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swedana karma (sudation therapy)

  1. 1. Mentor :- Prof. (Dr.) UMESH SHUKLA Professor & HOD Panchakarma Principal , Pt. Khushilal Sharma Government Ayurveda Institute, Bhopal (M.P)(M.P) Prepared by :- Dr. Shalu Jain PG Scholor , Department Of Panchakarma Pt.Khushilal Sharma Govt .(Auto.) Ayurveda College And Institute , Bhopal (M.P.)
  2. 2. DEFINITION  गौरव शीत म ेदनं ेदकारकम | (Ch.su. 22/ 11) Swedan is a procedure which relieves stiffness (stambhan), cold (sheetalata) and which induce sweating (sweda)
  3. 3. Conti...  Physiologically it is a thermoregulatory process therapeutically is induced to eliminate the bio - waste material from the body by generation of direct orthe body by generation of direct or indirect heat.
  4. 4. OUTLINES  Mainly a purva karma procedure.  Due to its therapeutic efficacy it stands as a Pradhan karma.  Due to its detoxifing functions through swedjanan, it equally offers shodhan effects.  When used before efficacy it stands as a Pradhan karma.  Considered under shadupkarm (offers shaman effects).  When used before shodhan to be called purva karma.  When used for sweda sadhya vyadhi then to be called as Pradhan karma.
  5. 5. CONCEPT  After giving Snehpan Swedan is administered to liquify the Snigdha vitiated Doshas which are spread through out the body, so that vitiatedthrough out the body, so that vitiated Doshas can be easily eradicable through Pradhan karma such as Vaman & Virechan.
  6. 6. CONCEPT cont….  Most of the heat generated by deep organs e.g. heart, brain, muscles etc. as a by product of metabolism is transferred frommetabolism is transferred from deeper organs and tissues to the skin, where it is lost to the air and surroundings by radiation, conduction and evaporation.
  7. 7. CONCEPT cont….  Mechanism  Imodulation of physiology of thermoregulation  Outcome  Enhanced sweating  Decrease plasma volume  Body is subjected to heat stress.  WBC, protein levels increased  Increased plasma osmotic pressure.  Water from intra to extracellular
  8. 8. Concept – Heat Generation  Acceleration of heat generators.Mechanism  Physical exercise  Sustaining hunger  Alcohol consumption  Emotional status Methods
  9. 9. Result  Heart rate will be higher.  Decreased weight (1.7 – 4.6 kg)
  10. 10. Classification 1.Ekang 2. Sarvang 1.Ruksha 2.snigdh DWANDAJA BHEDA OF SWEDANA (C.SU.14/66) 1. Saagni 2. Niragni (C.SU.14/66)
  11. 11. CLASSIFICATION cont….. On the basis of karma Shodhan Samana ि िवध ेद - संशमनीय , संशोधन (Dalhan su.chi. 32/ 16) On the basis of Bala of Rogi Mahana Madhyam Mradu ाधौ शीते शरीरे च महान् ेदो महाबले| दुबले दुबलः ेदो म मे म मो िहतः || (Ch.su 14/17)
  12. 12. CLASSIFICATION cont….. Vagbhatt TAPA UPNAHA DRAVA USHMA -8 TYPES 1. PINDA 2. SANSTAR चतुिवध अि ेदों भव ताप उपनाह 2. SANSTAR 3. NADI 4. ASMAGHAN 5. KUMBHI 6. KUPA 7. KUTI 8. JENTAKA भव ताप उपनाह उ व भेदेन…..(A. S. 26)
  13. 13. Acc. To kashyap 1. Hastasweda 2. Pradeha 3. Nadi 4. Prastara Sankara ज भृित बालानां ेदमा िवधं िहतं। ह ेदः देह नाड़ी रस राः 5. Sankara 6. Upnah 7. Avgah 8. Pariseka रस राः उपनाहो अवगाह प रषेक था माः || (ka.su. 25/76)
  14. 14. Saagni Sweda (Ch. Su. 14/ 39-40)  Sankar  Prastar  Nadi  Karshu  Kuti  Kumbhi  Parishek  Avgaha  Jentak  Ashmaghn  Kupa  Holak
  15. 15. Niragni sweda (ch.su.14/64)  Vyayam  Ushna –sadan  Guru pravaran  Kshuda Bahupan - Physical exercise - Staying in warm house - Covering the body with blancket - Becoming hungry Intake of alcohaol Bahupan  Bhaya  Krodha  Upnah  Ahava  atapa - Intake of alcohaol - Experience of fear - Becoming angry - Pasting of medicine - Fighting - Exposure to sunshine
  16. 16. Tapa sweda  Heated substance like metallic vessels, sand, cloth,hand etc. is kept in contact with the body parts.  Dosh – shleshmaghn Dosh – shleshmaghn  28 – 30 degrees delicate,soft skinned people who require low to medium temperature constantly for longer duration or for the rasa, rakta related diseases.
