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

Selection of emetic

There have been some principles laid down for selection of vamaka dravya (emetic). It is judged according to the prakruti (nature and body constitution of the individual) and the status of all the three doshas of the body.

When a person has the predominance of kapha dosha then the herb which is to be selected must be of katu rasa and dominant. It should also be tikshan in guna and ushan in virya (hot potency).

When the patient is of pitta dominance then madhur rasa dominant herbs should be preferred in treating the pitta dosha. Sheet virya (cold potent) herb is to be administered in the cases of pitta dominance that will help in subduing the pitta aggravation in the body, especially in amashya (stomach).

If there is vata predominance with the association of aggravated kapha then the herbs that are madhur (sweet), amal (sour) and lavan (salty). Herbs which are ushan in virya i.e. hot in potency are to be used to counter the vata dosha.

According to sharanghdhar samhita in kapha dominant disease pipilli (piper longum), madan phala and saindhav lavan are to administered by hot water

If pitta dosha is of dominance then the cool decoction of patol patra, vasa and neem are to be taken.

In vata dominance diseases associated with kapha dosha present in urah pradesh (chest region) or amashya (stomach), madan phala is to be given with cows’ milk. In indigestion, saindhav lavan is to be taken with hot water to produce Vaman.

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