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Ksr swedakarma-tpt-1

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Criteria and Methods
of Sweda Karma

Dr KSR Prasad
On 12-12-2016@CME on Panchakarma at SV Ayurveda College, Tirupathi -
Criteria for selection of suitable sweda karma in various diseases
Enumeration of the most beneficial sweda karma
Standard operational procedure of sweda karma
Modified sweda karma vis-à-vis classical methods
Pinda sweda varieties with indications and rationality

Published in: Health & Medicine
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Ksr swedakarma-tpt-1

  1. 1. Criteria and Methods of Sweda Karma Criteria and Methods of Sweda Karmaof Sweda Karma Dr KSR PrasadDr KSR Prasad On 12-12-2016@CME on Panchakarma at SV Ayurveda College TirupathiSV Ayurveda College, Tirupathi 1 Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
  2. 2. Criteria and Methods of Sweda Karma Learning Objectivities  C it i f l ti f it bl• Criteria for selection of suitable  sweda karma in various diseases  • Enumeration of the most beneficial• Enumeration of the most beneficial  sweda karma • Standard operational procedure of• Standard operational procedure of  sweda karma  • Modified sweda karma vis‐à‐vis• Modified sweda karma vis‐à‐vis  classical methods  • Pinda sweda varieties withPinda sweda varieties with  indications and rationality  Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
  3. 3. I d i Criteria and Methods of Sweda Karma Introduction  i i d fi d “ h f h• Sweating is defined as “The process of the  sweat glands of the skin secreting a salty fluid”  or simply “Being wet with perspiration” • How a physiological process is brought p y g p g forward as “therapeutic” in Ayurveda long  long ago is a big questiong g g q • Ayurveda a traditional health system of Indian  continent brought many minute observationscontinent brought many minute observations  of common processes with therapeutic values Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
  4. 4. M l Ni h Criteria and Methods of Sweda Karma Mala Nirharana • Sweda karma – a process of methodical and  regulative sweating process with the aid of direct  or indirect heat that generates the sweat to  eliminate the bio‐waste materials from the body y • As the sweating is removing the “Mala” (waste)  from the body and protective natured it may notfrom the body and protective natured, it may not  be termed as putative (Shodhana) but certainly a  factor to influence the elimination process infactor to influence the elimination process in  purification methods of Panchakarma Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
  5. 5. Sh dh P h k Criteria and Methods of Sweda Karma Shodhana Panchakarma • The shodhana Panchakarma are mainly four  (Charaka) and became five along with ( ) g Raktamokshana and adopted Agnikarma also.  • The shodhana Panchakarma are capable of• The shodhana Panchakarma are capable of  eliminating the Dosha from Koshta only  • The Koshta is mainly Gastrointestinal Tract and  its attachments like – Liver, Pancreas, Kidney,its attachments like  Liver, Pancreas, Kidney,  Heart, Lungs, etc. Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
  6. 6. N l Sh dh Criteria and Methods of Sweda Karma No place as Shodhana S d i l f h “ k ” b• Swedana is only one of the “Upakrama” but not  has its place as “Shodhana’ • It clearly states that the shodhana purva karma  and upakrama are different  • It is to understand that the Upakrama is Shamana and the Shodhana purva Swedana is adjunct to  shodhana • Thus we derive three terms – Purva Karma  Swedana, Upakrama (Shamana) Swedana and  Paschat Karma Swedana Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
  7. 7. S i Criteria and Methods of Sweda Karma Sweat is … i h b f h h i• Either because of weather or any heating  mechanism like steam or due to exercise or  fever even the body temperature is raised  and sweat is released through ducts of skin.  • It moistens the surface of body and cools the  individual down as it evaporates.p • Sweat is made mostly of water, but about 1  percent of sweat is a combination of saltspercent of sweat is a combination of salts  and fat. Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
