tag:blogger.com,1999:blog-71869725287004610352024-03-08T02:19:34.396-08:00Ayurveda PanchakarmaDr.RIYAS.AKhttp://www.blogger.com/profile/09427440286303164733noreply@blogger.comBlogger31125tag:blogger.com,1999:blog-7186972528700461035.post-77319610396750586932010-05-12T03:40:00.000-07:002010-05-12T03:41:11.515-07:00KAYASEKA WITH OILKAYASEKA WITH OIL<br /><br />Kayaseka is a snigdasweda in which the warmed oil is poured all over the body/specific part for a stipulated period, in a specific manner. It has the advantage of producing snehana & swedana simultaneously. Pizhichil is a modified form of kayaseka developed by Keraleeya vaidyas & extensively practiced. This process is described here.<br /><br />Materials required:<br />1. Suitable oil-3 litres<br />2. Cotton cloth (40 cm x40 cm )- 4 <br />3. Vessels(5 liters) -3 <br />4. Soft towels- 2 <br />5. Oil for talam- 10 ml<br />6. Rasnadi choorna-5 g<br />7. Gauze (60 cm) –1<br />8. Earplugs-2 <br />9. Hot waterbath-1<br />10. Coconut leaves/tongue cleaners-2<br />11. Gandharvahastadi kashaya- 90 ml<br />12. Medicated water- Q.S.<br />13. Masseurs -2<br />14. Attendant - 1<br /><br />Pre operative procedure:<br />Patient should sit on the droni with legs extended, with minimum cloths. Talam is applied with suitable oil/choorna, along with karnapoorana. Gauze should be tied around the head above the eyebrows. Ears should be plugged with cotton and oil smeared all over the body (mild abhyanga).<br /><br />Procedure:<br />The oil for seka should be heated in a vessel kept in a hot water bath. The temperature of the oil must be 42oC-45oC.The cotton pieces dip in the warm oil and should be poured by squeezing cloth pieces held in one hand of masseurs. The oil should flow, in a uniform stream from the thumb facing downwards, from a height of 6-9 inches as per the condition. The process should be carried out in seven positions as follows.<br />1. Sitting<br />2. Supine<br />3. Right lateral<br />4. Supine<br />5. Left lateral<br />6. Supine <br />7. Sitting<br />Prone position can be adopted if necessary. Oil flowing out should be collected and used after reheating. A gentle massage should be given along the stream. It is desirable to use fresh oil daily. As the medicated oil is very costly the same oil may be used for 3 days after removing sediments. This should be preserved after removing moisture Small quantity of fresh oil should be added to this to maintain the quantity. On the fourth day fresh oil should be taken & used for next 2 days. On the seventh day both these batches of oil can be used.<br />Kayaseka can be done using kernel also. In this, oil should be filled in the kernel & poured on the body after checking the temperature by pouring on the dorsum of therapist’s own hand. Modern equipment with auto temperature regulation is presently developing.<br /><br />Post operative procedure:<br />The oil is wiped off with the help of coconut leaves/tongue cleaners. Body should be cleaned with soft towel. Talam should be removed and appropriate choorna like Rasnadi is applied on the head. Gandharvahastadi Kashaya should be given for drinking. Take rest for ½ an hour and take bath. Head bath can be done with amalaki kwatha and body with erandakwatha.<br /><br /><br />Duration:<br />45 minutes-1 hour for 7, 14 or 21 days.<br /><br />Time of procedure:<br />7-11 am or 4-6 pm<br /><br />Precautions:<br />1. Temperature should be maintained at the same level through out the procedure.<br />2. Stream should be uniform and continuous.<br /><br />Complications:<br />1. Fainting- stop the procedure and treat accordingly.<br />2. Fever-stop the procedure and treat accordingly.<br />3. Hypotension, Giddiness, Fatigue- treat accordingly. <br />4. Burns- Shatadhouta Ghrita applicationDr.RIYAS.AKhttp://www.blogger.com/profile/09427440286303164733noreply@blogger.comtag:blogger.com,1999:blog-7186972528700461035.post-70176272521696381242010-05-12T03:39:00.001-07:002010-05-12T03:40:18.377-07:00KAYASEKA WITH KWATHAKAYASEKA WITH KWATHA<br /><br />Kayaseka with kashaya is a variety of drava sweda in which the warm kwatha is poured all over the body. Mainly it is indicated in Vatavyadhis with kapha or pitta anubandha. Drugs can be selected as per Dosha condition. It can be done locally or generally.<br /><br />Materials required:<br />1. Suitable kwatha - 4 liters<br />2. Kernel/mugs with pointed tip- 4<br />3. Vessels(5 liters)- 4 <br />4. Soft towels-2 <br />5. Oil for talam- 10ml<br />6. Rasnadi choorna- 5 g<br />7. Suitable oil for abhyanga-100 ml<br />8. Gauze (60cm) –1<br />9. Earplugs-2 <br />10. Gandharvahastadi Kashaya- 90 ml<br />11. Medicated water- Q.S.<br />12. Masseurs -2<br />13. Attendant - 1<br /><br />Preparation of medicine:<br />800 gram of drug is boiled in16 litres of water & reduced to half quantity.<br /><br />Pre operative procedure:<br />Patient should sit on the droni with minimum cloths. Talam is applied with suitable oil. Gauze is tied around the head above the eyebrows. Ears are plugged with cotton and abhyanga is done. In some specific conditions, this procedure may be done without abhyanga.<br /><br />Procedure:<br />The kwatha for seka should be heated on the stove. The temperature of the kwatha must be around 40oC. Two masseurs standing on either sides of the patient should pour kwatha in a uniform stream through the kernels/mugs from a height of 6 -9 inches. The process should be carried out in seven positions as mentioned in kayaseka with oil. Kwatha flowing out should be collected and used after reheating. Fresh kwatha is used every day.If no massage is to be done, cover body with thin cotton cloth.<br /><br />Post operative procedure:<br />Body should be cleaned with soft towel. Talam should be removed and appropriate/ Rasnadi choorna should be applied on the head. Gandharvahastadi Kashaya should be given for drinking. Bathing can be done after a rest of 1 hour.<br /><br />Duration:<br />45minutes-1 hour for 7, 14 or 21 days.<br /><br />Time of procedure:<br />7-11 am or 4-6 pm<br /><br />Precautions:<br />1. Temperature should be maintained at the same level through out the procedure.<br />2. Stream should be uniform and continuous.<br /><br />Complications:<br />1. Hypotension, Giddiness, Fatigue- cold water is sprinkled over the face.<br />2. Fainting- stop the procedure and treat accordingly.<br />3. Burns- Shatadhouta Ghrita application.Dr.RIYAS.AKhttp://www.blogger.com/profile/09427440286303164733noreply@blogger.comtag:blogger.com,1999:blog-7186972528700461035.post-12131973056662697812010-05-12T03:39:00.000-07:002010-05-12T03:40:16.863-07:00KAYASEKA WITH KWATHAKAYASEKA WITH KWATHA<br /><br />Kayaseka with kashaya is a variety of drava sweda in which the warm kwatha is poured all over the body. Mainly it is indicated in Vatavyadhis with kapha or pitta anubandha. Drugs can be selected as per Dosha condition. It can be done locally or generally.<br /><br />Materials required:<br />1. Suitable kwatha - 4 liters<br />2. Kernel/mugs with pointed tip- 4<br />3. Vessels(5 liters)- 4 <br />4. Soft towels-2 <br />5. Oil for talam- 10ml<br />6. Rasnadi choorna- 5 g<br />7. Suitable oil for abhyanga-100 ml<br />8. Gauze (60cm) –1<br />9. Earplugs-2 <br />10. Gandharvahastadi Kashaya- 90 ml<br />11. Medicated water- Q.S.<br />12. Masseurs -2<br />13. Attendant - 1<br /><br />Preparation of medicine:<br />800 gram of drug is boiled in16 litres of water & reduced to half quantity.<br /><br />Pre operative procedure:<br />Patient should sit on the droni with minimum cloths. Talam is applied with suitable oil. Gauze is tied around the head above the eyebrows. Ears are plugged with cotton and abhyanga is done. In some specific conditions, this procedure may be done without abhyanga.<br /><br />Procedure:<br />The kwatha for seka should be heated on the stove. The temperature of the kwatha must be around 40oC. Two masseurs standing on either sides of the patient should pour kwatha in a uniform stream through the kernels/mugs from a height of 6 -9 inches. The process should be carried out in seven positions as mentioned in kayaseka with oil. Kwatha flowing out should be collected and used after reheating. Fresh kwatha is used every day.If no massage is to be done, cover body with thin cotton cloth.<br /><br />Post operative procedure:<br />Body should be cleaned with soft towel. Talam should be removed and appropriate/ Rasnadi choorna should be applied on the head. Gandharvahastadi Kashaya should be given for drinking. Bathing can be done after a rest of 1 hour.<br /><br />Duration:<br />45minutes-1 hour for 7, 14 or 21 days.<br /><br />Time of procedure:<br />7-11 am or 4-6 pm<br /><br />Precautions:<br />1. Temperature should be maintained at the same level through out the procedure.<br />2. Stream should be uniform and continuous.<br /><br />Complications:<br />1. Hypotension, Giddiness, Fatigue- cold water is sprinkled over the face.<br />2. Fainting- stop the procedure and treat accordingly.<br />3. Burns- Shatadhouta Ghrita application.Dr.RIYAS.AKhttp://www.blogger.com/profile/09427440286303164733noreply@blogger.comtag:blogger.com,1999:blog-7186972528700461035.post-50874994151607178892010-05-12T03:38:00.001-07:002010-05-12T03:38:59.241-07:00KATIVASTHIKATIVASTHI<br /><br />It is a type of local snigdhasweda where warm oil is kept at the katipradesha for a prescribed time. The patient lies in prone position and the katipradesha is encircled with thick black gram paste for retention of the oil. . It acts effectively as it is applied at the site of lesion .This procedure can be performed in other areas like greeva, janu, uras etc. and named accordingly It is a samana procedure. <br /><br />Materials required:<br />1. Black gram flour- 250g<br />2. Suitable oil- 150-250ml<br />3. Vessel- 3<br />4. Spoon-1<br />5. Cotton- Q.S.