Medicine and Ayurveda

Ayurveda(Sanskrit Ayurveda, the companionship for long life history/? a?.? r? ve? d? /2) orayurvedic wellness check specialtyis a Hindu transcription of traditionalistic medicine native toIndiaand a stochastic variable ofalternative medicine. The earliest books on Indian medical approach pattern appe bed during theVedic periodin India,3i. e. , in the mid-second millennium BCE. TheSusruta Sa? hitaand theCharaka Sa? hita, encyclopedias of medicine compiled from various sources from the mid- scratch millennium BCE to about viosterol CE,4argon among the foundational industrial plant of Ayurveda.Over the following centuries, ayurvedic practiti hotshotrs developed a number of medicative preparations and working(a) procedures for the sermon of various ailments. 5Current practices derived (or reportedly derived) from Ayurvedic medicine argon regarded as donation ofcomplementary and alternative medicine. 6 Safety concerns have been elevated about Ayurveda, with twain U. S. stu dies finding about 20 percent of Ayurvedic Indian-manufactured appargonnt medicines contained cyanogenetic levels of heavy metals such(prenominal) aslead,mercuryandarsenic.Other concerns take on the recitation of herbs containing poisonous compounds and the deficiency of quality control in Ayurvedic facilities. At an first periodwhen? , Ayurveda adopted the physics of the five dollar bill divisions (Devanagari ) earth (P? thvi), water (Jala), fire (Agni), ship (Vayu) and space (Akasa) that compose the macrocosm, including the human t driftk. 9Ayurveda describes s scour types of tissues of the body, known as thesaptadhatu(Devanagari ). They be plasma (rasa dhatu), blood (rakta dhatu),flesh(ma? a dhatu), adipose (medha dhatu),bone(asthi dhatu),marrowand awkward (majja dhatu), and reproductive (semenorfemale reproductive tissue) (sukra dhatu). 10Ayurvedic literature deals elaborately with measures of vigorous tang during the entire span of life and its various phases. Ayurveda stresses a sense of balance of tierce ele moral energies orhumorsVayu / vata(air & space wind),pitta(fire & water saddle sore) andkapha(water & earth phlegm). consort to ayurvedic medical theory, these ternary substances do? as (Devanagari argon important for health, beca pulmonary tuberculosis when they exist in equal quantities, the body go away be healthy, and when they atomic number 18 not in equal amounts, the body volition be unhealthy in various ways. One ayurvedic theory asserts that apiece human possesses a ludicrous combination ofdo? asthat assign that psyches temperament and characteristics. An separate view, excessively present in the antediluvian patriarch literature, asserts that humoral equality is identical to health, and that persons with preponderances of humours be proportionately unhealthy, and that this is not their natural temperament.In ayurveda, unalike the Sa? khya philosophical trunk, in that respect ar 20 ingrained quali ties,gu? a(Devanagari , meaning qualities) inherent in in all substances. 11While surgery and surgical instruments were employed from a rattling early period, Ayurvedic theory asserts that building a healthy metabolic system, attaining gooddigestion, and properexcretionlead to vitality. 11Ayurveda as well as focuses on exercise,yoga, andmeditation. 12 The practice ofpanchakarma(Devanagari is a therapeutic way of eliminating toxic elements from the body. 13 As early as theMahabharata, ayurveda was called the science of eight components (Skt. a a? ga,Devanagari ), a classification that became canonical for ayurveda. They are14 1. Internal medicine(Kaya-cikitsa) 2. Paediatrics(Kaumarabh? tyam) 3. operating theater(Salya-cikitsa) 4. OpthalmologyandENT(Salakya tantra) 5. Psychiatryhas been calledBhuta vidya. 3 6. Toxicology(Agadatantram) 7. Prevention of diseases and improvingimmunityandrejuvenation(rasayana) 8.Aphrodisiacsand improving health of progeny (Vajikaranam) In Hindu myt hology, the origin of ayurvedic medicine is attributed toDhanvantari, the physician of the gods. 15 - Practices some(prenominal) philosophers in India intermingled religion and traditional medicinenotable examples be that ofHinduismand ayurveda. Shown in the image is the philosopherNagarjunaknown chiefly for his doctrine of theMadhyamaka(middle path)who wrote medical worksThe Hundred PrescriptionsandThe Precious Collection, among others. 