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

Importance of performing purva karma before performing Vaman

• Purva karma is very essential before performing the virechan karma. Other wise many complications can arise.
  
  
• Snehan (lubrication) and swedan (sweating) are very important procedures are very critical before the virechan 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, pitta or heat should be increased by the previous administration of
  
  
• In a chronic disease, such as prameha (urine disorder), kushth (skin disease), apasmaara (epilepsy), etc which is caused principally by kapha dosha and pitta 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 Virechan 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 Snehan karma 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 hot potency foods, he may have swedan karma administers on the next day following Snehan karma. He has to take pitta producing food on the night of the next day. This act of eating such food increases pitta and this increased pitta makes the old stationary pitta somewhat mobile. If the static dosha is thus made mobile; it may easily be removed by administration of proper emetic.

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