Panchakarma Therapy in Rishikesh

Panch karma Therapy (15 days)

Panchakarma is Ayurveda's primary purification and detoxification treatment. Panchakarma means "five therapies". These 5 therapeutic treatments eliminate toxins from the body, they are : Vamana, Virechana, Nasya, Basti and Raktamoskshana. The series of these five therapies help remove deep rooted stress and illness-causing toxins from the body while balancing the doshas (energies that govern all biological functions).
Panchakarma will remove the excess doshas and correct imbalances in them as well as eliminate the harmful ama out of your system through the body’s own organs and channels of elimination (colon, sweat glands, lungs, bladder, urinary tract, stomach, intestines, etc). Panchakarma purifies the tissues at a very deep level. It involves daily massages and oil baths, herbal enemas, nasal administrations. It is a very pleasurable experience. Ayurveda recommends Panchakarma as a seasonal treatment for maintaining mental and physical hygiene and balance.
Panchakarma is a five-fold therapy; it is highly individualized based on the needs of the individual depending on the Ayurvedic constitutional type, doshic imbalances, age, digestive strength, immune status, and many other factors. Depending on each individual’s needs all or only parts of the five therapies are utilized. Specially trained therapists must administer these procedures in a definite sequence for a specified period of time. In addition, although Panchakarma is for the most part a delightful and comfortable therapy, there can be periods of discomfort associated with the profound release of toxins, which does occur. It is therefore essential that a knowledgeable expert who can recognize the signs of properly and improperly administered Panchakarma supervise the therapy. Fortunately these signs were meticulously recorded by the ancient vaidyas.
Like all medical procedures, Panchakarma Therapy always must begin with an initial consultation by a qualified Ayurvedic Physician who can determine the individual’s prakriti (constitutional type), the nature of the health problem (if any), and the appropriate degree of intensity of the prescribed therapies.
Panchakarma treatments have been shown to create measurable brain wave coherence and to lower metabolic activity. They allow the body and mind to drop into a profound level of peacefulness. In this state of relaxation, it is possible to cleanse toxins from tissues as well as to release deeply held emotional tensions.

The Panchakarma Process: Panchakarma treatments are divided into three phases of detoxifications

  • Purvakarma is a preparation for cleansing
  • Pradhankarma or Main course of Panchakarma consists of five cleansing procedures
  • Pashchatkarma, or after care, are therapies applied after cleansing

  • Purvakarma: Consists of the following steps:

    Snehan (oleation therapy):

    Internal snehan: medicated oils and ghee (clarified butter) are used. These help eliminate impurities so that elimination becomes easier. External snehan: consists of different kinds of massage using medicated oils.

    Swedan (sweating):

    Sweating is done shortly after the massage. This is normally done in a sweat box. The purvakarma procedures are often under appreciated in the grand scheme of proper administration of Panchakarma.The general purpose of the Poorvakarma Therapies is to begin to loosen, liquefy, and move the vitiated doshas from their abnormal sites in peripheral tissues to the appropriate central site within the alimentary canal.

    Pradhan karma : The main course consist of five process as follows:
  • Vamana (use of emetics): Artificial vomiting is induced using herbs. It is usually indicated for people with ‘Kapha’ (phlegm) disorders.
  • Virechan (use of laxatives): Different purgatives are used depending upon a person’s constitution and disease. It is normally used to eliminate excessive Pitta (fire) from its site in the small intestines.
  • Basti: A colon irrigation procedure to first cleanse the colon (Niruh Basti), and then restore (Asthapan) the function of colon with medicated enemas.
  • Nasya (Nasal administration): Medicinal oils or herbal mixtures are inhaled or used as drops (mixed with oils or ghee) to clear the congestion in the sinuses. It is also good for balancing the prana (air) in vata.
  • Rakta Mokshana (bloodletting): We recommend blood donations. Researchers at the Kansas University Medical Center in Kansas City have found that non-smoking men who donated blood had a 30% reduced risk for cardiovascular events such as heart attack, bypass, and stroke than non-donors. (The British Medical Journal, March 15, 1997 Volume 314, 793-794).
  • Enema (Basti)

    Medicated enemas are used for various specific reasons. In general, this treatment is used topromote elimination of the loosened Vata dosha out through the rectum. There are many specific enemas listed in Ayurveda. Basti involves introducing medicinal substances such as herbalized oils and other herbal decoctions in a liquid medium into the rectum. Basti is especially good for vata disorders. It alleviates constipation, distention, chronic fever, the common cold, sexual disorders, kidney stones, heart pain, vomiting, backache, neck pain and hyperacidity. Such vata disorders as sciatica, arthritis, rheumatism, neurodegenerative conditions, and gout can also be treated by Basti. There are about 80 vata-related disorders in Ayurveda. About 80 percent of them can be treated with medicated enemas. Since vata is mainly located in the colon and bones, the medication is administered rectally.