16 edit eternal sleepHinduismandBuddhismhave been an influence on the development of some of ayurvedas central ideas particularly its fascination with balance, known in Buddhism asMadhyathmaka(Devanagari ). 17Balance is emphasized suppressing natural urges is seen to be unhealthy, and doing so cl contained to lead to illness. 17However, large number are cautioned to stay within the limits of reasonable balance and measure. 17For example, emphasis is placed on moderation of food intake,9sleep, sexual intercourse. 17 editDiagnosis Ayurvedic pra ctitioners approach diagnosis by use all five senses. 18Hearing is used to observe the condition of earth discussion and speech. 10The discover of the lethal points ormarman marmais of special importance. 11Ayurvedic doctors regard physical and mental existence tog quintessence with personality as a unit, each element having the capacity to influence the others. One of the fundamental aspects of ayurvedic medicine is to take this into explanation during diagnosis and therapy. editHygiene Hygieneis a central practice of ayurvedic medicine. Hygienic living involves regular bathing, cleansing of teeth, skin care, and eye washing. 10 editTreatments Ayurveda stresses the use of plant-based medicines and interventions. Hundreds of plant-based medicines are employed, including cardamumand cinnamon. Some animal products whitethorn also be used, for example milk,bones, andgallstones. In addition, fats are used twain(prenominal) for consumption and for external use. Minerals, includin gsulfur,arsenic, lead,copper convertand gold are also consumed as prescribed. 10This practice of adding minerals to herbal medicine is known asrasa shastra. In some cases, alcohol was used as anarcoticfor the patient undergoing an operation.The advent of Islam introducedopiumas a narcotic. 14 two oil and tar were used to stop bleeding. 10Traumatic bleeding was verbalize to be stopped by quatern diverse methodsligationof theblood vascauterisation by heat using distinct herbal or animal preparations locally which could facilitateclotting and different medical preparations which could narrow downthe bleeding or oozing vessels. Various oils could be used in a number of ways, including regular consumption as a part of food, anointing, smearing,head mas keen, and prescribed application to infected areas. 19pageneeded editSrotas Ensuring the proper functions of channels (srotas) that bear fluids from one point to some other is a vital goal of ayurvedic medicine, because the lack of healthy srotas is thought to causerheumatism,epilepsy,autism,paralysis,convulsions, andinsanity. Practitioners induce sweating and prescribe steam-based treatments as a means to open up the channels and dilute thedo? asclarification neededthat cause the blockages and lead to disease. 20 - editHistoryOne view of the early history of ayurveda asserts that around 1500BC, ayurvedas fundamental and applied principles got organized and enunciated. In this historical construction, Ayurveda traces its origins to theVedas,Atharvavedain particular, and is connected to Hindu religion. Atharvaveda(one of the four most ancient books of Indian knowledge, wisdom and culture) contains 114 hymns or goulations for the treatment of diseases. Ayurveda originated in and developed from these hymns. In this sense, ayurveda is considered by some to have manufacturing business origin.Indian medicine has a long history, and is one of the oldest organised systems of medicine. Its earliest conceits are set out in the sacred opuss called the Vedas, especially in the metrical passages of theAtharvaveda, which may possibly date as far sustain as the 2nd millennium BC. tally to a by and by writer, the system of medicine was current byDhanvantarifromBrahma, and Dhanvantari was deified as the god of medicine. In later times his status was gradually reduced, until he was credited with having been an earthly king10namedDivodasa. 22 underwood Rhodes (2008) hold that this early phase of traditional Indian medicine place fever (takman), cough,consumption, diarrhea,dropsy,abscesses,seizures, tumours, and skin diseases (includingleprosy). 10Treatment of complex ailments, includingangina pectoris,diabetes,hypertension, andstones, also ensued during this period. 524 pliant surgery,couching(a form of cataract surgery), puncturing to release fluids in theabdomen, extraction of foreign elements, treatment ofanal retentive fistulas, treating fractures,amputations,cesarean sections, and stitching of wounds were known. 