  17. 17. TAPA SWEDA YANTRA
  18. 18. Upnaah sweda  Applied warm paste of herbs (lepa) or tied over the surface (bandhan)  Dosha - vataghna  32 36 degrees Whenever utsedha or swellings are observed bnadhana.swellings are observed bnadhana. muscle disease paralysis etc.Where medium duration or for the mamsa & tendon disease.
  19. 19. Drava sweda  liquids are used here for submer- ging (Avagaha) or pouring (parishe ka) or showering (Varshulika).  Liquids – milk, oil, ghee, decoction etc.etc.  Dosh – pitta-samshraste  36 40 degrees it is commonly used for the skeletal disease, spinal diseases IVDP ankylosis, arthritis etc. especially for asthi dhatugatavyadhi
  20. 20. PARISHEK vis a vis PIZHICHIL 1 3 2
  21. 21. Ushma sweda  It is done by way of steam either through a nozzle or in a vessel.  Dosh - shleshmghna  40 46degrees common comfort-able method of steamingmethod of steaming (wet) or hot wind (dry heat) in either open (nadi) or closed (box) methods with duration regulations for all dhatugata diseases.
  22. 22. USHMA SWEDA YANTRA
  23. 23. Others…  Use of infrared lamps directly on kati basti.  Hot air blower
  24. 24. Conti..  Heat eliminating reflector foil  Chromato -therapy (color plate)
  25. 25. Conti..  Heater  Steamer
  26. 26. SWEDA KARMA - INDICATIONS अतः ेदाः व े यैयथाव योिजतैः | ेदसा ाः शा गदा वातकफा काःेदसा ाः शा गदा वातकफा काः || (ch.su.14/3)
  27. 27. Continue… ित ाये च कासे च िह ा ासे लाघवे| कणम ािशरः शूले रभेदे गल हे|| अिदतैका सवा प ाघाते िवनामके | को ानाहिवब ेषु मू ाघाते िवजृ के || पा पृ कटीकु ि सङ् हे गृ सीषु च|पा पृ कटीकु ि सङ् हे गृ सीषु च| मू कृ े मह े च मु योर मदके || पादजानू ज ाितसङ् हे यथाविप| ख ी ामेषु शीते च वेपथौ वातक के || स ोचायामशूलेषु गौरवसु षु | सवा े षु िवकारेषु ेदनं िहतमु ते|| (Ch. Su.14/20-24)
  28. 28. Pratishyay conti… Pratishyay  kasa Hikka Shwasa Kaphaj Roga
  29. 29. Swedan in Pratishyay (cold, rhinitis, nasal discharges, catarrah)  Causes  Environmental or occupational irritants  Weather changes  Signs & symptoms  Stuffy nose  Runny nose  Sneezing Mucus in throat  Weather changes  Infections  Foods & beverages  Certain medications  Hormone changes  Mucus in throat  Cough  Nasal congestion
  30. 30. Conti..  Trending regimen  Steam inhalation (ushma sweda)  (hot water, ajwain,  Mechanism  Clear up nasal & respiratory passage  Loosening the mucus in the nasal passages (hot water, ajwain, saindhav, bheemsaini karpur) ,dashmool kwath in the nasal passages  Ease feeling of irritation नवं ित ायामपा सवमुपाचरेत सिपष एव पानै: | ेदैः िविच ै: वमनै यु ै: कालपापंणैरवपीड़ने || (Su.u 24/18)
  31. 31. Swedan in hikka ,shwas (Hiccough Breathlessness, dyspnoea, asthma) Hiccough A quick involuntary inhalation that follows a spasm of the diaphragm & is suddenly checked by closure of the glottis, producing a short, relatively sharp sound. Causes:-Causes:- a) less than 48 hrs. - drinking too much - eating too much - sudden temperature changes - swallowing air with chewing gum / sucking on candy
  32. 32. Conti…  b) more than 48 hrs. –  Nerve (vagus or phrenic)damage / irritation  Cns disorder (tumor/ infection) Cns disorder (tumor/ infection)  Metabolic disorder and drugs
  33. 33. Conti..  Causes of B.asthma  Genetic  History of viral infection  Hygiene hypothesis  Symptoms  Paroxysms of dyspnoea  Cough with expectoration  Hygiene hypothesis  Early allergen exposure expectoration  Wheezing  Worst in winter & rainy season
  34. 34. Conti.. िह ा ासािदतं ि ैरादौ ेदै पाचरेत् | आ ं लवणतैलेन नाडी रस रैः ||७१|| तैर िथतः े ा ोतः िभिवलीयते | खािन मादवमाया ततो वातानुलोमता ||७२|| यथाऽि कु े काशुत ं िव ते िहमम् | े ा त ः थरो देहे ेदैिव ते तथा ७३े ा त ः थरो देहे ेदैिव ते तथा ||७३|| ं ा ा तत ूण भोजयेत् ि मोदनम् | म ानां शूकराणां वा रसैद ु रेण वा ||७४|| ततः े िण संवृ े वमनं पायये ु तम् | िप लीसै व ौ ैयु ं वातािवरोिध यत् ||७५ िन ते सुखमा ोित स कफे दु िव हे | ोतः सु च िवशु ेषु चर िवहतोऽिनलः || ch.su. (17 / 71-76)