    Other Miscellaneous Therapies of Panchkarma

    Nasya (Nasal administration; Errhine Therapy

    This treatment involves the administration of herbalized oils and liquids into the nostrils. It is useful for treatment of kapha-oriented problems, of ear, eyes, nose and throat disorders such as migraine, sinusitis, catarrh, and bronchitis. The nose is the gateway to the brain and to consciousness. Prana or vital energy enters the body through breath taken in through the nose. Nasal administration of medication helps to correct the disorders of prana affecting the higher cerebral, sensory and motor functions. Nasya is indicated for dryness of the nose, sinus congestion, hoarseness, migraine headache, neurodegenerative conditions (i.e. multiple sclerosis), convulsions and certain eye and ear problems.


    Blood Letting (Rakta Moksha)

    Blood letting is used to eliminate toxins that are absorbed into the bloodstream through the gastrointestinal tract. This process purifies the blood. It is used for disorders such as repeated attacks of skin disorders such as urticaria, rash, eczema, acne, scabies, leucoderma, chronic itching and hives. It is also often effective for enlarged liver and spleen, hemochromatosis, and for gout. Blood letting, which should only be administered by a qualified physician, is useful to relieve several pitta disorders such as acne and rash. If administered properly, it stimulates the antitoxic substances in the blood stream, thus developing the immune mechanism in the blood system. Do not administer blood letting in cases of anemia, edema, weakness or to very old and very young persons.


    Instructions about Panchakarma

    It is important to notice that a specific Panchakarma protocol is selected for each individual after complete physical examination and pulse diagnosis.That’s why to make a universal package for everybody is not recommended, especially when it is claimed to do whole panchakarma in 21 days package is unimaginable. At Ayuskama Panchakarma is tailored according to individual needs and health conditions, and a specific program is made for every patient. Panchakarma treatments can take from minimum 7 days if only one treatment is done to upto 2 months if all treatments are done.



    This is a special type of oil massage in which hand strokes are made according to the disease. It enhances blood flow and is usually given as pre-procedure to many therapies as well as a separate therapy in itself.Indication: Obesity, rheumatism, blood pressure, spondylitis, weakness, stress and strain, rejuvenations, relaxation, vigor & vitality.



    Slow stream of warm medicated oil applied/poured all over the body along with gentle massage. The time duration is generally 45-60 minutes per session.
    Indications: Rheumatic disease, arthritis, spondylitis, paralysis, hemiplegia, paraplegia, sexual weakness, nervous weakness & other diseases.


    Shirodhara (Types: Thaila/Thakra/Kseer/Kashay)

    In this procedure, herbal oils, medicated buttermilk or milk or decoction etc are poured slowly on the forehead. The time duration is 20-45 minutes. Indication: Insomnia, mental tension, headache, migraine, sinusitis, certain skin diseases, stress & strain, depression, hair care etc.


    Navarkizhi (shashtik pinda swedan)

    In this process, the whole body or any specific part there of, is made to perspire by the external application of certain medicated milk puddings tied up in the form of boluses. The time duration is 45-60min
    Indication: Emaciation of limbs, skin diseases, rheumatic complaints etc.



    This is a typical massage with herbal powders useful for burning fat under the skin. It helps to lose weight, exfoliates dead skin. The time duration is 30-50min.
    Indication: Obesity, Hemiplegia, Paralysis, Skin Ailments, Impaired Blood Circulation.



    Lukewarm herbal oils are poured into a cap fitted on the head and stagnated for a prescribed time according to patient’s condition. The time duration is 30-45minutes.
    Indication: Facial Paralysis, dryness of nostrils, mouth & throat, severe headaches, burning sensation of head & other Vata-borne Diseases, Hairfall, Thinning and greying of Hair etc.


