STANDARD OPERATING PROCEDURES

CHURNA PINDA SWEDA

INTRODUCTION

Churna Pinda Sweda is a type of fomentation where bolus of medicated powder tied in to a potali is applied over the body by dipping in warm oil for a specific duration of time.

MATERIALS REQUIRED
  • Ref General Requirements SOP
  • Medicated Churnas like kottamchukkadi, kolakulathadi, jadamayadi-250 – 300 gm
  • Cora cloth (18”x18”) -2
  • Thread -2
  • Taila for abhyanga of head and body- 60ml and 100ml
  • Taila for heating the potali-100 ml
  • Towel-1
  • KadaiMetal vessel – 1
  • Thalam-1

Manpower

  • Therapist -2
  • Physician-1
PREPARATION

Preparation of Thalam

  • Prescribed drugs taken and thalam prepared.
  • Refer video and SOP of Thalam

Preparation of tray

  • Take a clean tray.
  • Put 2kizhi, langotti, towel, thalam, oil in bowl.

Preparation of patient

  • Check vitals.
  • Jeernaharalakshana assessed.
  • Vegotsarga
  • Make patient wear langotti.
PURVA KARMA

Preparation of kizhi

  • 2 pieces of cora cloths (18”x18”) are evenly spread on the table.
  • 250g of prescribed churna is weighed and placed at the center of each cora cloth.
  • The sides of the cora cloth isfolded and tied tightly using a thread to make a potali.
  • Ref SOP for Tying of kizhi.
PRADHANA KARMA
  • The patient is asked to sit comfortably over the dhroni.
  • Rasnaditalam is placed over the vertex.
  • Then the patient is asked to sit with legs extended
  • The body and foot is cleaned with a towel.
  • The oil for abhyanga is heated using a water bath
  • Temperature of the oil is checked and confirmed with the patient.
  • Initially Sarvanga abhyanga is done in all 7 postures starting with Sitting, Supine, Left Lateral, Supine, Right Lateral, Supine and Sitting.
  • Oil for dipping the potaliis poured into an iron vessel for heating.
  • Once the oil is adequately heated,the preparedpotalis are dipped into it.
  • Once it is heated sufficiently, temperature of the potali is checked by the therapist by placing it over the dorsum of his hand.
  • Temperature is also confirmed with the patient by placing it over his foot.
  • The heated potali is applied by patting it as linear strokes over the neck region to the hands, neck to lower back, hip to foot and neck to foot in sitting position.
  • The potali is applied quickly in gentle stroking manner to avoid burns.
  • The temperature of the potali is maintained throughout the procedure by dipping in hot oil.
  • A minimum quantity of oil is ensured for dipping by pouring extra oil into the iron vessel when it gets reduced.
  • Then the patient is asked to lie in supine position.
  • The heated potali is applied by patting it initially over the abdomen to hands and hip to foot. Then the entire body is covered by patting it simultaneously as linear strokes from hands to foot.
  • The potali is to be applied in circular pattern over the joints.
  • The patient is then asked to lie in left lateral position with right knee flexed.
  • The heated potali is applied by patting it over hand to hip by one therapist, while the other therapist cover back region to foot.
  • Then the patient is asked to lie in supine position and same strokes are repeated with heated potalis.
  • The patient is then asked to lie in right lateral position with left knee flexed.
  • The heated potali is applied by patting it over hand to hip by one therapist, while the other therapist covers from back region to foot.
  • Then the patient is again asked to lie in supine position and same strokes are repeated with heated potalis.
  • Finally, the patient is made to sit with legs extended and respective strokes mentioned for sitting posture are repeated.
PASCHAT KARMA
  • Thalam is removed.
  • Patient is asked to take hot shower after resting for a while.
  • Rasnadichoorna is applied over vertex after bath.
DURATION

1 hour 10 minutes

INDICATIONS
  • Sciatica
  • Cervical spondylitis
  • Myalgia
  • Osteoarthritis
  • Rheumatoid arthritis
CONTRAINDICATIONS
  • Pregnancy
  • Dehydrated
  • Giddiness
  • Weak persons
  • Fever
PRECAUTIONS
  • Churnapindasweda should not be performed soon after the intake of food.
  • Bolus should be tightly tied to prevent leakage of the contents during rubbing.
  • Same pressure and temperature should be maintained while doing the procedure.
  • Temperature of the potali is confirmed by the therapist and patient before applying to the body parts.
  • Do not overheat the kizhi, as it may cause burn.
  • Gentle tapping should be followed over the tender areas.
  • Therapists on both sides should apply kizhi in a synchronized manner on patient’s body.
COMPLICATIONS AND MANAGEMENT
  • Rashes – Stop the procedure immediately. Apply shatadouthagritha.
  • Fainting – Sprinkle cold water and drakshadi Kashaya can be given internally.