  35. 35. Treatment regimen of shwasa 1. Nidan parivarjan 2. Snehan 3. Swedan 4. Vaman – kaph  Swedana ( nadi, prastar, sankar) as a purvkarm use of swedan locally or throughout whole body4. Vaman – kaph predominent stage 5. Virechan – origin of shwas is pitta sthan  Swedan (ushm sweda) as a preventive – steam inhalation Helps in liquefaction of viscous mala rupi kapha vata-anuloman easy to breath
  36. 36. Osteoarthritis Indication conti… Osteoarthritis Stiffness of joints Rheumatoid arthritis Pain in joint etc. Joint disorder
  37. 37. Swedan in Osteo arthritis  Introduction OA :-  Degenerative joint disease.  Chronic disorder of synovial joints.  Symptom:-  swelling  Pain  stiffness Warmthsynovial joints.  Wear & tear phenomena  Particularly in weight bearing joints.  Warmth  Cracking sound  Loss of range of motion & function वातपूण ित शः शोथः स गतेऽिनले | सारणाकु नयोः वृि सवेदना || (Ch. Chi. 28/37)
  38. 38. Conti..  Pahology 1. Roughening & Wearing of cartilage surface. 2. Impairment of the cushioning Diagnosis is mainly clinical supported by radiography 2. Impairment of the cushioning “shock – absorber” functioning
  39. 39. Osteo-arthritic condition commonly observed  OA of knee  OA of hip  Generalized OA  Generalized osteoporosis Generalized osteoporosis  Non inflammatory osteoarthrosis  OA and allied complaints like effusion, deformity contractures
  40. 40. Selective swedan procedure for OA  Its depends on cause.  Its depends on involvement of:-  Dhatu – meda, asthi, majja  Avstha - saam, niram Avstha - saam, niram  Bala  Triggers – weight gain bone spurs(osteophytes) cold weather infection
  41. 41. Conti… 1. Weight reducing measure :-  Udvartan …… Varunadi churna if pain assoiated + Advantage  Remarkable loss of wt.  Results in reducedif pain assoiated + Kolakulatthadi ch .  Sarvang vaspa Sweda  Results in reduced wt. bearing on Joints  Strengthen muscle and ligaments thus joints stabilize appendages
  42. 42. Conti…  Sam stage of OA - Inflammation more prone with other symptoms of sama 1. Baluka Sweda1. Baluka Sweda 2. Upnaha 3. Nadisweda 4. Salvana Sweda / Istika Sweda 5.Ruksha Basti
  43. 43. Conti…  Niram stage of OA - Pain & inflammation decreases but activity related pain increased.  Localised Tarpan with Ushna Taila Below kati ---- Sahachar Systemic ----- Dhanwantar/ balaSystemic ----- Dhanwantar/ bala Kapha asso. ---- Dashmula Pitta asso. ---- Ksheerbala / chandan bala  Abhyanga  Nadi Sweda  Patra pottali  Pizinchil  Churna pind sweda
  44. 44. conti… Generalised OA – sarvaang swedan Localised OA –Localised OA – Ekang swedan कु या गते वाते दाह ेहोपनाहनम | Bha.pra. M.24/259
  45. 45. Swedan in ND Ekangwat Sarvang vata Pakshaghat Vinamnam NurologicalVinamnam Ardita Prushta graha Kati graha Gridhrasi Nurological disorders
  46. 46. Swedan in Pakshaghat  Hemiplegia is the commonest manifestation of a stroke.   CVA  Cerebral hemorrhage  Sub arachnoid hemorrhage  Cerebral thrombosis Cerebral thrombosis  Venous sinus thrombosis  Embolism  INFLAMMATORY  meningitis  encephalitis  NEOPLASTIC  Cerebral tumors  DEGENERATIVE
  47. 47. Conti… ेदनं ेहसंयु ं प ाघाते िवरेचनम् || (ch.su.28/100) (Su chi.5/19)
  48. 48. In practice  Baluka sweda or  Udvartan (Kolkulathadi churna) - 3 days   Patra pinda sweda (Dhanwantar tail)  +Shirodhara - 7days + Nasya + Nasya  Sastik shali pind sweda - 7 days  Abhyang sweda - 7 days  Pizhinchil - 7 days Bala taila Aswagandha taila  Total 31 days
  49. 49. Swedan in UMN Vs LMN  UMN Due to increased spasticity …. Snehan be minimised …. Swedan with more aggression  LMN LMN Due to Sensory Impairment …. Swedan with caution … Snehan be applied with mriduswedan
  50. 50. Swedan in Ardit  Charkokta Ardit (ch. chi.28/38-42) Hemiplegia with 7th nerve palsy  Sushrutokta Ardit (su.ni. 1/70) Sushrutokta Ardit (su.ni. 1/70) Bell’s Palsy
  51. 51. Bell’s palsy  Cause  It can occur at any age.  Its exact cause is unknown.  Viral infectionViral infection  Cold sores  Respiratory illness  CMV (cytomegalo virus) infection  Chicken pox & herpes zoster  EBV (ebstin barr virus) infection
