A Conceptual Study of Upanaha Swedana
Journal name: Ayushdhara
Original article title: A Conceptual Study of Upanaha Swedana
AYUSHDHARA is an international peer-reviewed journal. It focuses on research in Ayurveda, Yoga, Unani, Siddha, Homeopathy, Allopathy, and Pharmaceutical Sciences.
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Avvinish Narine
PG Scholar, Department of Panchakarma, National Institute of Ayurveda, Jaipur, Rajasthan, India.
Minu Yadav
PG Scholar, Department of Panchakarma, National Institute of Ayurveda, Jaipur, Rajasthan, India.
Ayushdhara:
(A peer-reviewed, bi-monthly open-access journal)
Full text available for: A Conceptual Study of Upanaha Swedana
Year: 2021 | Doi: 10.47070/ayushdhara.v8i3.740
Copyright (license): CC BY-NC-SA 4.0
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Summary of article contents:
Introduction
Upanaha Swedana is a therapeutic procedure within Ayurveda primarily aimed at managing pain and inflammation through localized application. In the practice of Swedana Karma, which induces sweating via heat application, Upanaha Swedana stands out as a significant method. This treatment involves preparing a medicinal poultice that combines various herbs, which is then heated and applied to the affected area. The process is divided into three main phases: Purva Karma (pre-therapy procedures), Pradhana Karma (main therapeutic actions), and Paschat Karma (post-therapy procedures). Each phase is crucial for ensuring the effectiveness of the treatment, targeting local inflammation and providing analgesic relief.
Mechanism of Action of Upanaha Swedana
The therapeutic effect of Upanaha Swedana is deeply interconnected with its methodology and is influenced by the specific herbal preparations used. The application of a warm herbal paste encourages various physical processes, primarily through vasodilation caused by heat, which increases blood flow to the affected area. This improvement in circulation not only aids in the removal of metabolic waste but also enhances the delivery of nutrients. The medicinal properties of the herbs penetrate the skin, aided by the Bhrajaka Pitta present in the epidermis, which processes these substances. As a result, the application produces an anti-inflammatory effect, cooling down local hyperactivity and alleviating symptoms like pain and rigidity.
Types of Upanaha and Their Applications
According to Ayurvedic scholars, Upanaha can assume different forms based on its preparation and application. Two primary types include Sagni Upanaha (heated herbal paste) and Niragni Upanaha (unheated with intrinsic warmth), reflecting the versatility and customization of treatments based on patient needs. Further classifications proposed by Acharya Dalhana introduce additional forms such as Pradeha Upanaha, where a thick paste is applied directly, and Bandhan Upanaha, where medicaments are secured using cloth or leave wraps. Such diverse applications underscore Upanaha Swedana's adaptability in treatments, making it suitable for various ailments associated with pain, stiffness, and swelling.
Conclusion
In conclusion, Upanaha Swedana represents an effective and accessible Ayurvedic treatment modality for managing pain and promoting local healing. The procedure enhances the skin's absorption of medicinal properties while improving circulation and reducing inflammation. Its versatile nature allows practitioners to tailor treatments according to individual requirements, thereby optimizing patient outcomes. This method can be effectively utilized in both outpatient and inpatient settings, emphasizing its importance in Ayurvedic clinical practices for addressing musculoskeletal issues and enhancing patient welfare.
FAQ section (important questions/answers):
What is Upanaha Swedana in Ayurvedic treatment?
Upanaha Swedana is a localized treatment involving the application of a heated medicinal paste to reduce local inflammation and pain. It is part of Swedana Karma and involves three phases: Purva Karma, Pradhana Karma, and Paschat Karma.
What are the different types of Upanaha?
There are several types of Upanaha including Sagni Upanaha (heated paste), Niragni Upanaha (paste with hot potency), and others like Pradeha, Sankar, and Bandhan Upanaha, differentiated by method and materials used in treatment.
What is the procedure for conducting Upanaha Swedana?
The procedure includes preparing Vatahara drugs into a paste, applying it to the affected area, covering it with leaves, and bandaging it securely for about twelve hours to achieve the desired therapeutic effects.
