Successfully reported this slideshow.
Activate your 14 day free trial to unlock unlimited reading.
Prof. (Dr.) UMESH SHUKLA
Professor & HOD Panchakarma
Principal , Pt. Khushilal Sharma Government Ayurveda Institute, Bhopal
Prepared by :-
Dr. Shalu Jain
PG Scholor , Department Of Panchakarma
Pt.Khushilal Sharma Govt .(Auto.) Ayurveda College And Institute , Bhopal
गौरव शीत म ेदनं ेदकारकम |
(Ch.su. 22/ 11)
Swedan is a procedure which relieves stiffness
(stambhan), cold (sheetalata) and which induce
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
Mainly a purva karma
Due to its therapeutic
efficacy it stands as a
Due to its detoxifing
swedjanan, it equally
When used before
efficacy it stands as a
When used before
shodhan to be called
When used for sweda
sadhya vyadhi then to
be called as Pradhan
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
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.
Body is subjected to
WBC, protein levels
Water from intra to
On the basis of karma
ि िवध ेद -
su.chi. 32/ 16)
On the basis of Bala of
ाधौ शीते शरीरे च
महान् ेदो महाबले|
दुबले दुबलः ेदो
म मे म मो िहतः ||
Niragni sweda (ch.su.14/64)
- Physical exercise
- Staying in warm house
- Covering the body with blancket
- Becoming hungry
Intake of alcohaol Bahupan
- Intake of alcohaol
- Experience of fear
- Becoming angry
- Pasting of medicine
- Exposure to sunshine
Heated substance like metallic
vessels, sand, cloth,hand etc. is
kept in contact with the body
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
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 &
liquids are used here for submer-
ging (Avagaha) or pouring (parishe
ka) or showering (Varshulika).
Liquids – milk, oil, ghee, decoction
Dosh – pitta-samshraste
36 40 degrees it is commonly used
for the skeletal disease, spinal
diseases IVDP ankylosis, arthritis
etc. especially for asthi
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.
Swedan in Pratishyay (cold, rhinitis,
nasal discharges, catarrah)
Signs & symptoms
Mucus in throat
Foods & beverages
Mucus in throat
(hot water, ajwain,
Clear up nasal &
Loosening the mucus
in the nasal passages (hot water, ajwain,
in the nasal passages
Ease feeling of
नवं ित ायामपा सवमुपाचरेत सिपष एव पानै: |
ेदैः िविच ै: वमनै यु ै: कालपापंणैरवपीड़ने ||
Swedan in hikka ,shwas (Hiccough
Breathlessness, dyspnoea, asthma)
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.
a) less than 48 hrs. - drinking too much
- eating too much
- sudden temperature changes
- swallowing air with chewing gum /
sucking on candy
b) more than 48 hrs. –
Nerve (vagus or phrenic)damage /
Cns disorder (tumor/ infection) Cns disorder (tumor/ infection)
Metabolic disorder and drugs
Causes of B.asthma
History of viral infection
Early allergen exposure expectoration
Worst in winter &
ि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)
Treatment regimen of shwasa
1. Nidan parivarjan
4. Vaman – kaph
Swedana ( nadi, prastar,
sankar) as a purvkarm
use of swedan locally or
throughout whole body4. Vaman – kaph
5. Virechan – origin of
shwas is pitta sthan
Swedan (ushm sweda)
as a preventive –
Helps in liquefaction of
viscous mala rupi kapha
easy to breath
Stiffness of joints
Pain in joint etc.
Swedan in Osteo arthritis
Introduction OA :-
Chronic disorder of
Wear & tear
Particularly in weight
Loss of range of
motion & function
वातपूण ित शः शोथः स गतेऽिनले |
सारणाकु नयोः वृि सवेदना ||
(Ch. Chi. 28/37)
1. Roughening & Wearing of
2. Impairment of the cushioning
Diagnosis is mainly clinical
supported by radiography
2. Impairment of the cushioning
“shock – absorber” functioning
Osteo-arthritic condition commonly
OA of knee
OA of hip
Generalized osteoporosis Generalized osteoporosis
Non inflammatory osteoarthrosis
OA and allied complaints like effusion,
Selective swedan procedure for OA
Its depends on cause.
Its depends on involvement of:-
Dhatu – meda, asthi, majja
Avstha - saam, niram Avstha - saam, niram
Triggers – weight gain
1. Weight reducing
if pain assoiated +
Remarkable loss of
Results in reducedif pain assoiated +
Results in reduced
wt. bearing on Joints
and ligaments thus
Sam stage of OA - Inflammation more
prone with other symptoms of sama
1. Baluka Sweda1. Baluka Sweda
4. Salvana Sweda / Istika Sweda
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
Churna pind sweda
Generalised OA –
Localised OA –Localised OA –
कु या गते वाते दाह
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
Swedan in UMN Vs LMN
Due to increased spasticity
…. Snehan be minimised
…. Swedan with more aggression
Due to Sensory Impairment
…. Swedan with caution
… Snehan be applied with mriduswedan
It can occur at any age.