  52. 52. Conti..  Symptoms  Unilateral  Onset sudden, in morning after awaked.  He or his friend observe that mouth is drawn to one side.  Frequent pain onset in ear, mastoid region or around the angle of jaw.of jaw.  Closer of eyes not possible.  Difficulty eating & drinking.  Difficulty making facial expression.  Drooling  Raising of eyebrows  Sometime loess of taste on anterior 2/3rd of tongue  Hyperacusis
  53. 53. Conti.. अिदते नावनं मूि तैलं तपणमेव च || नाडी ेदोपनाहा ा ानूपिपिशतैिहताः | (Ch.chi.28/99) (Su.chi. 5/22)
  54. 54. Treatment regimen  Abhyanga - Karpasthadi taila, ksheerbala tail  Netra Tarpan - Triphala ghrit, jivantyadi ghrita  Nadi sweda - Dashmula kwath  Ksheer dhumra swedaKsheer dhumra sweda  Shashtik shali pind sweda  Nasya - Karpasthadi taila, bala biva ghrita  Ksheerbala taila  Shiropichu - Dhanwantaram taila  Upnaha - Atasyadi lepa or utkarika  Karnpooran – ksheerbala tail
  55. 55. SWEDAN IN MANYA STAMBA  Ruksha sweda म ा ंभे अ ेतदेव िवधानं िवषेशतो वात े हरेन ै ेदै ोपचारेत | (Su.chi. 5/20) Ruksha sweda  Baluka sweda  Salwan upnah  Annalepan  Manya basti  Nadi sweda
  56. 56. Sciatica  Causes  Lumbar spinal stenosis  Degenerative disc changes  Symptoms  Lower back pain  Hip pain  Burning or tingling changes  Spondylolisthesis  Pregnancy  Muscles spasm  Burning or tingling sensation of leg  Shooting pain ूवा किटपृ ो जानुज ापदं मात् | गृ सी ोदैगृ ाित ते मु ः || (ch.chi. 28/56)
  57. 57. Conti…  SLR +ve  Lesegue test +ve (confirmatory test)  Ankle jerk decreased  Analgesia is less extensive than anesthesia to light touchlight touch  Postural sensibility & appreciation of passive movement lost… in toes  Planter reflex…. Lost  Leg may be congested & swollen  Area of sensory loss may be in outer aspect
  58. 58. Swedan in Gridhrasi  Kati basti - Kottamchukkadi taila , sahcharadi tail  Generalized basti Niruha - Dashmula Anuvasan - Sahacharadi tail  Patra pinda - Sahacharadi tail –(7 days)  Abhyanga then Nadi sweda with Dasmool kwath, Mamsa rasa (7 days)  Jambeer pind sweda (7 days)  Appropriate exercise with oral medicine.
  59. 59. Cervical spondylosis  Cause  Herniated disc  Dehydrated disks  Bone spurs  Symptoms  Pain in neck  Headche  Giddiness  Bone spurs  Stiff ligament  Tingling, numbness,& weakness in your shoulders, arms, hands.  It can also occur in legs.
  60. 60. Swedan in CS  Greevaprishta Basti  Kati Basti 10 days  Jambeer Pinda Sweda Abyanga with Nadi Sweda Abyanga with Nadi Sweda  Localised churna pinda sweda  Specific Yogasanas of spine  Along with systemic Basti & oral medicines
  61. 61. In short swedan in ND Sudation therapy (Swedana) Neurological diseases Avagahan Sweda All neurological disorders specially neuropathy Baspa Sweda obstructive neuropathy Nadi Sweda Lumbar Spondylosis, Sciatica, IVDP Patrapinda Sweda Hemiplegia, Paraplegia, Compressive myelopathy, MND Shashtik Shali Pinda Sweda Muscular atrophy, Duchene muscular dystrophy )
  62. 62. Conti… Procedure Nurological disorder Griva vasti Cervical spondylosis ,IVDP Kati vasti Lumbar spondylosis , Sciatica, IVDP Picchu dharan Cranial neuropathy Shirovasti Cerebral palsy, Cerebral ataxia, Parkinsonism Udvartana Hemiplegia , myopathies Shirodhara Insomnia, Stress, Anxiety neurosis, neuropathy
  63. 63. Swedan in GIT disorder Ama dosha VibandhaVibandha Kukshigrah Aanah GIT disorder
  64. 64. Swedan in GIT disorder (Ch. Vi. 3/13)(Ch. Vi. 3/13) (Ch.chi.26/11)
  65. 65. T/t of ama or ama dosha or ama diseases are :- 1) langhan - 10 types vyayam, upwas/kshudha, atapa ( niragni sweda) 2) Rukshan - Its also same task of that drying sudation. purpose – Dryness producing. 3) Swedan3) Swedan  dry sudation can be provided in form churn pind sweda, baluka sweda etc. give instant relief from ama symptoms.  Drav sweda in the form of nadi sweda / vashp sweda  Is administered to mobilize doshas detatched from ama towards stomach.
