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===== Preparation of the patient =====
 
===== Preparation of the patient =====
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Medicated oil massage is done before pindasweda. Oil is specially applied over the vertex, ears and the feet. The patient is comfortably placed on the droni (special wooden cot for administering treatment). Normally pindasweda is done in seven positions. These are sitting, supine, left lateral, again supine, right lateral, again supine and lastly sitting.
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Medicated oil massage is done before ''pindasweda''. Oil is specially applied over the vertex, ears and the feet. The patient is comfortably placed on the ''droni'' (special wooden cot for administering treatment). Normally ''pindasweda'' is done in seven positions. These are sitting, supine, left lateral, again supine, right lateral, again supine and lastly sitting.
Application of kizhi:
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Kizhi is heated on a metallic pot with or without using oil or any other liquid media (depends on clinical presentation). The heat is checked by the masseur himself and applied on the body of the patient. The pressure, direction of movement, rubbing etc are controlled by the experienced masseur while applying the kizhi according to the clinical condition as well as the body part.
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===== Application of ''kizhi'' =====
General Indications of swedana by kizhi
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As a part of seasonal rejuvenative therapy for healthy persons  
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''Kizhi'' is heated on a metallic pot with or without using oil or any other liquid media (depends on clinical presentation). The heat is checked by the masseur himself and applied on the body of the patient. The pressure, direction of movement, rubbing etc are controlled by the experienced masseur while applying the ''kizhi'' according to the clinical condition as well as the body part.
Different musculoskeletal problems including chronic, degenerative, traumatic, infective or autoimmune nature.
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Neurological disorders including stiffness, tremor, palsy and convulsions.
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===== General Indications of ''swedana'' by ''kizhi'' =====
General debility, fatigue and wasting
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Dosha-specific indications of kizhi
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*As a part of seasonal rejuvenative therapy for healthy persons  
Kizhi is primarily administered in kapha-vata or isolated vata disorders.
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*Different musculoskeletal problems including chronic, degenerative, traumatic, infective or autoimmune nature.
Specific types / modifications of kizhi are administered in pitta / rakta disorders
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*Neurological disorders including stiffness, tremor, palsy and convulsions.
Prakriti & season specific indications of kizhi
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*General debility, fatigue and wasting
Kizhi can be safely employed in kapha and vata-predominant prakriti
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Pitta-predominant individuals should take specific precautions.
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===== ''Dosha''-specific indications of ''kizhi'' =====
Ideal seasons for kizhi are winter, spring and rainy seasons.
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Special care should be taken in summer and autumn seasons
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*''Kizhi'' is primarily administered in ''kapha-vata'' or isolated ''vata'' disorders.
Major types of pinda sweda include Patrapinda sweda, Jambheera pinda sweda, choorna pindasweda and shashtikapinda sweda
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*Specific types / modifications of ''kizhi'' are administered in ''pitta / rakta'' disorders
Patrapottli sweda (sudation using bolus made of herbal leaves)
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Patrapotala sveda is a pindasweda, which is a variety of ushma sweda (wet heat). It is one of the major sudation processes practiced in Ayurveda.
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==== ''Prakriti'' & season specific indications of ''kizhi'' ====
Materials required:
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*''Kizhi'' can be safely employed in ''kapha'' and ''vata''-predominant ''prakriti''
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*''Pitta''-predominant individuals should take specific precautions.
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*Ideal seasons for ''kizhi'' are winter, spring and rainy seasons.
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*Special care should be taken in summer and autumn seasons
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*Major types of ''pinda sweda'' include ''patrapinda sweda, jambheera pinda sweda, choorna pindasweda'' and ''shashtikapinda sweda''
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===== ''Patrapottli sweda'' (sudation using bolus made of herbal leaves) =====
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''Patrapotala sweda'' is a ''pindasweda'', which is a variety of ''ushma sweda'' (wet heat). It is one of the major sudation processes practiced in Ayurveda.
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====== Materials required ======
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Leaves of eranda (Ricinus communis), arka (Calotropis procera), sinduvaara (Vitex negundo), vataghni, amleeka (tamarindus indicus), shigru (Moringa olifera), karanja (Pongamia glabra), dhattura (Datura metel) etc – total 500 gm.
 
