The procedure of applying warm herbal paste to the diseased parts of the body followed by bandaging is referred by the name Upanaha Sveda.

• Ref General Requirements SOP
• Fine powder (Nagaradi Choornam / Kottanchukkadi Choornam / Jadamayadi Choornam etc according to Dosha pradhanyatha)- 50 – 100g
• Leaves of Eranda, Arka – To cover the area
• Drava dravya-100ml
• Amla dravya (Dhanyamla / Kanji / Takra)- 50 – 100ml
• Godhuma-30-60g
• Oil for Upanaham-50 ml
• Saindhava- 20 – 30g
• Bandage cloth (15cm x 2m) – 1
• Scissor-1
• Vessels – For preparing the paste

Manpower

• Therapist-1
• Physician-1

Preparation of tray

• Take a clean tray.
• Put towel,  preapared paste, scissor, eranda/arka, bandage cloth etc.

Preparation of patient

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

• The required quantity of choorna is taken in a clean vessel.
• To the choorna first Godhuma is added.
• Then saindhava is added.
• All the powders are mixed thoroughly to form a uniform mixture.
• The Drava dravya used to mix the powder is heated and poured in to the vessel slowly mixing the choornas.
• Avoid lumps while mixing the choorna.
• The mixture is then heated in low flame to cook it evenly.
• Once the mixture become a thick paste it is removed from stove .
• Taila is added to the paste and mixed properly.
• Amla dravya if any should be added after heating the paste

• The patient is made to sit or lie comfortably in a cot.
• The tender region is palpated.
• The prepared lukewarm paste for upanaha is applied over the painful region evenly. 
• The paste is  applied in the opposite direction of hair follicles.
• Thickness of the paste should be half inch.
• The paste is covered using vathahara patras.
• It is then bandaged using Gauze cloth to remain tightly for 12 hours.

• The upanaha tied at day time should be removed during night time and upanaha tied at night time should be removed during the day time.
• The bandage and the herbal paste are removed and the area is properly cleaned with hot water.

• 12 hours

• Bursitis
• Arthritis
• Cervical spondylosis
• Frozen shoulder

• Infections
• Wounds

• Consistency of the herbal paste – Thickness should be 2 – 5 mm.
• Thin application is likely to get dry early.
• If it is thicker, it causes irritation of the skin precipitating skin eruptions and itching.
• The bandage should not be too tight or too loose.
• Avoid burning sensation of the area by removing the paste at proper time.

Redness, discolorations, burning sensations –

• Stop the procedure immediately.
• Wash the area with cold water.
• Local application with drugs like Nalpamaradi kera / Eladi kera is advised.
• The treatment can be restarted within few days.