Inducing perspiration by applying the warm paste of rice is referred as annalepana. The whole body below the neck or a portion of the body may be conveniently subjected to the svedana therapy by this procedure, and this belongs to the category of agnisveda, as well as snigdha sveda. In this procedure the rice that grows in 60 days is preferred for carrying out the treatment. This is an easy and effective procedure of svedana and is ideal for healthy persons, in children and also in clients suffering from illness due to morbid vata dosha.
This procedure is indicated both in healthy as well as diseased. Since this is a form of snigdha sveda; all the beneficial effects of svedana can be effectively obtained by this procedure. Hence annalepana is indicated in all the condition where svedana is indicated. More specifically this procedure is ideal.
More specifically this procedure is ideal for following disorders:
- Hemiparesis due to different causes.
- Motor neuron disease.
- Degenerative disorders of the nervous system
- Bulbar palsy
- Parkinsonian syndrome.
- Rheumatoid arthritis
- Peripheral vascular disease
- General debility
The soft thick paste of rice is prepared well in advance. The client in minimum dress is subjected to sharirabhyanga. This is followed by application of the paste of rice all over the body below the neck; simultaneously the gentle massage is also carried out. After finishing the complete application of a paste of rice, it is removed by scraping. Oil is once again applied to the whole body and then the client is allowed to take hot water bath.
- PREPARATION OF THE CLIENT
Morning hour after evacuating the bowel and bladder, after brushing the teeth, and before taking the breakfast is the ideal time for this procedure. The client may be allowed to do some warming up exercise. Following chanting of svastivachana hymn or prayer, the client in minimum dress is made to lie down on the Abhyanga table.
To begin with, the client is subjected to sharirabhyanga. The oil for this may be selected according to the prakriti or illness the client is suffering from. The shiroabhyanga may be conveniently performed in the sitting position of the client, and the remaining portion of the body is subjected to abhyanga in the lying down position.
- POSITION OF THE CLIENT
Annalepana is carried out first in supine, prone, left lateral and then in right lateral position of the client. Anterior portions of the body are treated with annalepana in the supine position of the client, the back is treated in the prone position and the laterals of the body is treated in left and right lateral position.
Four therapists simultaneously performing the annalepana in a synchronized manner on different parts of the client’s body is most ideal. Two therapists stand on the left side of the client and the other two on the right side. Two therapists standing at the head end of the client on either side perform sedation on the upper part of the body. The other two therapists standing at the foot end side perform svedana on the lower portions of the body on either side. As an alternative two or one therapist may carry out this procedure but it takes comparatively more time.
- MASSAGING WITH APPLICATION OF PASTE OF RICE
To begin with a warm paste of rice is smeared on the client’s body and is followed by a gentle massage in a specific manner. Extremities are massaged in the linear fashion, and circular massage is done on the trunk as well as joints.
- LINEAR MASSAGE
Arm, forearm, thigh, leg, anterior trunk and back region are massaged with the palmar aspect of the hand in linear fashion. Also, the massage is done by moving one or both the palms from the proximal part to the distal one in arm, forearm, thigh, and legs. Further, in the trunk massage is carried out from below upwards. Anteriorly the massage is done by moving the palms from the lower abdomen to the shoulders. And in the back for massaging the palms are moved from low back region to the shoulders. This linear maneuver is done in the supine, prone and lateral position of the client to cover all these parts completely.
- CIRCULAR MASSAGE
Following smearing of the paste, the anterior and back of the trunk, as well as the joints, is subjected to gentle massage in the circular fashion. The joints that are treated by this circular massage include shoulders, elbow, wrist, hip, knee, and ankles. Also to cover these parts completely the massaging is continued in all the supine, prone and lateral position of the client.Thus smearing the paste of rice followed by the specific massage is continued for about 60 to 90 minutes.
- REMOVING THE PASTE OF RICE
The paste of rice sticking on the client’s body can be easily scraped out with the free border of the coconut leaflet. If it is not available, rice paste may be wiped out with a towel.
- AN OINTING THE OIL
After completely scraping the paste of rice, once again the client’s body is anointed with oil.
- AFTER PROCEDURE
After the svedana procedure client is asked to take rest in a chair for about 15 minutes. After this, the client is asked to take bath and to get a refresh. Any tiredness experienced during the svedana procedure will abolish soon after the hot water bath. For cleaning the oil in the body, use of toilet soap should be discouraged. Bengal gram flour may be comfortably used to make the skin oil free. After the sedation procedure client is asked to take light liquid food and rest for few minutes. He should avoid immediate exposure to cold breeze, open air, and contact with cold water.