a predominance of Kapha dosha

  • Virechana: Purgation, especially done when pitta dosha is vitiated

  • Vasthi: Administration of medicine via rectum and elimination also via the rectal route. A very powerful therapy that is best to eliminate vitiated excess Vata dosha.

  • Nasya: Administration of medicine via nose and elimination via nasal route, employed for diseases of head and neck.

  • Raktha moksha: Elimination of vitiated blood or bloodletting

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