  8. 8. C i i f l i Criteria and Methods of Sweda Karma Criteria for selection • The Salt and Fat of the body are regulated  through temperature to sweat  • The criteria of selection of different sweda mentioned in texts or adaptations and newmentioned in texts or adaptations and new  trends and developments is not a simple task  A di th d f i ti f th ti t• Ayurvedic method of examination of the patient  and the Dosha‐Dushya randomization and its  i l i i i l d i f himpact analysis is essential to determine for the  selection of Swedana method for better results  Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
  9. 9. F i f S d l i Criteria and Methods of Sweda Karma Functions of Swedana vs selection M i f ti f S d k• Main functions of Sweda karma are – – Sthambhagna – stiffness is removed  • Commonly cramps muscle stiffness are observed in Vata• Commonly – cramps, muscle stiffness are observed in Vata vyadhi viz. Grudhrasi, Manyasthambha, etc.  – Gouravahara – heaviness is removed  • Heaviness is a symptom of Kapha in diseases like – obesity  (sthoulya), circulatory collapse, pakshaghata, etc. – Sheetaghna – coldness is removedSheetaghna coldness is removed  • All cold intolerance diseases viz. Hypothyroidism,  Hypopitutarism, Rynaud’s Phenomenon, SLE, etc.  S d i d t i ti– Swedana – inducts perspiration  • All the people of Hypohydrosis viz. Diabetes, Alcoholism,  Kampavata, Amyloidosis, etc.  Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
  10. 10. S l i Criteria and Methods of Sweda Karma Salt retention  • In salt retention diseases, edema occurs  primarily because of the body's retention of p y y too much salt (sodium chloride).  • The excess salt causes the body to retain• The excess salt causes the body to retain  water, which then leaks into the interstitial  htissue spaces, where it appears as edema.  • Few medications also can cause pittingFew medications also can cause pitting  edema. Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
  11. 11. F i Criteria and Methods of Sweda Karma Fat retention  k f h i l i i d d h id• Lack of physical activity or decreased thyroid  activity,  increased production of the adrenal  h ti l d i t t th hhormone cortisol, and resistance to the hormone  insulin can be causes of abnormal weight gain or  fat depositionsfat depositions  – First system is Endo‐cannabinoid system that stores  fat to use as reserve energyfat to use as reserve energy – The second system involves the enzyme AMP kinase normally mobilizes the fat to be burned and releasesnormally mobilizes the fat to be burned and releases  the stored energy. Inactivity of AMP kinase results in  to fat depositions.   Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
  12. 12. Diff f f E i i Criteria and Methods of Sweda Karma Different factors of Examination  • Examine a patient thoroughly for – – the Sweda indications told in Samhita – Hot intolerance causes (contra indications) • Anxiety• Anxiety  • Hyperthyroidism  • Menopause• Menopause  • Multiple sclerosis  • Cancer• Cancer  • Peripheral /Autonomous neuropathy  Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
  13. 13. Criteria and Methods of Sweda Karma Enumeration of the  Most beneficial sweda karma Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
  14. 14. S d V i i Criteria and Methods of Sweda Karma Swedana Varieties  S h t I id th l t t i tifi• Sushruta, I consider the latest scientific  compendium of Ayurveda classify Swedana as – Taapa sweda: The heat is transmitted through any– Taapa sweda: The heat is transmitted through any  material – cloth, metallic vessels, hands, etc.   – Ushma sweda – (bhaspa) It is done with water steam ( p ) either through a nozzle or in a vessel   – Upanaha sweda – material applied (lepa) or tied over  surface (Bandhana) or material tied in to pottali (pinda)surface (Bandhana) or material tied in to pottali (pinda)  for sudation  – Drava sweda –liquids are used here for submergingDrava sweda liquids are used here for submerging  (Avagaha) or pouring (parisheka) or showering  (Varshulika) Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
  15. 15. i b d Criteria and Methods of Sweda Karma Enumeration based on Temperature  T d (28 32 d ) D li– Taapa sweda: (28‐32 degrees) Delicate,  soft skinned people or people required  low to medium temperature constantlylow to medium temperature constantly  for longer duration or for the Rasa, Rakta diseasesdiseases  – Upanaha sweda – (32‐36 degrees) – when ever “Utsedha” or swellings arewhen ever  Utsedha  or swellings are  observed Bnadhana, muscle diseases  (pseudo muscular atrophy), paralysis, etc (p p y), p y , where medium duration or for the  Mamsa & tendon diseases    Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
