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Ayurveda is the science of life. The word ‘AYURVEDA’ is composed of two words ‘AYU’ and ‘VEDA’ which means life and knowledge respectively. It is the entire knowledge of life of human being from birth to death.
 Kshara karma for piles and Ksharasoothra for fissure and fistula are also done here.
Kshara Karma
The application of caustic alkali (kshara) on the hemorrhoidal mass is called as kshara karma. The kshara is a alkaline substance obtained by processing the ash of drugs. They are considered as sharp surgical instruments, because they are capable of doing actions such as incision, excision etc. which are possible only by using sharp instruments. This kshara is superior than any other surgical instruments, because they can be used where surgery is contraindicated or where we cannot use instruments . For woman, children or those who are afraid of surgery, kshara karma is more suitable. With kshara application bleeding can be reduced and chances of recurrence of the disease are very rare, there is no fear of infection too. The biggest advantage of this caustic alkali application is that, it can be safely and effectively administered on aged patients and patients who are unfit for surgery, also post operative pain is very minimal when compared to other treatment modalities. Advantages of Kshara karma includes minimum hospitalization, less pain, no blood loss, no recurrence, no stricture, no foul smell, huge ulcer, no injury to health tissue.
SASTRA (School For Advanced Surgical Training & Research in Ayurveda) is the research division of Arya Vaidya Pharmacy (Cba) Ltd., which is dedicated to the service of ayurveda for more than 7 decades SASTRA will bring into limelight fire surgical practices which were mentioned in ayurveda, but not practiced widely SASTRA has contributed value additions to these practices by documentation, which proves its safety and efficiency in the recent times without compramising the basic principle of Ayurvedic Science.
Abhyangam is application of oil on head and body followed by gentle massage of body by a trained therapist. The patient will be made to lie on the special table and will take seven positions like sitting, lying on back and side etc during the treatment. Abhyanga is done either as a single treatment or as a preparation for or along with major treatments. The duration of this treatment is 45 minutes, followed by a bath using green gram powder to remove the oil. The physician will decide the suitability of the patient for this treatment and also the oils suitable for patient. This treatment is done for a day or for any number of days as prescribed by the physician to suit the conditions and the treatment taken along with it.
Pizhichil is the continuous pouring of medicinal oil all over the body. The patient is made to lie on the wooden bed and the prescribed warm medicated oil is applied to his head and body. Clean cotton cloth is dipped in medicated oil and squeezed all over the body. Four attendants, two on either side of the patient, pour the oil continuously for 60 to 90 minutes. After the treatment is over, the patient is given bath in warm water
Sirovasti treatment consists of keeping the prescribed medicated oil at a bearable temperature in a leather cap fitted around the head of the patient. The oil is filled in the cap up to a level of one finger above the crown of the head. The duration of treatment is between one and one and half hours. Sirovasti is an important procedure which is found to be very effective in trigeminal neuralgia, hemi crania, deafness, facial paralysis and in all diseases affecting cranial nerves.

Generally the course of treatment is seven days at a stretch. . In addition, the Panchakarma treatments like Vamana, Virechana, Snehavasti and Nasyam are also conducted here. All these treatments are done everyday for a period of one to 3 weeks depending upon the severity of the disease. An equal number of days of rest following the treatment is strictly enforced as it is essential for the treatment to be really fruitful. Thus, ideally a course of treatment is for a period of around 5 weeks. During the treatment, the patient is advised to physical and mental rest and diet and other activities are severely restricted. During the days of rest, simple oil massage along with internal medicines is given to the patient.

Nasyam is meant for cleaning the head region. Patient is asked to lie down on his back on a wooden cot placed in a room devoid of breeze. Head should be placed slightly down and legs higher. Body especially head, neck and chest should be massaged with oil and fomentation is given Nasyam is of three types:

Virechana Nasyam: This type of Nasyam treatment purifies by expelling Doshas from the head region. In this type of Nasyam strong medicines are used to expel out the Doshas instantaneously from the head region.

Brimhana Nasyam: This Nasyam treatment nourishes and strengthens the head region, senses and intellectual functions. It builds up the weaker parts and is indicated in Vata diseases of the head like migraine, loss of voice, diseases of mouth, difficulty in opening eyes and difficulty in lifting hand. Meat soup and ghee medicated with herbs are used as medicines.

Samana Nasyam: This type of Nasyam subsidises the increase Dosha without expelling it out. It is moderate, neither too strong not too mild. This is good mainly in conditions like skin discolouration, hair loss, eye diseases, Medicated water and milk can be used for this purpose. Amount of medicines used: It can be either 4 drops or 6 drops of medicated oil depending upon the Dosha involvement.

