Utsadana is a type of fomentation where heated medicated powder in the form of kalka, mixed with oil or other medicated liquids, is used for massaging over the body in upward direction for a specific duration of time.

• Ref General Requirements SOP
• Medicated Churna like Kolakulathadichurna – 350 gm
• Liquid medicaments like taila, Sneha, etc.
• Heating pan – 1
• Bowl – 2
• Spatula – 1
• Towel – 1

Manpower

• Therapist – 2
• Physician – 1

Preparation of Thalam

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

Preparation of tray

• Take a clean tray.
• Put prescribed churna in bowl, taila / Kashaya in a bowl, langotti, towel, thalam.

Preparation of patient

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

• The Medicated powder is mixed with kashaya to make a uniform paste and is heated sufficiently in a heating pan under low flame.
• Initially the patient is asked to sit comfortably over the droni.
• Rasnadithalam 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 procedure is done in all 7 postures starting with Sitting, Supine, Right Lateral, Supine, Left Lateral, Supine and Sitting.
• In sitting posture,kalkais massaged from wrist to shoulder initially, then foot to hip and finally from hand to neck.
• The warm Kalka is used for massage,with mild pressure over patients’ body towards upward direction, opposite to the hair follicles in a synchronised manner.
• Temperature of the kalka is maintained throughout the procedure by reheating the required quantity in a hot pan .
• The quantity of Kalka is also ensured by replacing it with fresh kalka.
• Then the patient is asked to lie in supine position.
• The heated kalkais used for massage,initially covering from hands to abdomen and foot to hip. Then the entire body is covered by massaging it simultaneously as linear strokes from feet to hands.
• The patient is then asked to lie in left lateral position with right knee flexed.
• The heated kalka is massaged with mild pressure over the hip to hand by one therapist, while the other therapist covers foot to back region.
• Then the patient is asked to lie in supine position and same strokes are repeated for massaging on to the body.
• The patient is then asked to lie in right lateral position with left knee flexed.
• The heated kalka is massaged with mild pressure over the hip to hand by one therapist, while the other therapist covers foot to back region.
• Then the patient is again asked to lie in supine position and same strokes are repeated for massaging the kalka on to the body.
• Finally, the patient is made to sit with legs extended and respective strokes mentioned for sitting posture are repeated.

• Thalam is removed.
• The kalka which is remaining in the dhroni and patients body is removed completely.
• Patient is asked to take hot shower after resting for a while.
• Rasnadichurna is applied over vertex after bath.

• 30 – 45 minutes

• Obesity
• Diabetes mellitus
• Durbala
• Skin diseases
• Dry and rough skin
• Atikarshya

• Wounds, cuts and burns
• Oozing type Eczema
• Pregnancy

• Should closely observe the general condition of the patient during the procedure.
• Tender areas should be avoided for Utsadana.
• Aseptic measures should be taken if patient is suffering from any contagious disease

• Fainting: take rest with cooling decoctions like drakshadi Kashaya, sprinkle cold water on the face.
• Small skin abrasions or skin damage especially when done in people with sensitive skin or dry skin: Apply ShathadoudhaGritha