<br />6. Hot waterbath-1<br />7. Attendent-1<br /><br />Pre operative procedure:<br />The black gram flour is well mixed with sufficient quantity of warm water into a thick paste. It is then made into flat slab-like structure having length about 45-60 cm, thickness of 3 cm and height of 5 cm. Steel or plastic rings can also be used.<br />Patient should lie in comfortable prone position exposing the kati. The prepared dough is fixed to the area in circular shape, taking care not to cause any leakage of oil. <br /><br />Procedure:<br />The oil should be warmed over the hot water bath and poured slowly inside the ring. Its temperature must be maintained at 40oC-45oC, by replacing a small quantity after reheating. After the prescribed time, oil should be removed with the help of cotton. <br /><br />Post operative procedure:<br />After removing the dough, the body part is cleaned with lukewarm water and the patient is allowed to take rest.<br /><br />Duration: 30 minutes- 1 hour. Usually it is done for 7 days.<br /><br />Precautions:<br />1. Leakage is to be prevented by pasting the dough firmly over the area<br />2. Uniform temperature must be maintained throughout the procedure<br />3. Be cautious about the temperature of the oil while reheating to avoid burns<br /><br />Complications and management:<br /> Burns- Stop the procedure and do agnidagdha chikitsaDr.RIYAS.AKhttp://www.blogger.com/profile/09427440286303164733noreply@blogger.comtag:blogger.com,1999:blog-7186972528700461035.post-33106224798268131432010-05-12T03:36:00.001-07:002010-05-12T03:37:25.500-07:00जणू vasthiJANUVASTHI<br /><br />This is a practical modification of snigdhasweda, where warmed sneha is allowed to stand over knee area for a prescribed period of time. It can be used in Janushoola caused by degenerative joint diseases, but contraindicated in inflammatory conditions.<br /><br />Materials required:<br />1. Prescribed taila-200 ml<br />2. Black gram flour-500 g<br />3. Cotton ribbon(3 inch x 1 meter)-1<br />4. Hot water-Q.S.<br />5. Vessels(plate, glass tumbler, spoon, pan)-4<br />6. Razer-1<br />7. Cotton - Q.S.<br />8. Towels -2<br />9. Attendent-1<br /><br />Pre operative procedure:<br /> The black gram flour should be thoroughly mixed with hot water to make thick dough. 1-2 table spoons of flour should be mixed with water loosely to form a paste. The thick dough should be shaped as about of 3 inches height, 1 inch width and length sufficient to form a ring around the required area. Usually it should be 30 cm for a medium sized adult.<br />The knee joint should be completely exposed and if site of manipulation is hairy, it must be shaved clearly. The patient must then be allowed to lie comfortably over the cot, in supine position. Such position is prescribed for uras and it is named as urovasti. If the procedure is to be done on posterior part, the patient is made to lie on prone position.<br /><br />Procedure:<br />The area of application should be thoroughly cleaned and flour dough should be pasted over the line, marked around knee joint like a ring. It should be then reinforced by pressing and sealed properly by flour paste to avoid leakage of oil. In addition, the cotton ribbon should be pasted around the wall, completely closing the margin between skin and dough wall. It is then allowed to set properly. <br /> The oil should be warmed over hot water bath, usually up to 38oC – 40oC. The warmed oil should be them poured uniformly into bund constructed up to an extent that oil level stands up to 2 inches above the skin level. It should be allowed to remain there for prescribed time. The temperature of oil must be maintained throughout the procedure by taking some oil out using a cotton and replaced by same amount of warmed oil. <br /><br />Post operative procedure:<br />After the prescribed time, complete oil should be removed and area should be cleaned by wiping with a clean dry cotton towel. The patient should be allowed to remain the same position for half hour.<br /><br />Precautions:<br />1. Avoid excess heating of the oil since it may cause burn.<br />2. Paste the bund well to avoid leakage.<br />3. Do not move the joint during procedure.<br /><br />Complications:<br />1. Burns- Apply cold water and Shatadhouta Ghrita<br />2. Discomfort due to sitting for same posture for long time- Make comfortable positions with correct sized cushions, and massage the areas.<br /><br />:Dr.RIYAS.AKhttp://www.blogger.com/profile/09427440286303164733noreply@blogger.comtag:blogger.com,1999:blog-7186972528700461035.post-56260517461815445282010-05-12T03:36:00.000-07:002010-05-12T03:38:11.788-07:00JANUVASTHIJANUVASTHI<br /><br />This is a practical modification of snigdhasweda, where warmed sneha is allowed to stand over knee area for a prescribed period of time. It can be used in Janushoola caused by degenerative joint diseases, but contraindicated in inflammatory conditions.<br /><br />Materials required:<br />1. Prescribed taila-200 ml<br />2. Black gram flour-500 g<br />3. Cotton ribbon(3 inch x 1 meter)-1<br />4. Hot water-Q.S.<br />5. Vessels(plate, glass tumbler, spoon, pan)-4<br />6. Razer-1<br />7. Cotton - Q.S.<br />8. Towels -2<br />9. Attendent-1<br /><br />Pre operative procedure:<br /> The black gram flour should be thoroughly mixed with hot water to make thick dough. 1-2 table spoons of flour should be mixed with water loosely to form a paste. The thick dough should be shaped as about of 3 inches height, 1 inch width and length sufficient to form a ring around the required area. Usually it should be 30 cm for a medium sized adult.<br />The knee joint should be completely exposed and if site of manipulation is hairy, it must be shaved clearly. The patient must then be allowed to lie comfortably over the cot, in supine position. Such position is prescribed for uras and it is named as urovasti. If the procedure is to be done on posterior part, the patient is made to lie on prone position.<br /><br />Procedure:<br />The area of application should be thoroughly cleaned and flour dough should be pasted over the line, marked around knee joint like a ring. It should be then reinforced by pressing and sealed properly by flour paste to avoid leakage of oil. In addition, the cotton ribbon should be pasted around the wall, completely closing the margin between skin and dough wall. It is then allowed to set properly. <br /> The oil should be warmed over hot water bath, usually up to 38oC – 40oC. The warmed oil should be them poured uniformly into bund constructed up to an extent that oil level stands up to 2 inches above the skin level. It should be allowed to remain there for prescribed time. The temperature of oil must be maintained throughout the procedure by taking some oil out using a cotton and replaced by same amount of warmed oil. <br /><br />Post operative procedure:<br />After the prescribed time, complete oil should be removed and area should be cleaned by wiping with a clean dry cotton towel. The patient should be allowed to remain the same position for half hour.<br /><br />Precautions:<br />1. Avoid excess heating of the oil since it may cause burn.<br />2. Paste the bund well to avoid leakage.<br />3. Do not move the joint during procedure.<br /><br />Complications:<br />1. Burns- Apply cold water and Shatadhouta Ghrita<br />2. Discomfort due to sitting for same posture for long time- Make comfortable positions with correct sized cushions, and massage the areas.<br /><br />:Dr.RIYAS.AKhttp://www.blogger.com/profile/09427440286303164733noreply@blogger.comtag:blogger.com,1999:blog-7186972528700461035.post-50694073221441510082010-05-12T03:35:00.000-07:002010-05-12T03:36:25.281-07:00JAMBEERA PINDA SWEDAJAMBEERA PINDA SWEDA<br /><br />The Jambeera pinda sweda is performed with the bolus of Jambeera fruit pieces. This is mainly applied in vatakapha predominant conditions.It is usually done in frozen shoulder,plantar fascitis and traumatic conditions.It is sophahara,rooksha &Theekshna.<br /><br />Materials required:<br />Jambeera (chopped into pieces) - 750 g <br />Saindhava powder - 30 g<br />Turmeric powder - 60 g<br />Cotton cloth (45cm X 45cm) - 4<br />Threads - Q.S.<br />Vessels for heating - 2<br />Suitable oil for talam - 10 ml<br />Rasnadi choorna - 5 g<br />Suitable oil for abhyanga - 100 ml.<br />Oil for reheating the pottali - Q.S<br />Soft towels - 2<br />Masseurs - 2<br />Attendant - 1<br /><br />Preparation of pottali:<br />Ingredients are fried in appropriate quantity of oil and are divided into four equal parts and pottalis are made accordingly.(coconut & egg yolk can be added according to condition)<br /> <br />Pre operative procedure:<br />The patient should be seated with leg extended over the droni and tala is applied with suitable oil/choorna. <br /><br />Procedure:<br />Abhyanga should be performed with suitable medicated oil. Out of the four pottalis, the two pottalis should be heated up to 40oC-45oC by keeping on the hot pan containing suitable oil. This pottali should be applied to the patient as per the general procedure for about 30-45 minutes. <br /><br />Post operative procedure:<br />After the procedure body should be wiped with clean towel, talam should be removed and Rasnadi choorna should be applied. The patient should be advised to take complete rest for half to one hour.<br /><br />Precautions:<br />1. While preparing the medicine care should be taken to prevent charring<br />2. Tie the potalis firmly to avoid leaking of the contents during the procedure<br />3. The therapists on either side should apply the bolus simultaneously in a synchronized manner<br /><br />Complication and management:<br />Fainting- Sprinkle cold water on face, put talam with suitable oil and medicated choornas. Drakshadi kashaya can be given internally. <br />Burns- Apply madhu and ghrita, preferably Shatadhouta Ghrita.Dr.RIYAS.AKhttp://www.blogger.com/profile/09427440286303164733noreply@blogger.comtag:blogger.com,1999:blog-7186972528700461035.post-17500669866003540722010-05-12T03:31:00.000-07:002010-05-12T03:35:06.322-07:00GENERAL REQUIREMENTSGENERAL REQUIREMENTS<br /><br />Specifications of the theatre:<br /> Size: 12 ft. X12 ft. with attached toilet and bathroom. <br />Floor: Mat finished tiles.