Ksr swedakarma-tpt-2

Rationality & Mode of Action in Sweda Karma

Rationality & Mode of action In Sweda Karma

Dr KSR PrasadOn 12-12-2016@CME on Panchakarma at SV Ayurveda College, y g ,

Tirupathi

2

Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/

L i Obj i i iRationality & Mode of Action in Sweda Karma

Learning Objectivities Si ifi f d k h• Significance of sweda karma other than shodhana poorvanga sweda

• Significance of Kala (time) and desha(place) vichara in sweda karma

• Sweda karma in different diseases with rationality

• Mode of action of sweda karma • Common complications of swedaCommon complications of swedakarma and their management


I d iRationality & Mode of Action in Sweda Karma

Introduction d k i i l d d dh• Sweda karma is not included as Pradhana

karma because of not having Dosha removal capacities

• Sweda karma is mainly used to transport the y pDosha from Shakha to koshta – as a Purvakarma of Shodhna Pannchakarma

• The shodhana (elimination) of the dosha is possible only when dosha is in koshta andpossible only when dosha is in koshta and abundant


K hRationality & Mode of Action in Sweda Karma

Koshtah h i j li l b• The Koshta is not just alimentary canal but includes all connected organs also – such as G llbl dd P tGallbladder, Pancreas, etc.

• Bringing the dosha to koshta means – the bio‐waste components or residuals are transported to GIT for elimination

• The elimination methods include either oral route (Vamana) or rectal route (Virechana) as Poornashodhana and Vasti as Ardha Chikitsa (Half way treatment –not full shodhana)


Si ifi f d k thRationality & Mode of Action in Sweda Karma

Significance of sweda karma other than shodhana poorvanga swedathan shodhana poorvanga sweda

• The sweda karma as a treatment intended for the nitrogenous bio waste fluids from the body with limitations

• In this concern – we observe the removal of the muscular stiffness and heaviness from thethe muscular stiffness and heaviness from the body

• In further we need to record the cold• In further we need to record the cold intolerances are regulated


C di iRationality & Mode of Action in Sweda Karma

Common conditions • Most common are –

– Muscular spasms– Sweda blocking mechanisms & diseases (Jwara)– Skin conditions (Kushta)– Oedematous conditions (Swayathu)– Local fluid depositions (Udara)– Jatrurdhwa Gata Vyadhi (Peenasa)– Vata Vyadhi (Ardhita, Pakshaghata, Mamsavruta vata, etc)

– Dyspnoea (either respiratory or cardiac)


E lRationality & Mode of Action in Sweda Karma

Examples • Jwara (Fever)( )

– Ushnasadana or blanketing – Agurvadi pralepag p p

• Kushta (Skin conditions) – Pinda swedaPinda sweda– Gomaya pradeha– Manjistadi PralepaManjistadi Pralepa

• Shotha (oedema)Parisheka– Parisheka

– lepam


E lRationality & Mode of Action in Sweda Karma

Examples G l U th bh• Gulma– Upanaha sweda

• Arshas

• Urusthambha• Upanaha

• VataraktaArshas– Pradeha– Avagaha sweda

k h

Vatarakta• Lepa / pradeha

• Vata Vyadhi• Mutra kruchra

– Parisheka– Avagaha

y– Upanaha sweda– Gurupravarana

Nadi swedaAvagaha– Upanaha– Pradeha

– Nadi sweda– Adition as required

– Saindhava• Visarpa

– Pradeha– Amla varga– Mamsavarga


Si ifiRationality & Mode of Action in Sweda Karma

Significance l / l i i d• Local / general temperature increasing under

regulation of temperature as swedanaprocedure –– Relaxes the muscles – Releases the stiffness– More blood flow to the part makes the healing p gprocess

– Drains out the bio waste – As the sweat evaporates, the body cools down


Si ifi f ti / l i d k


Significance of time /place in sweda karma• Commonly sweating in the morning is good for healthy • Almost all the external sudation procedures (pralepa, etc) are done in room temperatures (25‐30 degrees in India)

• As a part of shodhananga sweda it is planned well before to do in early hours for a period of 10‐15 minutes

ill h l h hor till the person tolerates the heat • Under therapeutic sudation always we are creating the

i t it bl th b th l i tienvironment suitable there by the seasonal variations doesn’t effect the patient

• Acclimatization of the patient after the sudation is an• Acclimatization of the patient after the sudation is an important issue



