Ruksha Churna Pinda Sweda is a type of fomentation where bolus of medicated powder is applied over the body for specific duration of time.

• Ref  General requirements SOP 
• Churnas like kottamchukkadi, kolakulathadi, etc.
• Cora cloth (18”x18”) – 4
• Small cloth (10”x10”) – 4
• Thread – 4
• Towel-1
• Iron vessel -1
• Talam
• Kizhi – 4

Manpower

• Therapist -2

Preparation of Thalam

• Prescribed drugs taken and thalam prepared.
• Refer video and SOP of Thalam

Preparation of tray

• Take a clean tray.
• Put 4 kizhi, langotti, towel, mask, gloves, thalam, oil in bowl.

Preparation of patient

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

Preparation of kizhi

• 4 pieces of cora cloths (18”x18”) are evenly spread on the table. In the middle of each cloth, a small piece of cora cloth (10”x10”) is kept.
• I kg of prescribed churna is taken and equally divided into 4 parts.

• Each part of churna (i.e. 250gms) is placed in each cora cloth to make kizhi/potali.

• The procedure is done in 7 postures namely Sitting, Supine, Right Lateral, Supine, Left Lateral, Supine and Sitting.
• Initially, 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 and foot is cleaned with a towel.
• Two potalis are kept at a time in an iron vessel for heating.
• Once it is heated sufficiently it is replaced by other two potalis.
• 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, chest to abdomen and hip 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 reheating it in the iron vessel.
• 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.
• The potali is to be applied in circular pattern over the joints.
• 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 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 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 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 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 10 minutes

• Stiffness
• Heaviness
• Body pain
• Cervical spondylitis
• Coldness
• Contracture
• Arthritis

• Pregnancy
• Dehydrated
• Giddiness
• Weak persons
• Diminished vision
• Ascites
• Skin diseases
• Thirsty

• Churna pinda sweda should not be performed soon after the intake of food.
• Same pressure and temperature should be maintained while doing the procedure.
• Do not over heat the kizhi, as it may cause burn.
• Gentle tapping should be followed over the tender areas.

• Rashes – Stop the procedure immediately. Apply shatadoutha gritha.
• Fainting – Sprinkle cold water and drakshadi Kashaya can be given internally.