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Abhyangam
Is a special type oil massage in which massage given according
to the circulatory channels of body.
Procedure
Medicated lukewarm oil is applied all over the body in 7 different
postures as sitting, supine, left lateral, supine, Right lateral,
supine and sitting posture. Gentle massage is done during
the process. Oil is applied on the head and ears, prior to
the process. Time taken is 60minutes. It is done as part of
rejuvenation and also before all panchakarma processes Patient
is allowed to take bath in hot water if the condition needs.
Abhyanga properly done prevents ageing, improves vision, nourishes
the body provides good sleep, complexion and body strength.
Udwartanam
Is the application of medicated powder, paste or oil below
upwards, from distant part of body to towards the heart. Duration
of the process is 60 minutes.
Procedure
Medicated powder or paste or oil is rubbed through out the
body in different postures for a period of 60 minutes
Treatment is effective in reducing obesity, improving the
circulation, stimulates nerve ending and improves the movements
in paralytic conditions. Medicated powder, paste or oil is
selected according to the nature of disease. Usually the process
is done of 7 days to get the result. In obesity, it can be
done for more days.
Sneha Panam
Snehapana means intake of medicated ghee or oil for the
preparation of the patient for the main panchakarma process.
It is 2 types, 1. Acha Snehapana 2.Vicharana
Acha Snehapana is giving heavy doses of medicated ghee for
a period of 7 or 8 days and to find out the maximum dose
the patient can digest. Usually starting with a lower dose,
say 25 ml up to a maximum of 250-300 ml. Medicine is given
in the early morning in empty stomach and is allowed to
drink little by little shundi water to increase the digestive
power, Light diet like kanji is given at times of appetite.
It is not allowed to sleep during day time or any exercise
is not allowed.
Vicharana is giving divided dose of ghee daily 2 times along
with normal diet. After Snehapana patient is subjected to
swedana process.
Swedana
Swedana is sudation Therapy. It is done before the main
panchakarma treatment and as a curative measure. Kerala
physicians have developed swedana therapy for curing many
diseases like neurological disorder, arthritis, bake pain
etc there are different types of Swedana therapies.
Ushma sweda
Application of steam by steam chamber or through tube to
the affected part.
PanchaKarmas
Pancha Karmas are 5 different elimination therapies to root
out the disease. This is done after snehana and swedana.
When swehana and swedana is done, the body will be prepared
for elimination therapy and the whole toxicity of the body
is brought to the alimentary canal form where it is eliminated
by panchakarma.
Vamana
Vamana is emesis. Patient is subjected to vomit after giving
large quantity of milk mixed with vamana dravyas. This is
done in diseases like Bronchial asthma, Head ache, Insomnia
etc.
Procedure
Patient suitable for vamana is first subjected to snehna
and swedana therapies. Next day morning patient is prepared
by applying indicated oil over the chest and back and by
giving mild fomentation in empty stomach. Patient is then
given full stomach milk followed by an emetic drug. He gets
the urge of vomiting and is allowed to vomit till the sign
of elimination of doshas is got.
Virechana
Procedure
Patient after preparation with snehana and swedana
is subjected to virechana It is giving single dose of strong
purgative medicine to eliminate the cause of the disease.
Warm water is given in plenty to stimulate the urge of purgation.
Patient gets purgation until the whole elimination is completed.
It is the treatment for skin diseases, obesity etc.
Anuvasana
It is Sneha Vasthi or anal administration of medicated oil
in the required dose so as to eliminate the disease. This
treatment should be done before kashaya vasthi and also
as a main treatment in all neurological diseases.
Procedure
Treatment is done soon after the meal at noon. Patient is
asked to lie in the left lateral position and the right
leg in flexed position. Required amount of medicated oil
is then administered through the anus by using disposable
syringe or vasthi yantra. After administration patient is
allowed to lie on his back. It is done for seven days or
as required.
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Asthapana
Asthapana is Kashaya vasthi, It is the anal administration
of medicated decoction and is the most important treatment
for all neurological diseases.
Procedure
It is done in the next day of sneha vasthi. Patient is prepared
in the empty stomach with oil application at the region
of lower abdomen low back and fomentation .Then the mixture
of medicated decoction which is prior prepared in the required
quantity is administered through the anus slowly and steadily
at a stretch .During the process patient is lied on left
lateral position with the right leg flexed. Then the patient
is allowed to lie on his back and the palms and legs are
massaged. Maximum time for retaining the medicine is 45
minutes. Bath in hot water is taken soon after kashayavasthy
followed by light diet.
Nasya
Nasya is nasal administration of medicine indicated in diseases
of ear, nose, throat, head, and eyes and so on.
Procedure
It should be done in the early morning or in the evening
according to the nature of the disease .Local application
of prescribed oil followed by fomentation is done at the
neck, face and shoulder prior to the treatment. Patient
is then asked to lie on his back and by using a pillow the
nostrils are kept in the upward position. Indicated medicine
is then poured into the nostril one after the other after
closing the other one .Patient is then asked to inhale well
so as to spread the medicine. Palm, foot, face and shoulders
are then massaged well and the patient is asked to spit.
Patra Podala Sweda (Elakizhi)
Body is made to sweat by using bolus of fried medicinal
leaves tied in a piece of cloth
Procedure
. Abhyanga is done prior to the process Medicinal leaves
are then fried and tied in a cloth and made boluses. Massaging
with warm medicinal bolus after dipping in medicated oil
is done through out the whole body in seven different positions
as sitting, supine, left lateral, supine, right lateral,
supine and sitting. Time taken is 60 minutes.
Shastika Pinda Sweda
Procedure
In this process bolus is made of Navara rice cooked in decoction
of medicated milk and is used for massaging the whole body.
Abhyanga is done before the treatment. Boluses are warmed
in dipping them in hot decoction of medicted milk and are
applied gently. Body is made to sweat when the treatment
is done for 60 minutes.
Kaya Sekam (Pizhichil)
It is another type of sudation therapy by pouring the
warm oil and gently massaging the body until the body is
perspired.
Procedure
Abhyanga is done prior to the main therapy.
Seka is done first in the sitting posture. A band of cloth
around the head is tied around the head, Piece of cloth
dipped in lukewarm oil is made to pour uniformly starting
from neck to the upper limb and then to the trunk and lower
limbs. Gentle massage is also done while pouring the oil.
Process is continued in the seven postures and the patient
is thus perspired well.
This therapy is very effective in many neurological conditions
as well as in Arthritis, low back pain etc
Sirodhara
It is the treatment of choice for all diseases related to
head and brain. This treatment is one among the Therapy
named MOORDHNI TAILAM in which oil application is done in
four different ways to the head.
Procedure
Abhyanga is done prior to the treatment. After Abhyanga
patient is allowed to lie on his back with head in a slightly
elevated position. Eyes are then closed by cotton and a
long band of cloth is tied around the head. Medicated lukewarm
oil is then gradually poured over the forehead from a height
of four fingers from a vessel which is hanged on a stand.
The stream of oil is made to fall over the whole area of
forehead by gently moving the vessel. Gentle massages to
be done over the forehead during the whole process.
Duration is 30-45 minutes.
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