The presence of low agni and high ama in the kostha (G.I.tract) can diminish the effectiveness of Pancakarma. For instance, before virechan karma, agni must be kindled and ama should be burnt for it to be effective. Otherwise, the medicine will not be properly digested. This can be done through fasting and the use of carminative herbs. Vamana (in selected conditions), however, does not require this process. It can be administered even when there is high ama in the kostha. Before Pancakarma is performed it is important to prepare the body through the preparatory techniques of Snehana (internal and external oleation) and Svedana (Sweating). These procedures are known as Purvakarma. They prepare the body for best Pancakarma therapy. Oil (sneha) It lubricates the channels of the body (srotas) and sweating therapy (svedana) dilates them. This loosens mala and ama from the cells and tissues so that these toxins can travel back to the G.I.tract (kostha) and be expelled by Vamana or Virechana. Nasya is an independent karma for the head and neck. Snehana and Svedana are only done locally to the face and neck, and just prior to the treatment. Sneha Basti is done before and after cleansing enema (Niruha Basti). This type of traditional method of pure panchakarma done in our best panchkarma center SHREE VISHWAVALLABH AYURVEDIC PANCHAKARMA & GARBHASANSKAR CENTER in nashik