  16. 16. i b d Criteria and Methods of Sweda Karma Enumeration based on Temperature  D d (36 40 d ) i i– Drava sweda – (36‐40 degrees) it is  commonly used for the skeletal  diseases spinal diseases IVDPdiseases, spinal diseases, IVDP,  Ankylosis, Arthritis, etc. especially for  Asthi dhatugata vyadhiAsthi dhatugata vyadhi – Ushma sweda: (40‐46degrees) common  comfortable method of steaming (wet)comfortable method of steaming (wet)  or hot wind (dry heat) in either open  (nadi) or closed (box) methods with ( ) ( ) duration regulations for all dhatugata diseases  Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
  17. 17. Whi h i b fi i l? Criteria and Methods of Sweda Karma Which is beneficial? • The benefits are cumulated with – – Space maintenance p – Material economy  Manpower requirement– Manpower requirement  – Cost effectiveness – Season suitability  – Person suitability y – Disease suitability  Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
  18. 18. Criteria and Methods of Sweda Karma SOP of sweda karma ‐Patient • Check vitals – BP, Pulse, Weight, Height, BMI • Note any cardiac or skin problems are there• Note any cardiac or skin problems are there  • Enquire for the psychological interventions or  h biphobia • Check the condition of patients for the  selection of type of swedana • According to the dhatu involvement orAccording to the dhatu involvement or  availability the schedule can be fixed  Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
  19. 19. SOP f d k Criteria and Methods of Sweda Karma SOP of sweda karma  d d l• Record BP and Pulse • Check whether Abhyanga is done or not  • Note whether the swedana is for Local or Full  body y • Check the medicine & material for the type of  swedana required – each SOP differsswedana required  each SOP differs  • Steam for the required time or till the forehead  sweating is recordedsweating is recorded  • Record BP and Pulse Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
  20. 20. Modified Sweda karma vis à vis Criteria and Methods of Sweda Karma Modified Sweda karma vis‐à‐vis  classical methods • Standard sweda karma are done by closed or  open methodopen method  • Modifications are done according to the situation  i d das it demands – Use of Infra Red Lamp directly  – Infra Red lamp on Kativasti / Januvasti, etc – Hot air blowers  – Heat eliminating reflectors  – Heat transmitting colour plates (Chromato therapy)  Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
  21. 21. Pinda sweda varieties with Criteria and Methods of Sweda Karma Pinda sweda varieties with  indications and rationality y  Pinda /Pottali is a pack of materials according top g the condition to transmit the heat initially and therapeutic values embedded in ittherapeutic values embedded in it GUNANUSARA – Snigdha, Rooksha, Snigha Rooksha. STHANA BEDHA – Ekanga, Sarvanga. PRAYOGA BEDHA Mridhu Madhyama MahaanPRAYOGA BEDHA – Mridhu, Madhyama, Mahaan DRAVYA BHEDA – Valuka, Churns, Shastikashali, etc. Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
  22. 22. Criteria and Methods of Sweda Karma Pinda sweda Application • Preparation of Pinda • Application procedure  Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
  23. 23. G S d Criteria and Methods of Sweda Karma Gunanusara Sweda  Snigdha sweda :- Tila, Masha, Shali, Mamsa rasa, and Amlavarga dravya. Used in Vatavyadhi, Vatapradhana Roga. Eg :- Patra Pinda Sweda Shashtika Shali Pinda SwedaEg. :- Patra Pinda Sweda, Shashtika Shali Pinda Sweda  Ruksha sweda:- Purisha of cow, horse, donkey, sand Used in Amadosha, Urustambha, Medoroga, Granthi, Kaphaja vikara & Sashotha shoola. Eg. :- Valuka Sweda Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
  24. 24. P Pi d S d Criteria and Methods of Sweda Karma Patra Pinda Sweda 500 L l t d di t th diti• 500gm Leaves selected according to the condition - Shigru, Arka, Dhattura, Chincha, Eranda, Nirgundi Patra – • 25gm of Prakshepa with - Shatapushpa, Devadaru, Rasna etc. • 10gm Saindhava lavana (especially in Vata or Vatakapha vyadhi) • 50 l f V t h T il K tt h kk di t il• 50ml of Vatahara Taila – Kottamchukkadi taila, Karpura tailam, Dhanvantaram tailam, etc. – Lemon – (Amlavarga) – Good to add in Vata vyadhiLemon (Amlavarga) Good to add in Vata vyadhi – 100gm wet Coconut grinded – commonly used in Kerala to induce unction Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
