The five procedures of panchakarma for balancing the vata, pitta, kapha & five element i.e. space, air, fire, water & earth also. These procedures are Vamana karma, Virechana karma, Basti karma, Nasya karma & Rakta mokshan karma.

Rakta mokshana karma (Blood Letting)
It is leech application for purification & cleanesing of deep seated blood toxins.

Indications:
Sasonal cleanesing, All skin problems, Arthritis, Gout, Eczema.