Ayurveda PanchakarmaAyurveda Panchakarma

KAYASEKA WITH OIL

KAYASEKA WITH OIL

Kayaseka is a snigdasweda in which the warmed oil is poured all over thebody/specific part for a stipulated period, in a specific manner. It has theadvantage of producing snehana & swedana simultaneously. Pizhichil is amodified form of kayaseka developed by Keraleeya vaidyas & extensivelypracticed. This process is described here.

Materials required:1. Suitable oil-3 litres2. Cotton cloth (40 cm x40 cm )- 4 3. Vessels(5 liters) -3 4. Soft towels- 2 5. Oil for talam- 10 ml6. Rasnadi choorna-5 g7. Gauze (60 cm) –18. Earplugs-2 9. Hot waterbath-110. Coconut leaves/tongue cleaners-211. Gandharvahastadi kashaya- 90 ml12. Medicated water- Q.S.13. Masseurs -214. Attendant - 1

Pre operative procedure:Patient should sit on the droni with legs extended, with minimum cloths. Talam isapplied with suitable oil/choorna, along with karnapoorana. Gauze should be tiedaround the head above the eyebrows. Ears should be plugged with cotton and oilsmeared all over the body (mild abhyanga).

Procedure:The oil for seka should be heated in a vessel kept in a hot water bath. Thetemperature of the oil must be 42oC-45oC.The cotton pieces dip in the warm oiland should be poured by squeezing cloth pieces held in one hand of masseurs.The oil should flow, in a uniform stream from the thumb facing downwards, froma height of 6-9 inches as per the condition. The process should be carried out inseven positions as follows.1. Sitting2. Supine3. Right lateral4. Supine5. Left lateral6. Supine 7. SittingProne position can be adopted if necessary. Oil flowing out should be collectedand used after reheating. A gentle massage should be given along the stream. Itis desirable to use fresh oil daily. As the medicated oil is very costly the same oilmay be used for 3 days after removing sediments. This should be preserved afterremoving moisture Small quantity of fresh oil should be added to this to maintainthe quantity. On the fourth day fresh oil should be taken & used for next 2 days.On the seventh day both these batches of oil can be used.Kayaseka can be done using kernel also. In this, oil should be filled in the kernel &poured on the body after checking the temperature by pouring on the dorsum of

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therapist’s own hand. Modern equipment with auto temperature regulation ispresently developing.

Post operative procedure:The oil is wiped off with the help of coconut leaves/tongue cleaners. Body shouldbe cleaned with soft towel. Talam should be removed and appropriate choornalike Rasnadi is applied on the head. Gandharvahastadi Kashaya should be givenfor drinking. Take rest for ½ an hour and take bath. Head bath can be done withamalaki kwatha and body with erandakwatha.

Duration:45 minutes-1 hour for 7, 14 or 21 days.

Time of procedure:7-11 am or 4-6 pm

Precautions:1. Temperature should be maintained at the same level through out theprocedure.2. Stream should be uniform and continuous.

Complications:1. Fainting- stop the procedure and treat accordingly.2. Fever-stop the procedure and treat accordingly.3. Hypotension, Giddiness, Fatigue- treat accordingly. 4. Burns- Shatadhouta Ghrita application

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KAYASEKA WITH KWATHA

KAYASEKA WITH KWATHA

Kayaseka with kashaya is a variety of drava sweda in which the warm kwatha ispoured all over the body. Mainly it is indicated in Vatavyadhis with kapha or pittaanubandha. Drugs can be selected as per Dosha condition. It can be done locallyor generally.

Materials required:1. Suitable kwatha - 4 liters2. Kernel/mugs with pointed tip- 43. Vessels(5 liters)- 4 4. Soft towels-2 5. Oil for talam- 10ml6. Rasnadi choorna- 5 g7. Suitable oil for abhyanga-100 ml8. Gauze (60cm) –19. Earplugs-2 10. Gandharvahastadi Kashaya- 90 ml11. Medicated water- Q.S.12. Masseurs -213. Attendant - 1

Preparation of medicine:800 gram of drug is boiled in16 litres of water & reduced to half quantity.

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Decoction enema (2)emesis Therapy (1)fomentation (7)Inhalation Therapy (1)Introduction (1)Keraleeya panchakarma (8)massage (1)Nasal therapy (1)Oil enema (1)Oleation therapy (5)purgation therapy (1)vaginal douch (1)

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Pre operative procedure:Patient should sit on the droni with minimum cloths. Talam is applied with suitableoil. Gauze is tied around the head above the eyebrows. Ears are plugged withcotton and abhyanga is done. In some specific conditions, this procedure may bedone without abhyanga.

