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Panchakarma: Ayurvedic Detoxification and Allied Therapies—Is There Any Evidence?

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Evidence-Based Practice in Complementary and Alternative Medicine

Abstract

Panchakarma is a collective term used to refer to the five main Ayurvedic procedures of detoxification: vamana (emesis), virechana (purgation), nasya (nasal instillation of herbal oils/powders), basti or vasti (herbal enema), and raktamokshana (bloodletting). These procedures are commonly used in conjunction with allied therapies in order to cleanse the channels, eliminate toxins from the body, and restore balance. Panchakarma is one of the most important Ayurvedic treatment modalities. When done correctly, it increases the receptivity and effectiveness of subsequent therapies.

Each procedure is performed in three phases: preparatory procedures, the main procedure, and post-cleansing procedures such as diet and lifestyle modification. Examples of adjuvant allied therapies include shirodhara (ayurvedic oil dripping treatment), shirobasti (retention of warm herbal oil on the scalp), katibasti (retention of warm herbal oil on the back), and janubasti (retention of warm herbal oil on the knee). Treatment protocols are customized to meet the individual needs of each patient. In addition, Panchakarma may be used for preventative and rejuvenative purposes. Its use is therefore supported for everyone—including healthy individuals.

Our literature review suggests that most of the procedures included under panchakarma have been investigated to some extent. The majority of the studies reviewed showed positive outcomes for panchakarma and allied therapies when compared to a control. Unfortunately, only a limited number of high-quality clinical trials have been conducted to date. Common limitations include low sample size, inadequate descriptions of randomization and blinding protocols, inadequate descriptions of adverse events, and nonstandard outcome measures. In spite of this, preliminary studies support the use of panchakarma and allied therapies and warrant additional large-scale research with rigorously designed trials.

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References

  1. Joshi SV (2005) Ayurveda & panchakarma. Motilal Banarasidas, New Delhi

    Google Scholar 

  2. Singh RH (2002) Panchakarma therapy. Chowkhanba Sanskrit Series Office, Varanasi

    Google Scholar 

  3. Sharma H, Chandola HM, Singh G, Basisht G (2007) Utilization of ayurveda in health care: an approach for prevention, health promotion, and treatment of disease. Part 1—ayurveda, the science of life. J Altern Complement Med 13:1011–1019

    Article  PubMed  Google Scholar 

  4. Warrier PS (1991) Chikitsa Sangraham. Arya vaidy sala Kottakkal, Kerala

    Google Scholar 

  5. Sharma PV (1983) Charaka Samhita. Chaukhambha Orientalia, Varanasi

    Google Scholar 

  6. Bhishagratna KK, Mitra D (1998) Sushruta Samhita. Chowkhambha Sanskrit Series Office, Varanasi

    Google Scholar 

  7. Rastogi S (2011) Panchakarma: exploring through evidences. Light Ayurveda J 9:30–36

    Google Scholar 

  8. Sharma H, Chandola HM, Singh G, Basisht G (2007) Utilization of ayurveda in health care: an approach for prevention, health promotion, and treatment of disease. Part 2— ayurveda in primary health care. J Altern Complement Med 13:1135–1150

    Article  PubMed  Google Scholar 

  9. Chaube A, Prajapati P, Dixit SK (1996) Pharmaceutical processing in Panchakarma vis-a-vis Poliomyelitis. Anc Sci Life 17:50–59

    Google Scholar 

  10. Conboy LA, Edshteyn I, Garivaltis H (2009) Ayurveda and panchakarma: measuring the effects of a holistic health intervention. Scientific World Journal 9:272–280

    Article  PubMed  Google Scholar 

  11. Rai PK, Singh OP, Rai NP, Singh SK (2008) Efficacy of vamana in the management of kitibha (psoriasis). Aryavaidyan 22:9–42

    Google Scholar 

  12. Rawal M, Chudasma KM, Vyas RV, Parmar BP (2010) Effect of vasantic vaman and other panchakarma procedures on disorders of various systems. AYU 31:319–323

    Article  PubMed  Google Scholar 

  13. Kumari J, Mehta CS, Shukla VD, Dave AR, Shingala TM (2010) A comparative clinical study of Nyagrodhadi Ghanavati and virechana karma in the management of Madhumeha. AYU 31:300–304

