Rationality & Mode of action In Sweda Karma Dr KSR Prasad On 12-12-2016@CME on Panchakarma at SV Ayurveda College, Tirupathi 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 sweda karma and their management

1. Rationality & Mode of Action in Sweda Karma
Rationality & Mode of action In Sweda Karma
Dr KSR Prasad
On 12-12-2016@CME on Panchakarma at SV Ayurveda College,y g ,
Tirupathi
2
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/

2. L i Obj i i i
Rationality & 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 sweda
karma and their management
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/

3. I d i
Rationality & 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 p
Dosha 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
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/

4. K h
Rationality & Mode of Action in Sweda Karma
Koshta
h 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 Poorna
shodhana and Vasti as Ardha Chikitsa (Half way
treatment –not full shodhana)
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/

5. Si ifi f d k th
Rationality & 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
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/

6. C di i
Rationality & 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)
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/

7. E l
Rationality & 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
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/

8. E l
Rationality & 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
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/

9. Si ifi
Rationality & Mode of Action in Sweda Karma
Significance
l / l i i d• Local / general temperature increasing under
regulation of temperature as swedana
procedure –
– Relaxes the muscles
– Releases the stiffness
– More blood flow to the part makes the healing p g
process
– Drains out the bio waste
– As the sweat evaporates, the body cools down
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/

10. Si ifi f ti / l i d k
Rationality & Mode of Action in Sweda Karma
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
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/

11. Rationality & Mode of Action in Sweda Karma
Sweda karma in
different diseases
with rationalitywith rationality
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/

12. P i f S d D
Rationality & Mode of Action in Sweda Karma
Properties of Swedana Dravya
1 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)
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/

13. k h h SS S
Rationality & Mode of Action in Sweda Karma
Pakshaghata – SSPS
• complications recorded are shivering, fainting and p g, g
rashes.
– Shashtikashali contains anti‐oxidents, polyphenols, iron,
zinc which rejuvenates muscle, tissue. Bowman Briktrypsin
Inhibitor (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 bala
also contributed to medicinal effect.
P. Sushma* and C.H. Sadanandam** EFFECT OF SHASHTIKA SHALI PINDA SWEDA IN THE MANAGEMENT OF
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
PAKSHAGHATA, Indian Journal of Agriculture and Allied Sciences, Volume: 1, No.: 4, Year: 2015

14. A dhi K kk d S d
Rationality & Mode of Action in Sweda Karma
Ardhita ‐ Kukkutanda Sweda
• Materials used are ‐ Kolakulatthadi churna
400gm, Methika 100gm, Haridra 100gm, g g g
Lemon 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
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
Pilot Study, International Journal of Ayurvedic and Herbal Medicine 4:5 (2014) 1602‐1607

15. F h ld U h
Rationality & 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 Upanaha
which 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 rotation
Kajaria Divya , MANAGEMENT OF FROZEN SHOULDER WITH UPANAHA (POULTICE SUDATION)‐ A CASE STUDY
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
Kajaria Divya , MANAGEMENT OF FROZEN SHOULDER WITH UPANAHA (POULTICE SUDATION) A CASE STUDY
Research Desk, 2013, Jul‐Sep 2(3). 286‐292

16. C i l d l i PPS
Rationality & 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 d
Sahacharadi Taila
– Step 2 – Patra Pottali Sweda
St 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 p
e.g. sweating) appears
Shettar RV, Bhavya BK (2013) Evaluation of Combined Efficacy of Greeva Basti, Patra Pottali Sweda and Nasya in the Management
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
, y ( ) y , y g
of Cervical Spondylosis: A Pilot Study. J Homeop Ayurv Med 2: 137. doi:10.4172/2167‐1206.1000137

17. K i h M difi d PPS
Rationality & Mode of Action in Sweda Karma
Katigraha – Modified PPS
E 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 pinda
sweda 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
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
Relief in Katigraha, AAMJ / Vol. 1 / Issue 5 / Sep – Oct 2015

18. A dhi P T d
Rationality & 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
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
Palsy, IJPAAM, 2016.

19. Rationality & Mode of Action in Sweda Karma
Mode of action of sweda karmaMode of action of sweda karma
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/

20. M d f i f d k
Rationality & Mode of Action in Sweda Karma
Mode of action of sweda karma
• Increase Basal Metabolic rate
• Peripheral Vasodilatation and splanchenicPeripheral Vasodilatation and splanchenic
pooling
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
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/

21. P Bh h d
Rationality & Mode of Action in Sweda Karma
Parameters ‐ Bhashpasweda
N 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
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
HAEMATOLOGICAL AND BIOCHEMICAL PARAMETERS UJAHM 2013, 01 (03): Page 48 54

22. Rationality & Mode of Action in Sweda Karma
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/

23. C li ti f d
Rationality & Mode of Action in Sweda Karma
Common complications of sweda
karma 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 pp
Sindhuradi lepam is sufficient
• Raised Blood Pressure
– A proper rest is sufficient
– Some times may require Sarpagandha ghanavati
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/

24. C l i
Rationality & 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 p
under 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
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/

25. Rationality & Mode of Action in Sweda Karma
Thank YouThank You
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/