Leaves of eranda (Ricinus communis), arka (Calotropis procera), sinduvaara (Vitex negundo), vataghni, amleeka (tamarindus indicus), shigru (Moringa olifera), karanja (Pongamia glabra), dhattura (Datura metel) etc – total 500 gm.
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Powders of sataahwa and methika 100 gm each
 
Powders of sataahwa and methika 100 gm each
 
Saindhava (rock salt) 50 gm
 
Saindhava (rock salt) 50 gm
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Nimba tail (Neem oil) /Eranda tail (castor oil) - as required
 
Nimba tail (Neem oil) /Eranda tail (castor oil) - as required
 
Cloth-1, twine-2m, towel, vessels, spoon, frying pan, stove
 
Cloth-1, twine-2m, towel, vessels, spoon, frying pan, stove
Preparation of pottali:
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====== Preparation of pottali ======
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Take some oil in a frying pan. Place it on mild fire. Then add slices of lemon into it. When it becomes slightly fried, add the churna and stir it well. Then add scraped coconut. When it turns into brown colour add saindhava and stir it well. Then add the leaves (large leaves should be cut into small pieces) one by one. Thicker leaves should be added first then add the thinner one (for example add arka leaves first and tamarind leaves last) When it becomes well fried, take it out from fire, and divide it.  
 
Take some oil in a frying pan. Place it on mild fire. Then add slices of lemon into it. When it becomes slightly fried, add the churna and stir it well. Then add scraped coconut. When it turns into brown colour add saindhava and stir it well. Then add the leaves (large leaves should be cut into small pieces) one by one. Thicker leaves should be added first then add the thinner one (for example add arka leaves first and tamarind leaves last) When it becomes well fried, take it out from fire, and divide it.  
Procedure
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====== Procedure ======
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Heat the potali by dipping in the liquid medium. Heat it on a gentle fire and apply it as mentioned earlier in seven postures; 5-10 minutes in each posture. The duration of the procedure depends on the condition of patient.  Do gentle massage allover the body and advise the patient to take rest it bed, in a non-windy room, cover the body with a thick blanket. After taking rest for about one hour, take bath in hot water. Water boiled with dhaatri (Indian gooseberry) can be used for washing the head and that with vata alleviating leaves for body. Then apply raasnaadi coorna on vertex. Advice the patient to take hot peya (rice soup).
 
Heat the potali by dipping in the liquid medium. Heat it on a gentle fire and apply it as mentioned earlier in seven postures; 5-10 minutes in each posture. The duration of the procedure depends on the condition of patient.  Do gentle massage allover the body and advise the patient to take rest it bed, in a non-windy room, cover the body with a thick blanket. After taking rest for about one hour, take bath in hot water. Water boiled with dhaatri (Indian gooseberry) can be used for washing the head and that with vata alleviating leaves for body. Then apply raasnaadi coorna on vertex. Advice the patient to take hot peya (rice soup).
Indications
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====== Indications ======
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Dosha Alleviates vata as well as vata kapha
 
Dosha Alleviates vata as well as vata kapha
 
Prakriti Suitable to vata, kapha, vathakapha & tridosha constitutions
 
Prakriti Suitable to vata, kapha, vathakapha & tridosha constitutions
 
Diseases Joint diseases of Inflammatory, degenerative, or autoimmune nature
 
Diseases Joint diseases of Inflammatory, degenerative, or autoimmune nature
 
Neurological disorders like Paralysis, Sciatica, Cervical Radiculopathy, Low back pain etc.
 
Neurological disorders like Paralysis, Sciatica, Cervical Radiculopathy, Low back pain etc.
Jambeera pinda sweda (sudation using bolus made of lemon)
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===== Jambeera pinda sweda (sudation using bolus made of lemon) =====
    
Jambeera pinda sweda is a variety of ushma sweda (moist heat). It is a procedure which is neither too ruksha (dry) nor too snigdha (oily).
 
Jambeera pinda sweda is a variety of ushma sweda (moist heat). It is a procedure which is neither too ruksha (dry) nor too snigdha (oily).
Materials required
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====== Materials required ======
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Lemon 24 nos
 
Lemon 24 nos
 
Methika 250 gm
 
Methika 250 gm
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Neem Oil 500 ml
 
Neem Oil 500 ml
 
Cloth – 1m, twine – 2m, towel, vessels, frying pan, stove
 
Cloth – 1m, twine – 2m, towel, vessels, frying pan, stove
Preparation of medicine
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====== Preparation of medicine ======
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Take half of quantity of above-mentioned drugs. Cut the lemon into 8 small pieces. Crush the garlic. Powder the other drugs and keep apart. First fry lemon and saindhava in a vessel containing very little oil, placed over mild fire. Add garlic when lemon turns brown colour. Following this add powdered drugs and stir it well, till becomes well fried. Care should be taken not to burn the drug. Remove from fire and make pot’ali as mentioned before.
 
