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Consultation with Specialist Ayurvedic Doctor

Royal Ayurveda is committed to provide specialist Ayurveda services in the capital city of Nepal.

Now we are providing specialist services in Kayachikitsa (internal medicine), anorectal surgery, gynecology and obstetrics, paediatrics, ENT, Panchakarma etc.


We can provide all ranges of Ayurvedic medicines which are registered in the department of drug administration (DDA), Nepal.

If  any medicine is not available, we can provide it within a few days in order. We have all range of medicines from powder to herbomineral compounds, Asava and Arishta to syrups and suspensions, classical to patent, Nepali and international branded products.

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Panchakarma Therapy (Purvakarma)

Treatment procedures performed as a preparatory measure of Panchakarma are known as  Purvakarma
However, these can be used as therapeutic measures themselves in many different health issues. Snehana and Swedana are major Purvakarma used in Ayurveda.

Snehana & Nasya

Swedana & Vasti

Pradhana Karma & Raktamokshan

Vamana & Virechana


Raktamokshana (bloodletting) is an effective blood purification therapy in which a small quantity of blood is removed carefully to pacify Pitta Dosha and helps to cure different blood borne diseases.

Most common method of bloodletting is Jalaukavacharan. Jalauka is a special type of leech which feeds on blood. Other methods are Prachchhana, Siravyadha, Shringa Yantra.

Raktamokshana is very useful in skin disease, elephantiasis, toxic conditions of blood, fibroid, tumor, mastitis, conjunctivitis, sinusitis, liver abscess, bleeding disorders, gonorrhea, swelling, Herpes.


Nasya is a type of Panchakarma in which different forms of medicine are given through the nasal route. After doing Snehana and Swedana medicines in different forms like oil, ghee, powder, Swaras etc are instilled in both nostrils. This process is very useful in diseases of nostrils, sinuses, throat and head. This is an effective remedy for nasal congestion, allergies, sinusitis, headaches, migraine, rhinitis and other nasal conditions.


Virechana is induced purgation. It is mainly used for Pittaj diseases. As in the case of Vamana, Snehana and swedana should be performed before Virechana. Virechana is a controlled process that gathers Ama (toxins) from many Pitta locations in the body, concentrates it in the small intestine and then discharges. Virechana will cleanse sweat glands, small intestines, colon, stomach, liver and spleen. It is used for conditions like hyperacidity, colitis, acid peptic diseases, haemorrhoids, chronic headaches, migraine, malabsorption, diabetes, allergies and skin diseases like acne, dermatitis, psoriasis, eczema, leprosy and leucoderma.


Though there are different methods of Swedana (sudation therapy) in Ayurveda, Nadi Swedan is most common method and popular in the name of steam bath. In this procedure, a patient should be seated in a tool inside a steam box. Medicated steam is passed inside the box which will induce sudation removing different types of toxins.

This is very useful in conditions like pain in joints and muscles, sciatica, sprains, chronic low back pain, insomnia, skin diseases etc.


Vamana is also known as medical emesis or medical vomiting. It is mainly used to treat Kakphaj diseases. Purvakarma needs to be done in the form of Pachana, Snehana and Swedana for three to seven days depending on the condition of patient. Vamana treatment is carried out in early morning on an empty stomach when the Kapha is intense. The night before the therapy, Kapha aggravating foods like milk and yoghurt are provided to the patients. 

After preparation, milk, sugarcane juice, Yashtimadhu Kwath, Madanphal, Vacha etc. are given to the patient to stimulate emesis. After emesis, for the restoration of Agni (digestive fire), weakened by Vamana, special diet should be given to the patient for three to seven days.

Pradhana Karma

'Pradhan' means main and 'Karma' means therapeutic measure. Panchkarma literally means 'five therapeutic measures'. These are five therapeutic 'actions' namely Vamana, Virechana, Vasti, Nasya and Raktamokshana.


Snehan or oleation therapy in Ayurveda is very popular nowadays in the form of Ayurvedic massage. In Ayurveda, basically it is a preoperative procedure (Poorva Karma) of Panchakarma. It is a procedure to lubricate the body externally and internally. Internal use of sneha, (especially medicated ghee and oils) is known as Snehapana or Abhyantara Snehana. Bahya Snehana (external oleation), is given in the form of Sarvanga Abhyanga (whole body massage), Shiroabhyanga (head massage), oil pulling or gargles etc.

Four main fatty substances used for Snehana are Ghrita (ghee), Taila (oil), Vasa (fat) and Majja (bone marrow).

Snehana is very useful in Vata disorders, too much thirst, dry skin, urticaria, physical weakness, joint pain, infertility, insomnia, burns, mental disorders, anaemia and as a preparatory measure before Panchakarma.


Vasti is similar to enema. But the material used for Vasti is medicated and preoperative procedures are also needed.  In this procedure medicine in the form of Kwath (decoction), oil or other liquid form is inserted through anus using special equipment called Vasti Netra. This is used for aggravated Vata Dosha. This process can be used in vaginal route or urethra for genitourinary disorders. Sometimes it can also be used in Vrana, called Vranagat Vasti.

If medicine is used in the form of decoction, this is called Asthapan/Niruha Vasti and if the medicine is given in the form of medicated oil then the vasti is called Anuvasana Vasti. There are many other types of Vasti. Medicine used and type of Vasti given depends upon the disease. Vasti may be given for up to 32 days depending upon the condition of the disease. Vasti can be given in many different health conditions specially neuromuscular and rheumatological disorders.

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