Procedure:The kwatha for seka should be heated on the stove. The temperature of thekwatha must be around 40oC. Two masseurs standing on either sides of thepatient should pour kwatha in a uniform stream through the kernels/mugs from aheight of 6 -9 inches. The process should be carried out in seven positions asmentioned in kayaseka with oil. Kwatha flowing out should be collected and usedafter reheating. Fresh kwatha is used every day.If no massage is to be done,cover body with thin cotton cloth.

Post operative procedure:Body should be cleaned with soft towel. Talam should be removed andappropriate/ Rasnadi choorna should be applied on the head. GandharvahastadiKashaya should be given for drinking. Bathing can be done after a rest of 1 hour.

Duration:45minutes-1 hour for 7, 14 or 21 days.

Time of procedure:7-11 am or 4-6 pm

Precautions:1. Temperature should be maintained at the same level through out theprocedure.2. Stream should be uniform and continuous.

Complications:1. Hypotension, Giddiness, Fatigue- cold water is sprinkled over the face.2. Fainting- stop the procedure and treat accordingly.3. Burns- Shatadhouta Ghrita application.

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KAYASEKA WITH KWATHA

KAYASEKA WITH KWATHA

Kayaseka with kashaya is a variety of drava sweda in which the warm kwatha ispoured all over the body. Mainly it is indicated in Vatavyadhis with kapha or pittaanubandha. Drugs can be selected as per Dosha condition. It can be done locallyor generally.

Materials required:1. Suitable kwatha - 4 liters2. Kernel/mugs with pointed tip- 43. Vessels(5 liters)- 4 4. Soft towels-2 5. Oil for talam- 10ml6. Rasnadi choorna- 5 g7. Suitable oil for abhyanga-100 ml

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8. Gauze (60cm) –19. Earplugs-2 10. Gandharvahastadi Kashaya- 90 ml11. Medicated water- Q.S.12. Masseurs -213. Attendant - 1

Preparation of medicine:800 gram of drug is boiled in16 litres of water & reduced to half quantity.

Pre operative procedure:Patient should sit on the droni with minimum cloths. Talam is applied with suitableoil. Gauze is tied around the head above the eyebrows. Ears are plugged withcotton and abhyanga is done. In some specific conditions, this procedure may bedone without abhyanga.

Procedure:The kwatha for seka should be heated on the stove. The temperature of thekwatha must be around 40oC. Two masseurs standing on either sides of thepatient should pour kwatha in a uniform stream through the kernels/mugs from aheight of 6 -9 inches. The process should be carried out in seven positions asmentioned in kayaseka with oil. Kwatha flowing out should be collected and usedafter reheating. Fresh kwatha is used every day.If no massage is to be done,cover body with thin cotton cloth.

Post operative procedure:Body should be cleaned with soft towel. Talam should be removed andappropriate/ Rasnadi choorna should be applied on the head. GandharvahastadiKashaya should be given for drinking. Bathing can be done after a rest of 1 hour.

Duration:45minutes-1 hour for 7, 14 or 21 days.

Time of procedure:7-11 am or 4-6 pm

Precautions:1. Temperature should be maintained at the same level through out theprocedure.2. Stream should be uniform and continuous.

Complications:1. Hypotension, Giddiness, Fatigue- cold water is sprinkled over the face.2. Fainting- stop the procedure and treat accordingly.3. Burns- Shatadhouta Ghrita application.

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ध यमला dhara

DHANYAMLA DHARA

It is a type of kayaseka, included under drava sweda. Dhanyamla is includedunder Sandhana kalpana. It is used in vatarogas, especially with kaphanubandha.

Materials required:

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1. Dhanyamla- 4 litres2. Vessels- 43. Soft towels- 34. Oil for talam-10 ml5. Oil for abhyanga- 100 ml6. Rasnadi Choorna- 5g7. Kernel/Plastic mug with pointed tip-28. Gauze-19. Cotton ear plugs-210. Masseurs- 211. Attendant- 1

Pre operative procedure:Patient should sit on the droni; talam should be kept on head and sarvangaabhyanga should be done. Sometimes abhyanga is not done according to thecondition of the patient. Gauze should be tied around the head above theeyebrows. Ears should be plugged with gauze. The patient should be coveredwith a thin cloth below the neck. This procedure may also be practiced withoutcovering the body.

Procedure:Warm Dhanyamla is poured with kernels/mugs by two attendants standing oneither sides of the droni. The temperature should be around 40oC. Dhara shouldbe poured at a medium speed and from a height of 6-12 cm. This is to be done inthe seven positions mentioned in Kayaseka. Can be done hot or cold according tocondition. Take new dhanyamla each day.

