STANDARD OPERATING PROCEDURES

ANNALEPA

INTRODUCTION

Annalepa is the procedure of application of cooked shashtika shali boiled with Balamoola kashaya  and ksheera over the patient’s body to induce perspiration.

MATERIALS REQUIRED

The materials required for performing annalepa are

  • Shashtika Shali
  • Balamoola
  • Water
  • Milk
  • Metal vessel  
  • Laddle
  • Holder
  • Vessel
  • Taila for Abhyanga
  • Talam
  • Towel
PURVA KARMA
  • Patient is asked to sit comfortably over the droni with legs extended.
  • Thalam is applied to the vertex of the patient.
  • Sarvanga abhyanga is done in 7 postures.
PRADHANA KARMA

Annalepa is done in 7 postures: Sitting, Supine, Left Lateral, Supine, Right Lateral, Supine and Sitting.

Sitting Posture

  • The neck region, back and the extremities are covered in this posture.
  • The prepared shastika rice is boiled in ksheera to make it sufficiently hot.
  • Now, the lukewarm shastika rice is taken and smeared on to patient’s body followed by massaging.
  • Initially it is done from trunk to hand, hip to toe and finally from nape of neck to hip.
  • Likewise the procedure is done in all the six postures.

Supine Posture

  • The patient is asked to lie in supine posture.
  • The chest, abdomen, anterior aspects of both hands and legs are covered in this posture.
  • Annalepa is done initially from trunk to hand, hip to toe and finally from neck to toe.

Left Lateral Posture

  • The patient is asked to lie on the left side of his body.
  • Right side of the trunk, right arm and lateral aspect of the right leg is covered in this posture. 
  • Therapist on the left side will be doing annalepa initially from neck to hand, hip to toe and finally from neck to toe.
  • Other therapist on right side will be doing annalepa initially whole of the back including spine, hip to toe and finally from back to toe.

Supine Posture

  • Repeat the procedure

Right Lateral Posture

  • The patient is asked to lie on the right side of his body with his left leg flexed.
  • Left side of the trunk, left arm and lateral aspect of the left leg is covered in this posture.
  • Therapist on the right side will be doing annalepa initially from neck to hand, hip to toe and finally from neck to toe.
  • Other therapist on left side will be doing annalepa initially in whole of the back including spine, hip to toe and finally from back to toe.

Supine Posture

  • Repeat the procedure

Sitting Posture

  • Repeat the procedure
PASCHAT KARMA
  • The  Shashtika is scrapped from the body using coconut leaf .
  • Oil  is applied over the body with mild massage.
  • Thalam is removed.
  • The patient’s body is cleaned with a towel.
  • Patient is asked to take hot shower after resting for a while .
  • Rasnadi choorna is applied over vertex after bath.