REPORT OF PRACTICE

ABHYANGGAM TREATMENT

Writen By :

HERMINESTI

May 2013

THE ARYA VAIDYA PHARMACY TRAINING ACADEMY

PATHANJALIPURI, THADAGAM, MANGARAI, COIMBATORE

A.    Intoduction

Abhyangam is application of oil on head and body followed by gentle massage of body by a trained therapist. The patient will be on the special table and will take seven positions like sitting, lying on back and side etc during the treatment. Abhyanga is done as a single treatment and 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 him/her. 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.

B.     Contents

1. Kindle fire lighting,

2. Heating the oil to taste,

3. Preparing fabric for cap,

4. Prayer,

“OM NAMAMI DHANWANTAREEM ADI DEWAM

SURA ASURAIR VANDITA ON PADMAN

LOKE JARA RUKHBHAYA MRUTHYU NASHAM

DHATARAM EESHAM VIVIDHOUSHA DEENAM”

5. Opening Treatment,

a) The patient sits in a chair, for women's hair down

b) Take oil, for starters to

• In the fontanel,

• The right-left ear

• Right-left shoulder

• Throat

• Right-left elbow

• the right-hand over left

• in the stomach

• Right-angled left foot

• the right foot-left

· then with a hand gesture as meaning nawakam to pay respect to patients who are considered respectable

c) Take oil treatments then slowly pour in the crown of the patient

d) Begin massaging the patient's head with the palm of the hand turning     clockwise 3 times and subsequent movement opposed to well-clockwise 3 times

e) smearing a little oil on the hair for manageability patients

f) Start massaging / massaging head movements:

• Fingers pen-treatments in the stretch,, starting from the center, the crown of the movement of a small lap top / crown of the head to the neck as much as 6-9 times with fingertips that stick in the head, (middle, right side 2, left edge of 2)

• Fingers in Spread apart the with finger motion across the gap into the other fingers

• Movement slowly tp firmly with the hands as above, from top to bottom,, center, right 2, left 2

• From the bottom to the top of a small circular motion, until in the crown of the neck pull down up in such a straight line

• As d scrambled over

• Movement as taking hair with fingertips, leveled, from top center (the fontanel) then the edge of the right and left respectively

g) Rubbing chin (with fingers open) 3 times then forwarded kebahu hand and arm up to the elbow and then back to the chin. Movement of the package is done 3-4 times repeatedly.

h) In the neck movement from front to back. To left hand moves back to the left, and vice versa right hand towards the back right 3 times then passed to shoulders hand and arm up to the elbow and then back to the chin. This movement is repeated 3-4 times.

i) The movement of the head through the shoulder. The way the head is tilted to the left, running from the ear down to the elbow to the hand. Movement of the package is done 3-4 times. Next turn the head is tilted to the right and do the same movement on the left side of the head. Movement of the package is also done as much as 3-4 times.

j) The movement in the face of the patient.

• face smeared with oil evenly

• Massaging mild right and left ears simultaneously

• Using your thumb, lightly massaging the patient's forehead with a semi-circular motion from the center of the forehead to the back of the ear and so continued until the patient's shoulder.

• Using your thumb held together with the index finger, rub in the direction of the eyebrows as much as 4-7 times.

• Using the index finger kerakan unidirectional rotating circle eye area. The first movement is a circular movement that carried out 4-6 times and then forwarded to the inward movement melingkatr for 4-6 times a round.

• Massage the area gently nose

• Massage the under eye area gently with the thumb

• Massage the area gently down her nose

• Massaging daetah slowly down the mouth

• Rubbing cheek by rubbing direction and then reverse into the brush towards the outside

• Massaging gently massage the neck in the direction from top to bottom along the neck

• Massaging the neck and then the back light so continued until the patient's shoulder for 3-5 times.

6. Core treatment

a. Sitting position

1) Clean the soles of the feet of patients with a cloth that has been prepared

2) patients with foot caress the oil,

3) smear the oil all over the body, from the back, arms, abdomen, thighs, and legs.

4) The movement in the back. The twist in the back of the shoulder down 4 times and then passed along the back of the patient play. movement one step is done as much as 3-6 times.

5) The twist along the patient's back down which was as much as 3-6 times round

6) Rub both sides of the shoulder (front and rear) with the right hand and left

7) Rubbing the top of the shoulder

8) Back rub shoulders two sides (front and rear) with the right hand and left

9) Rub the right shoulder width to the left shoulder using both hands right and left

10) using the patient's hand rubbing along the right and left hand turns

11) Rub palms

12) Movement rubbing feet from toe to upper thigh of patients with anti-clockwise direction. This movement started from the bottom of the foot towards the outside of the upper inner thigh. This movement was as much as 4-7 times. Then finishing the closing movement by transmitting the outward movement of the patient's body (motion sickness shoo) is done quickly.

b. Lying position (Supain Position)

1) Smear the patient's entire body with oil

2) Movement initiated from the patient's abdomen. Circular motion clockwise 4 times, and then forwarded to the patient's shoulder and along the arm.

3) Movement in the hands of patients. The average movement is performed in the same treatments that movement of the outer side of the body inward toward the body. The position of the hands palms together and lock arms open using the thumb and left hand. Movement along this hand done as much as 4-6 times

4) Return the same movement on the number (2), namely Rotating clockwise 4 times, and then forwarded to the patient's shoulder and along the arm.

5) Rub hands with open fingers of the patient, patient's palms attached to the bed.

6) Rotating clockwise 4 times, and then forwarded to the patient's shoulder and along the arm.

