(Sanskrit पञ्चतत्त्व, alternately spelled "pancatattwa") Literally, "five elements," from pancha: “five,” tattva: “essence; principle.”
A Tantric ritual in which the five elements are transmuted. The five M’s are Maithuna (Sexual Magic), Madya (“Wine”), Mamsa (Meat), Matsya (Fish), Mudra (Grain).