After the elimination of the Doṣa by any one measure the Pañcakarma, for improving digestion and assimilation and also for regaining strength and vitality, Paścāta Karma is indicated. In Paścāta Karma, the steps of gradual dieting and exercise have been mentioned. For taking the patient to his normal diet, the diet should begin with Peyā, then Vilepī, KṛtaYūṣa, AkṛtaYūṣa, Māṁsa-Rasa with the increase in quantity and quality gradually, this process is known as SaṁsarjanaKrama. The dietary regime for PravaraŚuddhi is as follow:
On the evening of performing Śodhana e.g. Vamana, or Virecana etc. Yavāgu should be given. In the same way Yavāgu should also be given for the next day for two meals i.e. in the noon and evening. At the fourth meal time, Vilepī (thick gruel) with or without Sneha and salt should be administered. The same diet on fifth and sixth meal time should be taken. At the seventh meal time he may be given well cooked rice with gree green soup mixed with a little of Sneha and salt. The same to be given on the eighth and ninth meal time. At the tenth meal time he may be given rice with meat juice. The same should be repeated at the eleventh and twelfth meal time. Thereafter the patient should take normal diet gradually as on the seventh night he returns to the normal state.
It is to be worth mentioning here that Pañca Karma described in Āyurveda is not merely emesis, purgation or enema but it is a complete therapy for the various disorders. It is an important line of treatment in which the diseases are cured by elimination of Doṣa from the body. However for the success of the therapy the contraindications of each Karma should be borne in mind so that complications or side effects may not occur.