Swedan in Ayurved

Swedan (Fomentation ) in Ayurved
• Presented By –
• Prof.Dr.R.R.Deshpande
• (M.D in Ayurvdic Medicine & M.D. in
Ayurvedic Physiology)
• www.ayurvedicfriend.com
• Mobile – 922 68 10 630
• professordeshpande@gmail.com
10/15/2018 1Prof.Dr.R.R.Deshpande

Thanks
• For Contribution in preparing contents
• Dr. Sachin Sarpotdar
• Dr. Mayura Jadhav
10/15/2018 Prof.Dr.R.R.Deshpande 2

Contents of PPT
• Introduction
• Qualities of Swedana Dravyas
• Materials & Types of Swedan or Fomentation
• Fomentation treatment – Types
• Anagni swed
• Snigdha Swedan
• Madhyam sweda ( Moderate Fomentation )

Contents of PPT
• Indications for swedana karma
• Contraindications for swedan karma
• Procedure of swedana karma
• Symptoms of proper fomentation
• Symptoms of very intense fomentation
• Post Therapeutic Schedule of Swedan

Introduction
• Therapeutic sweating, fomentation & Sudation
are the synonyms for Swedana
• The process which relieves stiffness,
heaviness, coldness of the body and produces
sweat is called ‘Swedana’
• Sweat is the waste product (mala) in the
process of metabolism of ‘Med dhatu’ (fat) in
the body

Introduction
• Sweats carry the water soluble waste products
from the body
• It is useful to cool down the body
• That is why in Grishma rutu or summer ,we
sweat more

Introduction
• In Ayurveda Snehan & Swedana are
important Purva Karma procedures
,before Panchakarma or Detox process
• But of course Swedana can be used as a
separate Therapeutic Procedure

Introduction
• By means of swedana therapy, toxins are
excreted out of the body
• This process is used in treatment of
Musculoskeletal diseases like Arthritis,
Metabolic disorders like Obesity etc. and --
• As a pre therapeutic procedure in Pacha
Karma

Introduction
• After Snehana, deeply embedded doshas
become softer,
• Swedana, liquefies those doshas and bring
them to their main sites
• It increases sweating and removes toxins
from skin
• Hence skin becomes glowing, soft
• This help to increase skin elasticity

Introduction
• Swedana is recommended in Early and Late
Winter after oil massage to maintain the skin
soft and moist
• It increases digestive power
• It is beneficial in removing toxins from the
body
• It removes stiffness, heaviness, coldness of
the body

Introduction
• It removes strotorodha i.e blockage of strotas
(Macro & Microcirculation)
• It maintain the normal direction of Vata (
Anulomana gati)

Qualities of Swedana Dravyas
• Ushna (Hotness) –
• Because of this quality perspiration occurs
• This is useful to reduce the stiffness and
spasm of the muscles in Arthritis

• Tikshnam --- Penetrating
• Because of this quality, deeply embedded
impure doshas are separated from peripheral
tissues
• It is the property which can reach to the deep
tissues of the body like Bones and hence can
target the deep pathological sites or lesions

• Saram --
• This means ability to spread
• Because of this quality, liquified doshas are
moved out of the minute cavities to their main
sites
• Hence we can utilized this property in pre
Panchakarma Procedure to bring Kapha In
Amashaya in Bronchial Asthma patients

• Sukshma = Minute –
• Because of this quality ---
• Swedan material can reach up to the
minute cavities to perform their
function

Materials & Types of Swedan or Fomentation

• Material used for fomentation may be in liquid
or in solid state
• These may be oily or dry Substances or
medicines
• Examples are ---
• Water steam – with or without medicines --
used in tube fomentation or steam inhalation
in URTI, Sinusitis etc.

• Milk –-- used in Shalishastik Pinda Sweda in
debelity conditions like cachexia, muscle
development, degenerative arthritis, sleep
disk problem etc.
• Plain sesame Oil or Medicated oils ---
Dhanvantaram oil, Sahacharadi oil,
Vishagarbha oil for Muscular Stiffness,
Murivenna for traumatic swelling etc.