  25. 25. F S ifi P Pi d d Criteria and Methods of Sweda Karma Few Specific Patra Pinda sweda • PPS is a Snigdha rooksha type of sweda used  in  ‐ Rheumatoid arthritis, Pakshaghatag Osteoarthritis, Myalgia, Neuralgia, Lumbago,  Paresthesia etcParesthesia etc.  – Eranda patra Pinda sweda In Mootrakrichra d h h d d b h k– Eranda chincha patra Pinda sweda in Avabahuka Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
  26. 26. Sh ik Sh li Pi d S d Criteria and Methods of Sweda Karma Shastika Shali Pinda Sweda di i• Indications  – Balavata (Poliomyelitis) – Pakshaghata (Paralysis) / post polio residual paralysis – Vatashonita – Shosha (Emaciation) – Vata roga associated with dhatukshaya (Neurological) – Mamsa sosha, peripherial neuritis etc. and other  conditions which result in to atrophy of muscles.  – Spasticity, reduced mobility, rigidity, low backache,  sciatica, scoliosis,  kyphosis, arthritis, etc Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
  27. 27. SSPS d d h d Criteria and Methods of Sweda Karma SSPS – standard method  12 pala (600gm) - Bala  3 Aadaka (8 litres) Water  3 Prastha (2 litres) Decoction bala  1½ Prastha (1 litre) Cow’s milk 1½ Prastha (1 litre) Cow s milk ½ Prastha (500gm) Shashtika shali This makes 100gms each 5 pottali that can run by the 4 therapist at once If minimum number of therapist (2) are working 250-300 gms of shashtika Shali can be use to make 3 pottali Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
  28. 28. SSPS Criteria and Methods of Sweda Karma SSPS • There seems to have been about a hundred  varieties of rice but only about 20 types are said  to be existing. Njavara is one of the 20.  • Njavara is a traditional Keralian Rice called asNjavara is a traditional Keralian Rice called as  “Gold With Fragrance” , commonly red rice  reaped within 60 days needed longer time toreaped within 60 days needed longer time to  cook (38 min)  l k l d j h b d i d• Black glumed Njavara has been used in Ayurveda treatment from the age of Charaka‐ie, BC.600. Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
  29. 29. SSPS Criteria and Methods of Sweda Karma SSPS D h k d Nj i i t d f 73%• Dehusked Njavara rice consisted of 73%  carbohydrates, 9.5% protein, 2.5% fat, 1.4% ash  and 1628 kJ per 100 g of energyand 1628 kJ per 100 g of energy  • The Njavara has more carbohydrate (non‐starch  polysaccharides) that makes the bolus slimy inpolysaccharides) that makes the bolus slimy in  nature • Research CFTRI states that ‐ 16.5% higherResearch CFTRI  states that  16.5% higher  protein, Thiamine (27–32%), Riboflavin (4–25%)  ,Niacin (2–36%) Dietary fibre 34–44%  • G. Deepa et al., Nutrient composition and physicochemical  properties of Indian medicinal rice – Njavara, Food  Chemistry 106 (2008) 165–171 Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
  30. 30. V i i f Pi d Criteria and Methods of Sweda Karma Variations of Pinda b i d d• Jambeera Pinda Sweda • Kukkutanda sweda – Basically Mamsarasa, Amlavarga,  Lavanavarga, Vatahara Sneha (taila), g , ( ), Doshahara dravya, Vyadhihara dravya are the ingredients  – Any ingredients of Dosha – Vyadhi based are used for transmitting the heat  – Easily available – sand, husk, wood,  stone, etc materials are good  Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
  31. 31. T d Criteria and Methods of Sweda Karma Tapa sweda • Pansa patra tapa sweda • Arka patra tapa swedaArka patra tapa sweda – Most of the time these tapa sweda are used for  local heat transmittinglocal heat transmitting  – It relives local stiffness and pain  – The leaves used are usually thick to retain heat  and transmit  Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
  32. 32. C l i Criteria and Methods of Sweda Karma Conclusion  S d i l i h i di id l• Swedana is only sweating the individual • The purpose is – – To bring the dosha from shakha to koshta (purvakarma) – To relieve the stiffness (Shanama karma)  • The components involved are – – Heating elements, Heat transmitters, Heat conversion,  Heat transportation, Heat elimination in the system – Heat resistance and tolerances are also to be  considered   Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
  33. 33. h k Criteria and Methods of Sweda Karma Thank You Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/

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