Panchakarma and shalakya are highly interlinked. Judicious application of panchakarma is best treatment of many conditions but if not done systematically causes many diseases

1. Dr.Shantala Priyadarshini.M.S(shky)M.A(San)
Asst Professor,(shantala301@gmail.com)
Government Ayurveda Medical College,
Mysore

3. Aturopdrava chiktsa
• Prayena panchakarmanimitha vyapadah
• Ati yoga-heena yoga-mitya yoga.
• Matrakala satmya,vayaha….
• Mandaagni –samasrjan krama
• Snehapaana to niruha basti…..
• Seka,nasya,anjana,karnapoorana….
• Always benefit patient –do no harm
• Panchakarma without side effects

4. Ch.su.2/15

5. A person undergoing –snehapana or
nasya / vamana /virechana / basti
or a vran rogi-akshi rogi is like a
new pot or wet pot filled with oil.
Agni is delicate –be cautious

6. sneha
vamana
virechana
Rakta
mokshana
Akshi rogi
Basti
Aksi rogi
 Andhya
Adimantha
Netra sthambha
NimeshaVayu
Head
S. CHI-39 31
Yana yana
Indriya vibrama

7. Shomshuda deha shirasi (su.ut 18/5) pre requisite for tarpana…
Vyakta rupeshu dosheshu shuda kayasya kevale(su.ut 18/51)
Pre requisite for rasayana –drsti prasadanartha,indriyahita
 Pre requisite for shalya chikitsa …prevents surgery
As treatment in many conditions
Prevents,preserves ,promises management.
Faster ,effective and less expensive therapy.

8. sneha
vamana
virechana
Rakta
mokshana
Akshi rogi
Basti
Aksi rogi
 Agigratwam
Badriya
Mookhata
Dantachaal
Indriyavibrama
Vayu
Head
S. CHI-39 31
Yana yana
Indriya vibrama

9. Patients who have very frequent headaches (more than 2 / week)Patients who have very frequent headaches (more than 2 / week)
Attack duration is > 48 hoursAttack duration is > 48 hours
Headache severity is extreme-doshaadikyataHeadache severity is extreme-doshaadikyata
Migraine attacks are accompanied by prolonged auraMigraine attacks are accompanied by prolonged aura
Unacceptable adverse effects occur with acute migraine treatmentUnacceptable adverse effects occur with acute migraine treatment
Contraindication to acute treatmentContraindication to acute treatment
Migraine substantially interferes with the patient’s daily routine,Migraine substantially interferes with the patient’s daily routine,
despite acute treatmentdespite acute treatment
Special circumstances such as hemiplegic migraine or attacks withSpecial circumstances such as hemiplegic migraine or attacks with
a risk of permanent neurologic injurya risk of permanent neurologic injury
When shamana is insufficientWhen shamana is insufficient
Patient preferencePatient preference

10. Karna swedana is essential in vata -kapha vikaras
Nadisweda,pinda swedana …..

11. Avapidana nasya –choice for immediate relief
Shunti + guda/agasthyarasa/shigru rasa
/vamshamoola +karpoora/vacha +magadi /
karanjapatra ras +guda
Snehanasya-sadbindutaila/KBT /CBLT/AT
Seasonal purificatory nasya
Vatahar sneha nasya
Karnapoorna-deepika taila,swarasa…
Marsha -pratimarsha

12. Gradually and steadily
Systematically but cautiously
Prime factor to be considered
At all stages agni is protected,preserved
Diet –samsarjana krama

13. Pitta sthana –so virechana
Rakta sthana –raktamokshana
Kapha dusti –vamana
Vata dusti –basti
Best shodana -urdwajatru –nasya
All shodhana –to administer rasayana

14. Pachakarma vyapat
Atiyoga of vaman
Vega dharana
Not following dina –rtu charya
Ati-amla-katu –ushna ahara
Ushnabhitaptasya jala pravesha
Adyashana-atimadyapana-ambupana
Krodha-shoka –anidra-divaswapna etc

15. Paana –shodana –shamana
Puraana,accha,triphala,tilwaka,jeevantyadi,patoladi
Gandravhastadi,neembamruthadi taila,tila taila.
Bahya sneha –moordha taila,nasya,purana,tarpana….

