Jambeera Pinda Sweda is a type of fomentation where bolus made of lemon and medicated churnas is tied into a potali and applied over the body by dipping in warm oil for a specific duration of time.

• Ref General Requirements SOP
• Cora cloth(18”x18”) – 2
• Thread -2
• Towel-1
• Taila for preparation (Apakwa Taila)-50 ml
• Taila for abhyanga of head and body- 60ml and 100ml
• Taila for heating the potali- 100 ml.
• Metal vessel – 1
• Thalam -1
• Plates-2
• Lemon- 25 (each cut into pieces)
• Satapushpa choornam- 20 gm
• Haridra choornam- 20 gm
• Devadaru choornam- 20 gm
• Saindhava- 20 gm
• Rasna – 20 gm

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 2 kizhi, langotti, towel, thalam, oil in bowl.

Preparation of patient

• Check vitals.
• Jeernahara lakshana assessed.
• Vegotsarga
• Make patient wear langotti.

Preparation of kizhi

• The pan is kept on the stove and 50 ml of oil is poured into it.
• Cut pieces of lemon are added and fried well.
• Once the yellow colour of lemon fades, as well as its outer skin becomes soft, the flame is switched off.
• Choorna and saindhava are added and mixed well.
• The mixture is then allowed to cool a bit.
• Then divide it equally to prepare kizhi.
• Ref SOP for tying of kizhi.

• The patient is asked to sit comfortably over the dhroni.
• Rasnadi talam 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 potali is poured into an iron vessel for heating.
• Once the oil is adequately heated, the prepared potalis 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.

• Thalam is removed.
• Patient is asked to take hot shower after resting for a while.
• Rasnadi choorna is applied over vertex after bath.

• 1 hour 30 minutes

• Stiffness of muscle
• Stiffness of joints
• Rheumatois arthritis
• Osteoarthritis
• Sciatica

• Pregnancy
• Alcoholic persons
• Bleeding disorders
• Diarrhoea
• Skin diseases
• Fever

• Jambeera Pinda Sweda should not be performed soon after the intake of food.
• Bolus should be tightly tied to prevent leakage of the contents during rubbing.
• Gentle tapping should be followed over the tender areas.
• Temperature of the potali is confirmed by the therapist and patient before applying to the body parts.
• Uniform temperature is maintained throughout the procedure.
• Therapists on bothsides should apply kizhi in a synchronized manner on patient’s body.

• Burns: Excess temperature of the Pinda may produce burns which can be managed by applying Shatadhautha Ghritha or Tiktaka Ghritha.
• Fainting – Sprinkle cold water and Drakshadi Kashaya can be given internally.