<br />Exhaust fans- 2<br />Sufficient light and ventilation<br />Hot water facility<br /><br />Requirements: <br />Droni: 8ft. X 2.5-3ft.<br />Appropriate stand to fix droni: 2.5ft.height. Hydraulic table is preferable.<br />Footsteps<br />Stool-1<br />Armed chair-1<br />Heating facilities<br />Shirodhara stand<br />Gokarnas-2<br />Stethoscope-1<br />Sphygmomanometer-1<br />Thermometer-1<br />Hot water-bath<br />Pressure cooker (5litres)-1<br />Small pillows covered with rexin sheet-2<br />Small almairah-1<br />Disposable aprons, gloves and masks- Q.S.<br />Knife and scissor- 1 each<br />Towels- Q.S.<br />Cotton- Q.S.<br />Liquid soap- Q.S.<br />Clock-1<br />Refridgerator-1<br /><br />Note: Special requirements for each procedure are mentioned in concerned topics.<br /><br />General regime:<br />1. Vital Data should be noted before the procedure.<br />2. Food should not be taken at least 2 hours before the procedures.<br />3. Easily digestible food should be preferred. <br />4. Hot water should be used for all purposes.<br />5. Day sleep should be avoided; take proper sleep at night.<br />6. Avoid exposure to breeze, sunlight and cold atmosphere.Dr.RIYAS.AKhttp://www.blogger.com/profile/09427440286303164733noreply@blogger.comtag:blogger.com,1999:blog-7186972528700461035.post-85443578730138195392010-05-12T03:29:00.000-07:002010-05-12T03:31:29.512-07:00धन्यमला dharaDHANYAMLA DHARA<br /><br />It is a type of kayaseka, included under drava sweda. Dhanyamla is included under Sandhana kalpana. It is used in vatarogas, especially with kaphanubandha.<br /><br />Materials required:<br />1. Dhanyamla- 4 litres<br />2. Vessels- 4<br />3. Soft towels- 3<br />4. Oil for talam-10 ml<br />5. Oil for abhyanga- 100 ml<br />6. Rasnadi Choorna- 5g<br />7. Kernel/Plastic mug with pointed tip-2<br />8. Gauze-1<br />9. Cotton ear plugs-2<br />10. Masseurs- 2<br />11. Attendant- 1<br /><br />Pre operative procedure:<br />Patient should sit on the droni; talam should be kept on head and sarvanga abhyanga should be done. Sometimes abhyanga is not done according to the condition of the patient. Gauze should be tied around the head above the eyebrows. Ears should be plugged with gauze. The patient should be covered with a thin cloth below the neck. This procedure may also be practiced without covering the body. <br /><br />Procedure:<br />Warm Dhanyamla is poured with kernels/mugs by two attendants standing on either sides of the droni. The temperature should be around 40oC. Dhara should be poured at a medium speed and from a height of 6-12 cm. This is to be done in the seven positions mentioned in Kayaseka. Can be done hot or cold according to condition. Take new dhanyamla each day. <br /><br />Post operative procedure:<br />After dhara clean the body & head using the soft towel. Ear plugs and gauze are removed & rasnadi choorna is applied to the head. Rest is advised for 1 hour and then asked to take bath. Abhyangam before bath is optional.<br /><br />Duration: 45minutesX 7 days. Preferably done in morning hours in moderate climate.<br /><br />Complications and management:<br />Chills & rigors- it usually occurs due to uneven maintenance of the temperature of dhanyamla or prolonged time gap between the changing up of fresh warm dhanyamla or if body is exposed to cold breeze immediately after the procedure. In this condition, body is covered with thick cloth or warm liquid for drinking or hot fomentation should be given.Dr.RIYAS.AKhttp://www.blogger.com/profile/09427440286303164733noreply@blogger.comtag:blogger.com,1999:blog-7186972528700461035.post-32102142725606782902010-05-12T03:26:00.000-07:002010-05-12T03:28:55.120-07:00VirechanaVirechana<br /><br />Virechana is a procedure in which the prakupita doshas are expelled through gudamarga by the administration of medicines through oral route. Medicines are used in different forms like choorna, kwatha, sneha, lehya etc, depending on the condition of the patient.<br /><br />Materials required<br />• Virechana oushadha<br /><br /> Common Drugs and dosage<br /><br />1. Avipatti Choorna with honey – 20-40 gm<br />2. Bahushala guda <br />3. Trivrut lehya 20-40 gm<br />4. Manibadra guda<br />5. Patolamooladi kwatha – up to 90-180ml<br />6. Eranda taila preparations – 25-50 ml<br /><br />• Luke warm water<br /><br />Pre operative procedures <br /><br />• Samyak bahya & abyantara snehana and swedana should be ensured. <br />• Swedana is done generally in the form of abhyanga and ooshma sveda for three days.<br />• Food regimen of drava ushna dhanwokta rasa should be followed <br />• Asta mahavarjya bhavas should be avoided.<br />• On the day of Virechana, the following things should be ensured before administering the medicine <br />1. Proper sleep in the previous night<br />2. Proper digestion of previous day’s food<br />3. Proper elimination of natural urges<br /><br />Time of administration<br /> After sleshma kala, i.e. three and half hours after sun rise. <br /><br />Procedure<br /> <br />• Virechana oushadha is administered in empty stomach. if needed virechana drugs can be given in divided doses which should be completely administered in 15 mts.<br />• Proper anupanas like ushnodaka, madhu, milk, triphala kashaya, patoladi kashaya, draksha rasa, ikshu rasa etc. are used.<br />• Patient is advised to wash face with cold water and mouth with luke warm water and is advised to smell substances like lemon, cardamom etc to prevent vomiting .<br />• Patient is advised to take rest in the bed and wait till the urge for defecation occurs.<br />• The patient should not force or hold the urge and should use warm water for all purposes.<br />• Whenever he feels thirsty, he should drink little quantity of warm water sip by sip till vegas appear.<br />• Each vega should be observed keenly and should be informed to the doctor.<br />• He can take rest, but shouldn’t sleep in between the Vegas.<br />• Physician should record the vital data of the patient at regular intervals.<br />• Patient is observed for the samyak Virechana lakshana like<br />1. Initial expulsion of stools followed by Pitta (observed as golden yellow colored viscous fluid with a characteristic bilious odour)and at last Kapha (mucous)<br />2. Lightness of the body<br />3. Subsiding of Vega by itself without causing excessive weakness( even if kaphanta is not seen)<br />• If the patient doesn’t get any urge for defecation, after the previous Vega for a long time, hot water drink and mild local abdominal fomentation is advised.<br />• After ensuring jeernoushadhalakshanas, subsiding of Vegas, the patient is advised to take bath in lukewarm water followed by samsarjanakrama.<br />• Enough quantity of water is to be administered to avoid dehydration<br /><br />Post- operative procedure<br /> After getting proper appetite, samsarjana krama should be done according to satmya & vyadhi ranging from laghu drava aharas to guru ahara, as per suddhi and digestive power. Kanji with more water –kanji with less water – rice with mudga yusha –if non veg rice with meat soup is advised for 3/2/1 annakala depending on shuddhi. Three annakalas are practiced per day if agnibala is good. <br /><br />Complication and management:<br /><br />1. Nausea and vomiting<br />It may occur at the time of intake of medicine and during the procedure. To avoid the feeling of nausea, the patient is advised to smell lemon.<br />2. Feeble pulse, Giddiness, Collapse.<br />Sidhamakaradhwajam with honey and betel juice, Drakshadi kashaya, Dhanwantharam gulika can be given in this condition.<br />3. Adhmanam<br /> Swedana should be done locally at abdominal region.<br />4. Apravrithi of Vega<br /> Ushnajalapana, Swedana.<br />5. Kandu<br /> Thrikatu with sitha is given<br />6. Udarasoola<br /> Ushnajalapana, Swedana. Hinguvachadi Choorna can be given<br /> if necessary.<br /><br />7. Dehydration: tender coconut water.<br />8. Electrolyte imbalance: tender coconut water, chincha pani, lime juice with sugar & salt. Avoid coloured ORS solution since it cause gastritis.<br />Precautions:<br /><br />• The selected medicine should be made palatable by adding proper adjuvant. <br />• Intake of kaphothklesakara ahara should be avoided on the previous day<br />• Virechanoushadha can be administered in divided dose within very short duration to avoid immediate vomiting if necessary.<br />• Time of administration should be immediately after kaphakala<br />• Indulgence in any other activity should be strictly avoided like watching TV, excessive talking etc.<br />• Intake of excess water should be avoided<br />• Ensure proper subsidence of vega before administering paschath karma.Dr.RIYAS.AKhttp://www.blogger.com/profile/09427440286303164733noreply@blogger.comtag:blogger.com,1999:blog-7186972528700461035.post-10347912308578147292010-05-12T03:24:00.002-07:002010-05-12T03:26:51.080-07:00VamanaVamana <br /><br /><br />Vamana is the therapeutic procedure where forceful expulsion of vitiated doshas occurs through mouth following administration of Vamanoushadhi.<br /><br />Materials required:-<br /> <br />1. Large Basin –1<br />2. Medium sized vessel - 2<br />3. Steel glass (capacity-250ml)- 2<br />4. Table spoon - 2<br />5. Khalwa yanthra - 1<br />6. Stool -1<br />7. Chair with arm rest –1<br />8. Cotton cloth- -2<br />9. Hot water bath vessel -1<br />10. Stove - 1<br /><br />Pre-operative procedure:-<br /> <br />1. Preparation of the patient:-<br /><br />• The patient should be made samyakasnigdha by proper snehapana.