General precautions during Sāgni Svedana

• Abhyaṅga should be performed prior to Svedana
• Svedana should be done at a place devoid of wind
• The temperature must be tolerable to the patient
• Generally Svedana is done once daily in the morning hours
• Svedana should be done after the digestion of previously taken meal
• After Samyak Sveda, advise the patient to cover the body with blanket, bath with luke warm water. He should be properly covered with good clothings, sit or lie in a  comfortable place, which is free from wind or sun for some time.
• He should take meal which is Anabhiṣyanda.
• After that Snēhācāra Vidhi should be followed

वृषणौ हृदयं दृष्टी स्वेदयेन्मृदु नैव वा| मध्यमं वङ्क्षणौ शेषमङ्गावयवमिष्टतः|

सुशुद्धैर्नक्तकैः पिण्ड्या गोधूमानामथापि वा| पद्मोत्पलपलाशैर्वा स्वेद्यः संवृत्य चक्षुषी|

मुक्तावलीभिः शीताभिः शीतलैर्भाजनैरपि| जलार्द्रैर्जलजैर्हस्तैः स्विद्यतो हृदयं स्पृशेत्  |

If sudation is to be employed for treatment, then Mṛdu Sveda should be done particularly in cardiac region, scrotum and eyes. Madhyama Sveda done in groin region.

According to Ācārya Charaka  Mṛdu Sveda should be restricted or better avoided in and around the eyes, scrotum and heart.Madhyama Sveda done in groin region.

Before Svedana , eyes  should be covered with clean cloth, Godhuma Piṇḍa or with leaves of Padma, Utpala or Palāśa. Heart region should be kept cool by local application of Pearls, cold water, wet hands, cool substance.

SAMYAK SVEDA LAKṢAṆAS

शीतशूलव्युपरमे स्तम्भगौरवनिग्रहे| सञ्जाते मार्दवे स्वेदे स्वेदनाद्विरतिर्मता  |

(Cha. Su. 14/13)

• Śīta Uparama (reduction of cold)
• Śūla Uparama (reduction of pain)
• Sthambha Nigraha (reduction of stiffness)
• Gaurava Nigraha (reduction of heaviness)
• Mārdava (softness of body)
• Sveda (sweating)

Ācārya Suśruta mentioned Vyādhi Hāni (subsidence of disease) and Laghutva (lightness of body) in Samyak Svinna Lakṣaṇa.

ASVEDA LAKŚAṆAS

If the Svedana  performed is not sufficient or proper, then the Lakṣaṇas opposite to the Samyak Svinna Lakṣaṇas occur ie Sveda Apravṛtti, Stambha Apraśama,Śīta Apraśama, Śūla Apraśama. Ḍalhaṇa adds that heaviness of the body, Uṣṇābhilāṣa,Vyādhivridhi and hardness of the body occur.

वातस्य अप्रगुनत्वं च गुरुत्वं स्तब्धगात्रता ।

मन्द स्विन्नेन च ग्लानि तृष्णादीनां च विभ्रमः ॥ (kas. Sam.)

Improper Anulomana of Vāta, heaviness of body, stiffness throughout the body, increase in the thirst and weakness are the Ayoga Lakṣaṇa

ATI SVEDA  LAKṢAṆAS

पित्तास्रकोप तृण्मूर्च्छा स्वराङ्ग सदन भ्रमाः
संधिपीडा ज्वरः श्यावरक्त मण्डल दर्शनम्

स्वेदातियोगात् छर्दिश्च | (A. H. Su. 17/15)

• Pitta and Rakta Prakopa (increase in rakta amd pitta)
• Tṛṣṇā (excesive thirst)
• Mūrccha (unconsciousness)
• Svarasāda (weakness of voice
• Aṅgsāda (weakness of body)
• Bhrama  (giddiness)
• Sandhi Pīḍā(pain in joints)
• Jvara (fever)
• Śyāva Rakta Maṇḍala Darśana (multiple eruptions all over the body)
• Chardi (vomiting)

Ācārya Caraka included Dāha (burning sensation) and Ācārya Suśruta mentioned Klama (tiredness) in Ati Sveda Lakṣaṇa

पित्तास्रकोपतृण्मूर्च्छास्वराङ्गसदनभ्रमाः|
सन्धिपीडा ज्वरः श्यावरक्तमण्डलदर्शनम्||
स्वेदातियोगाच्छर्दिश्च  (A.H. Su.17/17)

Increase in Pitta, Rakta, Mūrchā, Svarasāda, Aṅgsāda, Bhrama, Sandhi Pida, Jvara, Śyāva Rakta Maṇḍala Darshana (multiple eruptions all over the body) and Chardi.

तत्र स्तम्भनमौषधम्|
विषक्षाराग्न्यतीसारच्छर्दिमोहातुरेषु च||

Stambhana is the best line of treatment in complications. And also to be given the treatment of the complications caused by Viṣa, Kṣāra, Agni and from diarrhoea, vomiting and fainting.

Staṃbana Cikitsā, Grīṣma Ṛtucaryā Vidhi Pālanā, Rakta-Pitta Naśaka Cikitsa, Madhura, Sīta, Drava,  Snigdha  Bhōjana and Pāna, Sīta Maṅtha, Srita Sītajala Pāna, Candana Lepa, Ṣatadhouta Ghṛta Lēpa, Sītagraha Vāsa.

Cold water sprinkling on face, Drākṣādi  Kaṣāya can be given incase of Mūrchā. In excessive Dāha, management of dehydration should be done. In case of Sphoṭa or Vraṇa, application of Jātyādi Taila, Shatadhaḥuta Ghṛta should be applied.