Patra Pinda Sweda

It is an treatment in painful conditions caused mainly by Vata Dosha, usually in degenerative diseases. Leaves which can pacify morbid Vata are used in the bolus for tackling inflammatory diseases of joints and soft tissues. Vitiated Kapha and its symptoms like heaviness, coldness etc can be got rid of by using Kapha destroying leaves in the bolus. Patra Pinda Sweda is used mainly to relief from pain, inflammation, swelling and stiffness (catch) associated with bone, joint and or musculoskeletal pains.

Pre-procedure

• The leaves generally used are – like Eranda (Ricinus communis), Nirgundi (Vitex negundo), Arka (Calotropis gigantean), Chincha (tamarind), Dhatura (Dhatura metal), Shigru (moringa leaves) etc, Other ingredients like pieces of lemon, coconut grating, Rasnadi Churna, Methika, Saindhava Lavana, Taila etc, cloth for placing the roasted medicine, threads to tie the cloth into bolus, heating apparatus, spoon, pan, spatula, etc are taken. 
• Fresh leaves 500gm in quantity should be collected and chopped into small pieces. Required quantity of Eranda Oil is taken as per the condition in non-stick pan.
• Slices of 4 lemons are added into it. When the lemon slices become slightly fried the powder of Satahwa and Methika 100 gm is added.
• Then 50gm scraped coconut is added. When the mixture turns brownish Saindhav is added and stirred well. 
• Then the leaves one by one are added; thicker leaves are added first then thinner. When the leaves are fried the mixture is taken out. 
• The sliced leaves and the other ingredients which are fried and processed in the herbal oils are tied in a clean cloth. 
• The upper free ends of the clothes are tied with strong thick threads so as to form a bolus of Patra Pinda. Four boluses are prepared for proper conduction of the procedure in undisrupted manner.

Procedure

The bolus is dipped in oil which is kept on heating apparatus at a constant temperature in pan. The Pottali of Patra are gently rubbed with mild pressure in the manner similar to the Abhyanga. 

The fomentation given by Patra Pinda Swedana should be carried out in all the 7 postures in which Abhyanga (herbal massage) is done so as all parts of the body is equally fomented. 

The treatment procedure is carried out for 5-10 minutes in each posture. Thus time duration of the treatment ranges from 30-40 minutes. A uniform temperature of potties is maintained by dipping them in heated mixture of medicated decoction & milk. This process is carried out until proper sweating occurs.

Post Procedure

After completion of the process, Rasnadi Churna is applied on the vertex of the patient. Patient is advised to take rest for one hour and take bath with warm water. Patient is advised to take light diet and drink hot water after procedure. 

Pottali can be used for 3 days and after it. Duration: 7-21 days depending on the nature and intensity of the disease.

Indications: Intervertebral disc protrusion or prolapsed (IVDP), Sciatica (Gridhrasi), Osteoarthritis, Chronic stages of RA (Jeerna or pravruddha Amavata), Cervical spondylosis, Ankylosing Spondylitis, Frozen Shoulder, Pakshavadha (Hemiplegia) etc. Contraindications: Taruna Jwara (Acute fever), Atisara (Diarrhoea), Raktapitta (Hemorrhagic disorders), Twak Vikara (Infective eczema, Psoriasis etc.)