As the name suggest, Panchkarma means Pancha Karma i.e. Five Methods or Five Operation in Ayurvedic Medicinal System. These are:

Necessity of performing Purva Karma before performing Vaman

Purva karma is very essential before performing the Vaman karma. Other wise many complications can arise.

Snehan (lubrication) and swedan (sweating) are very important procedures are very critical before the Vaman karma is initiated.

Snehan (lubrication) checks the Vayu, softens the tissues (deham) and separates the debris (mala) from the healthy tissue.

Sweating, if it is conducted after proper lubrication, liquefies the debris which is entangled in the tiny channels. In order to enhance the effect of Snehan and swedan, kapha or moisture should be increased by the previous administration of milk or other kapha increasing foods.

In a chronic disease, such as prameha (urine disorder), kushth (skin disease), apasmaara (epilepsy), etc which is caused principally by kapha dosha or by any other dosha located in amashya (stomach) along with kapha, the preliminary process of Snehan karma and swedan karma has to be sufficiently executed before Vaman karma is administered, carefully regulating the diet and other habits all the while. Such processes were described by charaka and sushurut in the following manner

The patient is to undergo snehakarma along with proper diet. Usually three to six days relapse in such a course. Swedan karma suited to constitution and the dosha vitiation of the patient in the next administered. If the patient is in the habit of taking snigdh foods, he may have swedan karma administers on the next day following Snehan karma. He has to take abhishyandi or kapha producing food such as anoop maasam or milk or black gram etc, on the night of the next day. This act of eating such food increases kapha and this increased kapha makes the old stationary kapha somewhat mobile. If the static dosha is thus made mobile; it may easily be removed by administration of proper emetic

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