The three phases
Preparation, or purvakarma, typically lasts several days: a simplified diet, internal and external oil therapies such as Abhyanga, and herbal steam, to loosen and mobilise what Ayurveda describes as accumulated toxins and imbalance. The main procedures, the panchakarma proper, are five classical cleansing methods, of which a doctor selects those appropriate to your constitution and condition; commonly used ones in a modern clinic include therapeutic purgation and medicated enemas, with nasal therapy for the head and sinuses. Rebuilding, or paschatkarma, restores digestion and strength with a graded diet, rest and rejuvenating herbs.
What it is used for
Chronic digestive problems, fatigue, skin conditions, stress-related and sleep problems, joint and inflammatory conditions, and as a preventive reset once or twice a year for people who use Ayurveda regularly. It is not a weight-loss programme, though weight often changes, and it is not a treatment for acute illness.
What it involves practically
A modern outpatient programme runs from five to twenty-one days depending on the goal, with daily clinic visits for therapies and a restricted diet at home. Residential programmes exist but are not necessary for most people. You will need to plan lighter work and rest during the programme. It is not appropriate in pregnancy, during acute illness, or with several medical conditions, which the doctor will screen for.
Evidence
Observational studies report improvements in wellbeing, digestion and some chronic conditions. Controlled trials are few. It is a traditional programme with a long clinical history rather than a proven treatment for a named disease.
At Omnia
Panchakarma programmes at our Chiswick clinic are designed and supervised by our Ayurvedic doctors, adapted to outpatient life in London, and reviewed daily. A consultation comes first to decide whether it is right for you.