Sweda karma in different diseases with rationalitywith rationality


P i f S d DRationality & Mode of Action in Sweda Karma

Properties of Swedana Dravya1 A i di ti (i di ti d t b li )• 1. Agni dipti (improve digestion and metabolism)

• 2. Mardavam (produce smoothness and flexibility) ( )• 3. Twakprasada (shining and softness of skin)

• 4. Bhakta shradha (desire to consume meal) • 5. Nirmala srotas (clean channels) • 6. Jadyahara (relief stiffness) • 7. Tandrahara (helps to get rid of lethargy) • 8. Sandhi stambhahara (releases stiff joints)( j )• 9. Nidrahara (diminish excessive sleep)


k h h SS SRationality & Mode of Action in Sweda Karma

Pakshaghata – SSPS• complications recorded are shivering, fainting and p g, grashes. – Shashtikashali contains anti‐oxidents, polyphenols, iron, zinc which rejuvenates muscle, tissue. Bowman BriktrypsinInhibitor (BBI) protein present in shashtikashali having anticarcinogenic anti inflammatory anti allergicactionanticarcinogenic, anti inflammatory, anti allergicaction. When combines with Casein present in milk, BBI will become Low Molecular Weight Protein (LMWP). This can b il b b d i t iti t th l tibe easily absorbed are give nutrition to the muscle tissues.

– Cow’s milk contain fat which accelerates the absorption of active ingredients The alkaloid epederine present in balaactive ingredients. The alkaloid epederine present in balaalso contributed to medicinal effect.

P. Sushma* and C.H. Sadanandam** EFFECT OF SHASHTIKA SHALI PINDA SWEDA IN THE MANAGEMENT OF


PAKSHAGHATA, Indian Journal of Agriculture and Allied Sciences, Volume: 1, No.: 4, Year: 2015

A dhi K kk d S dRationality & Mode of Action in Sweda Karma

Ardhita ‐ Kukkutanda Sweda• Materials used are ‐ Kolakulatthadi churna400gm, Methika 100gm, Haridra 100gm, g g gLemon 1 pcs and Yolk of 10 eggs.

• Sample size = 6• Sample size = 6• No comment on Kukkutanda sweda in results

Khurana Pooja, Role of Kukkutanda Swedna and Nasya in the Management of Ardita‐ A


Pilot Study, International Journal of Ayurvedic and Herbal Medicine 4:5 (2014) 1602‐1607

F h ld U hRationality & Mode of Action in Sweda Karma

Frozen shoulder – Upanaha• Panchavalkala kwatha and Lakshadi guggulu were• Panchavalkala kwatha and Lakshadi guggulu were given as oral medicine

• Arka nirgundi rasna dhatura and eranda with• Arka , nirgundi, rasna,dhatura and eranda with Nirasti pishita mamsa were taken for Upanahawhich is bandaged for 1 hourwhich is bandaged for 1 hour

• Result is –Abd i 800 ( 200 i )– Abduction ‐ 800 (+ 200 increment)

– Flexion‐ 800 (+ 200 increment) ( )– Extension‐ 300 (+ 100 increment)

– External and Internal rotationKajaria Divya , MANAGEMENT OF FROZEN SHOULDER WITH UPANAHA (POULTICE SUDATION)‐ A CASE STUDY


Kajaria Divya , MANAGEMENT OF FROZEN SHOULDER WITH UPANAHA (POULTICE SUDATION) A CASE STUDY Research Desk, 2013, Jul‐Sep 2(3). 286‐292

C i l d l i PPSRationality & Mode of Action in Sweda Karma

Cervical spondylosis ‐ PPS– Step 1 ‐ Griva Basti with PrabhanjanaKhuzumbu and Step G a ast t ab a ja a u u bu a dSahacharadi Taila

– Step 2 – Patra Pottali SwedaSt 3 N ith Dh t 101– Step 3 ‐ Nasya with Dhanvantara 101

• Small sized chopped Patras (leaves) of Eranda, Nirgundi Arka Karanja shigru nimba chincha alongNirgundi, Arka, Karanja, shigru, nimba, chincha, along with small pieces of Lemon, Coconut gratings and Saindava Lavana are fried in a pan using little quantity f th S h h di T il til ld b Thof the Sahacharadi Taila until golden brown. Then

pottali is prepared for Sthanika Sweda that is done until Samyak Swinna Lakshanas (signs of proper sudation y ( g p pe.g. sweating) appears

