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

Pradhan karma (Main Procedure)

After careful examination patient should be administered with the purgatives when he is empty stomach.

According to Maharishi Sharanghdhar following are the doses that are to be administered in the following doses.

Some of the doses of commonly used purgatives

1. After the purgative has been given he should be kept under careful observation.
   
   
2. It should be check that patient due do bad taste of the purgative should not vomit out the medicine. To prevent all this he should be kept in well fragmented place with calm ness all around.
   
   
3. He should also gargle his mouth with the warm water. Wash his face with cold water to make him feel fresh.
   
   
4. He should be kept in a place which is undisturbed by people.
   
   
5. He should be made to drink warm water in small small amount.
   
6. He should evacuate on bed in bed pan in lying down condition.
   
   
7. In the process of virechan first of all mal (faeces), then pitta (bile juices) and at last kapha (mucous) comes out. After it patient feels weakness and lightness in the body.
   
   
8. if the medicines has digested and there is no out flow of faeces then the patient is given food that day and virechan karma is administered next day. If still virechan is in effected then after ten days again Snehan and swedan are done and with the strong purgatives.

Amount of evacuation in virechan karma

1. One should not count the first 2 to 3 Vegas (times) of the faeces and then it should be counted that how many times the patient has evacuated.
2. The degrees up to which the virechan is done is classified into three categories i.e. pravar (most), Madhya (medium) and avar (least).
   
   

It is advised that after every evacuation the bed pan should be changed so as the analysis of the last passed stool could be done

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