Ksheeradhooma is a type of Nadi sweda in which steam is generated using ksheerapaka.

• Ref General Requirements SOP 
• Medicated taila-50ml
• Kashaya choorna-60g
• Milk -500ml
• Water-2 litres
• Eye pad-1
• Nadi sweda yantra-1
• Hot water bath -1
• Towel-1
• Thalam

• Manpower

  • Therapist-1

Preparation of Thalam

• Prescribed drugs taken and thalam prepared.
• Refer video and SOP 02

Preparation of tray

• Take a clean tray.
• Put langotti, towel, thalam, oil in bowl, kashaya churna in bowl, eye pad.

Preparation of patient

• Check vitals.
• Jeernahara lakshana assessed.
• Vegotsarga

Preparation of Ksheerapaka          

• 60 g of dasamoola kashaya choornam is boiled in 2 litre of water and 500ml of milk .
• The kashaya is boiled and reduced to 500 ml .
• Once ksheerapaka is ready, it is filtered and poured in to the nadi sweda yantra to generate steam.

• The patient is asked to sit in a knee high chair.
• The Taila for Abhyanga is made lukewarm using a hot water bath and is massaged over face, fore head and neck.
• The eyes of the patient are covered using an eye pad.
• Once steam start to flow from the nozzle, the steam is directed on the patient’s face.
• Considerable distance is maintained between the nozzle and patient.
• The steam is given over face, fore head and neck of the patient.
• The hot fomentation is continued till the appearance of perspiration.
•  

• The eye pad is removed and rasnadi Choorna is applied over vertex.

• Till the appearance of perspiration, usually 10 minutes.

• Facial paralysis
• Bell’s palsy
• Stiffness of tongue
• Gout
• Swelling of knee joints.

• Cardiac diseases
• Breathlessness

• Special care should be given to avoid burns.
• The steam should not be given too far from the body.
• The steam should not be given too near to the body .
• Eyes should be covered with eye pad to protect from heat.

• Fainting- stop the procedure , sprinkle cold water over the face and body. Drakshadi kashaya can be given internally.

• Burns- Apply shatdoutha gritha