  66. 66. Swedan procedurs Hriday basti Kati basti Greeva basti Janu basti Parishek Pizhichil
  67. 67. Conti.. Tapa sweda Upnaah sweda Avgaha swedaTapa sweda Upnaah sweda Avgaha sweda spps Naadi sweda Ssps
  68. 68. Poorvkarma A. SAMBHARA SANGRAHA B. SWEDA PURVA VICARYA VISHAYA 1. Swedopayogi drug 2. Swedopug drug 3. Swedana yantra 4. Medicines for management of any complication. 1. Roga 2. Rogi 3. Dosha 4. Ritu 5. Desa
  69. 69. Pre operative check-up  Vitals:- Pulse Blood Pressure Respiratory Rate Temperature  Age :- > 40 yr blood sugarblood sugar ECG KFT Lipid Profile  Systemic examination  For shodhanarth sweda SOPs of pradhan karma be also operationalised.
  70. 70.  ाधौ शीते शरीरे च महान् ेदो महाबले| दुबले दुबलः ेदो म मे म मो िहतः || वात े िण वाते वा कफे वा ेद इ ते| ि थाि ो ा ुपक तः ||  आमाशयगते वाते कफे प ाशयाि ते| पूव िहतः ेदः ेहपूव थैव च||  वृषणौ दयं ी ेदये ृदु नैव वा| म मं व णौ शेषम ावयविम तः || (Ch. su,. 14)
  71. 71. Conti…. ROGA – Amvat - baluka swedan Ardit - nadi,upnah Swasa - nadi prastara’sankara Pakshaghat, mamsha-kshaya - pinda sweda ROGI – Uttambala – mahana (jentak etc.) Alpabala - mridu DOSHA – Vata - Snigdha kapha - Ruksha
  72. 72. Conti…. Desa- Mridu sweda - vrishana Hridya Netra Madhyam - vakshana pradeshMadhyam - vakshana pradesh Also eg. Aamashay-ruksha purvak pakvashay- snigdh purvak Ritu - Mahan sweda - Sheet ritu Mridu sweda - Ushna ritu (CH.Su.14/9)
  73. 73. Pradhan karma  Swedaavacarana - According to roga bala, rogi bala. Desa, ritu, suitable swedan should be done to the patient who has undergone abhyanga, in a place devoid of air (nirvate).devoid of air (nirvate).  Observation of lakshanas - During swedan it is very important to observe for samyak, ayoga and atiyoga lakshanas.
  74. 74. AVOIDANCE कषायम िन ानां गिभ ा र िपि नाम्| िपि नां साितसाराणां ाणां मधुमेिहनाम्|| िवद ानां िवषम िवका रणाम्| ा ानां न स ानां थूलानां िप मेिहनाम्||ा ानां न स ानां थूलानां िप मेिहनाम्|| तृ तां ुिधतानां च ु ानां शोचतामिप| काम ुद रणां चैव तानामा रोिगणाम्|| दुबलाितिवशु ाणामुप ीणौजसां तथा| िभषक् तैिम रकाणां च न ेदमवतारयेत्|| (ch.su.14/16-19)
  75. 75. Precaution to be taken  The Heart region, testes and eyes should be given Mardu Sweda  Delicate parts such as eyes, heart and testes should be covered by thin cloths or Leaves, before giving Swedan Karm.  All material needed for Swedan Karm are to be collected All material needed for Swedan Karm are to be collected in advance .  Swedan Karm should be given according to their Prakrati, Roga, Ritu, Desh, Vaya, Kaal etc.  Swedan is to be administered after suitable Snehan Karm.  BP, Pulse, Respiration rate and Temperature of the Patient are to be noted before and after Swedan Karm.
  76. 76. Conti..  Note any cardiac or skin problems are there.  Enquire for the psychological interventions or phobia  According to the dhatu involvement or availability the schedule can be fixed.availability the schedule can be fixed.  Steam for the required time or till the forehead sweating is recorded.