Glossary definitions and references:
Scientific and Ayurvedic Glossary list for “A Conceptual Study of Upanaha Swedana”. This list explains important keywords that occur in this article and links it to the glossary for a better understanding of that concept in the context of Ayurveda and other topics.
1) Upanaha:
Upanaha in Ayurveda refers to the therapeutic procedure where warm medicinal herbal paste is applied locally to the affected body parts. This paste is then bandaged securely, promoting healing by reducing local inflammation and providing analgesic effects.
2) Karma (Karman):
Karma in the context of Upanaha Swedana refers to the procedural steps involved in the treatment, divided into Purva Karma (pre-therapy), Pradhana Karma (main therapy), and Paschat Karma (post-therapy). Each phase ensures the application, effectiveness, and proper conclusion of the treatment.
3) Drug:
In Upanaha Swedana, specific Ayurvedic drugs like Vatahara and other herbal medicaments are used. These drugs are mixed to form a poultice, which is then applied to the affected area to reduce inflammation and pain.
4) Pain:
Upanaha Swedana is particularly effective in managing pain associated with various clinical ailments by applying a medicated poultice that provides localized relief. This treatment modality has a potent analgesic effect, reducing discomfort and enabling improved mobility.
5) Pitta:
Pitta is one of the three doshas in Ayurveda and plays a significant role in various metabolic functions. Specifically, Bhrajaka Pitta, located in the skin, is involved in processing external applications like Upanaha Swedana, aiding in drug absorption and therapeutic effects.
6) Blood:
During Upanaha Swedana, the heat and medicinal paste increase local blood flow through vasodilation. This enhanced circulation helps in removing metabolic wastes and supplies nutrients to the affected area, thus reducing inflammation and promoting healing.
7) Bhrajakapitta (Bhrajaka-pitta):
Bhrajaka Pitta, a sub-type of Pitta dosha, is responsible for processing external applications on the skin. In Upanaha Swedana, Bhrajaka Pitta helps in absorbing the medicinal properties of the applied paste through the skin, thus aiding in pain relief and inflammation reduction.
8) Purvakarma (Purvakarman, Purva-karman):
Purva-karma in Upanaha Swedana involves preparatory steps like procuring and mixing Vatahara drugs, preparing the medicinal paste, and ensuring the patient is examined for contraindications. This phase ensures the patient is ready for the main therapeutic application of the poultice.
9) Ayurveda (Ayus-veda):
Ayurveda is a traditional system of medicine in India that utilizes various treatment modalities, including Upanaha Swedana. This holistic approach involves the use of herbal pastes, oils, and other natural substances to promote health and treat ailments effectively.
10) Bhrajaka:
Bhrajaka typically refers to a function of Pitta dosha located in the skin. Bhrajaka Pitta helps in digesting and processing external applications like those used in Upanaha Swedana, contributing to the effective absorption and therapeutic action of the medicated paste.
11) Dravya:
Dravya in the context of Upanaha Swedana refers to the medicinal substances used to prepare the herbal paste. These substances, chosen based on their Vatahara properties, are crucial for the effectiveness of the treatment in reducing pain, inflammation, and stiffness.
12) Purva:
Purva in Ayurveda refers to preparatory or pre-therapy procedures. In Upanaha Swedana, Purva Karma includes preparing the medicinal paste and assessing the patient for any contraindications to ensure the treatment is administered safely and effectively.
13) Pradhana-karma:
Pradhana-karma is the main therapeutic phase in Upanaha Swedana, where the prepared lukewarm medicinal paste is applied to the affected area. This step includes ensuring proper paste thickness, application direction, and secure bandaging to facilitate absorption and therapeutic effects.
14) Paschat-karma:
Paschat-karma involves post-therapy procedures for Upanaha Swedana. This stage includes removing the dried or cooled medicated paste after the specified time, cleaning the local area with lukewarm water, and advising the patient on aftercare to enhance treatment benefits.
15) Stiffness:
Upanaha Swedana effectively addresses stiffness in affected body parts by using medicated poultices. The warmth and medicinal properties of the paste help relax muscles, improve blood circulation, and reduce stiffness, allowing for better mobility and less discomfort.
