Exploring Integrative Models of Panchakarma Therapy in Public Health Care Delivery

Abstract

Panchakarma, the quintessence of Ayurvedic therapeutics, comprises five principal bio-purificatory procedures—Vamana (emesis), Virechana (purgation), Basti (medicated enema), Nasya (nasal administration), and Raktamokshana (bloodletting)—aimed at eliminating accumulated Doshas and restoring physiological balance. Rooted in classical Ayurvedic scriptures, these therapies not only detoxify but also rejuvenate the body and mind. As the global health landscape shifts toward managing chronic, non-communicable diseases (NCDs), there is a renewed interest in integrative health models that combine traditional wisdom with contemporary clinical practices.This systematic review evaluates the potential of incorporating Panchakarma into public health care delivery systems. It draws upon Ayurvedic classics, recent clinical trials, WHO health system frameworks, and Indian public health policies such as the National AYUSH Mission (NAM). The paper explores evidence for Panchakarma’s efficacy in managing disorders like osteoarthritis, type 2 diabetes, and lifestyle-related conditions, highlighting its relevance in preventive, promotive, and curative health care.Furthermore, the review critically analyzes existing integrative models across India and selected international contexts, identifying both facilitators and barriers—such as infrastructure limitations, regulatory ambiguity, lack of standardized protocols, and inadequate cross-system collaboration. It proposes feasible integration strategies such as Panchakarma wings in community health centers, capacity-building for cross-disciplinary practitioners, and evidence-based practice guidelines.This review emphasizes that incorporating Panchakarma within mainstream health services could enhance therapeutic outcomes, improve patient satisfaction, and contribute to cost-effective health care—provided integrative implementation is structured, policy-driven, and research-backed.