Take half of quantity of above-mentioned drugs. Cut the lemon into 8 small pieces. Crush the garlic. Powder the other drugs and keep apart. First fry lemon and saindhava in a vessel containing very little oil, placed over mild fire. Add garlic when lemon turns brown colour. Following this add powdered drugs and stir it well, till becomes well fried. Care should be taken not to burn the drug. Remove from fire and make pot’ali as mentioned before.
Preparation of the patient & Procedure
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====== Preparation of the patient & Procedure ======
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As mentioned in the general sweda procedure.
 
As mentioned in the general sweda procedure.
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After completion of the process apply rasnaadi choorna on the vertex of patient. Ask the patient to take rest in a non-windy room with his body covered using a thick blanket for about 1 hour. After the rest period advise the patient to perform bath using warm water. Wash the head using cooled water medicated with aamalaki. Body can be washed with medicated water according to the disease of the patient. Peya is ideal diet during this process. This helps to replace the water content lost due to the process of sweda (perspiration).  
 
After completion of the process apply rasnaadi choorna on the vertex of patient. Ask the patient to take rest in a non-windy room with his body covered using a thick blanket for about 1 hour. After the rest period advise the patient to perform bath using warm water. Wash the head using cooled water medicated with aamalaki. Body can be washed with medicated water according to the disease of the patient. Peya is ideal diet during this process. This helps to replace the water content lost due to the process of sweda (perspiration).  
Indications
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====== Indications ======
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Dosha Alleviates vata kapha
 
Dosha Alleviates vata kapha
 
Prakriti Suitable to vata, kapha, vathakapha & tridosha constitutions
 
Prakriti Suitable to vata, kapha, vathakapha & tridosha constitutions
Diseases Joint diseases specifically traumatic in origin. Low backache, kapha predominant type of sciatica, Frozen shoulder, Stiff neck, Rheumatic arthritis
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Diseases Joint diseases specifically traumatic in origin. Low backache, kapha predominant type of sciatica, Frozen shoulder, Stiff neck, Rheumatic arthritis
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Specific care Skin rash is a common complication observed in hairy individuals. Excess friction may be the reason. Castor oil may be used along with neem oil to reduce the friction.  
 
Specific care Skin rash is a common complication observed in hairy individuals. Excess friction may be the reason. Castor oil may be used along with neem oil to reduce the friction.  
Churna pinda sweda (Sudation using bolus made of herbal powders)
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===== Churna pinda sweda (Sudation using bolus made of herbal powders) =====
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Churna pinda sweda is a rukshana (de-oleation) procedure practiced in vatakapha conditions. Generally, it is done without adding oil. Internal oleation is not done as preparatory procedure of churna pinda sweda
 
Churna pinda sweda is a rukshana (de-oleation) procedure practiced in vatakapha conditions. Generally, it is done without adding oil. Internal oleation is not done as preparatory procedure of churna pinda sweda
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Material required Fine powders of following herbs
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====== Material required ======
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Fine powders of following herbs
 
Methika (Foeniculam vulgare)
 
Methika (Foeniculam vulgare)
 
Satapushpa (Anethum sowa)  
 
Satapushpa (Anethum sowa)  
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Dravadravya (liquids) kashaaya (decoctions) or takra (butter milk) – as required
 
Dravadravya (liquids) kashaaya (decoctions) or takra (butter milk) – as required
 
Cloth, thread, towel, frying pan, spoon, stove etc.
 
Cloth, thread, towel, frying pan, spoon, stove etc.
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Preparation of potali
 
Preparation of potali
 
Fry the drugs in a frying pan placed over gentle fire. Care should be taken not to burn the drugs. When they become crispy, make four potali’s as described in the introduction.
 
Fry the drugs in a frying pan placed over gentle fire. Care should be taken not to burn the drugs. When they become crispy, make four potali’s as described in the introduction.

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