Virechana involves internal administration of herbal purgatives after prior oleation and steam therapy. These medicines gently induce bowel movements to expel excess Pitta toxins from the liver, gall bladder, and intestines. The therapy is followed by a regulated diet and lifestyle plan for recovery.

Basti therapy involves the administration of medicated oils or herbal decoctions through the rectal route. It is given in a planned course consisting of oil-based (Anuvasana) and decoction-based (Niruha) enemas. This therapy directly acts on the colon, which is the main seat of Vata dosha.

Nasya therapy involves the administration of medicated herbal oils or powders through the nasal passages. Prior facial massage and steam therapy are given to open channels. The medicine is then instilled in measured drops, followed by gentle massage and rest.

Rakta Mokshana is performed using traditional methods like leech therapy or controlled bloodletting, depending on the condition. It aims to remove impure blood and toxins directly from the affected area under expert supervision.