    Article  PubMed  Google Scholar 

  14. Hegde P, Hemanth DT, Emmi SV, Shipla MP, Pradeep SS, Santosh YM (2010) A case discussion on eczema. Int J Ayurveda Res 1:268–270

    Article  PubMed  Google Scholar 

  15. Srinivasulu M (1998) Role of virechana karma in amavata by Gandharahastadi kwatha. J Res Ayurveda Siddha 19:132

    Google Scholar 

  16. Prasad MS, Ramachandran AP, Acharya GS, Kamath TS (2010) Evaluation of the role of Nithyavirechana and Nayopayam kashaya in Tamaka Shwasa. AYU 31:294–299

    Article  Google Scholar 

  17. Chaudhari V, Rajagopala M, Mistry S, Vaghela DB (2010) Role of Pradhamana Nasya and Trayodashanga Kwatha in the management of Dushta Pratishyaya with special reference to chronic sinusitis. AYU 31:325–331

    Article  PubMed  Google Scholar 

  18. Panigrahi HK (2006) Efficacy of Ayurvedic medicine in the treatment of uncomplicated chronic sinusitis. Anc Sci Life 16:6–11

    Google Scholar 

  19. Bittar G (1997) A preliminary study on the efficacy of Nasya (errhine) in the management of chronic daily headache. Aryavaidyan 10:208–213

    Google Scholar 

  20. Thanki KH, Joshi NP, Shah NB (2009) A comparative study of Anu Taila and Mashadi taila Nasya on Ardita (Facial Paralysis). AYU 30:201–204

    Google Scholar 

  21. Madhavikutty P (2000) The role of nasya and dhoopa in Dementia and Alzheimer’s disease. Aryavaidyan 13:228–233

    Google Scholar 

  22. Anand PKV (2006) Role of virecana nasya in the management of jaundice— a case study. Aryavaidyan 19:176–179

    Google Scholar 

  23. Krishnasastry M, Yadava RK, Singh RH (1996) Effect of Vasti therapy in the management of irritable syndrome (Pakwasayagata Vata Vyadhi). J Res Ayurveda Siddha 17:16–25

    Google Scholar 

  24. Nair PKS, Madhavkutty P, Namboodiri PKS, Tewari NS (2001) Therapeutic effect of vaitarana vasti (Vangesena) in inter vertebral disc prolapse with sciatica and related problems. J Res Ayurveda Siddha 22:120–130

    Google Scholar 

  25. Gupta A, Sharma RS, Sharma AK (2000) Clinical evaluation of vasti chikitsa in the management of amavata (rheumatoid arthritis). J Res Ayurveda Siddha 21:165–175

    Google Scholar 

  26. Shah MR, Mehta CS, Shukla VD, Dave AR, Bhatt NN (2010) A clinical study of Matra Vasti and an Ayurvedic indigenous compound drug in the management of Sandhigatavata (Osteoarthritis). AYU 31:210–217

    Article  PubMed  Google Scholar 

  27. Karunagoda K, Shukla K, Donga S, Tanna C, Dei LP (2010) A comparative study of Dashamoola Taila Matra Basti and Tila Taila Matra Basti in Kashtartava (dysmenorrhea). AYU 31:305–310

    Article  PubMed  Google Scholar 

  28. Khagram R, Mehta CS, Shukla VD, Dave AR (2010) Clinical effect of Matra Basti and Vatari Guggulu in the management of Amavata (rheumatoid arthritis). AYU 31:343–350

    Article  PubMed  Google Scholar 

  29. Tripathy KA, Kar AC, Tewari SK (1997) Effects of Ayurvedic treatment on amoebic colitis. Anc Sci Life 17:28–31

    Google Scholar 

  30. Michelsen A, Klotz S, Lüdtke R, Moebius S, Spahn G, Dobos GJ (2003) Effectiveness of leech therapy in osteoarthritis of the knee: a randomized, controlled trial. Ann Intern Med 139:724–730

    Google Scholar 

  31. Rao MM, Deep VC, Padhi MM, Das B, Nanda GC, Sahu DP (2006) Application of leech therapy in the management of Svitra (Leukoderma). Aryavaidyan 19:144–147

