The next step in ayurvedic disease management is palliation. or shaman, used to balance and pacify the bodily doshas. Shaman focuses more on the spiritual dimension of healing, and uses a combination of herbs, fasting, chanting, yoga stretches, breathing exercises, meditation, and lying in the sun for a limited time. These techniques are useful for people with dysfunctional immune systems, or for those who are too ill or emotionally weak to undergo the more strenuous forms of physical cleansing noted in pancha karma. Because of its curative and preventative aspects, shaman can also be utilized by the healthy person. Like all enlightened healing methods, ayurvedic emphasizes prevention above curing disease.
One method of shaman, called "kindling the fire," is absolutely necessary in kapha and vata disorders with patients who have low gastric fire. The patient consumes honey with certain herbs like pippili (long pepper), ginger, cinnamon, and black pepper. (This should be done cautiously with pitta people, however.)


Rejuvenation (Rasayana)

After the cleansing regimen, a program of tonification called rasayana (ra-sigh'-ana) begins. Tonification means enhancing the body's inherent ability to function, and rasayana is similar to a physiological tune-up. It is used to restore virility and vitality to the reproductive systems, countering sterility and infertility, bringing forth healthier progeny and improving sexual performance. In addition, it is said that rasayana extends Longevity by slowing down the biological clock and retarding the aging process.

Ayurvedic Medicine uses three subcategories of rasayana treatments to rejuvenate and restore the body's tissues and organs: special herbs prepared as pills, powders, jellies, and tablets; mineral preparations specific to a person's condition and dosha; and exercises, specifically, yoga positions and breathing exercises.

Mental Hygiene and Spiritual Healing (Satvajaya)