16.  Redness,ciliary congestion
Bleeding – internal –external-rakta pitta in netra
Daha,osha,chosha,gurutha
Chardi vighata –reverse peristalsis –netra nidana
Vamana in timira rogi is contra indicated.
Vamana may be a choice in kaphaja vikaras
Can be done in dosha utkelsha-prefered mrudu
Vamana in timira rogi is contra indicated

17. Improves vision
Preserves vision
Prevents eye problems
Cures shoola,daha,toda….
For most eye problems
Highly recommended
Safe –effective,inexpensive
Pratimarsha –anu taila,jeevantyadi grta,purana grta
Marsha –shadbindu,thungadrumadi,triphaladi
Drstiprasadanartha –goshakruthadi taila,purana grta
Shodanartha,prasadanartha,shamanrtha

18.  Lipid soluble –ghee,oils,yamaka
Penetrates ,spreads faster effectively
Volatile oils move upwards with active
principles
No first pass effect –better absorption
Marvelous technique to reap multiple benefits
Water soluble –local effect,fast elimination
Formulated for specific purposes
Jeevantyadi taila-grta,purana grta,101
avarthitha,Anu taila,nasya with teekshna dravyas
Goshakruthadi taila,drumra yoga…

19. Who should not be administered nasya ?
Who should not be advised dhoomapaana ?
What should the diet –life style be during nasya ?
Why nasya ?How long ?
What happens if rules are not followed ?
Prevent vyapat –save vision
Cautious nasya is highly beneficial

20. If a person who is under snehapanam or has
consumed madhya or is thirsty is administered nasya
he develops timira.
If nasya karma is not performed properly ( atiyoga
or heena yoga )the patient may develop eye problems.
(S.CHI-4035)
Ati yoga of nasya causes akshi toda ,timira,( c-si-
151 ) In Charaka Siddi sthana it's given that if nasya
is administered to a patient suffering from jwara or
shoka then timira increases or manifests.
If nasya is administered to a patient after virechana
then vision problems may manifest.(on the day of
virechana )

21. (Su.ut 9/3)
Should the eye be subjected to fomentation ?
Every rule has an exception.
But protect the delicate part from swedana

22. •As per dosha-dushya-satmya-kala
•Both as preventive and cure
•Abhyana as preventive also
•Choice of medicated kshira –taila…takra
•Picchu –basti-if condition warrants
•Only after kaya-shirovirechana
•Stress triggered eye problems benefits most
•Vatharasneha-pittahara kshira-kaphahara qwatha
–sthanya-takra-ikshurasa,multiple choices

23. Anything in excess can be harmful
Without rules & regulations
Headache,sinusitis,sneezing,allergy….
Maintain agni at all levels,always
Shirobyanga,padabyanga daily prevents ageing,improves vision,
calms the mind,enhances immunity.
Manjistadi taila,triphaladi, ksheerabala, dhanwantaram,til taila,
thungadrumadi…..
Rasna churna lepa,dry it well,swedana followed…

24. Improves vision remarkably
Stress reduction,induces quality sleep,energizes eyes
SIMC with generalized skin problems,allergic conditions,
DR,retinopathies,bleeding,floaters,auto immune eye disorders
Beneficial in all urdwajatru vikaras,indirectly benefits eye
Medicated takra
All complications of DM
ARMD after mild shodana
Doctor’s choice is best

25. Hastapada sweda after nasya
Vartma roga kriya –swedana before & after lekhana,sastrakrma
As per each case swedana can be administered
Specialized swedana
Pindi.
gundana,
seka,
(Ch.su 14/10)

26. Vyadhana saadya vyadhi benefit most
Excess of raktasruthi causes urdwjatru diseases
Healthy people undergoing seasonal raktasruthi –improve all
sense organs
Urdwaraktapitta handle cautiously
Jalouka charana
Siravyadha
Prachanna

27. Ati rakta sruthi results in
Blindness
Adimantha
Timira
Lalatya sira
Upanasika
Apangya sira

28. Least prescribed in urdwajatru vikaraha
Virechana and vamana are pradhana tara
Basti –pradhanatama
Vamati yoga –netra roga nidana
Cautiously adopt this procedure to eliminate kaphaja vikara

29. Snigdha virechana
Classical virechanais highly efficacious
Eranda taila,gandarvahastadi taila,
Avipatikara churna,triphala churna,swadis virechana churna
Sukha virechnanam srestah –trivrtha lehya,tilwaka grta
IB pill,teekshna virechana
IOP reduces fast
Infection-inflammation,redness decreases effectively

30. Shodana,shamana,chakshu preenayathi –nourishes the whole eye
In acute pain as in adhimantha,shirashoola,netrashoola
In timira,drsti rogas,as rasayana
Chakshyshaya basti
Sadya drstiprada basti
Matra basti

31. Yukta ratha basti
Maadhu tailika basti
Chakshushya basti
Matra basti

32. Snehapana atiyoga- guda srava –disturbs absorption –vision too
If patient laughs during instillation of nasya –akshigada manifests
Akala peeta dhooma –daruna netra roga,timira,raktapita in netra
Timira rogi given vamana-akshi shoola,drstinasha
Prajagara –shuddha-netra sthambha,nemesha,…..
Virudha-adyashana –ghora indriya rogaha

33. Brughu rasayana
Shilajitu rasayana
Amalakirasayana
Vardhmana pipalli rasayana
Mahadrakshadi rasayana
Amalali.madhuyasti,vaccha,triphala….
Suvarna,prawala,gandaka.loha,abraka…..