It includes all Panchakarma procedures. It is most essential step in curing a patient from the disease, and to remove the toxins which are liquefied by the preparatory treatments. These are:

Vaman (Therapeutic vomiting): Vaman is one treatment among panchakarma for kapha predominating disorders. After proper preparation of the individual through purva karma for about 5-7 days, therapeutic induced vomiting is done by giving emetic drugs orally along with a large quantity of medicinal liquids. The subject is allowed to vomit all the contents of the stomach. This treatment is very good for treating bronchial asthma, sinusitis, cough, psoriasis, eczema, epilepsy, and insanity etc.

Virechana (Therapeutic Purgation or Diahorrea):  one of the Panchakarma procedures for pita predominating disorders. After proper preparation of the individual through purva karmas for about 5 to 7 days, Virechanam is done by oral administration of Laxative herbs. This treatment is very effective for treating skin diseases, Acne, Hyperacidity, High Blood pressure, Depression, insanity, dermatitis etc.

Vasti: Vasti means enema therapy, Vasti is one of the treatment among Panchakarma for vata predominating disorders. It is of 2 types:

Sneha vasti: This is medicated oil enema; it is beneficial for constipation, neurological ailments, paralysis, flatulence, lower backache and dryness. The treatment nourishes and rebuilds the body tissues (Dhatus), restores and fortifies the body’s immunity. This promotes better nutrition while removing accumulated toxins (Malas) from the colon. Prior to this procedure the individual’s body is prepared by therapy and steam bath especially for the stomach and lower back.

Niruha vasti: This treatment is normally done after a course of Snehavasti. This is a cleansing enema where combinations of honey, salt, oil, herbal paste, and herbal decoction are administered as per the patient’s requirement and health condition. This treatment is effective for treating arthritis, constipation, neurological ailments, paralysis, flatulence, lower backache, ankylosing spondylitis, gout, rheumatism, sciatica etc.

Nasya: Nasya means the administration of medicine through the nasal route. Prior to the administration of medicine face, shoulders, and chest are massaged with specific herbal oil, and steam inhalation is done to open up the channels. This treatment cleanses and strengthens the nasal passages, allowing full and easy breathing. This treatment is very good for treating headaches, bronchial asthma, sinusitis, allergies, migraine, facial paralysis, neuralgia, earache, dark circle around the eyes etc.

Raktamokshan: This is mainly used in diseases resulting from the aggravation of toxins in the blood. It is done with needles, leeches, or suction cups. This treatment is very good for treating eczema, psoriasis, infections gout, sciatica, and in cases of stagnant blood causing local inflammation, etc.