Which includes five major procedures is meant to purify the whole body by eliminating the accumulated toxins. This five major procedure includes treatments like Vamana (Emesis), Virechana (Purgation), Snehavasthi (Medicated Oil Enema), Kashayavasti (Medicated decoction enema) & Nasya (Nasal Nasal Drops). The specialty of this treatment is that it can be administered both in a healthy, as well as the diseased person. When a healthy person subjects himself to Panchakarma, it has a preventive, restorative and rejuvenative effect on the body. This includes various types of whole body therapies like Rejuvenation massage, Pizhichil (Kayaseka), Njavarakizhi, ChoornaSwedam/ Patrapodala Swedam, etc,
These methods lubricate the body channels and loosen the toxins accumulated in the body. Apart from this, localized therapies like Shirodhara, Shirovasti, Greevavasti, Kadeevasti, Nethraharpanam, Thalam, Lepanam will be also done in specific cases. In the Eliminative Phase, the physician, based upon the condition of the patient's disease, decides the type of the Panchakarma treatment.