• Cow’s Ghee or Medicated Ghee ---
Triphala Ghee, Yashtimadhu ghee in
Akshi Tarpana ( Augen Bad in German
language)

• Medicinal Herbs or Plants ---
• Vacha, Rasna, Erandmool, Jatamansi,
Turmeric, Dashmool etc are used in ---
• Nadisweda or Bashpasweda
• Leaves of Nirgudi, Eranda, Shigru are used in
Patra pottali swedan

Fomentation treatment – Types
• 1. According to use of fire ---
• Agni swed (fomentation with use of fire)
• Tapa Swedan ----
• Heating pad, Infra Red Lamp, hot water
bag used as dry fomentation in Amavata
i.e. RA ,Backache

Fomentation treatment – Types
• Ushma Swedan-( Steam Fomentation)
• a) Nadi Sweda-Tube fomentation- Used for
local region like in cervical spondylosis, Knee
Pain
• b) Steam Box- For generalized, whole body-e.g.
Hemiplegia

Anagni swed
• Anagni swed (fomentation without use of fire)
• 1) Vyayama (Exercise) –Yogic stretching
expercises or Aerobics or running, jogging in
winter
• 2) Ushna sadana (being inside the warm
chamber) --- In European cold countries
Internal heating system or Fire place inside
the house

Anagni swed
• 3) Gurupraavaranam (wearing of heavy
clothing) –
• Wearing of woolen clothes ,while visiting
to Kasmir,Himalaya ot Swiss
• 4) Kshudha (hunger) ----
• Fasting stimulates digestive fire or
Metabolic process

Anagni swed
• 5) Bahupaanam (excess drinking of alcohol) –
• Ayurvedic Medicinal wines i.e Asav & Arishtas
can help to generates heat & reducing Kapha
problems like Excess cough with expectoration

• Bhallatakasav or Kanakasav are good examples

Anagni swed
• 6) Bhaya (fear) ----
• Stimulates Sympathetic system &
secretion of more adrenaline .
• Abdominal blood supply reduces but
blood supply to extremities increases
• This happens in Fight or Flight response

Anagni swed
• 7) Krodha (anger) ---
• & secretion of more adrenaline Stimulates
Sympathetic system
• Abdominal blood supply reduces but blood
supply to extremities increases
• This happens in Fight or Flight response

Anagni swed
• 8) Aahat (wrestling) ---
• Physical strenuous activities also generates
heat in the body
• 9) Aatapa (exposure to sun) ---
• Sun bath is very popular in Europe ,to protect
themselves from cold


Types of Swedan
• 2. According to the area to be fomented --
• Ekanga sweda- Regional- Local inflammation
like ankle sprain
• Sarvanga sweda- Whole body steaming. eg.in
Hemiplegia

Types of Swedan
• 3 ) According to nature of swedana :
• Snigdha sweda- ( Wet Fomentation)
• Fomentation done after oil application and
Oleation therapy
• This is used as purvakarma in panchkarma and
in diseases due to mal-nourishment or
degenerative arthritis like osteoarthritis –
Shali shastik Pinda Sweda

Snigdha Swedan
• Also in this type swedan material used is of
snigdha guna.eg. milk, oil, meat, decoction etc.
• Shalishashti pinda sweda, Upanaha sweda,
Nadi sweda, Bashpa sweda are the types of
snigdha sweda.

Ruksha sweda ( Dry Fomentation)
• Fomentation done without oil application and
Oleation therapy
• This type of fomentation is used in conditions
like increased levels of ama, kapha, blockage
of minute cavities due to impure doshas or in
Amavata
• It is done with sand pack ( Valuka Pottali
Sweda) , infra red lamp or electric heating
pads

Types of Swedan
• 4) According to the intensity of fomentation
• Mrudu sweda ( Gentle Fomentation)
• Mild fomentation is applied to very young
child, weak patient
• Fomentation of Eyes, Testis & Heart ( These 3
organs are in fact contraindicated for
Fomentation .But mild swedan ,under
supervision & advice of Vaidya can be done)

Madhyam sweda ( Moderate Fomentation )
• Moderate fomentation is applied when
patient is not so weak but not so strong also
• Maha sweda ( Strong Fomentation )
• Strong fomentation is applied when patient is
strong enough to bare the fomentation
• Also in Kapha predominant problems like
Obesity with stiff joints .It is done on following
sites-Hands, legs & back.

