Panchakarma in Sri Lanka – The Essential Ayurveda Therapy

What is Panchakarma?

Panchakarma translates to ‘five actions’ in Sanskrit and is an Ayurvedic cleansing and detoxification treatment programme. Traditionally, it comprises five sequential treatments that work synergistically to eliminate toxins and balance the doshas to their natural equilibrium:

  1. Vasthi (herbalised enema): herbal oils or medicines are suspended through the rectum to cleanse the intestinal tract.
  2. Nasya (nasal irrigation): medicinal oils are administered through the nostrils to clear the sinuses and drain excess mucus.
  3. Virechana (purgation therapy): herbal medicines with gentle laxative effects are ingested to induce bowel movements and eliminate toxic and metabolic waste from the liver, gallbladder and intestinal tract.
  4. Vamana (therapeutic vomiting): herbal medicines are ingested to induce therapeutic vomiting and encourage the release of accumulated toxins and mucus in the upper gastrointestinal and upper respiratory tracts. This treatment is only administered for severe disease conditions.
  5. Raktamokshana (blood letting therapy): carefully controlled quantities of impure blood are removed to neutralise accumulated toxins. This treatment is only administered for severe disease conditions.

According to Ayurveda, every living or non-living being in nature is a combination of five basic elements: earth, water, fire, air and ether. The human body too is created from these elements in various compositions; therefore, optimal health is not only a state of balance within the body but with the external environment. A combination of ether and air constitutes the vata dosha, a combination of fire and water constitutes the pita dosha, and a combination of water and earth constitutes the kapha dosha.

Each constitution has its own unique ‘fingerprint’ or balance of vata, pita and kapha which determines their unique combinations of physical, mental and emotional characteristics. This doshic balance is the natural order, and any disturbance that causes excess or deficiency of vata, pita or kapha causes disorder.

A key culprit of imbalance is the accumulation of toxins or ‘Ama’ due to often unhealthy eating habits, stress and exposure to toxic chemicals and pollutants which can impede our body’s natural ability to efficiently remove toxins. Ama, however, can also refer to the toxic residue of emotions or experiences that have not been fully metabolised. The build-up and spread of Ama clogs the channels that function for release and leads to the deterioration of bodily function.

Panchakarma therapy offers an intensive treatment programme to release toxins and restore the body’s natural healing and cleansing capacities. It offers an array of benefits to reduce inflammation, reset the autonomic nervous system to induce a state of rest and recovery, and often release deep-rooted stress that has been held in the body for a long time. Developed over 5,000 years ago, it is a treatment method that has stood the test of time.

While the terms ‘panchakarma’ and ‘detox’ are often used interchangeably, it is important to note that while detox encompasses a broad spectrum of cleansing practices and treatments that often include dietary modifications, panchakarma refers to a specific Ayurvedic treatment protocol.

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Benefits of Panchakarma

Whether you are in good health or have a specific condition that you wish to address, panchakarma treatment can serve as both a preventative and curative measure, contributing significantly to general well-being. While the treatment suitability and outcome may vary from individual to individual, some reported benefits include:

  • Eliminates toxins from the body and mind, which are the root cause of disease
  • Restores balance in the Vata, Pita and Kapha doshas
  • Strengthens your immune system and supports resilience to disease
  • Improves digestion and metabolism, supporting weight loss and promoting better nutrient absorption
  • Improves skin health by promoting circulation and removal of impurities
  • Encourages deep relaxation and stress reduction
  • Increases energy levels, vitality and mental clarity

Why visit Sri Lanka for a Panchakarma Retreat?

Sri Lanka is a highly sought-after destination for those seeking authentic panchakarma treatment.

The wisdom of Ayurveda and traditional indigenous medicine is deeply ingrained in Sri Lankan culture, functioning not just as a well-established medical system, but as a way of life that recognises the interconnectedness of the body, mind, and spirit to maintain our natural state of health and happiness. This knowledge has been preserved and passed down through generations of Sri Lankan practitioners and continues to be shared in wellness centers and hospitals throughout the country. In addition, an abundance of medicinal herbs and plants flourish in Sri Lanka’s varied climate and geography which lies at the core of Ayurvedic therapy.

