DhanyamlaDhara is a type of fomentation where hot Dhanyamla is poured over the body in a continuous and constant stream for a specific duration of time .

• Ref General Requirements SOP
• Dhanyamla– 5 L
• Thalam
• Galanthika – 2
• Vessel– 4
• Covering cloth (thin cora cloth)
• Cotton balls – 2
• Towel – 1
• Hot water bath
• Dhara table – 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 Dhanyamla in a vessel, langotti, towel, thalam, thin cora cloth, galanthika.

Preparation of patient

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

• The patient is asked to sit comfortably over the dhroni.
• Ear plugs are inserted properly into both ears.
• 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.
• Full body is covered using a thin cora cloth

• The procedure done in all 7 postures starting with Sitting, Supine, Right Lateral, Supine, Left Lateral, Supine and Sitting .
• Dhanyamlais made lukewarm using a hot water bath.
• Temperature of the Dhanyamlais checked by pouring it over the dorsum of hand of the therapist and confirmed with the patient by pouring it over his foot.
• In sitting posture lukewarm Dhanyamla is poured over the body covering the neck region to hands, neck to lower back, hip to foot and neck to foot region in synchronized manner .
• Lukewarm Dhanyamlais taken in galanthika and is poured on to the either side of the patient’s body in a synchronised manner from a height of 12 angula.
• The patient is asked to lie in supine position.
• The sufficiently heated Dhanyamla is poured over the abdomen to hands and hip to foot after spreading the covering cora cloth properly
• Then the entire body is covered by pouring it in a linear pattern in a continuous and constant stream from hands to feet.
• The poured Dhanyamla is collected from droni in another vessel and added to the heating vessel.
• The temperature of the Dhanyamla is maintained throughout the procedure by reheating it in hot water bath.
• The Dhanyamla is poured in circular pattern over the joints.
• Then the patient is asked to lie in left lateral position with right knee flexed.
• The covering cora cloth is adjusted accordingly on the patient’s body.
• The warm Dhanyamla is poured over the hand to hip by one therapist, while the other therapist covers back region to foot.
• Then the patient is asked to lie in supine position and repeat the pouring of warm Dhanyamla in the same sequenceafter adjusting the covering cora cloth.
• The patient is then asked to lie in right lateral position with left knee flexed.
• After spreading the covering cora cloth properly, the heated Dhanyamla is poured over the hand to hip by one therapist, while the other therapist covers back region to foot.
• The patient is again asked to lie in supine position and same sequence of pouring warm Dhanyamla is repeated after adjusting the covering cora cloth on the patient’s body.
• Finally, the patient is made to sit with legs extended and respective pattern of pouring Dhanyamla mentioned for sitting posture are repeated after spreading the covering cora cloth on the patient’s body properly.

• The cloth, earplugs and thalam are removed.
• The patient’s body is cleaned with a towel.
• Patient is asked to take hot shower after resting for a while.
• Rasnadi churna is applied over vertex after bath.

• 45 minutes

• Burning sensation of limbs
• Amavata
• Sarvangavata
• Vataraktasarvangasopha
• Manyasthambha
• Hanusthambha
• Pakshaghatha
• Katishoola

• Pregnancy
• Weak persons
• Fever
• Cardiac Problem
• Indigestion
• Sinusitis
• Hemorrhagic Disorders
• Extreme Fatigue

• Should closely observe the general condition of the patient during the procedure.
• It must be ensured that the temperature of dhanyamlais maintained throughout the procedure.
• Avoid the dhanyamla from falling into the eyes and ears.
• Should maintain the 12 angula distance while pouring the medicine.
• Stream should be uniform and continuous.

• Chills and Rigors: in this condition, body is covered with a thick cloth and warm liquids can be given internally. Also hot fomentation can be given.