Shettar RV, Bhavya BK (2013) Evaluation of Combined Efficacy of Greeva Basti, Patra Pottali Sweda and Nasya in the Management


, y ( ) y , y gof Cervical Spondylosis: A Pilot Study. J Homeop Ayurv Med 2: 137. doi:10.4172/2167‐1206.1000137

K i h M difi d PPSRationality & Mode of Action in Sweda Karma

Katigraha – Modified PPSE i b il d d lk i d d & f i d i• Egg is boiled and yolk is powdered & fried in a pan. When it becomes reddish all the vata hara leaves like Eranda Nirgundi Sigru etc mentioned in Patra pindaEranda, Nirgundi, Sigru etc mentioned in Patra pindasweda are added and fried along with that egg yolk.

• Another preparation of pinda sweda with egg yolk isAnother preparation of pinda sweda with egg yolk is also in practice. In this, Pinda sweda is prepared with adding egg yolk, jambeera, vacha, haridra and sarshapag gg y j p[Vasant C.Patil ]. This is indicated in Pakshaghata, Dhanusthamba and Gridhrasi

Divya et. al: Effect of Modified Patra Pinda Sweda with Egg Yolk for Instant Pain Relief in Katigraha AAMJ / Vol 1 / Issue 5 / Sep Oct 2015


Relief in Katigraha, AAMJ / Vol. 1 / Issue 5 / Sep – Oct 2015

A dhi P T dRationality & Mode of Action in Sweda Karma

Ardhita – Panasapatra Tapa sweda• Sample size = 6• Abhyanga(Facial Massage) with Ksheera balataila. • Panasapatra (Jack fruit leaves) swedana (Sudation).

• Nasya (Medicated nasal drops) with Ksheerabalataila101Nasya (Medicated nasal drops) with Ksheerabalataila101.• 10‐15 days duration• Result claim ‐ 86%

Paresh A. Katariya,Ksheerbala Taila Nasya and Panaspatra Sweda in Ardita w.s.r. to Bell’s Palsy IJPAAM 2016


Palsy, IJPAAM, 2016.


Mode of action of sweda karmaMode of action of sweda karma


M d f i f d kRationality & Mode of Action in Sweda Karma

Mode of action of sweda karma • Increase Basal Metabolic rate • Peripheral Vasodilatation and splanchenicPeripheral Vasodilatation and splanchenicpooling S i l i f S Gl d• Stimulation of Sweat Glands

• Shift of Intra cellular fluids and contents to Interstitial compartment

f th h i l tit t• some of the chemical constituents transformation under temperature control


P Bh h dRationality & Mode of Action in Sweda Karma

Parameters ‐ BhashpaswedaN 50• N = 50

• Time of procedure: In between 9.00am‐11am• Food avoided 2 hours before to SwedanaFood avoided 2 hours before to Swedana• Blood samples were taken half an hour before and after

Swedana procedure. • Blood Pressure, Pulse Rate, Body Temperature were also

recorded at the same time.

Jampala et al. EFFECT OF SARVAANGABASHPASWEDANA (STEAM BATH) ON PHYSICAL, HAEMATOLOGICAL AND BIOCHEMICAL PARAMETERS UJAHM 2013 01 (03): Page 48‐54


HAEMATOLOGICAL AND BIOCHEMICAL PARAMETERS UJAHM 2013, 01 (03): Page 48 54



C li ti f dRationality & Mode of Action in Sweda Karma

Common complications of swedakarma and their managementkarma and their management

• Burns l l f d h– External application of Jatyadi ghruta + Vrana

shodhana Taila• Rashes• Rashes

– Most of the time it is due to the oil rather than heat –external application of Haridra Navaneetam or ppSindhuradi lepam is sufficient

• Raised Blood Pressure – A proper rest is sufficient – Some times may require Sarpagandha ghanavati


C l iRationality & Mode of Action in Sweda Karma

Conclusion • It looks still lots of exercise is to be done to understand the purpose of sweda karma p punder the lime light of present day technology

• We are still not able to provide a perfect• We are still not able to provide a perfect answer for many questions

• The studies and published articles are at fancy but not providing any realistic answers frombut not providing any realistic answers from the learned community



Thank YouThank You


Health & Medicine

Ksr swedakarma-tpt-2