Importantly, Ayurveda emphasises a holistic approach to health and recognises the healing power of a peaceful and rejuvenating natural environment. Known as the teardrop of India, Sri Lanka exudes a unique charm with miles of unspoiled beaches, lush green rainforests, and vast mountain landscapes. It is an island of warmth, abundance and vibrancy – an ideal setting for a transformative healing journey. 

Panchakarma at the Sen Wellness Sanctuary

Although panchakarma is traditionally an intensive and demanding programme, our team at the Sen Wellness Sanctuary have developed a modified version that is suitable for the modern lifestyle, based on decades of experience working with Western constitutions. Our focus is on non-invasive treatments including Vasthi, Nasya and Virechana, which integrate well with other treatment modalities.

This treatment programme is most effective for longer durations of stay, therefore, we recommend a minimum of 7 days and if possible, 10-14 days to fully experience the benefits. Traditionally, it is recommended to undergo a panchakarma programme with each change of seasons or every three months,  as it is easy for things to fall out of balance during times of transition. 

Upon arrival, you will have a consultation with the resident Ayurvedic doctor who will curate a personalised treatment programme and determine the suitable herbal oils and medicines based on your dosha and potential imbalances. Each day, you will receive two to three treatments (totalling 80 – 90 minutes) that will be administered in three stages.

Stage 1: Preparation (Poorva Karma) (1 - 3 days)

During this stage, the body is prepared for elimination and detoxification. Treatments are aimed at encouraging drainage and toxin release from the internal organ systems and include:

Abhyanga (massage therapy) is the external application of warm medicinal oils to the body, to stimulate lymphatic drainage, increase blood circulation and loosen toxins.

Swedana (herbal sweat treatments) is a form of therapy that uses herbal steam to open up the pores and release impurities through the skin. This treatment is often given after Snehana.

Stage 2: Cleansing procedure (Pradhana Karma) (3 - 7 days)

Following the preparatory stages, the cleansing procedure focuses on a selection of the five classical panchakarma treatments; this will depend on the dosha imbalance and individual suitability as determined during the doctor’s consultation.

At the Sanctuary, the initial stage typically focuses on Virechana where herbal medicines with gentle laxative effects are ingested to induce bowel movements and eliminate toxic and metabolic waste from the liver, gallbladder and intestinal tract.

If suitable for the guest’s constitution and needs, additional panchakarma treatments may be prescribed, including: 

Nasya (nasal irrigation): medicinal oils are administered through the nostrils to clear the sinuses and drain excess mucus. This is a particularly effective treatment for sinus problems, migraines, chronic colds, and allergies.

Vasthi (herbalised enema): herbal oils or medicines are suspended through the rectum to cleanse the intestinal tract. This therapy primarily treats the vata dosha, which is the main causal factor in the manifestation of disease. It is effective in treating digestive disorders and nervous system disorders.

In between each of the principal panchakarma treatments, there will be rest days with gentle treatments, alongside yoga and meditation classes to promote the body’s natural healing abilities.

Stage 3: Integration (Paschat Karma) (2 - 4 days)

The final stage of panchakarma focuses on rehabilitation and rest, with treatments to induce deep relaxation of the body and mind, such as: 

Abhyanga which is the oil massage therapy as introduced earlier. 

Shirodhara is a procedure where warm oil is poured over the forehead in a gentle steam which is then massaged into the head, face and neck. This treatment functions to pacify the central nervous system and has a profoundly stress-relieving effect.

At the heart of Ayurveda is a holistic approach to health. The panchakarma programme is supported by a light, clean diet combined with teas, fresh juices and herbal medicines to support complete detoxification on the physical level and allow the body to concentrate its efforts on healing. This will work alongside daily yoga, meditation, breathwork and other spiritual practices to support an emotional and spiritual cleanse.

Before departure, guests will have a final consultation with the Ayurvedic Doctor who will prescribe specific dietary and lifestyle regimes to maintain the digestive fire and prevent toxin accumulation.

The Final Word

Our panchakarma programme goes beyond a traditional medical experience and includes Ayurvedic treatments, herbal medicines, yoga, meditation and nourishing food to support complete detoxification on a physical, emotional and spiritual level. We provide an environment for individuals to immerse in the healing of nature and a supportive space for individuals seeking to begin their healing journey.

