• The meaning and purpose of pañcakarma
• Pañcakarma as the elimination of aggravated doṣas
• Laṅghana and the Ayurvedic understanding of reduction and purification
• Śodhana cikitsā as a therapeutic path
• The role of pañcakarma in restoring balance
• Classical pañcakarma and its place in Ayurvedic medicine
• Individualized elimination therapies for specific conditions
• Specialized traditional body treatments in pañcakarma care
• Understanding when purification is appropriate
• Determining who is and is not a candidate for pañcakarma
• The importance of proper preparation before elimination therapies
• Pūrva karma: preparing the body for cleansing
• Dīpana and pācana as preparation for purification
• Oleation, lubrication, and internal softening
• Sweating therapies and the mobilization of doṣas
• The intelligence of timing in pañcakarma
• Pradhāna karma: the main eliminative procedures
• The therapeutic use of basti
• The therapeutic use of nasya
• Rakta mokṣa in classical understanding
• The purpose and application of eliminative therapies
• Matching therapies to constitution, condition, strength, and stage of disease
• Indications and contraindications for pañcakarma procedures
• Signs that a therapy has been properly administered
• Signs of incomplete, excessive, or unsuccessful administration
• How to assess patient response throughout treatment
• How to adjust treatment when a therapy is not tolerated or effective
• Oils, herbs, and medicines used in pañcakarma practice
• Designing a complete pañcakarma program
• Structuring a program from preparation through rehabilitation
• Diet, lifestyle, and herbs during pañcakarma
• The role of supervision, sequencing, and case management
• Paścāt karma: care after purification
• Rebuilding digestion after cleansing
• Rekindling agni after elimination therapies
• Reintroducing nourishment with intelligence and care
• Rasāyana after pañcakarma
• Rejuvenation after detoxification
• Strengthening and stabilizing the tissues after cleansing
• Designing post-treatment protocols according to prakṛti
• Supporting elimination, appetite, and strength during recovery
• Modifying pañcakarma for specific diseases and conditions
• Modifying treatment according to the patient’s changing response
• Appetite, elimination, vitality, and resilience as clinical markers
• The art of managing purification safely and skillfully
• Pañcakarma as both science and sacred process
• Guiding deep cleansing without losing the person
• Supporting transformation through purification, restoration, and renewal

Elimination of Aggravated Doṣas (Laṅghana: Pañcakarma)

Demonstrated ability to recommend pañcakarma (Elimination of Aggravated of Doṣas) programs as well as individual treatments (shodhana chikitsa – elimination therapies), including: classical pañcakarma (Elimination of Aggravated of Doṣas), and treatments for individual conditions, including the use of specialized traditional body treatments.

Demonstrated ability in designing, implementing and managing pañcakarma (Elimination of Aggravated of Doṣas) programs as well as individual treatments (śodhana cikitsā – elimination therapies), including: classical pañcakarma (Elimination of Aggravated of Doṣas) and treatments for individual conditions, including use of specialized traditional body treatments. Includes pūrva karma (preoperational procedures) pradhāna karma (main procedure), (diet, lifestyle & herbs)

Demonstrated ability and in-depth knowledge to make the following recommendations and provide appropriate case management:

Pūrva Karma (preoperational procedures)

• Design a pūrva karma (preoperational procedures) program and should be able to monitor the client to look for signs of over and under oleation (oil therapy).

Pradhāna Karma

• Design a pradhāna karma(main procedure) program and should be able to manage the client as he/she goes through the program
  • Vamana – Medicated Emesis (not done routinely in US)
  • Virechana – Medicated Purgation
  • Basti – Medicated enemas
  • Nasya – Medicated nasal drops
  • Rakta Moksha – Blood letting (not done routinely in US)

Paścāt Karma – Rehabilitative measures

• Design a paścāt karma (rehabilitative measures) program and manage the client as he/she goes through the program. This includes restoration of strong digestive fire to nourish, strengthen, and balance the newly detoxified tissues by recommending Rasayan (rejuvanative) herbs according to Prakriti (individual constitution).

In-depth knowledge of:

• Ama pācana (digestion of undigested material)
• The process of pūrva karma (preparatory procedures)
• The process of pradhāna karma (main procedure)
• Pūrva karma (preparatory procedures) practice including indications and contraindications
• Pradhāna karma (main procedure) practice including indications and contraindications.
• Signs of successful and unsuccessful administration of each practice
• How to adjust the program if the administration of a therapy is not successful.
• Oils and medicines to be used in each practice.
• How to design a complete pañcakarma (Elimination of Aggravated of Doṣas) program including pūrva (preparatory), pradhāna (main) and paścāt (rehabilitative) karma (procedures).
• How to modify the complete pañcakarma (Elimination of Aggravated of Doṣas) program for clients with a vāta, pitta and kapha vikṛti (pathological conditions).
• How to modify the complete pañcakarma (Elimination of Aggravated of Doṣas) program for clients with various diseases.
• How to modify a pañcakarma (Elimination of Aggravated of Doṣas) program with consideration of the client’s response to the therapies including but not limited to:
  • Changes in appetite, elimination pattern , and overall strength

Bṛṁhaṇa (Tonification)

Demonstrated ability to a recommend a post pañcakarma (Elimination of Aggravated of Doṣas) rejuvenation program (paścāt karma)

Demonstrated ability to design, implement and manage a post pañcakarma rejuvenation (paścāt karma) for the purposes of rejuvenating the body and mind.

In-depth knowledge of:

• The principles and process of samsarjana karma (rehabilitating diet); including how to restore healthy agni (digestive fire) while reintroducing foods into the diet.
• The use of herbs and herbal formulas in the rejuvenation process.
• The appropriate timing for the administration of rejuvenative herbs following pradhāna karma (Elimination of Aggravated of Doṣas).
• How to properly monitor a client during the period of paścāt karma (rehabilitative procedures) and how to adjust a client’s program in accordance with their response to care.