10The use of herbs and surgical instruments became widespread. 10TheCharaka Samhitatext is arguably the virtuoso classic reference. It gives emphasis to the triune nature of each person body care, mental regulation, and spiritual/consciousness refinement. Other early works of ayurveda include theCharaka Samhita, attributed toCharaka. 10The earliest surviving excavated written material which contains references to the works of Sushruta is theBower Manuscript, go out to the 6th centuryAD. The Bower manuscript is of special inte poleup man to historians cod to the presence of Indian medicine and its concepts in central Asia. 25Vagbhata, the son of a senior doctor by the name of Simhagupta,26also compiled his works on traditional medicine. 10Early ayurveda had a school of physicians and a school of surgeons. 3 usance holds that the textAgnivesh tantra, written by the sage Agnivesh, a student of the sageBharadwaja, influenced the writings of ayurveda. 27 The C hinese pilgrimFa Hsien(ca. 337422 AD) wrote about the health care system of theGupta conglomerate(320550) and describe the institutional approach of Indian medicine, also visible in the works of Charaka, who mentions a clinic and how it should be equipped. 28Madhava (fl. 700), Sarngadhara (fl. 1300), and Bhavamisra (fl. 1500) compiled works on Indian medicine. 25The medical works of both Sushruta and Charaka were translated into theArabic languageduring theAbbasid Caliphate(ca. 750). 29These Arabic works line their way into Europe via intermediaries. 29InItaly, the Branca family ofSicilyand Gaspare Tagliacozzi (Bologna) became familiar with the techniques of Sushruta. 29 British physicians traveled to India to see rhinoplastybeing performed by native methods. 30Reports on Indian rhinoplasty were make in theGentlemans Magazinein 1794. 30Joseph Constantine Carpuespent 20 geezerhood in India studying local plastic surgery methods. 30Carpue was able to perform the first major surger y in the western world in 1815. 31Instruments described in theSushruta Samhitawere further modified in the Western World. 31 - editCurrent status editIndia According to some sources up to 80 percent of mass in India use some form of traditional medicines, a category which includes Ayurveda. 32 In 1970, the Indian Medical Central Council Act which aims to standardize qualifications for ayurveda and provide accredited institutions for its study and research was passed by theParliament of India. 33In India, over 100 colleges tenderize degrees in traditional ayurvedic medicine. 12The Indian government supports research and teaching in ayurveda through many channels at both the national and render levels, and supports institutionalize traditional medicine so that it can be analyse in major towns and cities. 34The state-sponsoredCentral Council for Research in Ayurvedic Sciences(CCRAS) has been set up to research the subject. 35To fightbiopiracyand unethical patents, theGovernment of India, in 2001, set up theTraditional Knowledge Digital Libraryas repository of 1200 formulations of various systems of Indian medicine, such as ayurveda,unaniandsiddha. 3637The library also has 50 traditional ayurveda books digitized and available online. 38 Central Council of Indian music(CCIM) a statutory body established in 1971, underDepartment of Ayurveda, Yoga and Naturopathy, Unani, Siddha and Homoeopathy(AYUSH),Ministry of Health and Family Welfare,Government of India, monitors higher genteelness in ayurveda. 39Many clinics in urban and rural areas are run by professionals who qualify from these institutes. 33 editSri Lanka The Sri Lankan tradition of Ayurveda is very similar to the Indian tradition. Practitioners of Ayurveda in Sri Lanka refer to texts on the subject written inSanskrit, which are usual to both countries. However, they do differ in some aspects, particularly in the herbs used. The Sri Lankan government has established a Ministry of Indigenous Medicine (established in 1980) to indemnify and regulate the practice within the country40The Institute of Indigenous Medicine (affiliated to theUniversity of capital of Sri Lankacurrently ffers undergraduate, postgraduate, and MD degrees in the practice of Ayurveda Medicine and Surgery, and similar degrees inunanimedicine. 