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Oil Therapies And Sudation Performed Earlier than Panchakarma Therapies

By Dr Raghuram Y.S. MD (Ay) & Dr Manasa, B.A.M.S
It’s at all times indicated to conduct oil therapies and sudation earlier than doing Panchakarma therapies. They’re additionally the obligatory procedures and preparatory steps for profitable accomplishment of Panchakarma therapies.
Learn – Ayurvedic Panchakarma Treatment: Introduction, Benefits, Dosha Relation

Panchakarma Therapies

Panchakarma therapies are purification therapies in Ayurveda. They’re used electively for cleaning the physique of its impurities and morbid doshas. They’re 5 in quantity –

Vamana – therapeutic emesis
Virechana – therapeutic purgation
Niruha Vasti – natural decoction enemas
Anuvasana Vasti – medicated oil / ghee enemas
Nasya / shirovirechana – nasal medicine

Anuvasana Vasti whereby oils/ghee /combination of many sorts of medicated fat are combined to offer enema isn’t strictly a cleaning remedy. It’s extra supportive and nourishing remedy and has much less of a cleaning position.

In line with different faculties Asthapana and Anuvasana Vasti are clubbed into one (as they’re sorts of enema) and Raktamokshana (bloodletting) is included. Thus the 5 therapies are emesis, purgation, enema, nasal medicine and bloodletting.
Learn – Basti Chikitsa: Benefits, Routes, Types, Indications, Equipment

What are the oil therapies?

Oil / fat therapies embody two varieties. They’re –

1. Bahya Snehana – exterior administration of medicated fat. This primarily contains natural oil massages.

2. Abhyantara Snehana – oral administration of medicated fat corresponding to ghee or oil (as wanted) in metered elevated doses till the physique is saturated with fat . That is additionally known as Snehapana.

Each these therapies are used for preparation of the affected person for Panchakarma therapies and are obligatory until specified.
Learn – Snehana – Oils and Fats Treatment – Ashtanga Hrudayam Sutrasthana 16

What’s sudation?

Sudation means sweat inducing therapies. It’s known as swedana in Ayurveda. They too are utilized in 2 types –

1. Sagni sweda – sudation utilizing warmth – like steaming strategies

2. Niragni sweda – sudation whereby warmth isn’t used – like staying in hid room, sleeping with thick blankets lined over the physique, publicity to warmth of solar and so on

The primary type of sudation is usually used whereas making ready the affected person for panchakarma. Additionally it is obligatory until exempted.
Learn – Sweating Treatment – Swedana Types And Methods – Charaka Samhita 14

Ought to oil therapies and sudation be finished earlier than all Panchakarma measures?

Earlier than emesis and purgation

When therapeutic emesis and purgation are administered in a classical manner, it’s obligatory to observe oleation and sudation earlier than administering the principle therapies.

Oleation is finished with oral administration of medicated ghee / oil for 3, 5 or 7 days relying on the character of cleaning that has been deliberate. Really the rule is acquiring indicators of correct oleation. As soon as these classical indicators are obtained, the oral fats remedy ought to be stopped immaterial of the variety of days the medication has been given.

After the oleation days, sudation ought to be given. On the times of sudation, exterior oil therapies – natural oil therapeutic massage shall be finished. This implies to say that an oil therapeutic massage ought to be given earlier than administering sudation. This will even present lubrication and buffer towards the pinnacle supplied in sudation.

Sudation too ought to be given till indicators of correct sudation are obtained and instantly stopped. Sudation past this level will trigger issues.

As soon as the oleation and sudation have been administered correctly till the indicators of their correct administration are obtained, emesis or purgation shall be administered as deliberate. Following this graduated dietetic routine shall be given (samsarjana krama).