Post operative procedure:After dhara clean the body & head using the soft towel. Ear plugs and gauze areremoved & rasnadi choorna is applied to the head. Rest is advised for 1 hour andthen asked to take bath. Abhyangam before bath is optional.

Duration: 45minutesX 7 days. Preferably done in morning hours in moderateclimate.

Complications and management:Chills & rigors- it usually occurs due to uneven maintenance of the temperature ofdhanyamla or prolonged time gap between the changing up of fresh warmdhanyamla or if body is exposed to cold breeze immediately after the procedure.In this condition, body is covered with thick cloth or warm liquid for drinking or hotfomentation should be given.

Shashtika PindaSweda

......SHASHTIKA PINDA SWEDA

The word ‘PINDA’ means bolus. Pinda sweda refers to the sudation performed bybolus of drugs. Shashtika pinda sweda is performed in ekanga or sarvanga withthe bolus of boiled Shashtika shali with Balamoola kwatha and ksheera. The mainproperties of Shashtika are snigdha, guru, sthira, sheeta and tridoshaghna.Though a sweda karma, it has brimhana guna.

Materials required:1. Shashtika shali-500g2. Balamoola-750g3. Water- Q. S.4. Cow’s milk-3litres5. Cotton cloth(45cm X 45cm)- 4 pieces

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6. Threads(75cm)- 87. Vessels-a. For preparing kwathab. For cooking ricec. To heat the boluses in mixture of kwatha and milk during the procedure (5 litrescapacity with wide mouth made of bronze)d. A plate for carrying heated pottali8. Stove-19. Oil for talam- 10ml10. Rasnadi choorna- 5g11. Suitable oil for abhyanga-100ml12. Coconut leaves/tongue cleaner-213. Tissue paper/towel- 214. Masseurs -215. Attendant - 1

Preparation of the medicine:Balamoola kwatha- 750g of Balamoola is cleaned, crushed and boiled in 12 litresof water and reduced to 3 litres.Shashtika rice cooking-In 1.5 litres of Balamoola kashaya and 1.5 litres of milk,500 g of Shashtika rice should be added and boiled till it becomes thick andsemisolid. Sufficient quantity of hot water can be used for proper cooking of therice. Another method is that the Shashtika rice can be semi cooked in pure water;gradually added milk and kwatha; cooked again.

Preparation of the boluses:The cooked rice should be divided into 4 equal parts and put into 4pieces ofcotton cloths. The three corners should be folded neatly together so as to comeunder the fourth corner and the fourth fold is used to cover the other three cornerfolds underneath. One end of the thread is held tight with left hand and the otherend is wound around the folds. In short, the boluses should be tied in such a waythat the mouth of the sac leaves a............

Shiro vasthi

......SHIROVASTI

Introduction:Shirovasti is a procedure in which the medicated oil is allowed to stay over thehead for the prescribed time. It is one among the moordhataila. It is beneficial todo Shirovasti after proper purificatory procedures. But in cases where shodana isnot necessary it can be done directly.

Materials required:1. Rexin/leather (75 cm X 20 cm)- 12. Black gram flour - 200 g3. Taila – 1.5 litres4. Cotton ribbon (120 cm X 10 cm)- 2 strips, moderately tough, clean and dry5. Spoon -16. Vessel (2 litre) -17. Large vessel- 18. Rasnadi choorna- 5 g9. Oil for abhyanga- 100 ml10. Soft towel- 211. Hot waterbath-112. Armed chair of knee-height- 1

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13. Attendent-2

Pre operative procedure:Shave the head completely. Do generalised abhyanga. Keep cotton cloth in bothears to prevent the entry of oil in to the ear. Bowel and bladder should be emptied.

Procedure:The patient should be properly seated in an armed chair. The strip of clothsmeared with the paste of black gram flour is to be wound round the head 2 cmabove the eye brows. It should be tight enough to prevent leaking of the oil, but notcausing any discomfort. The rexin or leather should be fixed over the strap andthe junctions are sealed with black gram paste. Another layer of cloth strapsmeared with the black gram paste is wraped over this, sealing the junction ofrexin and skin layer. The medicated oil is warmed to just above body temperatureand poured into the vastiputaka with a strip of cloth touching the scalp and oilbeing poured from the other end or a long piece of coconut leaflet held obliquelyinside the vastiputaka 2 –3cm above the scalp. . The oil is filled up to a height of2-3cm above the hair root. To maintain the temperature, some amount of oilshould be replaced with warm oil at regular intervals. The procedure shouldcontinue till secretions through nose, throat and eyes are observed. In case ofnon attainment of these lakshanas the time should be fixed as 30 minutes forKapha, 40 minutes for Pitta and 50 minutes for Vata.The patient should sitcomfortably with eyes closed. Oil in kharapaka is preferred. Temperature of the oilshould be just above body temperature. During procedure gentle massage toneck and shoulders should be done frequently.Movements of neck should beprevented.

