Panchakarma (the five therapeutic modalities) is a collection of purification techniques that Ayurveda prescribes for specific conditions and diseases and for periodic cleansing. A course of Pancharkarma typically includes a nutritional adjustments, herbs, pre or co panchakarma therapies (such as oil massages, hot baths, steam or sauna, shirodhara, dehadhara, hot rice massage etc) and one or some of the main therapies (such as vamana - removal of the kapha toxins, virechana - removal of the pitta toxins, vasti - removal of the vata toxins, raktamoksha - removal of the toxins trapped in blood stream, and nasya - removal of toxins trapped in sinuses and cranial area.
Abhyanga - oil application and mardana - massage form the background of a course of therapy. This combination helps heal pain, circulatory problems, residue of stress, disturbed sleep, stiffness and tiredness. Massage therapy can soothe pain, relax stiff muscles, and reduce the swelling that accompanies arthritis. Advocates claim that, with Ayurvedic massage, deep-seated toxins in the joints and tissues are loosened and released into the system for elimination through natural toxin-release processes. There are several different types of Ayurvedic treatments such as panchakarma, marma massage and abhyangam. Ayurvedic massage is especially developed in Sri Lanka and the Indian state of Kerala.
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