Saturday, May 15, 2010

Oil Massage (Abhyangam)


ABHYANGAM (OIL MASSAGE)

Introduction:


It is the procedure by which applying medicated oil whole over the body massaging for half to one hour according to the condition of the patient


Procedure of Abhyanga performed in our hospital:

*After completion of the process of digestion of the food taken in previous day


*Body massage is done with medicated oil according to the condition of patient, prakriti (nature) of patient & according to season


*Medicated oil is made lukewarm, direct heating of oil is prohibited as it destroys the property of oil. So oil is heated by keeping the medicated oil in vessel & which is kept in boiling water


*At first oil is applied to head, usually cold oil is used, before applying 1minute silent prayer is done to god


*After that the lukewarm medicated oil is applied to face, ears, soles of hand & leg are stretched out & the massage is done to the upper part of the body along the direction of the hair follicle


*2 massage / therapists used to do on either side of the body in a synchronizing manner , specific time is done on each part of the body more concentration is given to the effected part


*The soft areas like chest stomach etc the massaging is done with less pressure


*then the lower part of the body massaging is done


*In every joints round massage is done


*Then the patient is made to lie down in supine position


*Then left lateral position


*then right lateral position


*Then prone position (if the patient is having any heart complaint or breathing problem or chest pain this position is not mandatory)


*then patient is made to sit & massage is done


*This procedure are usually done for 45 minutes it varies according to the condition of patient


*After this the patient is made to bath in lukewarm water


*Applying green gram powder all over the body instead of soap*After bath medicated choornam which is given to apply on head
Posted by:
Dr. Sanand Ratnam Thekkayil
Member, British Society for Rheumatology

Friday, May 14, 2010



Rheumatic Fever-Ayurvedic Concept

Introduction :
Term Rheumatic refers to pain in muscles, bones or joints. In Rheumatic Fever, fever will be accompanied with swelling, pain in the joints especially small joints.
One saying is there that “Rheumatic fever licks the joints, Bites the heart and kicks the Brain”.
Ayurvedic View :
In Ayurveda Rheumatic Fever is considered to be Amavatha. It is a dreadful disease which will make patient completely Bed ridden if not treated properly.
Clinical Features:
Clinical features of Amavatha are pain all over the body (Joints) loss of taste, thirst, lack of enthusiasm, heaviness, fever, indigestion and swelling of the body parts (joints).
Pathogenesis:
Ama (indigested food) associated with Vatha moves quickly to the different seats of Kapha in the Body, filling them and the dhamanies (Blood vessels) with waste materials. There the bad end product of digestion associated with vatha, pitha and Kapha assuming different colours, blocks the tissue parts and the passage with thick waxy materials. It produces weakness and heaviness of the heart which becomes the seat of the disease.
Treatment:
Since the origin of disease is in stomach first line of treatment should be to strengthened the digestive system, so as to remove amadosha (indigested food). For that purpose patient has to take drugs which are appetizers and laxatives, externally patient has to undergo Choornakizhi (Procedure in which patient is made to lie on a wooden table and strokes are given with medicated bolus by 2 trained masseurs for certain period).
Once the patient gets proper digestion and motion patient should undergo Elakizhi, pizhichil etc for the recuperation and complete recovery.
From my personal experience treatment procedure mentioned above has been very effective for Rheumatic fever patients and recurrence is very less.
Do's and Don't for Rheumatic Fever patients :-
Patient has to take complete bed rest
Should not take heavy foods which are hard to digest
Take only hot water
Avoid exercise
Avoid taking bath
Take gruel and light food

Posted by:

Dr. Sanand Ratnam Thekkayil

drsanand@live.com

http://www.ayurvedichospitalkerala.com/