<br />• On attaining samyaksnigdhalakshanas, Abhyanga and Ooshmasweda are done on next day.<br />• On the second day Abhyanga and ushmasweda <br />• Kaphothkleshakara aharas are given in the afternoon. <br /><br />2. Preparation of medicine:-<br /> <br />• Vamanadravya<br />1. Madanaphalachoorna- 3 to 5 gms<br />2. Vachachoorna- 5 gm<br />3. Yashtimadhuchoornam- 7.5 gm<br />4. Honey - QS<br />5. Saindhava- 15 gm<br />• Milk- 4 to 6 litres<br />• Hot water – QS<br />• Karpooradi or Haridradi varthi- 1<br />• Oil- QS <br /><br /><br /><br />Procedure<br /><br />• The patient should be anointed with proper oil followed by proper svedana. <br />• All these process should be completed around 7am. <br />• He should then be seated on a chair facing a basin kept on a stool.<br />• At first the patient should be given around 6 glasses of milk to facilitate easy bouts of vomiting as well as to prevent the complication of forceful vomiting.<br />• After that the medicine for vamana should be administered.<br />• Advice the patient to sit comfortably and concentrate on the forth coming signs of vomiting.<br />• The maximum time interval for the first bout to occur should not exceed more than 48minutes after the medicine is given. <br />• The physician should observe for the following signs<br />1. Sweating <br />2. Horripilations<br />3. Distention <br />4. Salivation <br />5. Oppression in chest etc<br />• Vomiting usually occurs following the appearance of this/these sign/s. <br />• The patient is asked to bend forward and vomit into the basin kept in front. <br />• Simultaneously the two flanks and fore head of the patient should be held by another person<br />• His umbilical region and back should be massaged in upward direction.<br />• The appropriate dravadravyas are administered in between if necessary.<br />• If the bouts are not coming up easily, then the patient is asked to bring the bouts manually by tickling his throat either with his fingers or a soft tube without injuring the throat.<br />• Vamana is continued till the samyak lakshanas are seen viz. pittanta (most preferable)/ sufficient kapha chardhana/shareera laghutha-kosta laghavata/dourbalya.<br /><br />Post operative procedure<br /><br />• The patient should be asked to wash his face with luke warm water followed by Dhoomapana with karpooradi or haridradi varthi. <br /><br />Complications and management<br />• Haemetemesis<br /> Lajatharpana with sitha.<br />• Feeble pulse, Giddiness, Collapse.<br /> Sidhamakaradhwajam with honey and betel juice,<br /> Drakshadi kashaya, Dhanwantharam gulika. <br />• Heena Vega<br /> Pippali Choorna, Amalaki Choorna, Sarshapa Choorna , LavanodakaDr.RIYAS.AKhttp://www.blogger.com/profile/09427440286303164733noreply@blogger.comtag:blogger.com,1999:blog-7186972528700461035.post-32208436749714367492010-05-12T03:24:00.001-07:002010-05-12T03:24:52.777-07:00Dr.RIYAS.AKhttp://www.blogger.com/profile/09427440286303164733noreply@blogger.comtag:blogger.com,1999:blog-7186972528700461035.post-49458002952522050312010-05-12T03:21:00.000-07:002010-05-12T03:24:10.110-07:00UttaravasthiUttaravasthi<br />(Female)<br /><br />Usually in females, utharavasthi done by three ways. <br /><br /> 1 Vaginal douche by kashaya<br />2.Vaginal utharavasthi using sneha<br />3. Uterine (Intrauterine) utharavasthi using sneha<br /><br />1. Vaginal douche<br /><br /> Usually done in conditions like cervicitis, cervical erosion, HPV-human papilloma virus, trichomanas vaginalis infection, cervical intraepithelial neoplasia using decoction.<br />Materials required<br />1 Vaginal douche can<br />2 Cotton gauze<br />3 Dettol, savlon<br />4 Artery forceps<br />5 Sponge holding forceps<br />6 Kidney tray<br />Drugs required<br /> 1 Nalpamaradi kashaya<br /> 2 Triphala kashaya <br />3 Aragwadadhi kashaya<br />4 Panchathikthaka kashaya<br /><br /> Time of administration<br /> 9.30 am - 1 pm in OPD base<br /> Dose <br />1500ml of kashaya<br /><br /> Procedure<br /> Ask the patient to void the urges before the procedure. Give snehana and swedana over pelvic and lumbosacral region. Patient should lie in lithotomic position. Clean the vulva region with the swab dipped in antiseptic lotion.<br /> Take kashaya in vaginal douche can; confirm nozzle of the can is closed properly. Insert nozzle through vaginal orifice allowing flow of kashaya in all fornices and around cervix to wash out. After complete cleaning, remove nozzle and again swab out vagina with cotton gauze.<br /> In case of infections, varthi like Kushtapippalyathi varthi can be used after vaginal douche.<br /><br />2 .Vaginal utharavasthi <br /> Usually used in non infective conditions of vagina and cervix, 1 & 2 0 uterine prolapse, female infertility, cervical erosion, cervicitis, cervical intraepithelial Neoplasia, endometriosis etc.<br />Materials required<br /> 1 Casco’s bivalve speculum<br />2 Sponge holding forceps<br />3 Artery forceps<br />4 Betadine, savlon<br />5 Sterilized gauze<br />6 Syringe 10-30 ml capacity<br />7 Kidney tray<br />8 Medicated sneha autoclaved<br />Drugs required<br />1 Phalasarpis<br />2 Dhanwantharam gritham<br />3 Shatpala gritham<br />4 Shashtika tailam<br />5 Varanadhi gritham<br />6 Jathyadhi gritham<br />7 Gugguluthikthaka gritha<br />8 Kalyanaka gritha<br />9 Mahathikthaka gritha<br /><br />Time of administration<br /> According to the condition, mostly in morning hours<br /><br /> Dose of medicine<br />15-20 ml<br />Procedure<br /><br /> Autoclave all required materials. Prepare the patient with local shaving of pubic hair. Snehana and swedana of katee pradesa should be done. After voiding urine, ask the patient to lie down on utharavasthi table in lithotomic position. Cover all other parts except genitalia with surgical towels and fix with towel clips. Clean the exposed area with cleaning agents using sponge holding forceps and gauze. Clean vagina using artery forceps and gauze. Fix Casco’s bivalve speculum for proper visualization of cervix. Take autoclaved medicine in syringe and slowly injecting vagina till it fully covers the os reaching external os. Keep plain gauze and remove Casco’s speculum. Ask the patient to lie down in supine position for 15-20 minutes.<br /><br /><br />3 Intrauterine utharavasthi<br /><br />It is usually done in infertility, intrauterine pathologies with sneha<br />Materials required<br /><br /> Cusco’s bivalve speculum<br /> Uterine sound<br /> Ruben’s canula<br /> Sponge holding forceps<br /> Artery forceps<br /> Sterile gauze<br /> Towel with clips<br /> Kidney tray<br /> Medicated sneha<br /><br />Drugs used<br /><br />1 Phalasarpis<br />2 Kalyanaka gritha<br />3 Dhanwanthara gritha<br /> <br />Dose: 2-4 ml.<br /><br />Time of administration<br /><br /> Done in rithukala after doing kashayavasthi with proper snehana and sodhana. <br /><br />Procedure:<br /><br />Snehana and swedana of kateeprdesha is done. Sodhana is done as yogavasthi or kala vasthi or rajayapana vasthi. Patient is prepared with shaving of the pubic hair. The patient is asked to lie down on the table in lithotomic position after voiding urine. Cover the part except genitalia with surgical towels and fix with towel clips. Clean the exposed area with cleaning agents using sponge holding forceps and gauze. Clean vagina with artery forceps and gauze. Fix the Casco’s bivalve speculum for proper visualization of cervix. Insert uterine sound to know the position of uterus. Remove the uterine sound and slowly insert Ruben’s canula in the same direction. Attach autoclaved medicine filled syringe to external end of Ruben’s canula. Push the medicine slowly. Remove the syringe, canula and speculum carefully. After the procedure keep a pichu in the vagina. Ask the patient to lie down in supine position for 15-20 minutes, remove the pichu when patient feels next urge of Micturition.<br />Complications<br /><br /> Bleeding or spotting<br /> Medication is not required; it will subside on the next day.<br /> Abdominal pain <br />Managed with dhanwantharam gutika, dhanwantharam kashaya and sapthasara kashaya<br />Precautions <br /><br />1 Proper sterilization<br />2 TT injections before the procedure<br />3 Use of Biogest, Septilin tab during the procedure to avoid infection<br />4 Push medicines very slowly to avoid entry into the peritoneum, which may<br /> cause severe peritonitis, and spilling into appendages.<br /><br /><br />Utharavasthi in male<br /><br />Utharavasthi is used in males, commonly in sexual dysfunctions like erectile dysfunction, premature ejaculation, and in certain seminal abnormality like oligosprmia.<br />Medicines used<br />Ksheerabala taila<br />Dasamoola taila<br />Bala taila<br />Brihat chagalyadi gritha<br />Mahanararayana taila. etc<br /><br />Procedure:-<br /> Local shaving of pubic hair should be done and the patient is asked to void the urine just before the procedure starts. Patient must lie down on supine position on the clean table by exposing the part. The hands are flexed and clasped below head. Wash the genitalia and the surrounding area with the savlon by using sponge holding forceps & gauze. Retract the prepuce completely and wash thoroughly the glans penis & then apply Betadine to glans penis. The physician having gloves after washing hands spread the surgical towel over patient, exposing the penis. Towel clips may be applied. When once the assistant transfers the autoclaved medicine into steel bowel, the medicine is filled into the syringe. Fix the catheter to the nozzle of the syringe, push the oil to the tip of the catheter. Lubricate the catheter with the xylocaine jelly. Gently introduce the catheter into the urethra. Slowly introduce the catheter into the bladder. Ensure the catheter has entered the bladder, and then slowly inject the medicine into the bladder. If more amount of medicine has to be injected clamp the catheter with artery forceps, remove the syringe & then inject the medicine with same syringe or by another. When once the injection of medicine is over remove the catheter & allow the patient to lie down in the same position for 5 to 10 minutes and then patient may be sent home. Check the tip of the catheter to ensure that there is no any bleeding.