Indications for swedana karma

• 1) As a purvakarma for Vaman, Virechana,
Basti & Nasya
• 2) As swedana karma is properties like heat,
hot, sharp ,it is indicated in the problems of
Kapha predominant person or diseases.
• 3) Also it will be of help in Strotorodhajanya
Vata disorders ( Obstructive pathology) ,Ama
conditions ,disorders of Parthiv elements like
Mansa,Meda,Asthi dhatu

• 4) Conditions like Muscular stiffness, Joint
sprain & arthritis, Backache, Neck pain,
Spasmodic pain in abdomen due to gas,
indigestion, constipation
• 5) Diseases like paralysis, facial paralysis

• 6) Respiratory conditions like Sinusitis,
Cough, Cold, asthma etc
• Applying calamus powder on the chest, back,
neck to the children ,after bath in winter &
rainy season ,to protect from cold
• 7) Shivering in winter ,is a natural Sweden ,gift
of nature

Contraindications for swedan karma
• Consider heat ,sharp & hot,light nature of
Swedan Karma & then we can understand it’s
contraindications
• 1) Pitta prakruti ,even Pitta vata prakruti &
diseases
• 2) Pitta dominated diseases like Jaundice,
Peptic Ulcer

• 3) Pitta & Rakta are having intimate relation
.So avoid swedana in all Bleeding disorders
like -----
• Epistaxis, Retinal haemorrahage, Haemoptysis,
Brain haemorrhage, Peptic ulcer,
Haematuria,P/R bleeding, Heavy menstrual
bleeding ,Subconjunctival haemorrage,
bleeding gums

• 4) Weakness due to heavy physical or mental
work or due to chronic degenerative physical
diseases like Cancer, HIV
• 5) Very fat or very thin persons ( Because
these people are delicate to tolerate any
strong treatments ----
• Ayurveda described them in the group of
Ashtau Nindita)

• 6) Pregnancy ( This is altered Physiological but
delicate condition ,which will never tolerate
heat & hot treatments or behavior)
• 7) Severe Anemia, Ascitis

• 8) Excessive ,uncontrolled Hypertension is
strong contraindication for Swedana
• Otherwise due to vasodilatation effect of
swedana ,patient may get Brain haemorrhage
• Rather ,it will be better to take written
consent ,even for swedana ,who are
Hypertensive or suffering from Heart diseases

Procedure of swedana karma
• 1) Pretreatment includes Oleation and
massage , except for some conditions like
Amavata
• 2) Firstly decide the type and intensity of
fomentation
• 3) Then foment the patient until the
symptoms of proper fomentation appears.

Symptoms of proper fomentation
• 1) Sweat production
• 2) Relief from pain, coldness. These symptoms
appear on spot.
• 3) Decrease in stiffness, heaviness,
appearance of softness.
• 4) Feeling of lightness & warm

Symptoms of very intense fomentation
• 1) Due to simple cause like severe
dehydration, up to pathology like sun
stroke i.e Trauma to thermal regulating
center
• So this can emergency like ICU
management for Shock

Symptoms of very intense fomentation
• 2) Burning, Bleeding
• 3) Palpitations , Fainting, Vertigo or giddiness
• 4) Excessive sweating & Excessive Thirst
• 5) Fever or Hyperpyrexia, Hyperthermia ,skin
can becomes red & hot –similar to Sun stroke
• 6) Vomiting
• 7) Burn injuries on skin

Post Therapeutic Schedule of Swedan
• 1) After fomentation patient should stay in a
room devoid of breeze with full physical &
mental rest
• 2) After adequate time ,Take warm water bath
• 3) Take Nutritious ,light & easily digestible
food like Mung Dal with thin rice or Khichadi,
Liquid Sweets like porridge ( Khir)

Swedan in Ayurveda
Prof.Dr.R.R.Deshpande
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Swedan in Ayurved

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