STANDARD OPERATING PROCEDURES

GANDUSHA

INTRODUCTION

Gandusha is the procedure in which liquid medicaments like Taila, Kashaya, Madhu, etc. are held inside the mouth for certain period of time.

MATERIALS REQUIRED
  • Ref General Requirements SOP
  • Liquid medicaments like Taila, Kashaya, Dhanyamla, Madhu ambuetc.
  • Spittoons
  • Hot water for fomentation
  • Towel
  • Glass

Manpower

  • Therapist-1
  • Physician -1
PREPARATION

Preparation of tray

  • Take a clean tray.
  • Put towel, medicine in bowl, glass, spittoons.

Preparation of patient

  • Check vitals.
  • Jeernaharalakshana assessed.
  • Vegotsarga
PURVA KARMA
  • The patient is asked to be seated in a knee height chair.
  • Then swedana is given to the face and neck using a towel dipped in hot water.
PRADHANA KARMA
  • The medicine for gandusha is made lukewarm using a hot water bath.
  • The temperature of the medicine is checked by pouring it over the dorsum of hand.
  • Patient is asked to fill the medicine in the mouth and asked not to swallow.
PASCHAT KARMA
  • Patient is asked to spit out the medicine once the mouth is filled with secretions.
DURATION
  • It is retained in mouth undisturbed without gargling for a certain period of time.
INDICATIONS
  • Ulcer
  • Burning sensation of mouth
  • Gingivitis
  • Diseases of teeth, gums, lips, and all parts of oral cavity
  • Diseases of neck
CONTRAINDICATIONS
  • Below the age of 5 years
  • Toxicity
  • Fainting
  • Bleeding disorders
PRECAUTIONS
  • Medicine for gandusha should not be swallowed.
COMPLICATIONS AND MANAGEMENT
  • Swallowing the medicine: drink some water and try to induce vomiting if necessary.
  • Burns: rinse the mouth with cold water and apply cold compress to the affected area.