<br />Dose<br /> 25–30ml <br />Retention:-<br /> Usually 3-6hrsDr.RIYAS.AKhttp://www.blogger.com/profile/09427440286303164733noreply@blogger.comtag:blogger.com,1999:blog-7186972528700461035.post-16482136018679020762010-05-12T03:17:00.001-07:002010-05-12T03:18:23.237-07:00Nirooha vasthiNirooha<br /><br /> <br /> Nirooha is the procedure where, combinations of medicaments are administered through rectal route, for local as well as systemic effects. Depending on the dose and nature of ingredients, Nirooha is of several types like Ksheeravasthi, Yapana, Vaitharanavasthi etc<br /><br />Materials required:-<br /><br />1. Mortar and pestle<br />2. Vasthinethra<br />3. Polythene cover of at least 1&1/2 liter capacity/ Traditional Vasthi putaka<br />4. Hot water<br />5. Utensils<br />6. Good quality fine sieve<br />7. Cotton towel<br />8. Measuring apparatus<br />9. Cotton thread-1/2 meter<br />10. Cotton<br />11. Sterile glove.<br />12. Oil for Abhyanga<br />13. Medicaments as per prescription in the required quantity<br />14. Churner<br /><br />Preparation of Vasthidravya:<br /><br /> Initially Saindhava is put in the Khalwa yantra and it is powdered well <br /> Madhu is added in thin stream triturating properly to ensure a homogenous mixture. <br /> It is followed by the mixing of appropriate tailam in required quantity mentioned in the yoga slowly by the side of the mortar and it is continuously stirred until it attains a uniform consistency. <br /> The kalka, which is the fine paste of drugs mentioned in the yoga is added little by little along with proper grinding with pestle.<br /> Then appropriate kwatha in required amount as per yoga is added slowly and properly mixed. <br /> The Avapa, if mentioned in the yoga/if needed, is added at last followed by proper stirring. <br /> The mixture is filtered through a fine sieve and finally made lukewarm by keeping over a hot water bath. <br /> This mixture is churned well with the help of a churner. <br /> When it is lukewarm (Sukhoshna), and comfortable for the patient, it is transferred to a plastic cover (vasti putaka) having sufficient thickness and then vasti netra of bronze or plastic is tied to it very well with plugging the other tip with a cotton varti.<br /><br />Time of administration<br /><br /> Madhyahne kinchidavarthe, Nathibubhukshitha<br /> This time varies depending on desha and kala and is generally in between<br /> 10 – 11am.<br /><br />Poorvakarma of Nirooha<br /><br /> The procedure is usually done in empty stomach<br /> Those who are Sukumara and Ksheena are asked to take very light food in early morning. <br /> Sarvanga Abhyanga and sveda should be done before the procedure. . <br /><br />Pradhanakarma:<br /><br /> Position of the patient<br />1. Patient is asked to lie on a cot of knee-height, in left lateral position.<br />2. His left lower limb extended and right lower limb flexed at knee and hip.<br /> 3. His left upper limb is kept folded under his head. <br /> Procedure<br /> A small amount of plain ghee/medicated oil is smeared over the tip of Vastinetra as well as the anus of the patient for lubrication.<br /> Wearing the hand gloves, per rectal examination is carried out to rule out loaded rectum, or any other obstruction. <br /> Hold the vastinetra in the left hand and putaka in the right hand. <br /> Remove the plug from the tip of vastinetra and evacuate the air and close the tip with left index finger.<br /> Vasthi netra is then gently introduced into the anus and putaka is pressed slowly and steadily to push the vasthidravya into the patient’s rectum.<br /> Patient is asked to count up to 30 and to breathe deeply through the mouth during introduction. <br /> Vastinetra is withdrawn with a little amount of medicament remained in the putaka to avoid the entry of air.<br /> If the patient feels the urge for defecation during the procedure, he is allowed to pass stools after removing vasthinethra and the remaining medicine is administered later.<br /><br />Paschathkarma<br /><br /> Patient is asked to lie in supine position till the urge for defecation occurs. <br /> He is asked to clear the bowels as many times he feels Vega and advised<br /> to take bath in luke warm water. <br /><br /> Then diet according to dosha vitiation and satmya is given (preferably rice<br /> with mudgayoosha or mamsarasa). <br /> Blood pressure, pulse rate, time of retention, number of evacuations and if<br /> discomforts any are observed. <br /> He is asked to take rest and light food is given at night.<br /> <br />Complications <br /> Abdominal discomfort and pain – after careful evaluation about the cause appropriate management can be adopted. General measures like abyanga, sweda, deepana anulomana drugs are advised.<br /> Immediate evacuation without retention: - Another vasthi with less lavana, ushna and quantity should be administered immediately after ruling out sphincteral incontinence.<br /> Giddiness, Low pulse, Cold extremities, Delirium: - Console the patient, Foot end elevation, Hot drinks, Warming extremities. Drugs like Sidhamakaradhwaja, Drakshadi kashaya, Dhanwantharam gulika etc can be given.<br /> Vomiting: - Usually subsides without specific management. Drugs like Chandrakalarasa, Dhanwantharam gulika, Drakshadi kashaya, Mayoorapichabhasma etc can be given<br /> Anaphylactic reaction: - Skin eruptions, Itching, Urticaria, Dyspnoea etc. Careful history taking to identify known allergens and avoiding them. Haridrakhanda, Thrikatu with sitha, Chandanasavam, Draksharishtam etc can be given.<br /> Long retention: - Known causes like obstruction of anal canal by pile mass, enlarged prostrate, fecal matter etc should be excluded. Rubber tube or specific gudavarthis can be introduced into anal canal for evacuation.Dr.RIYAS.AKhttp://www.blogger.com/profile/09427440286303164733noreply@blogger.comtag:blogger.com,1999:blog-7186972528700461035.post-29991633208475645622010-05-12T03:17:00.000-07:002010-05-12T03:18:22.570-07:00Nirooha vasthiNirooha<br /><br /> <br /> Nirooha is the procedure where, combinations of medicaments are administered through rectal route, for local as well as systemic effects. Depending on the dose and nature of ingredients, Nirooha is of several types like Ksheeravasthi, Yapana, Vaitharanavasthi etc<br /><br />Materials required:-<br /><br />1. Mortar and pestle<br />2. Vasthinethra<br />3. Polythene cover of at least 1&1/2 liter capacity/ Traditional Vasthi putaka<br />4. Hot water<br />5. Utensils<br />6. Good quality fine sieve<br />7. Cotton towel<br />8. Measuring apparatus<br />9. Cotton thread-1/2 meter<br />10. Cotton<br />11. Sterile glove.<br />12. Oil for Abhyanga<br />13. Medicaments as per prescription in the required quantity<br />14. Churner<br /><br />Preparation of Vasthidravya:<br /><br /> Initially Saindhava is put in the Khalwa yantra and it is powdered well <br /> Madhu is added in thin stream triturating properly to ensure a homogenous mixture. <br /> It is followed by the mixing of appropriate tailam in required quantity mentioned in the yoga slowly by the side of the mortar and it is continuously stirred until it attains a uniform consistency. <br /> The kalka, which is the fine paste of drugs mentioned in the yoga is added little by little along with proper grinding with pestle.<br /> Then appropriate kwatha in required amount as per yoga is added slowly and properly mixed. <br /> The Avapa, if mentioned in the yoga/if needed, is added at last followed by proper stirring. <br /> The mixture is filtered through a fine sieve and finally made lukewarm by keeping over a hot water bath. <br /> This mixture is churned well with the help of a churner. <br /> When it is lukewarm (Sukhoshna), and comfortable for the patient, it is transferred to a plastic cover (vasti putaka) having sufficient thickness and then vasti netra of bronze or plastic is tied to it very well with plugging the other tip with a cotton varti.<br /><br />Time of administration<br /><br /> Madhyahne kinchidavarthe, Nathibubhukshitha<br /> This time varies depending on desha and kala and is generally in between<br /> 10 – 11am.<br /><br />Poorvakarma of Nirooha<br /><br /> The procedure is usually done in empty stomach<br /> Those who are Sukumara and Ksheena are asked to take very light food in early morning. <br /> Sarvanga Abhyanga and sveda should be done before the procedure. . <br /><br />Pradhanakarma:<br /><br /> Position of the patient<br />1. Patient is asked to lie on a cot of knee-height, in left lateral position.<br />2. His left lower limb extended and right lower limb flexed at knee and hip.<br /> 3. His left upper limb is kept folded under his head. <br /> Procedure<br /> A small amount of plain ghee/medicated oil is smeared over the tip of Vastinetra as well as the anus of the patient for lubrication.<br /> Wearing the hand gloves, per rectal examination is carried out to rule out loaded rectum, or any other obstruction. <br /> Hold the vastinetra in the left hand and putaka in the right hand. <br /> Remove the plug from the tip of vastinetra and evacuate the air and close the tip with left index finger.<br /> Vasthi netra is then gently introduced into the anus and putaka is pressed slowly and steadily to push the vasthidravya into the patient’s rectum.<br /> Patient is asked to count up to 30 and to breathe deeply through the mouth during introduction. <br /> Vastinetra is withdrawn with a little amount of medicament remained in the putaka to avoid the entry of air.