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

Procedure

In the morning, the panchkarma is to be performed; proper dose of the vamaka dravya (emetic) is to be administered to the patient. The decoction of madanphala is advocated as the best. Honey, decoction of Yastimadhu, saindhav lavan (rock salt) and some quantity of phaanita (syrup of jaggery) are added to the medicine prepared. Not only madan phala but the herbs mentioned in the kalp sthana (chapter based on the vamaka dravya and virechak dravya) i.e. jeemutak, ishwaaku, dhaamaargrava, vatsaka, kritavedhana, etc are advocated in charak samhita. According to Maharishi Charak there are 355 recipes of vamaka dravya preparation. According to him these herbs can be administered in the form of powders, confections, lehyams (jam form), inhalations, etc. however he consider madan phalka the best out of all the emetics mentioned. The various recipes mentioned in kalp sthana of Charak samhita are composed according to different constitutions, temperatures, diseases, tastes, habits etc.

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