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

Purva karmas of Vaman karma

Following points have to be kept in mind before the Vaman karma is to be administered

Atmanirikshan (self analysis)

First of all the physician performing panchkarma procedure has to have that confident that, he is capable in performing the procedure efficiently and with ease. He should be having expertise in handling all the complications or situations that might arise during the procedure.

Atur pariksha (patients condition)

It is very important to examine the patient thoroughly and then the procedure should be preceded. Check the strength of the patient, his physical fitness, environmental conditions, his condition of doshas. His diet, things that would be suitable to him while performing the procedure and most importantly his age.

Vaman samagri (things required in performing Vaman karma)

It is necessary to have the proper availability of substances needed in performing the Vaman karma like a well shielded room in which patient do not gets exposed to the out side environment. Room should be cozy and should able to capacitate small family. It should be well supplied with water. it should have a proper kitchen, washroom and bathroom. The utensils which are to be used or are used in performing Vaman karma are to be well equipped in that place.

Paricharak (assistance)

A trained assistant must be present who will help in performing the procedure and also to nurse the patient. He should help patient in performing his day to day activity like bathing etc. He should be expert in helping the physician in carrying out the procedure and should follow instruction given by the doctor carefully. And most importantly should be very enthusiastic in performing his duties. He should also have feeling of kindness towards the patients.

Aushadh (herb that is vamaka in nature)

The herb which has been decided after the proper examination of the patient should be in adequate amount and its availability should always be there. In case of any emergency antidotes should be available. Certain drugs and herbs should be available to counter any kind of situations and complications

Rogi ka utklesh (preparing patient for the operation)

After performing the Snehan and swedan of the body patient should be advice a diet which is rich in food of kapha origin especially a night before the procedure has top be performed. For example milk, curd, till and meat of fish and animals who live in water etc. It helps in increasing the kapha content in the body therefore which is essential for expulsion of kapha dosha the next day when the procedure has to be performed the next day.

Snehan swedan (lubrication and sweating)

According to the category of the disease patient should be lubricated with the oils internally and externally. When the symptom of proper swedan appears then the swedan should be stopped. After the appearance of these symptoms swedan should be performed. Swedan should be of stream which is helpful in whole body sweating.

Vamankalika achar (phsycological therapy)

Patient should be given proper sympathy and should be taken in confidence, that the physian is expert in performing the Vaman procedure and has all the qualification and confidence in treating the patient and curing him off, of his ailments. Patient should also be informed about the steps involved in the procedure and all the steps to be followed while performing the procedure. Patient should be given full guaranteed that he will not face any trouble and he would definitely will get well from the suffering he is suffering from. Accompanied of the patient should also be given assurance that the procedure is for benefit of the patient and it would help him getting free from his troubles. They should also be informed that procedure is safe and has very little chances of that the procedure has complications.

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