<br /> If the patient feels the urge for defecation during the procedure, he is allowed to pass stools after removing vasthinethra and the remaining medicine is administered later.<br /><br />Paschathkarma<br /><br /> Patient is asked to lie in supine position till the urge for defecation occurs. <br /> He is asked to clear the bowels as many times he feels Vega and advised<br /> to take bath in luke warm water. <br /><br /> Then diet according to dosha vitiation and satmya is given (preferably rice<br /> with mudgayoosha or mamsarasa). <br /> Blood pressure, pulse rate, time of retention, number of evacuations and if<br /> discomforts any are observed. <br /> He is asked to take rest and light food is given at night.<br /> <br />Complications <br /> Abdominal discomfort and pain – after careful evaluation about the cause appropriate management can be adopted. General measures like abyanga, sweda, deepana anulomana drugs are advised.<br /> Immediate evacuation without retention: - Another vasthi with less lavana, ushna and quantity should be administered immediately after ruling out sphincteral incontinence.<br /> Giddiness, Low pulse, Cold extremities, Delirium: - Console the patient, Foot end elevation, Hot drinks, Warming extremities. Drugs like Sidhamakaradhwaja, Drakshadi kashaya, Dhanwantharam gulika etc can be given.<br /> Vomiting: - Usually subsides without specific management. Drugs like Chandrakalarasa, Dhanwantharam gulika, Drakshadi kashaya, Mayoorapichabhasma etc can be given<br /> Anaphylactic reaction: - Skin eruptions, Itching, Urticaria, Dyspnoea etc. Careful history taking to identify known allergens and avoiding them. Haridrakhanda, Thrikatu with sitha, Chandanasavam, Draksharishtam etc can be given.<br /> Long retention: - Known causes like obstruction of anal canal by pile mass, enlarged prostrate, fecal matter etc should be excluded. Rubber tube or specific gudavarthis can be introduced into anal canal for evacuation.Dr.RIYAS.AKhttp://www.blogger.com/profile/09427440286303164733noreply@blogger.comtag:blogger.com,1999:blog-7186972528700461035.post-27410123164658545702010-05-12T03:14:00.000-07:002010-05-12T03:17:18.894-07:00NasyaNASYA<br /><br />This is a procedure wherein medicaments are instilled into nasal cavity in doshas especially pertaining to uttamanga, to achieve desired multidimensional effects.<br /><br />Materials required: (for navana) <br /><br />1. Nasya oil– Q.S.<br />2. Oil for abyanga – Q .S.<br />3. Nasyapeeta/nasyasayya, caliberrated dropper/gauze to instill the nasya drug.<br />4. Pillow, chair for dhoomanasya, table, Cotton pad, gauze, lotus petals to protect eyes while swedana.<br />5. For swedana – boiling water, towels or arrangement for nadi swedana (pressure cooker without weight, long heat resistant flexible pipe), appropriate swedana materials for tapasweda {cloth/towel/hotwaterbag}.<br />6. Gokarna <br />7. Warm water for kavala<br />8. Karpooradi or haridradi dhooma varthi / Other suitable drugs can also be used according to the type of Nasya with paper cone.<br />9. Disposable sterile plastic container for spitting(preferably transparent)<br />10. Clean cotton towels, cotton, tissue paper etc for cleansing<br /><br />Time of administration <br /><br />• According to dosha predominance<br /> Kapha - morning<br /> Pitta - afternoon<br /> Vata - evening<br />• In swasthas<br /> Sheeta kala - afternoon<br /> Sharat and vasantha – morning<br /> Greeshma – evening<br /> Varsha – cloudless day with sunshine<br />• Age group eligible for nasya<br /> 7-80 years<br /><br />Dose determination of nasya<br /><br />• When index finger is dipped upto two parwas (joints) in drava dravya and taken out the amount of dravya falling from it is considered as one bindu. Approximately one bindu is 0.5 ml.( for oil)<br />• Sneha nasya 10/8/6 bindu respectively for uttama, madhyama and avara matra<br /> <br /><br />Poorva karma<br /><br />• Patient is advised to wash face and mouth with luke warm water. <br />• Abyanga is done over shiras, lalata, kapala, greeva & skanda.<br />• Shiroabhyanga is enough. Nadisweda or tapasweda can be done.Abhyanga over palm and sole can be done.Dhoomapana can be done for srotosodha (in case of nasal congestion).<br />• Eyes are bandaged with a clean gauze piece after placing lotus petals and cotton pad over closed eyelids<br />• Then Nadi sweda is done (urdhwajathru).<br />• Dhoomapana can be done for srotoshodana, if necessary.<br />• Patient is made to lie in supine position with slightly elevated legs and head extended backwards. <br /><br />Pradhana karma<br /><br />• The medicine mildly warmed over a water bath.<br />• The prescribed dose of medicine is taken in the gokarna and poured into either nostril closing the other in a continuous single stream. <br />• Immediately after instillation of medicine mild massage is done over pani, pada, greeva, skanda.<br />• Mridu swedana can be done in the above mentioned areas with suitable method (Hasthasweda or vasanasweda).<br />• Patient is asked to inhale the medicine with moderate force and to spit it through mouth turning head to either side alternatively without rising from the cot.<br />• Patient is made to lie in the same position for 100 matra kala (3-5 minutes) <br /><br />Paschat karma<br /><br />• Dhoomapana is done with appropriate drugs according to the type of Nasya.<br />• Kavala with warm water is done to attain kantha shudhi.<br />• The talam should be wiped off and dry powder (used for preparing talam) is gently rubbed over the anterior frontanale. <br />• It is advisible not to take any type of food 2 hrs prior to and 1 hour after nasya.<br />• Na atidrava annapana is indicated in nasya.<br /><br />Precautions <br /><br />• While positioning the patient for nasya, if the head is not sufficiently bent the nasya dravya will not enter shiras and if the head is more bent dravya may enter mastulunga and cause complications like headache, dizziness etc.<br />• If the spitting is not done properly, or medicine is swallowed, it will cause kaphotklesha, agnimandya and the disease aggravates.<br />• If patient spits on one side only, then proper spreading of medicine won’t take place.<br />• If the patient talk, sneezes, laughs or gets angry or excessively moves his head while doing nasya, the nasya dravya won’t reach expected site and instead causes complications like cough, sinusitis rhinorrhoea, and head ache.<br />• Patient must avoid exposure to dust, sun breeze, drinking excessive water, alcohol, sneha dravya, bathing, excessive walking etc. Head bathing should be avoided during nasya period (since nasya arhas are almost snana anarhas), if bath is not contraindicated it can be given after 3hours.<br /><br />Avapeeda nasya<br /><br /> It is usually administered for 2 purposes- sthambhana and sodhana. It is named so because the medicine has to be squeezed for obtaining the nasya dravya.<br /> <br />Materials required<br /><br /> 1 Drug in wet form Eg: tulasi pathra, ardraka kanda<br /> 2 Mortar & pestle<br /> 3 Clean white cotton cloth (Coloured cloth should not be used)<br /> 4 Honey, swarasa etc should be added.<br />Preparation of medicine<br /><br /> Paste of the required medicine is prepared and squeezed in a clean cloth to get juice. If the medicine is theekshna to the patient, then it can be diluted with milk.<br /><br />Dose <br /> 4-8 bindu<br /><br />Preparation of the patient<br /><br /> Abhyanga and sweda depends on doshaavastha and purpose of nasya. In pravruttha/ drava dosha – without or with minimum sweda. In apravrutta / Sandra dosha , abhyanga and ooshma sweda can be done. If done for sthambhana purpose swedana should not be done. <br /><br />Procedure is similar to marsha nasya<br /><br /><br />Pradhamana nasya<br /><br /> It produces profuse dosha sodhana. Drug is used in the form of fine powder. <br /><br /><br /><br /><br /><br />Materials required<br /><br /> 1 Six inches long straw (Preferably tetrapack piercing straw)<br /> 2 Fine powders obtained from micropulveriser or filtered with 200 number mesh or similar cotton cloth.<br /><br />Dose<br /> 1-2 pinches<br /><br />Procedure<br /> The powder is filled in the straw and blown into the nostril. <br /><br />Complication<br /> Severe burning sensation : Nasya with sugar dissolved cold water,<br /> plain gritha nasya<br /> <br /> Sirodhoomayana : Ksheerabala nasya<br /> Nasal bleeding : Doorva swrasa + honey nasya, vasa swarasa.<br /> Kshavadhu- repeated sneezing: Sneha nasya with ksheerabala 101<br />Precautions <br /> Do a very minute test dose before using theekshna nasya. (Both the doctor and patient-in dose of milligrams).The blowing should not be done by a person with infections, that could be spread by touch/droplets/breath air.Dr.RIYAS.AKhttp://www.blogger.com/profile/09427440286303164733noreply@blogger.comtag:blogger.com,1999:blog-7186972528700461035.post-81473961726202408172010-05-12T03:13:00.000-07:002010-05-12T03:14:35.232-07:00Anuvasana vasthiAnuvasana (Sneha) vasthi<br /><br /> It is used in two ways as a supportive treatment for asthapana in different protocols like yoga, kala, karmavasthi and as a kevala snehavasthi in the form of matravasthi. Mainly used in conditions of vatha for the purpose of snehana but in some cases like arsas, vasthi like Pippalyadi Anuvasana can be given.<br /><br />Materials required:<br />1. Plastic polythene cover/ traditional putaka with vasthinetra <br />2. Gloves<br />3. Vessels<br />4. Anuvasana taila / ghrita (chikkana paka) - 1/4th of asthapana <br />5. Hot water for warming the sneha.<br /><br />Preoperative procedure-<br /><br /> Food is given just before Anuvasana as prescribed by the physician.