Materials: Mud pot, stem of Vamśa, Arka, Eranda or Karanja; Dimensions – length of Stem – Gajāgrahasta (6 ft)
Drugs used: Vāta-Kapha Roga – Varuņa, Guďūci, Šigru, Mūlaka, Sarṣapa, Vāsā, Vamśa, Karanja, Aśmantaka, Mālati, Tulasi, Brihat Pancamūla
Pittänubandhi Vāta – Bhūtika, Dašamūla, Surā, Dadhi Mastu, Mūtra, Amla, Sneha (Ca.Sū.14/33)
Procedure: A mud pot having the capacity of 5-8 liter is taken & then a hole is made at the neck. Stem of Eranda bent at 2-3 places is taken; attach it to the pot where hole is made and sealed properly. The free end of the stem should be covered with the leaf of Eranda & 3-5 holes are made for the passage of steam.
Then add water and above said drugs into the pot and kept over the fire till the mixture gets boiled. Then patient who is anointed with oil is told to sit on a stool. The therapist should hold the stem (Nāḍi ) & direct the Sveda (steam) to the affected parts of body; longitudinal movements over the limbs and circular movements over the joint. Care should be taken not to give excess of steam or from near distance which may leads to burn wounds. The procedure should be carried out till the appearance of proper symptoms of Sudation. Currently instead of pot & stem, pressure cooker and plastic pipe is used.
Kṣīra Dhūma is a Nāḍi Sveda which is a type of Ūṣma Sveda .The therapeutic efficacy of Nāḍi Sveda varies according to the Drava used. Kṣīradhūma is a snigdha Sveda. In Nāḍi Sveda, a tube of appropriate length attached to an apparatus containing Drava is used to direct the steam appropriately to the area which is to be sudated. In Kṣīradhūma, steam is generated by boiling milk and Balāmūla / Daśamūla/ Vacā kvātha. It is mainly practised in the management of Ardita, Jihvāstambha, Hanustambha, Svarabhaṅga.
Materials required:
1. Chair – 1
2. Milk – 500 ml
3. Balā Kvātha – 500 ml
4. Oil for Abhyaṅga – 50 ml
5. Oil for Talaṃ – 10 ml (Navanīta + Balācūrṇa) is optional
6. Rāsnādi Cūrṇa – 5 g
7. Nāḍi Sveda apparatus – 1 pot covered with leaf, pressure cooker 2 – 3 litre
Rubber tube – 2metre.
Gauze piece at end of mouth of tube to avoid spilling.
8. Lotus petals – Q.S.
9. Blanket – 1
10.Cotton towel – 1
11. Cloth for wrapping eyes – 1
12. Attendant – 1
Preparation of medicine:
Balā Kvātha: 500g of crushed Balāmūla is boiled with 2 litres of water & 500ml of milk and reduced to 500ml.This is used to generate steam for the therapy.
Pre-operative procedure:
Patient should be seated in a chair and Talaṃ should be applied with suitable oil. Abhyaṅga should be done over face, fore head, neck, shoulder& chest. The eyes should be covered with cotton cloth after placing lotus petals over both lids. The head and neck portion is covered from the back with a blanket.
Procedure:
The patient should sit comfortably for the procedure. Then steam from the apparatus is directed over face, neck, chest & shoulder. Special care should be taken to avoid burns and to get uniform steam. The procedure should be continued up to the appearance of sweat. It is done for about 5-15 minutes. Intermittent opening of the mouth is to be done.
Post-operative procedure:
Lotus petals are removed from the eyes and sweat is wiped off with a soft towel. Talaṃ is to be removed and Rāsnādi Cūrṇa should be applied. Kavala or Gaṇḍūṣa should be done with proper medicines. The patient should take complete rest.
Precautions:
1. Eyes should be tied to protect them from heat.
2. Move the pipe of Svedana apparatus frequently to avoid burns.
3. Preferably done in morning hours in moderate climate.
Complications and management:
Fainting – Take appropriate measures.
Burns – Apply Ghṛta, preferably Śatadhaḥuta Ghṛta.
Indication: Ardita, Jihvāstambha, Hanustambha, Svarabhaṅga
Upanāha is a type of Ēkāṅga Sveda. The word Upanāha means to tie. It can be done with or without heating the medicine. If Upanāha is done during day, it is removed at night and if done during night, it is removed in the morning. It is usually done in osteoarthritis, Tennis elbow& Vāta Kaṇṭaka.
Materials required:
1. Medicinal powders (Nāgarādi Cūrṇa / Jaṭāmayādi Cūrṇa / Koṭṭaṃcukkādi
Cūrṇa etc. according to the Doṣa Prādhānya ) – 50 – 100g
2. Bandage cloth (15 cm X 2 m) – 1
3. Leaves of Eraṇḍa, Arka etc. (to cover the area) – Q.S.
4. Amla Dravya (Dhānyāmla/ Takra/ Vinegar) – 50 – 100 ml
5. Oil for Upanāha – 50 ml
6. Saindhava – 20 – 30 g
7. Attendant – 1
Pre-operative procedure:
Medicine for Upanāha can be prepared with or without heating according to disease. Cūrṇa, Saindhava, Taila, Amla Dravya are added in order to make a paste. Then it must
be heated in case of Sāgni Upanāha up to 39oC – 41oC or applied as such in case of Niragni Upanāha. Skin sensitivity should be tested before tying.
Procedure:
The patient should be allowed to be in a comfortable position, exposing the joint or body part to be tied with Upanāha Dravya. The part is cleaned and the prepared Upanāha Dravyas should be pasted on the affected part thickly and uniformly about 1-2 cm thickness and is covered with available Vātāhāra Patras (after slight warming). Then it should be tied with a bandage cloth.
According to region, suitable bandaging techniques should be adopted. Bandhana is usually done in Ēkāṅga Upanāha. Apply suitable bandage in a position comfortable for the patient.
Post-operative procedure:
After removing Upanāha Dravya from the body, the part should be washed well with lukewarm water. The process should be done on consecutive days for prescribed period.
Precautions:
1. The bandage should not be too tight or too loose.
2. The Upanāha Dravya must be of suitable consistency, so that it should not fall off from its position.
3. It should not be applied to wounds.
4. Check the sensitivity of the skin before the procedure.
Complications and management:
Sometimes some drugs may produce itching and reddish discolorations and burning sensation. Stop the procedure temporarily and manage the condition accordingly. Local application with drugs like Nālpāmarādi Kera /Elādi Kera is advised. The treatment can be restarted within few days.
Indications
It is usually done in Osteoarthritis, Tennis elbow, Vāta Kaṇṭaka and Śopha.