Its exact cause is unknown.
Viral infectionViral infection
CMV (cytomegalo virus) infection
Chicken pox & herpes zoster
EBV (ebstin barr virus) infection
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.
Raising of eyebrows
Sometime loess of taste on anterior 2/3rd of tongue
Lower back pain
Burning or tingling
Burning or tingling
sensation of leg
ूवा किटपृ ो जानुज ापदं मात् |
गृ सी ोदैगृ ाित ते मु ः ||
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
Swedan in Gridhrasi
Kati basti - Kottamchukkadi taila , sahcharadi tail
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.
Pain in neck
weakness in your
shoulders, arms, hands.
It can also occur in legs.
Swedan in CS
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
Swedan in GIT disorder
Swedan in GIT disorder
(Ch. Vi. 3/13)(Ch. Vi. 3/13)
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
purpose – Dryness producing.
3) Swedan3) Swedan
dry sudation can be provided in form churn pind
sweda, baluka sweda etc. give instant relief from
Drav sweda in the form of nadi sweda / vashp
Is administered to mobilize doshas detatched from
ama towards stomach.
1. Swedopayogi drug
2. Swedopug drug
3. Swedana yantra
4. Medicines for management
of any complication.
Pre operative check-up
Age :- > 40 yr
blood sugarblood sugar
For shodhanarth sweda SOPs of pradhan karma be
ा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)
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
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||
Precaution to be taken
The Heart region, testes and eyes should be given Mardu
Delicate parts such as eyes, heart and testes should be
covered by thin cloths or Leaves, before giving Swedan
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
Note any cardiac or skin problems are there.
Enquire for the psychological interventions or
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.
The seven Posture in Pinda sweda
o Right lateral
o Supineo Supine
o Left Lateral
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 !!
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.
ेदा ावो ािध हािनलघु ं शीतािथ ं मादवं चातुर |
स क े ल णं ा रेत- ा े येनैतदेव ||
Cover the body with blanket (pravritang)
Avoid direct exposure to wind (nivatsaransthitham)
Take bath with luke warm water (snatam
Pathya diet (pathya bhojyeta) Pathya diet (pathya bhojyeta)
Avoid exercise (vyayam nisedha)
Rules Of Pariharkal
Use of hot water
Proper use of pillow
Sleep in night only Sleep in night only
Avoid exposure to pollution
Void urges properly
No cold climate
No extreme sunlight
No high breeze
Complication of sweda karma
- Vitiation of vata dosha
- Burning sensation
- Sense of exhaustion in the body parts Sharir sadan
Shyava rakta -
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 ||
- Appearance of blisters
- Symptoms of rakt kopa
- Excessive thrist Trisha
- Excessive thrist
- General sense of exhaustion
े अ थम संिधपीड़ा िवदाहः ोटो ि ः िप र कोपः !
मू ा ा दाहतृ े म कु या ूण त शीतं िवधानम !!
Management of exposure of over heat
Swedan procedure should be immediately stopped.
Burn – jatyadi ghrita, sandal wood paste, aloe vera
Raised B.P. - Proper rest , if needed sarpgandha
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
Grishma ritu charya .
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
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 :-
Upakarma –shaman swedan
Paschat karm swedan
Joint diseases of
Pain & swelling of
lower back pain etc.
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.
kaphadominant Gridhrasi (sciatica)
Stiffness of jointsStiffness of joints
Caution :- skin rashes
For this apply madhu & ghrita
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.
Therapeutic applications (ssps)
Later stages of demyelination
Post-polio residual paralysis
Muscle dystrophy Muscle dystrophy
Atrophy of muscles.
Spasticity, reduced mobility, rigidity, low backache
Sciatica, scoliosis, kyphosis, arthritis etc.
Complications recorded are- Trembling,
fainting and rashes.
Effects of Heat Therapy
Increased nerve stimulation
Increased pain threshold
Changes in muscle strength Changes in muscle strength
Increased metabolic rate
Increased tissue extensibility
Effect on pulse rate and blood pressure
Release of vasodilators
Spinal dorsal root
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.
Co2 through lungs
Remaining with carbolic
Waste chemicals that are
Oily substances &
That have electric
Waste chemicals that are
dissolved in water
Able to be dissolved in
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
Bio-waste eliminated through sweats
Trace amount & minerals
Na - .9gm/l
K - .2gm/l
Mg -.001gm/lMg -.001gm/l
Zn -.4 mg/l
Cu - .3 -.8mg/l
Nickel - .05 mg/l
The ﬁndings from this study have three important
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
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.
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)
Charak samhita with Chakrapani commentry
Sushrut samhita with Dalhan commentry
Ashtang hriday & Ashtang sangrah
Aacharya shrinivasan panchkarma book
Vaidhya Basant Patil panchkarm book
Vaidhya mukundilal dwivedi Vaidhya mukundilal dwivedi
mahendra et.al /(IJIPSR)/2017
Ravindram et.al (Kerala)
Websites relavant to the topic
Sj genius et.al nov 2010.