  77. 77. The seven Posture in Pinda sweda o Sitting o Supine o Right lateral o Supineo Supine o Left Lateral o Supine o Sitting
  78. 78. Observations Samyak Swedan Symptoms :-  Disappearance of cold (Shitoparam)  Disappearance of Pain (Shooloparam)  Disappearance of stiffness (Stambha Nigraha) Relief in heaviness of body (Gaurava Nigraha) Relief in heaviness of body (Gaurava Nigraha)  Softness and Smoothness of the body (Mardavata)  Appearance of Sweating (Sweda Pravriti)  Desire for cold things. शीतशूलवयूपरमे गौरविन हे ! संजाते मादवे ेदे ेदनाि रितमता !! (ch.su.14/13) (s
  79. 79. Conti… Symptoms of improper Swedan Karm :-  Sweating will not come.  Coldness will not reduced.  No taste of cold things. Pain will not reduced. Pain will not reduced.  No remission of the disease. (Su.chi 32/23) ेदा ावो ािध हािनलघु ं शीतािथ ं मादवं चातुर | स क े ल णं ा रेत- ा े येनैतदेव || (su.chi. 32/23)
  80. 80. Paschat karm  Cover the body with blanket (pravritang)  Avoid direct exposure to wind (nivatsaransthitham)  Take bath with luke warm water (snatam ushnaambhubhi)  Pathya diet (pathya bhojyeta) Pathya diet (pathya bhojyeta)  An-abhishyandhi diet  Avoid exercise (vyayam nisedha)
  81. 81. Rules Of Pariharkal  Use of hot water  Little walking  Mild talking  Proper posture  Proper use of pillow  Sleep in night only Sleep in night only  Control emotions  No travel  Devoid sex  Avoid exposure to pollution  Void urges properly  No cold climate  No extreme sunlight  No high breeze
  82. 82. Complication of sweda karma  Pitta prakop  Daha  Murchcha  Sharir sadan - Vitiation of vata dosha - Burning sensation - Fainting - Sense of exhaustion in the body parts Sharir sadan  Swara daurbalya  Anga daurbalya  Sandhi pida  Shyava rakta - Mandala darshan Sense of exhaustion in the body parts - Reduction in the voice - Reduced tone of the limbs - Pain in the joints - Black or reddish patches िप कोपो मू ा च शरीरसदनं तृषा | दाहः रांग दौब मित ल णं || (ch.su. 14/13)
  83. 83. Cont….  Sphota  Bhrama  Arsha kopa  Trisha - Appearance of blisters - Giddiness - Symptoms of rakt kopa - Excessive thrist Trisha  Sadan  Jwara  chhardi - Excessive thrist - General sense of exhaustion - Fever - vomiting े अ थम संिधपीड़ा िवदाहः ोटो ि ः िप र कोपः ! मू ा ा दाहतृ े म कु या ूण त शीतं िवधानम !! (su.chi.32/24)
  84. 84. Management of exposure of over heat  Swedan procedure should be immediately stopped.  Burn – jatyadi ghrita, sandal wood paste, aloe vera application.  Raised B.P. - Proper rest , if needed sarpgandha ghan vati.  Rashes - coconut oil, shata-dhauta ghrita Rashes - coconut oil, shata-dhauta ghrita  Offered with sweet ,cold ,oily ,liquid food  Cold water ,Rice  Stay in cool room  Sitting in a garden of cold atmosphere  Stambhan chikitsa  Grishma ritu charya .
  85. 85. Conti..  The swedan karm eliminates toxins and waste from the body in the form of sweat.  It relieves stiffeness, heaviness, coldness & pain.  Swedan is regarded as an upakarm not as shodhan?  Upakrama is Shamana Upakrama is Shamana Shodhan purv swedan is adjunct to shodhan.  So we can conclude in it swedan procedure performs in three way :-  Purkarm swedan  Upakarma –shaman swedan  Paschat karm swedan  SHODHAN????
  86. 86. Condition for Upakarm swedan  Jwara(Fever) –Ushnasadana, blanketing (guru pravran)  Shotha(oedema) - Upnah,parisheka lepa  Pratishyay(cough & cold) – Ushma sweda Pratishyay(cough & cold) – Ushma sweda (steam inhalation)  Visarp – Pradeha  Mutrakriccha – Avgaha , parisheka  Vatvyadhi - Tapa , nadi, upnah
  87. 87. introduction  The word pinda means bolus.  The hot drugs are made into potali form.  Terminology used by charak is sankar swedasweda  Ruksh sweda & snigdh sweda.  Named after the dravya used.
  88. 88. Various pinda sweda Ruksha sweda  valuka sweda  Kolkultathadi sweda  Churna pind sweda  Bhusha / tusha pind sweda Bhusha / tusha pind sweda  Karish sweda  Lavan pind sweda  Karpasa bija sweda  Jambir pind sweda
  89. 89. Snigdh sweda  Patra pind sweda  Shashtishali pind sweda  Mamsa khizi  Shashti shali pinda sweda with sura Shashti shali pinda sweda with sura
  90. 90. Patra pind sweda  Leaves ( Arka, Dhattura, Chincha, Eranda, Nirgundi )  Saindhava (rock salt)  Grated coconut - 500 gms - - 5-10 gm - 100 gm  Lemon  Vatshamak oil (Neem /Eranda /dhanvantar /kottamchukkadi taila ) - 2 - As required
  91. 91. Indication (spps)  Joint diseases of inflammatory, degenerative  autoimmune nature  Neurological disorders like paralysis Neurological disorders like paralysis  Pain & swelling of sinoveitis  Sciatica  cervical radiculopathy  lower back pain etc.
  92. 92. contii  Modified PPS in katigrah Egg is boiled and yolk is powdered & fried in a pan When it becomes reddish all the vatahara leaves like Eranda,Nirgundi,Shigru etc. mentioned in PPS are added and fried along with that egg yolk.are added and fried along with that egg yolk.  PPS in pakshaghat, dhanustambh, gridhrasi In this Pindasweda is prepared with adding egg yolk, jambeera, vacha, haridraand sarshapa.