41 There are currently 62 Ayurvedic Hospitals and 208 central dispensaries in the public system, and they served just about 3 million people ( somewhat 11 percent of Sri Lankas get along population) in 2010. In total in that location are currently about 20,000 registered practitioners of Ayurveda in the country. 4243 Many Sri Lankan hotels and resorts offer Ayurveda themed packages, where guests are treated to a wide array of Ayurveda treatments during their stay. editOutside southernmost Asia Due to different laws and medical regulations in the rest of the world, the unregulated practice and commercialization of ayurvedic medicine has raised ethical and statutory issues in some cases, this damages the reputation of ayurvedic medicine outside India. 444546 - editScientific assessment In studies in mice, the leaves ofTerminalia arjunahave been shown to have analgesic and anti-inflammatory properties. 47 As atraditional medicine, many ayurveda products have not been well-tried in rigorous scientific studies andclinical trials.In India, research in ayurveda is undertaken by the statutory body of theCentral Government, theCentral Council for Research in Ayurveda and Siddha(CCRAS), through a national network of research institutes. 48A systematic review of ayurveda treatments for rheumaticarthritisconcluded that there was insufficient assure, as most of the trials were not make properly, and the one high-quality trial showed no benefits. 49A review of ayurveda andcardiovascular diseaseconcluded that the try out for ayurveda was not convincing, though some herbs seemed promising. 50 Two varieties ofSalviahave been time-tested in small trials one trial provided evidence thatSalvia lavandulifolia(Spanish sage) may improve word recall in young adults,51and another(prenominal) provided evidence thatSalvia officinalis( cat valium sage) may improve symptoms inAlzheimerspatients. 52Many plants used asrasayana(rejuvenation) medications are potent antioxidants. 53Neemappears to have beneficial pharmacological properties. 54 - editSafety Rasa shastra, the practice of adding metals, minerals or gems to herbs, may have toxic heavy metals such aslead,mercuryandarsenic. 7Adverse reactions to herbs due to their pharmacology are described in traditional ayurvedic texts, but ayurvedic practitioners are reluctant to admit that herbs could be toxic and that reliable information on herbal perniciousness is not promptly available. And there is communication gap between modern medicine practitioners and Ayurvedic practitioners55 According to a 1990 study on ayurvedic medicines in India, 41 percent of the products tested contained arsenic, and 64 percent contained lead and mercury. 32A 2004 study found toxic levels of heavy metals in 20 percent of ayurvedic preparations made in South Asia and sold in the Boston area, and concluded that ayurvedic products posed serious health risks and should be tested for heavy-metal contamination. 56A 2008 study of more than 230 products found that approximately 20 percent of remedies (and 40 percent ofrasa shastramedicines) purchased over the Internet from both US and Indian suppliers contained lead, mercury or arsenic. 75758In 2012 Center for unsoundness Control and Prevention (CDC) in Washington states in its report that Ayurvedic drugs has links to lead poisoning on the basis of some cases presented where some meaning(a) woman had taken Ayurvedic drugs toxic materials were found in their blood. 59 Ayurvedic proponents believe that the toxicity of these materials is reduced through purification physical processes such assamskarasorshodhanas(for metals), similar to the Chinesepa o zhi, although the ayurvedic technique is more complex and may involve prayers as well as physical pharmacy techniques.However, these products have nonetheless caused strictlead poisoningand other toxic effects. 757 Due to these concerns, the Government of India govern that ayurvedic products must specify their metallic content directly on the labels of the product,8but, writing on the subject forCurrent Science, a publication of theIndian honorary society of Sciences, M. S. Valiathan noted that the absence of post-market surveillance and the paucity of test laboratory facilities in India make the quality control of Ayurvedic medicines exceedingly difficult at this time. 8Ayurveda can be defined as a system, which uses the inherent principles of nature, to assistant of importtain health in a person by keeping the individuals body, mind and spirit in perfect equilibrium with nature. What is the Origin of Ayurveda? Widely regarded as