16) Abhyanga (Abhyamga):
Abhyanga, or oil massage, is a preliminary step in Upanaha Swedana. The affected area is massaged with medicated oil before applying the medicinal paste. This massage helps to prepare the skin for better absorption of the therapeutic substances used in the treatment.
17) Pradhana:
Pradhana refers to the primary or main procedure in Ayurveda treatments. In Upanaha Swedana, Pradhana Karma is the stage where the prepared medicinal paste is applied to the patient, focusing on effective therapeutic delivery and ensuring optimal treatment results.
18) Sweating (Sweat):
Sweat is an outcome of Swedana Karma, where treatments like Upanaha Swedana induce perspiration. This process helps in detoxifying the body, opening pores, and enhancing the absorption of medicinal substances applied during the therapy.
19) Virya:
Virya represents the potency or active principle of the medicinal substances used in Upanaha Swedana. These substances, through their virya, penetrate the skin, undergo processing by Bhrajaka Pitta, and provide therapeutic effects such as pain relief and reduced inflammation.
20) Roman (Roma):
Roma refers to hair follicles on the skin. In Upanaha Swedana, the medicinal paste is applied against the direction of hair growth to facilitate better absorption through the hair follicles, known as Roma Koopa, allowing the therapeutic agents to penetrate effectively.
21) Inflammation:
Upanaha Swedana is utilized to manage inflammation by applying a warm medicated paste to the affected area. The heat and herbal properties of the paste reduce local inflammation, providing relief from pain and swelling, and promoting recovery from inflammatory conditions.
22) Rajasthan:
Rajasthan is a state in India where the National Institute of Ayurveda is located. Researchers and practitioners in Rajasthan, specifically Jaipur, have contributed to the conceptual study and application of Upanaha Swedana in Ayurveda for pain and inflammation management.
23) Vatahara (Vata-ahara):
Vatahara refers to substances or treatments that pacify Vata dosha. In Upanaha Swedana, Vatahara drugs are used to prepare the medicinal paste, which helps alleviate symptoms related to Vata imbalances such as pain, stiffness, and coldness.
24) Samhita:
Samhita refers to classical Ayurvedic texts that provide detailed descriptions and methodologies for treatments like Upanaha Swedana. These texts are essential references for practitioners to understand the principles, procedures, and formulations used in traditional Ayurvedic therapies.
25) Snigdha:
Snigdha indicates oily or unctuous qualities in Ayurvedic substances. Drugs with Snigdha qualities are used in certain types of Upanaha Swedana to provide lubrication, reduce dryness and stiffness, and help in the smooth application and absorption of the medicinal paste.
26) Ruksha (Ruksa):
Ruksha represents dryness in Ayurvedic properties. Drugs with Ruksha qualities are also used in Upanaha Swedana, particularly when there is a need to counteract excessive moisture or greasiness. These qualities help balance doshas and effectively manage various skin and joint conditions.
27) Jaipur:
Jaipur is the capital city of Rajasthan, India, where the National Institute of Ayurveda is situated. The authors of the conceptual study on Upanaha Swedana are associated with this institute, contributing to research and development in traditional Ayurvedic treatments.
28) Mangala (Mangal, Mamgala):
Mangal refers to Gopesh Mangal, one of the co-authors of the conceptual study on Upanaha Swedana. He holds the position of Associate Professor in the Department of Panchakarma at the National Institute of Ayurveda, contributing to the research and practical applications of this treatment.
29) India:
India is the country where Ayurveda originated and continues to thrive. The National Institute of Ayurveda in Jaipur, Rajasthan, is one of the premier institutions contributing to the research and application of Ayurveda treatments like Upanaha Swedana for managing pain and inflammation.
30) Paka:
Paka refers to the cooking or processing of substances in Ayurveda. In the context of Upanaha Swedana, Bhrajaka Pitta in the skin processes the medicinal paste applied, allowing for the therapeutic properties to be absorbed and produce the desired effects.
31) Saindhavalavana (Saindhava-lavana, Saimdhavalavana):
Saindhava Lavana, or rock salt, is used in certain types of Upanaha Swedana like Salavana Upanaha. It is known for its medicinal properties that aid in Swedana (inducing sweat) and is mixed with other drugs to form the therapeutic paste.