  93. 93. Jambir pind sweda  Lemon  .Methika  Shatahva (Anethum sowa)  Haridra (Curcuma longa)  2 ng  35 gm  35 gm  35 gm  Haridra (Curcuma longa)  Lashuna (Garlic)  Saindhava (Rock salt)  Medicated oil  2ng  8 gm  60 ml
  94. 94. Indication (jps)  kaphadominant Gridhrasi (sciatica)  Frozen shoulder,  Stiffness of jointsStiffness of joints  Rheumatic arthritis  Muscular cramp  Caution :- skin rashes  For this apply madhu & ghrita
  95. 95. Shashtikshali pind sweda  12 pala – Bala  3 Aadaka - Water  3 Prastha - Decoction bala  1½ Prastha - Cows milk 1½ Prastha - Cows milk  ½ Prastha - Shashtikashali  This makes 100gms each 5 pottali that can run by the 4 therapist at once.
  96. 96. Therapeutic applications (ssps)  Muscle atrophy  Later stages of demyelination  Cerebral palsy Cervical myelopathy  Post-polio residual paralysis Muscle dystrophy Muscle dystrophy  Emaciation.  Atrophy of muscles.  Spasticity, reduced mobility, rigidity, low backache  Sciatica, scoliosis, kyphosis, arthritis etc.  Complications recorded are- Trembling, fainting and rashes.
  97. 97. Valuka sweda Ingredients  Sand  Saindhav  Ajmoda Indication  Rheumatoid arthritis  Urustambh  Kapha,medavrit vat Ajmoda  Kapha,medavrit vat  Medo rog  Granthi  Shoth & shula  Sam roga
  98. 98. Churna pinda sweda  Type  Ingredients  Oil  Ruksha/snigdha/ekanga  - kulatha,devadaru,kola, haridra, rasna,jatamansi  - Nimba Oil  Other  Indication  Course  Risk factor  Avoid  - Kashaya, takra, saindhava  - Sandhishool, vatavyadhi  - 7 days.. to be repeated  - Normaly safe  - Diabetic neuropathy
  99. 99. Busha / Tusha Pind sweda  Type  Ingredients  Oil Other  Ruksha  Busa (bran of rice), rason, shrigru twaka  Not required  Sandhava  Other  Indication  Course  Risk factor  Avoid  Sandhava  Amaj states of Shwasha, jwara, vishoochika  3 to 7 days  15 to 30 mint  Sensory impairment  Niram stages
  100. 100. Anda sweda  Type  Ingredients  Oil  Other  Ushma sweda  egg yolk , kolkulathadi churna, methika, haridra  Nimba oil  Shatavha & saindhava Other  Indication  Course  Risk factor  Avoid  Shatavha & saindhava  Traumatic conditions, post polio paralysis,  7 to 21 days  30 to 45 mint  Skin allergy  Pittaj vikara
  101. 101. Udvartan  Type  Ingredients & indication  Anagni, Rukshan process  Kolkulthadi churna –neurological cases, MND,PD, Dystrophies  Varunadi churna –obesity  Nalamparadi churna – DM associated with itching  Course  Time  Methods  Avoided associated with itching  Nimbadi churn – skin diseases  7-21 days may be repeated  30-45 minutes  Pratiloma  Crack Burn
  102. 102. Properties of swedan drug & their action   Ushna उ ं ती णं सरं ि ं ं सू ं वम थरं | ं गु च यत ाय ेदनमु ते|| (ch. Su. 22 / 16)  Ushna  Tikskshna  Ruksha  Sthira  Sara  Snigdh  Drava  Sukshma  Guru
  103. 103. Swedopag Dravya शोभांजनकै र ाक वृ ीरपुननवा यव ितल कु ल माषबदरािणती दशेमािन ेदोपगािन भव | ch.su. 4/8(22) Ushna - 80% Tikshna - 30%Tikshna - 30% Sara - 10% Snigdha - 40% Ruksha - 50% Sukshma -10% Drava – 0% Sthira – 0% Guru – 30% Laghu – 40%
  104. 104. Mode of action:-  ि गध सू े यनेषु लीनं ेद ु दोषं नयित व म| (Ch.si 1/ 8)  गौरव शीत म ेदनं ेदकारकम | (Ch.su. 21/ 11)
  105. 105. Effects of swedan (ch.su 14, su. Chi.32)  Dosh dravta ि गध सू े यनेषु लीनं ेद ु दोषं नयित व म ||  Vata niyaman ेहपूव यु ेन ेदेनाविजतेऽिनले| पुरीषमू रेतांिस न स कथ न|| (ch.su.14/4)  Gatra vinaman शु ा िप िह का ािन ेह ेदोपपादनैः | नमय यथा ायं िकं पुनज वतो नरान्|| (ch.su.14/5)
  106. 106. Conti..  Agnideepan  Twak-mardhava  Twak –prasadana  Nidra and tandra nasha Nidra and tandra nasha  Bhakta shradha  Srotoshudhi  Sandhichesta  Dosha shodhana
  107. 107. Effects of Heat Therapy  Vasodilatation  Increased nerve stimulation  Increased pain threshold  Changes in muscle strength Changes in muscle strength  Increased metabolic rate  Increased tissue extensibility  Increased sweating  Effect on pulse rate and blood pressure
  108. 108. TEMPERATURE INFLAMMATION Cutaneous thermoreceptor Smooth muscle relaxation Release of vasodilators eg,. Histamin, prostaglandin Spinal dorsal root ganglion inhibition of Sympathatic adrenergic activation relaxation vasodilatation
  109. 109. Shodhan effect of swedan Cells get rid of their wastes in 3 ways.. 1. Convert the waste molecule to different molecule temporarily that will not diffuse backward.diffuse backward. 2. Make an oily molecule water soluble so that it can be dissolved in water and flushed away in the blood stream. 3. Sweating which uses water to flush away the chemicals.