the oldest form of healthcare in the world, Ay urveda is an intricate medical system that originated in India thousands of years ago. The fundamentals of Ayurveda can be found in Hindu scriptures called theVedas the ancient Indian books of wisdom. TheRig Veda, which was written over 6,000 years ago, contains a series of prescriptions that can help humans overcome various ailments.What does Ayurveda do to you? The aim of this system is to prevent illness, heal the sick and preserve life. This can be summed up as follows * To protect health and prolong life (Swasthyas swasthya rakshanam) * To go across diseases and dysfunctions of the body (Aturasya vikar prashamanamcha) What are the Basic Principles of Ayurveda? Ayurveda is based on the premise that the universe is made up of five elements air, fire, water, earth and ether. These elements are represented in humans by three doshas, or energiesVata, PittaandKapha.When any of thedoshasaccumulate in the body beyond the desirable limit, the body loses its balance. Every individua l has a distinct balance, and our health and well-being depend on getting a right balance of the threedoshas(tridoshas). Ayurveda suggests peculiar(prenominal) lifestyle and nutritional guidelines to help individuals reduce the excessdosha. A healthy person, as defined inSushrut Samhita,one of the primary works on Ayurveda, is he whosedoshasare in balance, appetite is good, all tissues of the body and all natural urges are cognitive operation properly, and whose mind, body and spirit are cheerful What is Tridosha or the Theory of Bio-energies? The threedoshas, or bio-energies found in our body are * Vatapertains to air and ether elements. This energy is generally seen as the force, which directs nerve impulses, circulation, respiration, and riddance. * Kaphapertains to water and earth elements. Kaphais accountable for growth and protective cover. The mucousal lining of the stomach, and the cerebral-spinal fluid that protects the brain and spinal column are examples ofkapha. * Pittapertains to fire and water elements.Thisdoshagoverns metabolism, e. g. , the transformation of foods into nutrients. Pittais also responsible for metabolism in the organ and tissue systems. What is Panchakarma or the Therapy of Purification? If toxins in the body are abundant, then a cleansing process known aspanchakarmais recommended to couch these unwanted toxins. This fivefold purification therapy is a classical form of treatment in ayurveda. These specialized procedures consist of the following * Therapeutic vomiting or emesis (Vaman) * Purgation (Virechan) Enema (Basti) * Elimination of toxins through the nose (Nasya) * bloodletting or detoxification of the blood (Rakta moksha) The grow of ayurveda Ayurveda,the oldest system of medicine in the world, traces its roots to the Vedic period in ancient India. TheVedascontain practical and scientific information on various subjects beneficial to the humanity like health, philosophy, engineering, astrology and so on Vedi c Brahmanswere not but priests performing religious rites and ceremonies, they also became theVaidyas (Ayurvedic Physicians).The Sage- Physician- Surgeons of that time were the same sages or seers, deeply devoted holy people , who saw health as an integral part of spiritual life. It is said, that they received their training ofAyurvedathrough direct cognition during meditation. In other words, the knowledge of the use of various methods of improve, prevention, longevity and surgery came through Divine disclosure . These revelations were transcribed from the oral tradition into book form, interspersed with the other aspects of life. ConsequentlyAyurvedagrew into a respected and widely used system of healing in India.Around CA. 1500 Before. Common era. Ayurvedawas delineated into eight specific branches of medicine and there were two main schools Atreya, the school of physicians, andDhanvantari, the school of surgeons. These two schools madeAyurvedaa more scientifically veri fiable and classifiable medical system. People from numerous countries came to Indian Ayurvedic schools to mold this medical science. They came from China, Tibet, Greece, Rome, Egypt ,Afghanistan, Persia etc. to learn the fat wisdom and bring it back to their own countries.Ayurvedic texts were translated in Arabic and physicians such as Avicenna and Razi Sempion, who both quoted Ayurvedic texts , established Islamic Medicine. This medicine