    Kati Vasti

    For this, specially prepared warm medicated oil is kept over the lower back within herbal paste boundary. The time duration is 20-30min per session.
    Indication: All types of back pain & spinal pain, slip disc, sciatica, spondylitis etc.


    Thala Dharan

    Special powder mixed with oil is applied on top of the head. The time duration is 30min per session
    Indication: Migraine, facial paralysis, heat stroke, high B.P. etc.



    This therapy consumes 15-20 minutes. It involves filling the ears with medicated oil to drain, wash the ear.
    Indications: Dry nose/ears, earache, ear wax, tinnitus, tingling sensation in the ears etc.



    It is a cleansing process for the eyes, which gives a cooling effect to the eyes, prevents eye diseases and strengthens optic nerve, also improves eyesight. This procedure takes 15-25 minutes.
    Indications: Eyestrain due to TV, computer, pollution, tired eyes, watering of eyes, dimness of vision at night. It helps in preventing early formations of cataract.



    In this procedure, herbal paste is applied to the face for the treatment of wrinkles, dry or oily skin, blemishes, acne etc.


    Hrid Basti/Uro basti

    It is a unique treatment for heart and chest diseases. In this medicated oil, ghrit or decoction of herbs is placed into the rim of urad flour.
    Indication: Useful for strengthening of heart, angina, asthma and other respiratory problems.


    Janu Basti

    In this treatment, medicated oils, ghrit is placed into the rim of urad flour made at the knee joint.
    Indications: Osteoarthritis, Rheumatoid Arthritis, Gout etc.


    Marma Therapy

    Marma Therapy

    Marma are the vital areas of the body. The word Marma comes from Sanskrit origin word ‘mri’ meaning death. The Sanskrit phrase, ‘Marayate Iti Marmani’, also means death or serious damage to body or health after infliction to the point of their situation . Hence these areas are called Marma. In siddha system of medicine they are called Varma.
    Marma in Sanskrit means hidden or secret. By definition, a Marma point is a junction on body where two or more types of tissue meet, such as muscles, veins, ligaments, bones or joints.
    During ancient times, knowledge of Marma was known to kings and warriors. It was applied in battle fields to hit and achieve maximum lethal effect on enemies. This science was used both in warfare and surgery. From common ailments to serious neuromuscular diseases, all can be treated by Marma therapy.
    Common ailments like headache, bodyache, faulty spinal alignment, pain in the joints can be rejuvenated through Marma Chikitsa, which involves Swedana, Abhayanga, Pizhichil, and Kizhi (bolus) treatment. Kizhi treatment is a therapy wherein herbs are slightly fried, wrapped in muslin cloth and tied to make a bolus, heated in medicinal oils in a frying pan and placed on the area to be treated. This is followed by specific massage using fingers, heel or palm. The pressure application varies according to the nature of ailment and the point of application.
    Sushruta Samhita describes 107 Marma points in body. In Tamil traditions, 108 Marma points are enumarated, and in Kalari tradition of kerala 365 Marma points are in practice. Major marma points correspond to seven Chakras, or energy centers of the body, while minor points radiate out along the trunk and limbs. The points cover both the front and back of the body, including 22 on the lower extremities, 22 on the arms, 12 on the chest and stomach, 14 on the back, and 37 on the head and neck. (The mind is considered the 108th Marma.) Each has its own name based on their anatomical position.
    The human body, needs shodhana(revitalisation) in order to perform its function normally and efficiently. In Ayurvedic system, especially in kerala, Marma massage is performed as a routine in preventive medicine. A professional therapist isolates Marma points and tone them by increasing blood flow to affected part of the neuro-muscular junction. They also aim to tone the surrounding muscles.