<br /><br />Procedure:-<br />• After taking food patient should walk little distance. <br />• Then advice the patient to lie down on the left lateral position with his <br /> right leg flexed at knee and hip, left leg kept straight and left hand below <br /> the head. <br />• Warmed sneha is taken in polythene cover. <br />• Wearing the hand gloves, per rectal examination is carried out to rule out <br /> loaded rectum, or any other obstruction. <br />• Then the vasthinetra is carefully introduced into the anal canal in the <br /> direction of vertebral column.<br />• Snehadravya should be pushed with uniform force not too slow not too <br /> fast. <br />• A little amount of snehadravya should be retained in the container and <br /> vasthinetra is removed slowly.<br /><br />Time of administration:<br /><br />Usually between 1-2pm. (Just after lunch)<br /><br /> Post operative:-<br />• Patient should lie supine. <br />• Mild massage over abdomen is given. <br />• Bend his legs at the knee, and buttocks are hit by his heels. <br />• Patient is allowed to lie with pillow under his thighs.<br />• Patient is advised to attend his urge. <br />• For all purpose warm water should be used.<br />• Till the sneha comes out, patient is not allowed to eat anything.<br />• Usually sneha comes out with faeces within 1-5 hours.<br /><br />Complications:-<br /><br /> Abdominal pain: <br /> Rx: Hinguvachadi / ashta /vaisvanara choorna.Dr.RIYAS.AKhttp://www.blogger.com/profile/09427440286303164733noreply@blogger.comtag:blogger.com,1999:blog-7186972528700461035.post-74047730033838343512010-05-12T03:11:00.000-07:002010-05-12T03:12:28.250-07:00Ksheera dhooma......<br />KSHEERADHOOMA<br /> <br /> Ksheeradhooma is a Nadi sveda which is a type of Ooshmasweda . The therapeutic efficacy of Nadisweda varies according to the drava used. Ksheeradhooma is a snigdhasweda. In Nadisweda, a tube of appropriate length attached to an apparatus containing drava is used to direct the steam appropriately to the area which isto be sudated. In Ksheeradhooma, steam is generated by boiling milk and Balamoola/ Dashamoola/ Vacha kwatha. It is mainly practised in the management of Ardita, Jihvastambha, Hanustambha, Swarabhanga.<br /> <br />Materials required: <br />1. Chair-1<br />2. Milk-500 ml<br />3. Bala kwatha-500 ml<br />4. Oil for abhyanga- 50 ml<br />5. Oil for talam- 10 ml(Navaneetham+Balachoornam)is optonal<br />6. Rasnadi choorna- 5 g<br />7. Nadisweda apparatus-1-pot covered with leaf,pressure cooker 2-3 litre<br /> Rubber tube-2metre.<br /> Gauze piece at end of mouth of tube to avoid spilling.<br />8. Lotus petals-Q.S.<br />9. Blanket-1<br />10. Cotton towel-1<br />11. Cloth for wrapping eyes-1<br />12. Attendent-2<br /> <br /> <br />Preparation of medicine:<br />Bala kwatha: 500g of crushed Balamoola is boiled with 2 litres of water & 500ml of milk and reduced to 500ml.This is used to generate steam for the therapy.<br /> <br />Pre operative procedure:<br /> Patient should be seated in a chair and talam should be applied with suitable oil. Abhyanga should be done over face, fore head, neck, shoulder& chest. The eyes should be covered with cotton cloth after placing lotus petals over both lids. The head and neck portion is covered from the back with a blanket.<br /> <br />Procedure:<br />The patient should sit comfortably for the procedure. Then steam from the apparatus is directed over face, neck, chest& shoulder. Special care should be taken to avoid burns and to get uniform steam. The procedure should be continued up to the appearance of sweat. It is done for about 5-15 minutes. Intermittent opening of the mouth is to be done.<br /> <br />Post operative procedure:<br />............Dr.RIYAS.AKhttp://www.blogger.com/profile/09427440286303164733noreply@blogger.comtag:blogger.com,1999:blog-7186972528700461035.post-63080824782646344262010-05-12T03:10:00.000-07:002010-05-12T03:11:27.729-07:00Patra potala swedam......<br />PATRA POTTALI SWEDA<br /> <br /> The word “patra pottali” is derived from two words, patra means leaves and pottali means bundle. Patra pottali sweda refers to the sudation performed by specially prepared bundle of medicinal leaves (generally vatakaphahara). It is a form of ooshma sweda.<br /> <br />Materials required:<br />1. Leaves(chopped into pieces) – 1 kg<br />2. Grated coconut- 100g<br />3. Sliced lemon- 2<br />4. Cotton cloth (45 cm X 45cm): 4 pieces<br />5. Tags- 4<br />6. Vessels (for frying leaves and for heating pottalis)- 2<br />7. Oil-<br />· For frying leaves -100ml<br />· For heating pottalis-250ml<br />· For abhyanga- 100 ml<br />· For talam- 10 ml<br />8. Rasnadi choorna- 5g<br />9. Towels- 2<br />10. Masseurs -2<br />11. Attendant – 1<br />12. Saindhava-5-10 gms<br />Different medicinal powders can be added, if necessary.<br /> <br />Preparation of pottali:<br />The fresh leaves should be washed in water and chopped into small pieces. The leaves, grated coconut & sliced lemon should be mixed thoroughly and fried together in 100 ml of appropriate oil till coconut scrapings attain a brown tinge. It should be divided in to four equal parts and made into pottalis.(Average weight of a standard potali is 300-350 gm)<br /> <br />Pre operative measures:<br />The patient should be seated with leg extended over the droni facing to the East. Abhyanga should be performed with prescribed medicated oil all over the body for about 10 minutes. Talam with suitable oil/choorna should be applied.<br /> <br />Procedure:<br />The prepared pottali should be heated with suitable oil in a hot iron pan up to 42-460 C. It should be applied after checking the temperature throughout the body with mild pressure in seven prescribed positions by two attendants standing on both sides of the droni. Care should be taken to maintain the temperature throughout the procedure by reheating the pottalis.<br /> <br />............Dr.RIYAS.AKhttp://www.blogger.com/profile/09427440286303164733noreply@blogger.comtag:blogger.com,1999:blog-7186972528700461035.post-17537405032149076272010-05-12T03:08:00.000-07:002010-05-12T03:10:15.477-07:00Shashtika PindaSweda......<br />SHASHTIKA PINDA SWEDA<br /> <br />The word ‘PINDA’ means bolus. Pinda sweda refers to the sudation performed by bolus of drugs. Shashtika pinda sweda is performed in ekanga or sarvanga with the bolus of boiled Shashtika shali with Balamoola kwatha and ksheera. The main properties of Shashtika are snigdha, guru, sthira, sheeta and tridoshaghna. Though a sweda karma, it has brimhana guna.<br /> <br />Materials required:<br />1. Shashtika shali-500g<br />2. Balamoola-750g<br />3. Water- Q. S.<br />4. Cow’s milk-3litres<br />5. Cotton cloth(45cm X 45cm)- 4 pieces<br />6. Threads(75cm)- 8<br />7. Vessels-<br />a. For preparing kwatha<br />b. For cooking rice<br />c. To heat the boluses in mixture of kwatha and milk during the procedure (5 litres capacity with wide mouth made of bronze)<br />d. A plate for carrying heated pottali<br />8. Stove-1<br />9. Oil for talam- 10ml<br />10. Rasnadi choorna- 5g<br />11. Suitable oil for abhyanga-100ml<br />12. Coconut leaves/tongue cleaner-2<br />13. Tissue paper/towel- 2<br />14. Masseurs -2<br />15. Attendant - 1<br /> <br />Preparation of the medicine:<br />Balamoola kwatha- 750g of Balamoola is cleaned, crushed and boiled in 12 litres of water and reduced to 3 litres.<br />Shashtika rice cooking-In 1.5 litres of Balamoola kashaya and 1.5 litres of milk, 500 g of Shashtika rice should be added and boiled till it becomes thick and semisolid. Sufficient quantity of hot water can be used for proper cooking of the rice. Another method is that the Shashtika rice can be semi cooked in pure water; gradually added milk and kwatha; cooked again.<br /> <br />Preparation of the boluses:<br />The cooked rice should be divided into 4 equal parts and put into 4pieces of cotton cloths. The three corners should be folded neatly together so as to come under the fourth corner and the fourth fold is used to cover the other three corner folds underneath. One end of the thread is held tight with left hand and the other end is wound around the folds. In short, the boluses should be tied in such a way that the mouth of the sac leaves a<br />............Dr.RIYAS.AKhttp://www.blogger.com/profile/09427440286303164733noreply@blogger.comtag:blogger.com,1999:blog-7186972528700461035.post-10906395534039181252010-05-12T03:07:00.000-07:002010-05-12T03:08:15.745-07:00Shiro vasthi......<br />SHIROVASTI<br /> <br />Introduction:<br />Shirovasti is a procedure in which the medicated oil is allowed to stay over the head for the prescribed time. It is one among the moordhataila. It is beneficial to do Shirovasti after proper purificatory procedures. But in cases where shodana is not necessary it can be done directly.<br /> <br />Materials required:<br />1. Rexin/leather (75 cm X 20 cm)- 1<br />2. Black gram flour - 200 g<br />3. Taila – 1.5 litres<br />4. Cotton ribbon (120 cm X 10 cm)- 2 strips, moderately tough, clean and dry<br />5. Spoon -1<br />6. Vessel (2 litre) -1<br />7. Large vessel- 1<br />8. Rasnadi choorna- 5 g<br />9. Oil for abhyanga- 100 ml<br />10. Soft towel- 2<br />11. Hot waterbath-1<br />12. Armed chair of knee-height- 1<br />13. Attendent-2<br /> <br />Pre operative procedure:<br />Shave the head completely. Do generalised abhyanga. Keep cotton cloth in both ears to prevent the entry of oil in to the ear. Bowel and bladder should be emptied .