became popular in Europe and helped to form the foundation of the European tradition in medicine. In the 16th ascorbic acid Europe , Paracelsus , who is known as the father of modern Western medicine, unspoilt and propagated a system of medicine which borrowed heavily fromAyurveda.. Principles of Ayurveda Ayurvedais a holistic healing science which comprises of two words,AyuandVeda.Ayu means life andVedameans knowledge or science. So the literal meaning of the wordAyurvedais the science of life. Ayurvedais a science dealing not only with treatment of some diseases but is a complete way of life. Ayurvedaaims at making a happy, healthy and peaceful society. The two most important aims ofAyurvedaare + To maintain the health of healthy people + To cure the diseases of sick peopleA Person is seen inAyurvedaas a funny individual made up of five primary elements. These elements are ether (space), air, fire,water and earth. Just as in nature, we too have these five elements in us.When any of these elements are im fit in the environment , they ordain in turn have an influence on us. The foods we eat and the weather are just two examples of the influence of these elements . While we are a entangled of these five primary elements, certain elements are seen to have an ability to blend to create various physiological functions. The elements combine with Ether and Air in dominence to form what is known inAyurvedaasVata Dosha. Vatagoverns the principle of movement and thus can be seen as the force which directs nerve im pulses, circulation, respiration and elemination etc. The elements with Fire and Water in dominence combine to form thePitta Dosha. ThePitta Doshais responsible for the process of transformation or metabolism. The transformation of foods into nutrients that our bodies can assimilate is an example of a Pitta function. Pittais also responsible for metabolism in the organ and tissue systems as well as cellular metabolism. Finally, it is predominantly the water and earth elements which combine to form theKapha Dosha. Kaphais responsible for growth, adding structure unit by unit.It also offers protection , for example, in form of the cerebral-spinal fluid,which protects the brain and spinal column. The mucousal lining of the stomach is another example of the function of Kapha Dosha protecting the tissues. We are all made up of unique proportions ofVata,Pitta and Kapha. These ratios of the Doshas vary in each individual and because of thisAyurvedasees each person as a special mixture t hat accounts for our diversity. Ayurvedagives us a set to look at each individual as a unique makeup of the three doshas and to thereby design treatment protocols that specifically make do a persons health challenges.When any of the doshas twist accumulated,Ayurvedawill suggest specific lifestyle and nutritional guidelines to assist the individual in reducing the dosha that has become excessive. Also herbal medicines will be suggested , to cure the imbalance and the disease. catch this main principle ofAyurveda, it offers us an explanation as to why one person responds differently to a treatment or diet than another and why persons with the same disease might yet require different treatments and medications. Other important basic principles ofAyurvedawhich are briefly mentioned here are 1. Dhatus- These are the basic tissues which maintain and nourish the body. They are seven in number viz.- rasa(chyle), raktha(blood), mamsa(muscles),meda(fatty tissue), asthi(bone), ma jja(marrow) and sukla(reprodutive tissue). Proper amount of each dhatu and their balanced function is very important for good health. 2. Mala- These are the waste materials take ind as a return of various metabolic activities in the body. They are mainly urine, feaces, sweat etc.Proper elimination of the malas is equally important for good health. Accumulation of malas causes many diseases in the body. 3. Srotas- These are different types of channels which are responsible for transportation of food,dhatus,malasanddoshas. Proper execution ofsrotasis necessary for transporting different materials to the site of their requirement. Blockage ofsrotascauses many diseases. 