    History of Marma Massage

    Marma-point massage dates back to southern India year 1500 BC. Masters of kalari, an ancient martial art, first discovered the power of Marma points. In battle, kalari fighters targeted an opponent's Marma point as a way to inflict pain and injury. According to kalari lore, people have 12 Marma points that, when hit with a knockout blow, can cause instant death. These areas were so important that soldiers even used armour to protect their horses' Marma points while riding into battle.
    Wounded kalari fighters were nursed back to health with Marma therapy. Practitioners used Marma-point massage to stimulate healing in areas that corresponded to the injuries. For blow to intestines, for example, the Marma point on the back of calf, which correspond with the transverse part of large intestine, is massaged to trigger flow of energy to induce healing. Ayurvedic physicians, all over India learnt the importance of this art and hired kalari masters in hospitals to teach . Soon, Marma-point training became mandatory for surgeons, who worked around specific points to prevent risk to life. Today marma-point massage is still a respected component of Ayurvedic healing.

    Classification of Marma

    1. SADYAH PRANAHARA MARMA : When a Marma point is injured, due to the spontaneous loss of Prana vayu , death is certain.
    2. KALANTARA PRANAHARA MARMA : These Marmas result in kalanthara (gradual) loss of life ( pranahara), after lapse of some time.
    3. VISHALYAGHNA : The word shalya refers to a foreign body. When a foreign body pierces these varieties of Marma, the injured person survives as long as the foreign body remains at the place of injury. But on removal, it results in death of the individual.
    4. VAIKALYAKARA : These varieties of Marma when subjected to injury, cause deformity of those organs which are dependent on that particular Marma for their energy distribution. The word Vikalya or Vaikalya means deformity.
    5. RUJAKARA MARMA : These Marmas neither result in deformity nor cause death, but results in excruciating pain (ruja), when injured.

    Five Basic Catagories of Marma Points Tradditional Marma Recognises three categories
    Mamsa Marma(Muscles) 11 Points Shakha Marma(Legs&Feet)
    Asthi Marma (Bones) 8Points Madhyamanga Marma(Trunk)
    Snayu Marma (Tendons &ligamants)27Points Jatrudhara Marma(Neck&Head)
    Sandhi Marma(Joints)20Points ----------------------------
    Shira Marma(Nerves,Veins&Arteries)41Points ----------------------------


    There are four basic purposes of Marma:

    1. It remove  blocks in energy channels called shrotas.
    2. It pacifies vata dosha, (air and space elements ), bringing it to its normal path— especially vyana vata, (a sub-dosha which controls the autonomic nervous system.) 
    3. It creates physical, mental and emotional flexibility.  Because of ama (toxins) and because of vata, human beings after 35 or 40 years of age become rigid — and this happens to animals and plants as well.  As vata increases in   body, it leads to degeneration.  This rigidity  means becoming fixed in ideas, emotions and physical movements. 
    4. This gentle treatment creates an opportunity to experience powerful and dynamic transformation at the physical, mental, emotional and spiritual level  by building a positive link with the unconscious mind.  Many a times, people are not able to go outside their ‘comfort zone’.  They think they have absolute limitations.  After Marma is done, they can start taking positive risks.

    Therapeutic value of Marma


    Marma is beneficial for many conditions, including the following:

    Muscular and joint pain Frozen joints
    Muscular strain Respiratory conditions
    Digestion and elimination problems Nervous system disorders
    Headaches and migraines General aging problems
    Glandular tissues Anxiety and depression
    Stress response, fears and phobias Confusion, memory loss and mental focus
    Low energy and fatigue Breaking through limited belief systems

    Diseases Curable & Manageable By Marma Chikitsa


    To name a few diseases in which Marma chikitsa is highly appreciated in giving cure are:

    Paralysis Sciatic pain
    Migraine Tremors
    Diabetic neuropathy Muscular twitching & cramps
    Trigeminal Neuralgia Facial or Bell's palsy
    Urinary incontinence Lumbar Spondilitis
    Lumbar Spondilolisthesis (Disc bulge or prolapse) Cervical Spondilitis
    Cervical Spondilolisthesis (Disc bulge or prolapse) Frozen shoulder (periarthritis)
    Carpal tunnel syndrome Muscular and joint pain
    Frozen joints Muscular strain
    Respiratory conditions Digestion and elimination problems

    Marma Chikitsa is an important aspect of  Ayurvedic  treatment  where the application of pressure on these Marma points induces the flow of vital energy (prana) along a complex system of subtle channels called (nadis). Based on the knowledge enumerated in Dhanurveda ( dealing with knowledge of bow and arrow fights), 107 therapeutic Marma points are recognised by   Ayurveda. The injury to some of these lethal Marma points can lead to instant death. Massage is widely applied in the treatment of Marmas.