32) Visodhana (Vishodhana):
Vishodhana means purification. In Upanaha Swedana, the process of inducing sweating through the application of medicinal paste helps in Sroto-Mukha Vishodhana, which refers to purifying the body channels by expelling toxins and metabolic wastes through the sweat glands.
33) Arkapatra (Arka-patra):
Arka-patra refers to leaves used in Upanaha Swedana for covering the applied paste. Leaves like Eranda or Arka are chosen for their Vatahara properties, which enhance the therapeutic effectiveness of the treatment by providing additional medicinal benefits.
34) Discussion:
The discussion section in the conceptual study of Upanaha Swedana elaborates on the effectiveness and scope of the treatment. It highlights the underlying principles, observed benefits in clinical applications, and the therapeutic process's broader implications in managing pain and inflammation.
35) Saindhava (Saimdhava):
Saindhava refers to rock salt (Saindhava Lavana), used in Ayurveda for its various health benefits. In Upanaha Swedana, Saindhava can be mixed with other medicinal substances to enhance the sweating process and provide additional therapeutic benefits such as pain relief and enhanced circulation.
36) Mahabhuta (Maha-bhuta):
Mahabhuta refers to the five great elements in Ayurveda: Earth, Water, Fire, Air, and Ether. The treatment effectiveness of Upanaha Swedana can be attributed to its action on these elements, particularly influencing the Vayu Mahabhuta predominant in the skin.
37) Substance:
In Upanaha Swedana, specific Ayurvedic substances or drugs are used to prepare the medicinal paste. These substances, selected based on their therapeutic properties, play a crucial role in the treatment's effectiveness in reducing pain, inflammation, and stiffness.
38) Upasarga:
Upasarga refers to a prefix in Sanskrit. In the term 'Upanaha,' 'Upa' is a prefix meaning 'near.' This prefix indicates the application of the medicated paste close to the affected area, emphasizing localized treatment.
39) Salavana (Sala-vana, Shalavana):
Salavana in the context of Upanaha Swedana refers to the use of salt (Saindhava Lavana) for inducing sweat. Salavana Upanaha involves the application of a medicinal paste containing salt, which helps enhance the therapeutic effects by promoting sweating and detoxification.
40) Pariksha (Pariksa):
Pariksha means examination or assessment in Ayurveda. Before performing Upanaha Swedana, thorough patient examination is done, including Nadi (pulse), Mala (stool), Mutra (urine), and Astha-Vidha Pariksha, to determine suitability and prepare for the procedure.
41) Swelling:
Swelling is one of the symptoms managed by Upanaha Swedana. The warm medicinal paste and bandaging technique help reduce local inflammation and swelling, providing relief and promoting healing in the affected area.
42) Pradeha:
Pradeha Upanaha is a type of Upanaha Swedana where a thick medicated paste is directly applied to the affected part. This method focuses on delivering therapeutic substances efficiently to reduce pain, inflammation, and other symptoms.
43) Dhamani:
Dhamani refers to channels or vessels in Ayurveda. In Upanaha Swedana, the therapeutic paste affects the local dhamanis, promoting vasodilation and improved blood circulation, which aids in the removal of toxins and enhances nutrient supply to the affected area.
44) Buffalo (Buffaloes):
Buffalo skin thickness is used as a reference in Upanaha Swedana to ensure the proper thickness of the medicinal paste applied to the affected area. This guideline helps optimize the paste's therapeutic effectiveness.
45) Disease:
Upanaha Swedana is used to manage various diseases involving pain, inflammation, and stiffness. This Ayurvedic treatment uses medicinal pastes and bandaging to provide localized relief and improve the patient's overall physical condition.
46) Allergy:
In Upanaha Swedana, the patient's skin is examined for allergies or reactions to the medicinal paste. This precaution ensures that the treatment is safe and does not cause adverse effects on the patient.
47) Mahisha (Mahisa):
Mahisa or buffalo skin thickness is referred to in Upanaha Swedana to indicate the ideal paste thickness of approximately 3 to 5 mm. This ensures the medicinal paste is applied effectively to provide therapeutic benefits.
