It includes five elimination therapies which are:
1. Vamana
Purification therapy for Kapha depression, bronchitis, indigestion etc.
2. Virechana
Purification therapy for Pita, also stands as an intermediate therapy for Vamana, Vasthi, Nasyam and Rakthamoksham.
3. Vasthi
Purification therapy for Vata. This is to be done either anally or urethrally or vaginally, depending upon the condition and using herbal decoction / oil.
4. Nasyam
Head cleaning leads to the purification of Kapha, pacification of Pita and strengthening of Vata.
  
Consultation before the treatment |
5. Raktamoksham
Can be done by leaching, pricking etc.
These purification therapies should be done after preparatory treatments, mainly oleation conducted internally and externally and fomentation. Internal oleation is the intake of oil or ghee and preparation of herbal medicine to make the impurities deep in the channels slimy. Most of the external oleation therapies aim to oleate (make slimy) the impurities and expand the channels to provide the smooth movement of impurities out of the body. Duration of oleation therapy will be decided by the doctor.
Some of the external oleation / fomentation processes are:
Pizhichil (oil bath)
A type of fomentation by pouring lukewarm oil on the body, in seven postures, in a specific pattern. It gives full relaxation to the body and mind relieving general body weakness, stiffness, nevous diseases, arthritis, rheumatic complains etc. Followed by a warm water bath.
Njavara Kizhi
Fomentation of the body by applying medical pudding boiled in milk and decoction of sida retusa. It is followed by Abhyanga with medicated oil. Indications are rheumatic complains, muscular wasting, general weakness etc.
Elakizhi
A process in which fomentation is done by the application of medicinal leaves processed in medicated oil. It helps to relieve body pain, arthritis, backache etc.
Avagaha Sweda
Hip bath done with specially prepared decoction after the application of medicated oil on the body. It is done for backache and urinary disorders.