What is Panchakarma? In Sanskrit Pancha means "five" and karma means "Procedures". The group of five body purificatory procedures in Ayurveda known as "Panchakarma". Vamana (Medicated Emesis) Virechana (Purgation) Nasyam (Nasal Instillation) Sneha Vasthi(Enema) Kashaya Vasthi (Enema) These are technically termed as Panchakarma. These are Bio cleansing procedures in Ayurveda. By these methods the toxins accumulated in the body are expelled through the natural orifices of the body.