48) Eranda (Eramda):
Eranda (castor leaves) is used in Upanaha Swedana to cover the medicinal paste after application. These leaves have Vatahara properties, complementing the treatment's effectiveness in reducing Vata-related symptoms like pain and stiffness.
49) Lavana:
Lavana, or salt, especially Saindhava Lavana, is used in certain types of Upanaha Swedana. It aids in the sweating process and has therapeutic properties that enhance the treatment's effectiveness in managing symptoms such as pain and inflammation.
50) Nature:
The nature of the disease and the patient's condition determine the use of Upanaha Swedana as a treatment. Understanding the nature of symptoms such as pain, stiffness, and inflammation helps in selecting appropriate drugs and methods for the procedure.
51) Carman (Carma):
Charma refers to skin or leather. In Upanaha Swedana, a reference is made to the thickness of buffalo skin (Mahisa Charma) to ensure the medicinal paste is applied in a layer that is effective for therapeutic purposes.
52) Dosha (Dosa):
Dosha refers to the three fundamental bodily bio-elements in Ayurveda: Vata, Pitta, and Kapha. Upanaha Swedana primarily targets Vata dosha, using Vatahara drugs and procedures to alleviate symptoms caused by Vata imbalances like pain and stiffness.
53) Vidha:
Vidha refers to the types or methods. The conceptual study mentions different types of Upanaha Swedana, such as Sagni, Niragni, Pradeha, and others, each with specific methods and therapeutic applications based on the symptoms and condition being treated.
54) Mukha:
Mukha refers to the openings or pores in the skin. Upanaha Swedana involves the application of a medicated paste that reaches the Mukha of the sweat glands or Roma Koopa, facilitating the absorption of medicinal properties and promoting therapeutic effects.
55) Sneha:
Sneha refers to oily substances used in Ayurveda. In Upanaha Swedana, Sneha like oils is mixed with medicinal drugs to form the paste. These oily vehicles help in better absorption of the therapeutic agents through the skin, enhancing the treatment's effectiveness.
56) Patra:
Patra refers to leaves used in Upanaha Swedana. Medicinal leaves like Eranda or Arka with Vatahara properties are used to cover the applied paste. This additional layer aids in the therapeutic process and keeps the paste in place.
57) Mutra:
Mutra refers to urine in Ayurvedic diagnosis. In Purva Karma or pre-therapy procedures for Upanaha Swedana, the patient's Mutra along with other factors like Nadi (pulse) and Mala (stool) is examined to ensure the patient is suitable for this treatment.
58) Ardra:
Ardra means moist or wet. In the reference to buffalo skin thickness (Ardra Mahisa Charma) for applying the medicinal paste in Upanaha Swedana, it ensures the paste is of appropriate consistency and moisture to adhere effectively to the affected area.
59) Kanji (Kamji):
Kanji is a fermented rice or barley gruel used in Ayurveda. In Upanaha Swedana, Kanji is mixed with other Vatahara substances to prepare the medicinal paste, enhancing its therapeutic properties for reducing pain and inflammation.
60) Kinva:
Kinva, or yeast, is used in preparing the medicinal paste for Upanaha Swedana. It aids in fermentation and the therapeutic action of the paste, improving its effectiveness in managing symptoms like pain, stiffness, and swelling.
61) Ayus (Ayush):
Ayush stands for Ayurveda, Yoga & Naturopathy, Unani, Siddha, and Homeopathy. The journal AYUSHDHARA, which published the study on Upanaha Swedana, focuses on research in these traditional systems of medicine, highlighting the significance of such treatments in contemporary health management.
62) Lepa:
Lepa refers to the application of a medicated paste. In Upanaha Swedana, the prepared medicinal substances are made into a lepa or poultice, which is then applied to the affected area to provide localized therapeutic benefits.
63) Arka:
Arka is a type of medicinal leaf used in Upanaha Swedana. It is used to cover the applied paste due to its Vatahara properties, reinforcing the treatment's effectiveness in reducing Vata-related symptoms like pain and stiffness.
64) Nadi (Nadin):
Nadi, or pulse, is a diagnostic tool in Ayurveda. Before administering Upanaha Swedana, the patient's Nadi along with other factors such as Mutra (urine) and Mala (stool) is examined to assess their suitability and tailor the treatment accordingly.
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