  110. 110. Conti…. Eg. Co2 through lungs Remaining with carbolic acid actions Waste chemicals that are Oily substances & chemicals That have electric charges. Waste chemicals that are dissolved in water blood stream Urine Able to be dissolved in water Blood stream Urine
  111. 111. SWEAT Sweat cells pumping unwanted salts and minerals Saltiness pulls water out of cells into the sweats pockets by osmosis Sweat pockets swellsSweat pockets swells Pressure build ups Pushes the water out of pockets including the waste products that are dissolved in it
  112. 112. Bio-waste eliminated through sweats  Mostly water  Trace amount & minerals  Na - .9gm/l  K - .2gm/l  Ca -.01gm/l  Mg -.001gm/lMg -.001gm/l  Lactic acid  Urea  Trace element  Zn -.4 mg/l  Cu - .3 -.8mg/l  Fe -1mg/l  Chromium -.1mg/l  Nickel - .05 mg/l
  113. 113. DETECTION OF LIMIT OF BLOOD URINE, SWEAT
  114. 114. ELEMENTS SERUM (µg/L) URINE (µg/L) SWEAT(µg/L) Arsenic 0.2 0.2 0.2 Aluminium 2 2 2 Bismuth 0.05 0.05 0.05 Cadmium 0.02 0.02 0.02 Cobalt 0.05 0.05 0.05 Chromium 0.1 0.1 0.1 Copper 1 1 1 Mercury 0.1 0.2 0.1Mercury 0.1 0.2 0.1 Manganese 0.5 0.5 0.5 Molybdenum 0.5 0.5 0.5 Nickel 0.1 0.1 0,1 Lead 0.05 0.05 0.5 Antimony 0.6 0.6 0.5 Selenium 2 2 2 Tin 0.5 0.1 0.1 thallium 0.02 0.02 0.02 Uranium 0.02 0.02 0.02 zinc 2 2 2
  115. 115. NO OF SAMPLES IN WHICH TRACE ELEMEMT WERE DETECTEDELEMEMT WERE DETECTED
  116. 116. ELEMENT BLOOD URINE SWEAT U/B RATIO S/B RATIO (S/B)/(U/B )RATIO Arsenic 17 20 20 17 17 17 Aluminium 20 20 20 20 20 20 Bismuth 8 19 19 8 7 7 Cadmium 11 4 18 3 11 3 Cobalt 20 20 20 20 20 20 Chromium 20 19 20 19 20 19 Copper 20 20 20 20 20 13 Mercury 16 16 20 13 16 20Mercury 16 16 20 13 16 20 Manganese 20 20 20 20 20 20 Mololybden um 20 20 20 20 20 20 Nickel 20 20 20 20 20 20 Lead 20 20 20 20 20 0 Antimony 1 1 19 0 1 20 Selenium 20 20 20 20 20 1 Tin 2 19 20 1 2 20 thallium 20 20 20 20 20 20 Uranium 20 20 20 20 20 20
  117. 117. The findings from this study have three important implications:  1. From a therapeutic standpoint, induced sweating may have potential as a clinical intervention for elimination of some toxic elements. However, the concomitant loss of required trace minerals into sweat, which is also evident from the data, serves to remind that sauna users should secure adequate intake of required minerals to compensate for losses and to replete diminished reserves.reserves.  2. From a public health perspective, clusters of people, such as firefighters, who by the nature of their occupations are exposed to toxic elements, may bead vised to regularly undertake induced sweating. Further research is required, however, to determine whether induced sweating on the day of exposure is beneficial or detrimental because enhanced circulation to the skin associated with sauna may stimulate greater absorption of toxicants on the skin.
  118. 118.  3. From a biomonitoring perspective, perspiration may serve as a more sensitive body fluid form measurement compared with blood because some toxic elements, including cadmium, bismuth, antimony, and tin, are frequently not detected in serum but may be found infrequently not detected in serum but may be found in sweat samples from the same individual. (S.j. genius et al Nov.2010)
  119. 119. References:-  Charak samhita with Chakrapani commentry  Sushrut samhita with Dalhan commentry  Ashtang hriday & Ashtang sangrah  Kashyap samhita  Bhavprakash  Aacharya shrinivasan panchkarma book  Vaidhya Basant Patil panchkarm book Vaidhya mukundilal dwivedi Vaidhya mukundilal dwivedi  mahendra et.al /(IJIPSR)/2017  Nashine et,al/IJAPC/2017  Kalpana 291agmail.com2018  Ravindram et.al (Kerala)  www.technoayurveda.com  Websites relavant to the topic  Sj genius et.al nov 2010.

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