4. Agni- These are different types of enzymes responsible for digestion and transforming one material to another. All these factors should function in a proper balance for good health.They are inter-related and are directly or indirectly responsible for maintaining equilibrium of the tridoshas. Balance and Harmony of the triplet Doshas When the three Doshas are well harmonised and function in a balanced manner, it results in good nourishment and well-being of the individual . But when there is imbalance or disharmony within or between them, it will result in elemental imbalance , leading to various kinds of ailments. The Ayurvedic concept of physical health revolves round these three Doshas and its primary purpose is to help maintain them in a balanced state and thus to prevent disease.This humoral theory is not unique to the ancient Indian Medicine The Yin and Yang theory in chinese medicine and the Hippocratic theory of four humours in Greek medicine are also very similar. The Qualities of the Three Doshas The three Doshas possess qualities and their increase or decrease in the system depends upon the similar or antagonistic qualities of everything ingested. Vatais dry, cold, illumine, mobile, clear, rough, subtle Pittais slightly oily, hot, burning, light, fluid,free flowing, foul sm elling. Kaphais oily, cold, heavy, stable, viscid, smooth, velvety BothVataandPittaare light and only Kapha is heavy.BothVataandKaphaare cold and only Pitta is hot. BothPittaandKaphaare moist and oily and only Vata is dry. Anything dry almost always increasesVata, anything hot increasesPittaand anything heavy ,Kapha. Puffed rice is dry, cold light and rough overindulgence in puffed rice therefore is probably to increase Vata in the overindulger. Mustard oil is oily , hot , intense , fluid , strong-smelling and liquid and increases Pitta in the consumer. Yoghurt , which , being creamy, cold, heavy, viscid, smooth and bonkers , is the very image of Kapha , adds to the bodys Kapha when eaten.All Five elemets , as expressed throughVata, Pitta and Kapha, are essential to life, working together to create health or produce disease. No one dosha can produce or sustain life all three must work together , each in its own way. PURIFICATION THERAPY Health is purity and disease is i mpurity So purification is the treatment. (old Indian saying) Purification therapy is a unique feature ofAyurvedaby which thecomplete cure and non recurrence of disease is made possible.The functional components (doshas, namelyvatha, pitha & kapha) move all around the body through the channels of circulation to do the normal physiological activities. The disease is the result of imbalance in the measuring stick and quality of the doshas. During the disease process, the unbalanced doshas get lodged in the weak part of the channels of circulation and produce the disease symptoms. If the channels of circulation are pure and healthy, even the aggravated doshas cannot locate anywhere and produce disease Ayurvedaoffers two measures in the management of a disease . Pacifying therapy-in which the unbalanceddoshasare pacified with in the body itself. As this therapy dont cleanse the channels of circulation, there is the possibility of reprovocation when exposed to similar causative factors. This therapy is suited in conditions in which there is not much vitiation of the doshas. 2. Purification therapy-It is aimed at the complete extrusion of the unbalanceddoshasand the purification of the channels of circulation. As the channels are cleansed and built by this process, the chance of recurrence is nil. Purification therapy can be apply not only for curing diseases but to maintain health. No other systems of medicine can offer such an effective treatment measure. So we can proudly declare our superiority of Ayurveda to any other systems on account of its purification therapy. The purification otherwise calledPancha karma therapyis implemented in five ways. 1. Enema therapy -It is best for vatha imbalance. 2. Purgation therapy -Best for pitha imbalance. 3. Emesis therapy -For kapha imbalance. 4. Nasal drops -For all diseases above the neck. 5.Blood letting -Best for removing blood impurities. Stages of the treatment First head-This includes the external and internal application oils followed with fomentation or sudation. By this the unbalanced doshas lodged in the weak parts of the channels are fluent and loosened. main or second stage-In this stage the loosened and liquified doshas are expelled out of the body by the appropriate purifactory procedure. Post therapy-This includes the regimens to be practised after the purification. This is mainly intended to augment the digestive fire.