In Navarakizhi Medicated oil is first applied liberally over the patient’s body. Then the body is massaged with small linen bags filled with cooked Navara rice. The rice is cooked by boiling it in cow’s milk along with suitable herbs. The linen bags filled with rice are dipped in the same mixture kept boiling over a gentle flame and applied by masseurs at a comfortable temperature over the whole body of the patient.
Virechanam (including purgation) is a sodhana/purificaton treatment. Medicine should be taken on an empty stomach. This is usually done after proper snehapanam and 3 days of fomentation. Medicine shall be in any form, either liquid or powder or oil or jam or decoction. After taking the medicine the patient should drink hot water frequently till bowel movements start. Except hot water no other food shall be taken. The patient has to rest lying on the left hand side. Bowel movements starts with evacuation of solid stools first. After a few times it changes to semi-liquid. If the bowel movements are not satisfactory more and more hot water should be given to induce urge.
Vasti (administration of medicine through rectum) is another sodhana/purification treatment. Vasti is the treatment where herbal medicines like medicated oils/ decoctions/ medicated milk / ghee is administered through rectum using an instrument called Vasthiyantra. Vasti is of three types - Kashayavasti, Snehavasti and Uttaravasti. Among these Kashayavasti and Snehavasti are most commonly practised. In Kashayavasti the treatment is done with a combination of honey, rocksalt, oil, herbal paste and decoction In Snehavasti-medicated oil and ghee is administered through rectum. In Uttaravasti, vasti is given through urethral or vaginal tract. A course of both Kashayavasti and Snehavasti. Kashayavasti is Sodhana - it purifies the body by expelling the impure doshas from the body where as Snehavasti is Brimhana - it nourishes and lubricates the body. These two treatments are always used in combination, thus producing a balance of purification and nourishment in the body. In the usual procedure Snehavasti is given first to lubricate the body. This followed by Kashaya to purify the body
The medicine for Kashaya vasti is prepared by mixing Honey, Rock salt, Oil, Herbal paste and decoction. First honey and rock salt are mixed in a vessel. Then oil is added and mixed well. This is followed by paste and then decoction is added and mixed. This forms a homogenous mixture of honey, rock salt, oil, herbal paste and decoction. This mixture is filled in a sac made of leather after warming a little by keeping in a hot water. The sac is then tied at the end of the vastiyantra (instrument for vasti). The patient should have taken food in the previous night, evacuated and done ablutions in the morning. The patient has to lie down on a wooden cot. His body must be massaged with oil and abdomen should be warmed up. He should lie down on his left side, flexing the right leg and extending the left leg. The nozzle of the instrument and anus of the patient are lubricated first by applying oil. Then the nozzle is carefully introduced into the anus keeping the patient to relax and breathe out. The leather sac containing medicine is the pressed firmly once and medicine is injected into the rectum. A little of the medicine is left in the sac to prevent air entering into the rectum. Then the patient should lie down on his back after completion of vasti. His abdomen should be massaged gently. When urge to pass stool the patient can go to the toilet and evacuate. If he gets clear bowel movements then the treatment is successful. Afterwards he should take bath in warm water and have food
The patient should take light food, then oil massage and bath is given. Soon after he should be laid on comfortable cot neither too high nor too low, on his left side, folding his right thigh and extending the other. The enema nozzle is lubricated with oil and some oil applied in the anus also. The instrument is then filled with the medicated oil and introduced into the rectum in the following manner. It should be pressed without shaking the hands in the direction of the vertebral column, neither too fast nor too slow neither with great force nor with low force in just one attempt. After the administration the person should lye facing upward. Then he should be given massage of abdomen, hand and feet. He must lie extending the entire body with a pillow under his heels. Oil should be smeared all over the body so that the sneha does not come out early. In normal case the enema liquid will go out after one or two hours. If the sneha returns properly at the right time the patient should fast at night and can take breakfast next day morning.
It is called douche in simple terms. It is done after the completion of menstrual cycle when the female genital tract is receptive to the administration of medicated formulation. It is indicated in uterine disorders, Bladder disorders, dysmenorrhoea, menorrhagia, primary infertility .3- 5 ml of medicated unctuous formulation can be administered into the uterine cavity by means of a 5 cc syringe guided with a cusco speculum. It is done for a period of 7 days with gradual increase of dose of the medicine. In men it is done in urethral disorders and known as Urethral douche.
Specially prepared warm herbal oil is poured over the back and retained inside the blackgram paste boundary for the required duration. The healing properties of herbal oil used for this therapy deeply cleans and enriches the blood, builds and strengthens muscle and connective tissues and lubricates the joints keeping them flexible and pain free. Kateevasti alleviates lowerback conditions like lumbar spondylosis, inter vertebral disc prolapse, lumbago and sciatica.
AVP Ayushman Ayurveda Hospital
A unit of The Arya Vaidya Pharmacy (Coimbatore) Ltd.
5th,6th & 7th Floor
Kallai Heights Building
Kallai. P.O, Kozhikode -673003
Tel: +91 495- 2320068