    Stress Management

    Stress Management

    It is well accepted that stress is the greatest threat to the well being of people. Stress weakens the immune system.Stress plays a role in the onset of just about every disease people face, from the common cold to heart disease. Not only is stress invisible, it is created by the person who is affected by it. This realization helps people understand that, just as they have the ability to create the experience of stress, they also have the ability to create the experience of peace of mind. Ayurveda and its sister science Yoga are a path to personal power; helping people learn how to gain control over the mind.
    Stress Management includes –

    • Shirodhara • Takradhara
    • HridBasti • HridBasti
    • HridBasti • Meditation
    • Pranayama -------------

    Massage Therapy

    Massage Therapy

    In an ideal world, Ayurvedic massage should be carried out every day to promote positive health, overcome fatigue, strengthen the nervous system, improve eyesight, nourish the bodily tissues, increase longevity, normalise sleep, instil flexibility and sturdiness as well as to maintain good health in general. Different from pressure point western massage, Ayurvedic massage uses various types of medicated oils in long vigorous strokes throughout the body. Massage therapy includes –

    • Abhyanga (Head and Body massage) • Marma Massage
    • Potali Massage (Herbal Bolus Massage) • Stress Release Massage
    • Udvartana (Powder Massage) • Padabhyanga
    • Deep Tissue Massage • Earth Stone Massage
    • Head Massage • Shashtishali (Milk rice Bolus Massage)

    Ayur Yoga Therapy



    This Intensive Yoga Therapy Certificate Course covers the basics of yoga therapy and treatment methodology, natural therapy, anatomy, Ayurvedic Treatments and yogic diets. It is suitable for yoga practitioners of all levels, as well as medical, fitness, and sports professionals. Students learn to develop sequences suited to an individual’s needs and limitations, and experience first-hand what it’s like to teach a yoga therapy class directed at treating different ailments


    Yoga and ayurveda has always traditionally been taught on an individual level, with tailor-made sessions designed to address unique and specific ailments and diseases – a practice that cannot be implemented in classes with massive groups. A therapeutic approach to this is the best way to start with the practice.

    The following points fall within the concept of our Ayur - yoga therapy program:

    • Designing tailor-made yogic practices according to the individual’s body type and lifestyle
    • Effectively addressing and treating an individual’s physical and mental ailments through such tailored practices
    • Planning a nutritious yogic diet ,providing the Knowledge of Body type and nature according our Ayurvedic knowledge,
    • Understanding of Ayurvedic herbs and treatments.
    • Understanding and applying the practices and philosophy of yoga in our daily lives, as well as therapeutic benefits to ayurvedic treatments in Yogic and daily life.
    • Being in connection with nature’s five elements, adopting a healthy and environmentally-conscious lifestyle and truly understanding our responsibility as human beings on all levels and stages.


    Yoga Anatomy

    Study of Yogic Anatomy and Physiology

    Study about Various Common Ailments

    Yoga Theory

    Study of Yogic Rehabilitation Techniques for Various Ailments

    Study of Chakras, Koshas, Pranas, Nadis, Gunas, Vayus and its application in Yogic practices.

    Ayurveda Theory

    • Basic principle of Ayurveda
    • Pancha Mahabhuta Concept
    • Tridosha Concept ( vata, pitta. Kapha)
    • Concept of Sapta Dhatu (Body Elements)
    • Concept of Mala (Waste Products)
    • Concept of Srotas (Body Channels)
    • Concept of Agni (Digestive Fire)
    • Concept of Koshta (Alimentary Tract)
    • Concept of Prakruti (Body Constitution)
    • Concept of Vikurti
    • Concept of ama(metabolic toxins)
    • Benefits of Pranayama and Prana vata, techniques of breathing ,Bandhas, Yogic Shatkriya/Shatkarma (Yogic way for cleaning), Panchakarma (detoxification technique)

    Yoga Therapy Practicals and Application

    Applications of Yoga Therapy for various ailments. ( Neck Pain, Back Pain, Hip Pain & Stress)

    Self Study / Project Work

    Application for Yoga Therapy for any ailment

    Library Hour.

    Application of Yoga Therapy for Various Ailments


    Ayurvedic Practical

    Panch karma
    Ayurvedic ingredients