Sam Kankanamge

Sam Kankanamge BSc (Hons) Osteo, DPO, Dip.Acu is an exceptional, world renowned healthcare professional, with over 25 years-experience transforming patients’ health, and has been called ‘the best back specialist in the country’ by The Times (2014).

Sen Wellness Sanctuary is the result of Sam’s dream to support people in an even deeper way, and realising his vision of combining his experience working in the West with his Sri Lankan heritage, rooted in Ayurvedic traditions. His sensitive understanding of these different cultures, mindsets, challenges and needs is reflected in the authentic retreat centre he has created.

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Sen Wellness Sanctuary
Excellent
4.7
Based on 165 reviews
Situated between two bodies of water, a tranquil lagoon on the one side, and the powerful Indian ocean on the other, Sen Wellness Sanctuary is an oasis of tranquility, a place to slow down and connect with nature and yourself. I spent three weeks in this beautiful hideaway and thoroughly enjoyed my stay, including morning and evening meditation and breath work, daily yoga practice, personalised ayurvedic treatments and delicious, freshly prepared meals. I am immensely grateful to the friendly, dedicated and highly professional staff as well as all the beautiful people I was fortunate enough to meet during my time at the retreat. Deep nourishment of body, mind and spirit and a truly unforgettable experience.
Spent 7 days in this beautiful Sanctuary, and highly recommend. Dr Udari is incredible and the treatments truly made a difference. All the staff are so helpful, kind and responsive, from the manager Antonio, Francis and Tseyang and the therapists SenWellness is a true Ayurvedic retreat.
One of the best vacations I ever had.I’ve been just meditating, doing yoga, breathwork and Ayurvedic treatments without touching my phone for a week.The sanctuary is a collection of very well thought out spaces: huts, main lounge, yoga room, pool, beach…Beach is in the natural preserve, where sea turtles come to lay eggs. No one around. Don’t swim in the ocean though, undercurrents are very dangerous here.The vibe is amazing, staff and service are superb and second to none.Definitely going to come back again.
What a wonderful discovery! The retreat was so much more than we expected - on so many levels. Great yoga, excellent ayurvedic therapy and treatments, really good food - and amazing company. What a wealth of experiences we have taken home with us. Sam and his team were very kind and attentive and the other participants were all so special and warm hearted. We recommend this sanctuary to anyone who wants to enrich their lives and move forward.
A uniquely magical experience. From the moment you leave your shoes by the lotus pool to receive the warm welcome of a garland and king coconut, a sense of kindness and care envelops you.This is heartfelt. Every dish you eat is prepared with a knowledge of what will nourish your body and soul. Every treatment is administered by skilled practitioners who have taken the trouble to understand your individual physical and emotional state and to restore balance and harmony from the inside out.The sounds of this stunning enclave, hidden away down a winding track where peacocks strut and monkeys gambol, are those that evoke both stillness and awe. The sea declares its majesty and power on a peerless beach that nesting turtles call home. The constant and gentle swish of the lagoon and rustle of the trees that bound this space in natural seclusion, soothe and transport you to a deep place of calm.This is one of nature’s sacred spaces.Respect and honour for this is the ethos that guides life in this beautiful oasis which shines from the hearts of the remarkable team. Skilled in so many arts from Ayurvedic medicine and therapy, yoga, reiki, sound healing and, with simplicity and grace, a level of hospitality and care that is humbling.The mishap or the unusual request is met with unruffled efficiency. (My glasses broke and instead of facing a week in a blur and the prospect of navigating an airport when scarcely able to read a sign, an impeccably restored pair of spectacles was returned to me in the shortest possible time - leaving me to wonder if an optician had been spirited out of a ring or a lamp!)My experience at Sen Wellness will be an abiding memory. I will carry away in my heart the echo of the sea, the voices and faces of beautiful people who made such a soulful sojourn possible with huge gratitude to everyone of them for all the skill, knowledge, compassion and care that were the key ingredients of this delightful interlude.(And on the subject of ingredients, I will also carry away the tantalising Sen Wellness cookbook, so the adventure continues…)
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