    Google Scholar 

  32. Patankar U, Shakya AK, Sharma SS (2006) Application of leech in Buerger’s disease—a critical study. Aryavaidyan 19:81–85

    Google Scholar 

  33. Nair PKS, Sankarankutty P (1993) Evaluation of the efficacy of classical Sodhana therapy in the management of rheumatoid arthritis. J Res Ayurveda Siddha 24:115–124

    Google Scholar 

  34. Madhavikutty P, Namboodiri PKN, Tewari NS (2000) Shamana therapy versus panchakarma therapy in the management of pangu (paraplegia). J Res Ayurveda Siddha 21:112–125

    Google Scholar 

  35. Namboodiri PKN, Pillai NGK, Nair PKS, Sethu KS, Prabhakaran VA, Vijayan NP (1999) Classical panchakarma therapy vis-à-vis samana therapy in the management of pakshaghata (hemiplegia)—a comparative study. J Res Ayurveda Siddha 20:54–71

    Google Scholar 

  36. Pillai SM, Vijayan NP, Bhagavathy KC, Santhakumari K, Bhattathiri PPN, Bhaskaran KP (1980) Effect of Panchakarma treatment with Masadiyoga on Pakshavadha. J Res Ayurveda Siddha 1:301–328

    Google Scholar 

  37. Nair PKS, Namboodiri PKN (1998) Role of Panchakarma in the management of Pakshaghata (Hemiplegia). J Res Ayurveda Siddha 19:22–23

    Google Scholar 

  38. Prasad RD, Tyagi MK (1999) Clinical evaluation of drug therapy associated with Panchakarma in the management of Gridhrasi (Sciatica). J Res Ayurveda Siddha 20:78–82

    Google Scholar 

  39. Dubey S, Tripathi JS, Gupta S, Reddy KRC (2010) A comparative clinical trial on the role of Panchakarma therapy and Unmada Gajankusha Rasa in the case of major depressive disorder vis-à-vis kaphaja Unmada. AYU 31:205–209

    Article  PubMed  Google Scholar 

  40. Herron RE, Fagan JB (2002) Altern Ther Health Med 8:40–51

    PubMed  Google Scholar 

  41. Pokharel S, Sharma AK (2010) Evaluation of Insomrid Tablet and Shirodhara in the management of Anidra (Insomnia). AYU 31:40–47

    Article  PubMed  Google Scholar 

  42. Santwani K, Shukla VD, Santwani MA, Thaker G (2010) An assessment of Manasika Bhavas in menopausal syndrome and its management. AYU 31:311–318

    Article  PubMed  Google Scholar 

  43. Sriranjini SJ, Pal PK, Devidas KV, Ganpathy S (2009) Improvement of balance in progressive degenerative cerebellar ataxias after Ayurvedic therapy: a preliminary report. Neurol India 57:166–171

    Article  PubMed  CAS  Google Scholar 

  44. Gupta R, Singh RH (2001) A clinical study on Ayurvedic management of chronic daily headache with special reference to sirodhara and sirovirecana. J Res Ayurveda Siddha 12:81–94

    Google Scholar 

  45. Uebaba K, Xu FH, Tagawa M et al (2005) Using a healing robot for scientific study of shirodhara. IEEE Eng Med Biol Mag 24:69–78

    Article  PubMed  Google Scholar 

  46. Uebaba K, Xu FH, Ogawa H, Tatsuse T, Wang BH, Hisajima T, Venkatraman S (2008) Psychoneuroimmunologic effects of Ayurvedic oil-dripping treatment. J Altern Complement Med 14:1189–1198

    Article  PubMed  Google Scholar 

  47. Xu F, Uebaba K, Ogawa H, Tatsuse T, Wang BH, Hisajima T, Venkatraman S (2008) Pharmaco-physio-psychologic effect of Ayurvedic oil-dripping treatment using an essential oil from Lavendula angustifolia. J Altern Complement Med 14:947–956

    Article  PubMed  Google Scholar 

  48. Chandre R, Tripathi JS (2007) Role of sirovasti in the management of Kampavata vis-à-vis Parkinsonism. Aryavaidyan 21:25–29