If emesis and purgation are administered one after the opposite, oleation and sudation ought to be administered earlier than every process. The sequence ought to be as given beneath –

Oleation → Sudation → Emesis → Graduated dietetic schedule → Oleation → Sudation → Purgation → Graduated dietetic schedule
Learn – Vamana Virechana – Emesis and Purgation – Ashtanga Hridayam Sutrasthana 18

Earlier than Niruha and Anuvasana enemas

Oleation and sudation earlier than unctuous or decoction enema are usually not obligatory. Even when they’re administered there ought to be no drawback. Native administration of oil remedy and sudation is preferable whereby oil therapeutic massage is finished over the stomach earlier than administration of enemas.

In these therapies oral administration of ghee / oil isn’t given since oil or ghee can be a part of enema materials and fat can’t be given each by oral and anal routes concurrently. Unctuous enemas are given with ghee or oil. Ghee or oil is a small a part of decoction enemas.
Learn – Niruha Basti Panchakarma Method, Benefits, Side Effects, Management

Earlier than nasal medicine

In nasal medicine oil or ghee are usually not given orally. The medicines are administered by means of the nasal route. Simply as in enemas, administration of oil or ghee by two routes concurrently isn’t allowed.

Physique therapeutic massage with medicated oils and sudation for all the physique isn’t essential to be finished earlier than nasal medicine however even when they’re administered there ought to be no drawback. Oil therapeutic massage to the face and facial steaming are allowed as pre-procedures for nasal medicine.
Learn – Nasya Karma Procedure, Types, Benefits, Contra Indications

Why are oil therapies and sudation wanted earlier than administration of panchakarma therapies?

Ailments, in accordance with Ayurveda, are brought about because of the doshas getting lodged within the tissues. When this occurs the doshas will begin damaging the tissues. The interplay of the morbid doshas and ama with the tissues results in the formation of illness and its signs.

Therapy process in Ayurveda targets breaking this vicious amalgamation of morbid doshas and inclined tissues underneath assault.

These morbid doshas and metabolic wastes will even block the channels of the physique within the illness course of and trigger deformity of the channels. The channels are usually not completely different from the tissues and supplies they convey.

To interrupt the amalgamation of the doshas and tissues they need to first be mobilized from the tissues to the abdomen / intestine. The doshas would have lodged within the tissues and stubbornly adhered to the within of their cells.
Learn – Chikitsa: Treatment Types, Ayurvedic classification

The strategies of bringing the doshas from tissues to the intestine are –

Vriddhi – non permanent improve of doshas within the tissues by inflicting them to bulge and making ready them to exit the cells
Vishyandana – dissolution of doshas within the tissues – to make the doshas blocked and sticking to the tissues move in direction of the abdomen, the doshas ought to be liquefied
Paka – digestion of doshas and make them free from ama hooked up to them
Srotomukha Vishodhana – opening up the blocked channels of the physique
Vayu Nigraha – controlling the vitiated vata

The oleation will assist in inflicting the doshas to bulge within the tissues. Sudation remedy will assist in liquefying the doshas and making ready them to move in direction of the abdomen. If the doshas are related to ama they stick with the tissues and it’s tough to take away them. The ama shall be digested by administering ama digesting medicines however the identical will even be achieved by sudation remedy. Sudation following oleation remedy will even assist in opening up and cleaning the channels. It will assist in free move of the stagnated doshas from the tissues and channels in direction of the abdomen. Vitiated vayu will trigger the transit of morbid doshas from intestine to tissues and make them settle within the tissues. Oleation (inner and exterior) and sudation are one of the best treatments to regulate vitiated vata.

Thus, oleation and sudation when administered methodically will assist in mobilizing the morbid doshas from tissues to the abdomen. This can be a obligatory process which must be finished earlier than elimination of doshas from the physique. It’s only after the doshas attain the intestine, they are often eliminated by means of the cleaning therapies, primarily emesis and purgation. When there may be kapha predominance, it shall be eliminated by administering emesis. When there may be predominance of pitta, it shall be eliminated by administering purgation.
Click to Consult Dr Raghuram Y.S. MD (Ayu) 

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