| Phase | Duration | Key Actions | |-------|----------|--------------| | (Preparation) | 7–14 days | Oleation (Snehana), fomentation (Swedana), dietary purification | | Pradhana Karma (Main) | 14–60 days | Intensive Vasti (medicated enemas), Nasya , Rasayana herbs, specialized Virechana (purgation) | | Rasayana Seva | Ongoing | Herbo-mineral preparations (e.g., Chyawanprash base, Brahma Rasayana , Kushta formulations) | | Sattvavajaya (Mental) | Daily | Meditation, mantra, specific behavioral codes |

| Component | Evidence Level | Findings | |-----------|----------------|----------| | (Withania somnifera) | Moderate | Reduced cortisol, improved muscle strength, possible telomerase activation | | Guduchi (Tinospora cordifolia) | Moderate | Immunomodulation, antioxidant | | Panchakarma (general) | Emerging | Reduced oxidative stress markers, improved HRV | | Kaya Kalpa (full protocol) | Very low | Mostly case reports, no placebo-controlled trials |

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