Kizhi

Pathra pinda sweda refers to a kind of Swedana – sudation performed by a specially prepared bolus of medicinal leaves. In this process, leaves of herbs are cut into pieces and fried with rock salt and suitable medicated oil. This hot mixture is tied in cotton cloth as boluses for application over the body. The boluses are gently applied in a synchronized manner. This bolus is applied hot to the skin already smeared with warm medicated oil. To maintain its temperature, the bolus is intermittently kept warm by heating on the frying pan. At the end of the procedure, the body should be wiped off with a dry soft towel and oral medicines are suggested. The patient is asked to be under complete rest for at least an hour and then allowed to take a bath with warm water. A light diet preferably liquids and semi-solids are suggested. It is a kind of Swedana – sudation where heat, pressure, and oil are applied simultaneously with drugs. So this stimulates and strengthens the neuro-muscular system resulting in a reduction of pain and inflammation.

Patra Pinda Sweda/Elakizhi is effective in detoxifying and eliminating residues from the affected areas of the skin. it is used to massage the areas of treatment and is said to benefit people who experience back pain, joint pain, muscle cramping, arthritis, problems of stress and anxiety, etc. The treatment is also said to improve one’s overall immunity and slow down the aging process.

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Churna Swedana is a kind of Swedana– sudation given by powder of various herbs made as a bolus and applied over the body after heating. Powder of medicinal plants, seeds, lemon, and rock salt are mixed and fried with medicated oil. This mixture is tied up in a cotton cloth to prepare a bolus. This bolus is heated in oil and applied with mild pressure over the body after a gentle massage. At the end of the procedure, the body is wiped off with a dry soft towel. oral medicines are given at the end and the patient is advised to take complete rest and then allowed to take bath with warm water. Light food preferably liquids and semi-solids are advised. It is a kind of fomentation that stimulates nerve endings, relaxes muscles, and relieves pain.

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Njavarakizhi is a specialty of Ayurvedic treatment in Kerala where the whole body or any specific part is made to perspire by the application of heated medicinal rice puddings externally in the form of boluses tied up in a cotton cloth. A specific variety of rice by the name Njavara is cooked with milk and decoction of herbs is kept in four pieces of cloth to make 4 boluses. Another portion of decoction and milk of the same quantity is mixed and heated at low temperature to dip the above boluses for warming the Kizhi. The patient is properly massaged with suitable warm oil all over the body and head. The warm Kizhi is gently applied in a synchronized manner by two therapists on two sides of the treatment table – dhroni. The heat of the boluses is bearable to the patient and will be maintained throughout the procedure by continuous use of four boluses. This procedure is done in different positions as per the requirement. At the end of the procedure, the paste of medicine remaining over the body is scrapped off and the body is wiped off with dry soft towels. Then medicated oil is applied over the body herbal medicines are given orally. The patient is advised to take complete rest and then allowed to take a bath with warm water. Light vegetarian diets consisting of liquids or semi-solids are usually prescribed during the treatment. By performing this procedure, massage, heat, and pressure are provided to the body simultaneously with nourishment to the muscles and nerve endings.

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