<br /> <br />Procedure:<br />The patient should be properly seated in an armed chair. The strip of cloth smeared with the paste of black gram flour is to be wound round the head 2 cm above the eye brows. It should be tight enough to prevent leaking of the oil, but not causing any discomfort. The rexin or leather should be fixed over the strap and the junctions are sealed with black gram paste. Another layer of cloth strap smeared with the black gram paste is wraped over this, sealing the junction of rexin and skin layer. The medicated oil is warmed to just above body temperature and poured into the vastiputaka with a strip of cloth touching the scalp and oil being poured from the other end or a long piece of coconut leaflet held obliquely inside the vastiputaka 2 –3cm above the scalp. . The oil is filled up to a height of 2-3cm above the hair root. To maintain the temperature, some amount of oil should be replaced with warm oil at regular intervals. The procedure should continue till secretions through nose, throat and eyes are observed. In case of non attainment of these lakshanas the time should be fixed as 30 minutes for Kapha, 40 minutes for Pitta and 50 minutes for Vata.The patient should sit comfortably with eyes closed. Oil in kharapaka is preferred. Temperature of the oil should be just above body temperature. During procedure gentle massage to neck and shoulders should be done frequently.Movements of neck should be prevented.<br /> <br />............Dr.RIYAS.AKhttp://www.blogger.com/profile/09427440286303164733noreply@blogger.comtag:blogger.com,1999:blog-7186972528700461035.post-36326861370447214552010-05-12T03:05:00.000-07:002010-05-12T03:07:18.134-07:00Thakra Dhaara......<br />TAKRA DHARA<br /> <br /> Takra dhara is a variety of shirodhara, in which medicated buttermilk is poured in a continuous stream over the forehead, in a specified manner.<br /> <br />Materials required:<br />1. Shirodhara device -1<br />2. Vessels-3 (To prepare takra; to prepare amalaki kwatha; to take out takra from droni)<br />3. Towels: 3<br />4. Cotton plugs: 2<br />5. Gauze piece(60 cm): 2<br />6. Amalaki Choorna: 200g<br />7. Milk: 1.5 litres<br />8. Musta: 100g<br />9. Oil for talam: 10 ml<br />10. Rasnadi Choorna: 5 g<br />11. Attendents-2<br /> <br />Preparation of the medicine:<br /> a) Takra: 1.5 litres of milk diluted with 4 times water is boiled with 100g of skinned and crushed Musta tied in a muslin bag, and is reduced to the original quantity of milk. The bag of medicament is taken out and squeezed well. When cooled, this prepared milk is fermented by the addition of a little sour buttermilk over night. Next morning the fermented medicated curd is churned by adding 500ml of Amalaki kwatha. The butter is removed completely and this mixture is used for dhara after filtering.<br /> b) Amalaki kwatha: 200g of dried Amalaki fruit boiled with 8 litres of water and reduced to 2 litres.1.5 litres of Amalaki kwatha is used to mix with buttermilk & 500ml of that is used to wash the head after the procedure.<br /> <br />Pre-operative measures:<br />Since it is done as a shamana therapy no poorvakarma is needed. The application of oil on head and body is usually done as a practise. Suitable oils according to roga are selected by the physician for this purpose. The eyes should be covered with eye pads and gauze should be tied around the head above the eyebrows. The ear should be plugged with two cotton pieces.<br /> <br />Procedure:<br />The patient should lie in supine position on the droni. A small pillow should be placed under the neck. The dhara pot should be kept in such a way as to allow steady flowsing of the liquid, poured into it, over the forehead of the patient. The tip of dharavarti should be 4-5 cm above the forehead of the patient and total wick length should be 8-10cm. The takra falling should be poured again into the vessel after collecting it from the droni. The vessel should always be kept oscillating so that the takra will fall into the patient’s entire forehead without interruption.<br />............Dr.RIYAS.AKhttp://www.blogger.com/profile/09427440286303164733noreply@blogger.comtag:blogger.com,1999:blog-7186972528700461035.post-51814769097743361032010-05-12T03:04:00.000-07:002010-05-12T03:05:10.127-07:00Thala pothichil......<br /> THALAPOTICHIL<br /> <br />“Thalapotichil” is a unique method of drug delivery which is widely practiced among the physicians, especially in Kerala. The word ‘Thalapotichil’ comes from the Malayalam vocabulary. Literally it means<br /> * Thala :- means head<br /> * Potichil :- to cover<br /> Hence the word thalapotichil means to cover the head. It can be defined as the treatment procedure where the prepared medicine is in the form of a semisolid paste is applied over the head. It is a modified form of Sirolepa. Some scholars opined that it has the same quality as that of Takradhara. The procedure is recommended more in Children, Jatroordwa rogas and in manasika rogas.<br /> <br />MATERIALS REQUIRED:- <br /> 1- Prepared medicine paste -250gm .<br /> 2- Medicine for talam (if necessary) Rasnadi choornam + tailam – Q.S<br /> 3- Water – Q.S<br /> 4- Fresh Lotus or Plantain leaves<br /> 5- Vessel – Earthen pot – 1<br /> - Other vessels-3<br /> 6- Towels – 3<br /> 7- Cotton plugs- 2<br /> 8- Gauze piece- 2<br /> <br />PREPARATION OF MEDICINE :-<br /> <br /> The semisolid medicinal paste can be prepared in many ways<br />a- The drug including Amalaki etc. can be boiled in buttermilk and made in to paste.<br />b- The dry drugs boiled and socked in buttermilk over night and made in to a paste.<br />c- The drugs simple socked in buttermilk over night and made in to paste.<br />d- Drugs having Swaras (eg. Mandukaparni) need not be socked but can be directly made in to paste by its juice.<br /> <br />COMMONLY USED MEDICINES:-<br /> <br />a- Dried Amalaki mixed with Panchagandha choornam.<br />b- Mustha,Raja,Useera,Vamsalochana,Hreebera,Tamarind leaf veins.<br />c-Samja sthapana gan oushadhas.<br />d-In Kaphanubandha, Rasnadi choorna can be mixed.<br />e-Instead of using takra as a medium, we can use taila in khara paka, swarasa(fresh)Kwatham Navaneetam, Ksheeram,Ghrutam,Coconut water according to the clinical condition of the patient.<br /> The semisolid paste should be coarse. It should be properly mixed.<br /> <br /> <br /> <br />............Dr.RIYAS.AKhttp://www.blogger.com/profile/09427440286303164733noreply@blogger.comtag:blogger.com,1999:blog-7186972528700461035.post-70587380025730869012010-05-12T03:03:00.001-07:002010-05-12T03:03:56.400-07:00Upanaha......<br />UPANAHA<br /> <br />Upanaha is a type of ekanga sweda. The word upanaha means to tie. It can be done with or without heating the medicine. If upanaha is done during day, it is removed at night and if done during night, it is removed in the morning.It is usually done in osteoarthritis,Tennis elbow& vathakantakam.<br /> <br />Materials required:<br />1. Medicinal powders (Nagaradi choorna/Jatamayadi choorna/Kottamchukadi choorna etc. according to the doshapradhanya) - 50-100g<br />2. Bandage cloth (15 cm X 2 m)- 1<br />3. Leaves of Eranda, Arka etc. (to cover the area) - Q.S.<br />4. Amla dravya (Dhanyamla/ Takra/ Vinegar) - 50-100 ml<br />5. Oil for upanaha- 50 ml<br />6. Oil for abhyanga- 30 ml<br />7. Saindhava-20-30 g<br />8. Attendent-1<br /> <br />Pre operative procedure:<br />Medicine for upanaha can be made with or without heating according to disease. Choorna, Saindhava, taila, amla dravya are added in order to make a paste. Then it must be heated in case of sagni upanaha up to 39oC-41oC or applied as such in case of niragni upanaha. Skin sensitivity should be tested before tying.<br /> <br />Procedure:<br />The patient should be allowed to be in a comfortable position, exposing the joint or body part to be tied with upanaha dravya. The part is cleaned and abhyanga should be done locally with lukewarm oil, if indicated.. The prepared upanaha dravyas should be pasted on the affected part thickly and uniformally about 1-2 cm thickness and is covered with available Vatahara patras (after slight warming). Then it should be tied with a bandage cloth. According to region, suitable bandaging techniques should be adopted. It is usually done in the night so that it can be there for about 12 hours. Bandhana is not mandatory. .Bandhana is usually done in ekanga upanaha. In sarvanga upanaha it is done as sankarasweda. Apply suitable bandage in a position comfortable for the patient.<br /> <br />Post operative procedure:<br />After removing upanaha dravya from the body, the part should be washed well with lukewarm water. The process should be done on consecutive days for prescribed period.<br /> <br />Precautions:<br />1. The bandage should not be too tight or too loose.<br />2. The upanaha dravya must be of suitable consistency, so that it should not fall off from its position.<br />3. It should not be applied to wounds.<br />Check the sensitivity of the skin before the procedure.<br />............Dr.RIYAS.AKhttp://www.blogger.com/profile/09427440286303164733noreply@blogger.comtag:blogger.com,1999:blog-7186972528700461035.post-86430696816822579972010-05-12T02:59:00.000-07:002010-05-12T03:01:31.104-07:00Valuka swedam......<br />VALUKA SWEDA<br /> <br />Valuka sweda is done as a rookshakriya. It can be done in whole body or locally on a specific part. It relieves pain and inflammation.Commonly done as ekangasweda in Sandhigathavatham,Amavatham etc.<br /> <br />Materials and methods:<br />1. Sand - 1kg(River sand is preferred.)<br />2. Cotton cloth (45 cm X 45 cm) - 4<br />3. Tag- 4<br />4. Vessel (iron) - 1<br />5. Rasnadi choorna- 5 g<br />6. Towel- 1<br />7. Attendents-2<br /> <br />Preparation of potali:<br />Clean sand, which is devoid of gravel and other waste materials, collected from a neat place is used for this purpose. It should be washed and dried. A vessel preferably of iron is placed on a stove and sand is heated. Pottalis are made using this sand. If required crystalline salt can be added..Potalies are reheated using sand bath.<br /> <br />Pre operative procedure:<br />The patient should be seated on the droni with leg extended.<br /> <br /> <br />............Dr.RIYAS.AKhttp://www.blogger.com/profile/09427440286303164733noreply@blogger.com