Panchakarma begins with "Pradhana Karma," the actual detoxification process panchakarma treatment in kerala. This phase involves the five primary procedures: Vamana (therapeutic vomiting), Virechana (purgation), Basti (medicated enema), Nasya (nasal administration of medicated oils), and Raktamokshana (bloodletting). These procedures are tailored to an individual's constitution and imbalances, effectively removing accumulated toxins from the body's deep tissues and channels.

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