    Google Scholar 

  49. Bali Y, Vijayasarathi EJ, Venkatesh BA (2010) Efficacy of Agnikarma over the padakanistakam (little toe) and Katibasti in Gridhrasi: a comparative study. Int J Ayurveda Res 1:223–230

    Article  PubMed  Google Scholar 

  50. Jahan S, Sujatha N, Neelam (2010) Role of Uttara Vasti with Trivrit and Lasuna oil in the management of primary dysmenorrheal. AYU 31(2):228–231

    Google Scholar 

  51. Shukla M, Tiwari A, Sharma S (2010) Principle verification of svetapradara vis-à-vis leucorrhoea with Dhatakyadi yoga and Lodhrakvatha uttara basti. Aryavaidyan 23:85–91

    Google Scholar 

  52. Pathak B, Dwivedi KK, Shukla KP (1992) Clinical evaluation of Snehana, Swedana and an Ayurvedic compound drug in Sandhivata vis-a-vis Osteroarthiritis. J Res Edu Ind Med April–June:27–34

    Google Scholar 

  53. Nanda GC, Padhi MM, Chopra KK (1998) Effect of Trayodashang Guggulu and Vishatinduka vati along with abhyanga and swedana in the management of Gridhrasi (sciatica). J Res in Ayurveda and Siddha 14:116–121

    Google Scholar 

  54. Rajoria K, Singh SK, Sharma RS, Sharma SN (2010) Clinical study on Laksha Guggulu, Snehana, Swedana & traction in osteoarthritis (knee joint). AYU 31:80–87

    Article  PubMed  Google Scholar 

  55. Rehlan RK (2005) Role of Snehana and Swedana in the management of Vatavyadhi with special reference to back-ache. Aryavaidyan 18:235–239

    Google Scholar 

  56. Rastogi S, Singh RH (1996) Duchennes muscular dystrophy—management through Pinda Sweda therapy. J Res Ayurveda Siddha 17:105–111

    Google Scholar 

  57. Nair R, Vijayan NP, Indirakumari S et al (1985) Snehapana effect of Bhadradarvadi Taila in Gridhrasi. J Res Ayurveda Siddha 5:149–162

    Google Scholar 

  58. Nair RB, Nair PKS, Madhavikutty P et al (2002) Effect of Snehapana on the lipid profile of patients with rheumatic and neurological disorders. J Res Ayurveda Siddha 23:1–9

    Google Scholar 

  59. Dash D (2007) The management of Ichthyosis with Gomutra avagaha and Yashtimadhutaila abhyanga. Aryavaidyan 20–4:228–231

    Google Scholar 

  60. Gupta M, Shaw BP (2009) Uses of medicinal plants in Panchakarma Ayurvedic therapy. Indian J Tradit Knowledge 8:372–378

    Google Scholar 

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Authors and Affiliations

  1. Department of Fundamental Principles, Southern California University of Health Sciences, Whittier, CA, USA

    Sivarama Prasad Vinjamury

  2. Department of Ayurveda, Southern California University of Health Sciences and American University of Complementary Medicine, Cerritos, CA, USA

    Manjusha Vinjamury

  3. Department of Ayurveda, Acuveda Holistic Health Center, Los Angeles, CA, USA

    Sobhana Sucharitakul

  4. Department of Fundamental Principles, Southern California University of Health Sciences, Grand Terrace, CA, USA

    Ingebritt Ziegler

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  1. Sivarama Prasad Vinjamury
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  2. Manjusha Vinjamury
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  3. Sobhana Sucharitakul
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  4. Ingebritt Ziegler
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Corresponding author

Correspondence to Sivarama Prasad Vinjamury .

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Editors and Affiliations

  1. , PG Department of Kaya Chikitsa, State Ayurvedic College, Tulsi Das Marg, Lucknow, 226003, India

    Sanjeev Rastogi

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Vinjamury, S.P., Vinjamury, M., Sucharitakul, S., Ziegler, I. (2012). Panchakarma: Ayurvedic Detoxification and Allied Therapies—Is There Any Evidence?. In: Rastogi, S. (eds) Evidence-Based Practice in Complementary and Alternative Medicine. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-24565-7_7

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  • DOI: https://doi.org/10.1007/978-3-642-24565-7_7

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