Panchakarma is the group of five fold treatments, all of which are not commonly practised in all diseases. The panchakarma therapies include vamana, virechana, vasti ,nasya and raktamokshana. Vamana is emesis, virechana is purging, vasti is enema, which of two kinds done with medicated oils and medicated decoctions and is called snehavasti and kashayavasti respectively, Nasya is instillation of medicines through nose, and raktamokshana is blood-letting. All the panchakarma procedures are to be performed under the supervision of an experienced qualified physician only.