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Thakra Dhaara

......TAKRA DHARA

Takra dhara is a variety of shirodhara, in which medicated buttermilk is poured ina continuous stream over the forehead, in a specified manner.

Materials required:1. Shirodhara device -12. Vessels-3 (To prepare takra; to prepare amalaki kwatha; to take out takra fromdroni)3. Towels: 34. Cotton plugs: 25. Gauze piece(60 cm): 26. Amalaki Choorna: 200g7. Milk: 1.5 litres8. Musta: 100g9. Oil for talam: 10 ml10. Rasnadi Choorna: 5 g11. Attendents-2

Preparation of the medicine:a) Takra: 1.5 litres of milk diluted with 4 times water is boiled with 100g of skinnedand crushed Musta tied in a muslin bag, and is reduced to the original quantity ofmilk. The bag of medicament is taken out and squeezed well. When cooled, thisprepared milk is fermented by the addition of a little sour buttermilk over night.Next morning the fermented medicated curd is churned by adding 500ml ofAmalaki kwatha. The butter is removed completely and this mixture is used for

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dhara after filtering.b) Amalaki kwatha: 200g of dried Amalaki fruit boiled with 8 litres of water andreduced to 2 litres.1.5 litres of Amalaki kwatha is used to mix with buttermilk &500ml of that is used to wash the head after the procedure.

Pre-operative measures:Since it is done as a shamana therapy no poorvakarma is needed. Theapplication of oil on head and body is usually done as a practise. Suitable oilsaccording to roga are selected by the physician for this purpose. The eyes shouldbe covered with eye pads and gauze should be tied around the head above theeyebrows. The ear should be plugged with two cotton pieces.

Procedure:The patient should lie in supine position on the droni. A small pillow should beplaced under the neck. The dhara pot should be kept in such a way as to allowsteady flowsing of the liquid, poured into it, over the forehead of the patient. The tipof dharavarti should be 4-5 cm above the forehead of the patient and total wicklength should be 8-10cm. The takra falling should be poured again into the vesselafter collecting it from the droni. The vessel should always be kept oscillating sothat the takra will fall into the patient’s entire forehead without interruption.............

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Thala pothichil

......THALAPOTICHIL

“Thalapotichil” is a unique method of drug delivery which is widely practicedamong the physicians, especially in Kerala. The word ‘Thalapotichil’ comes fromthe Malayalam vocabulary. Literally it means* Thala :- means head* Potichil :- to coverHence the word thalapotichil means to cover the head. It can be defined as thetreatment procedure where the prepared medicine is in the form of a semisolidpaste is applied over the head. It is a modified form of Sirolepa. Some scholarsopined that it has the same quality as that of Takradhara. The procedure isrecommended more in Children, Jatroordwa rogas and in manasika rogas.

MATERIALS REQUIRED:- 1- Prepared medicine paste -250gm .2- Medicine for talam (if necessary) Rasnadi choornam + tailam – Q.S3- Water – Q.S4- Fresh Lotus or Plantain leaves5- Vessel – Earthen pot – 1- Other vessels-36- Towels – 37- Cotton plugs- 28- Gauze piece- 2

PREPARATION OF MEDICINE :-

The semisolid medicinal paste can be prepared in many waysa- The drug including Amalaki etc. can be boiled in buttermilk and made in topaste.b- The dry drugs boiled and socked in buttermilk over night and made in to apaste.c- The drugs simple socked in buttermilk over night and made in to paste.d- Drugs having Swaras (eg. Mandukaparni) need not be socked but can be

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directly made in to paste by its juice.

COMMONLY USED MEDICINES:-

a- Dried Amalaki mixed with Panchagandha choornam.b- Mustha,Raja,Useera,Vamsalochana,Hreebera,Tamarind leaf veins.c-Samja sthapana gan oushadhas.d-In Kaphanubandha, Rasnadi choorna can be mixed.e-Instead of using takra as a medium, we can use taila in khara paka,swarasa(fresh)Kwatham Navaneetam, Ksheeram,Ghrutam,Coconut wateraccording to the clinical condition of the patient.The semisolid paste should be coarse. It should be properly mixed.

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