7) Movement on the patient's thigh. Patient's thigh rubbing motion with the anti-clockwise direction. This movement started from the bottom outer thighs toward the upper inner thigh. The motion carried 4-7 times as much.

8) Movement rubbing the lower leg, from the tip down to the elbow feet. This movement started from the bottom side toward the outside of the foot to the inside of the elbow. The motion carried 4-7 times as much.

9) Movement rubbing feet from toe to upper thigh of patients with anti-clockwise direction. This movement started from the bottom of the foot towards the outside of the upper inner thigh. This movement was as much as 4-7 times

10) Foot rub

11) Scrubbing ankle

12) Rub on the soles of feet

13) Massaging elbow

14)  With the same movement points (9), Movement rubbing feet from toe to upper thigh of patients with anti-clockwise direction. This movement started from the bottom of the foot towards the outside of the upper inner thigh. The motion carried 4-7 times as much.

15) Return gets stomach, Rotating clockwise 4 times, passed on to the shoulders and along the patient's hand and returned to the toe. The motion carried 4-6 times as much back and forth.

16) In one position, the closing movement by transmitting the outward movement of the patient's body (motion sickness shoo) is done quickly. This movement could mean that the current position has been completed and replace it with the next position.

 17) In one position, the closing movement by transmitting the outward movement of the patient's body (motion sickness shoo) is done quickly. This movement could mean that the current position has been completed and replace it with the next position.

c. Side to The Right (right Lateral)

1) Pen-treatments right start with movement along the left arm at this position, the patient's left hand is above the patient's right hand. While pentreatmen left back rub patients using both hands. Starting from the bottom center moving back to the upper back and then up above, right hand and left hand split (right hand moves to the back of the upper right toward the lower back, and the left hand moves to the back of the upper left toward the lower back). This movement is conducted each 4-7 times as much.

2) Movement scrubbing width and length of the back with a clockwise direction of motion is done as much as 4-7 times. The motion carried by two pen-treatment simultaneously.

3) thumb lock adjacent palms. For pentreatmen right next to the patient to move a patient's arm from the fingertips toward the direction of the patient's pelvis to the curve of the body. For the pen-treatments that are on the left zig zag movement, this movement consists of 4 counts. The first count of the movement of the lower back rub to the back of the left hemisphere. Then from the first position followed by a second movement that is slanted upward direction of movement is towards the lower right flank. The third movement is forward position toward the end of the second movement of the right upper back and the last movement is pulled into the starting position on the left flank.

4) Furthermore, the movement of the patient's thigh. This movement is the same as before-earlier movement Movement thighs rubbing patients with anti-clockwise direction. This movement started from the bottom outer thighs toward the upper inner thigh. The motion carried 4-7 times as much.

5) Movement rubbing the lower leg, from the tip down to the elbow feet. This movement started from the bottom side toward the outside of the foot to the inside of the elbow. The motion carried 4-7 times as much.

6) Movement rubbing feet from toe to upper thigh of patients with anti-clockwise direction. This movement started from the bottom of the foot towards the outside of the upper inner thigh. This movement was as much as 4-7 times

7) Rubbing the soles of the feet and toes

8) Rubbing ankle

9) Rub on your feet approximately 10 cm long

10) Scrubbing ankle

11) Massaging the leg elbow

12) Back at rubbing motion foot from toe to upper thigh of patients with anti-clockwise direction. This movement started from the bottom of the foot towards the outside of the upper inner thigh. This movement was as much as 4-7 times

13) Movement to a patient's body length. Movement of the toe to be forwarded to the patient's shoulder and along hands and back up at the toe. The motion carried 4-6 times as much back and forth.

14) Closing movement by transmitting the outward movement of the patient's body (motion sickness shoo) is done quickly

d. Lying position (Supain Position)

1) smear the patient's entire body with oil

2) Movement initiated from the patient's abdomen. Circular motion clockwise 4 times, and then forwarded to the patient's shoulder and along the arm.

3) Movement in the hands of patients. The average movement is performed in the same treatments that movement of the outer side of the body inward toward the body. The position of the hands palms together and lock arms open using the thumb and left hand. Movement along this hand done as much as 4-6 times

4) Return the same movement on the number (2), namely Rotating clockwise 4 times, and then forwarded to the patient's shoulder and along the arm.

5) Rub hands with open fingers of the patient, patient's palms attached to the bed.

6) Rotating clockwise by 4 kalidi stomach, and then forwarded to the patient's shoulder and along the arm. The motion carried 4-6 times

7) Movement on the patient's thigh. Patient's thigh rubbing motion with the anti-clockwise direction. This movement started from the bottom outer thighs toward the upper inner thigh. The motion carried 4-7 times as much.

8) Movement rubbing the lower leg, from the tip down to the elbow feet. This movement started from the bottom side toward the outside of the foot to the inside of the elbow. The motion carried 4-7 times as much.

9) Movement rubbing feet from toe to upper thigh of patients with anti-clockwise direction. This movement started from the bottom of the foot towards the outside of the upper inner thigh. This movement was as much as 4-7 times

10) Return gets stomach, Rotating clockwise 4 times, passed on to the shoulders and along the patient's hand and returned to the toe. The motion carried 4-6 times as much back and forth.

11) Movement closure motion by transmitting the patient's body movement outward (shoo motion sickness) were done quickly.

e. Side to The Left (Left Rateral)

1) Pen-treatments left start with movement along the right arm at this position, the patient's right hand is above the patient's left hand. While pentreatmen right back rub patients using both hands. Starting from the bottom center moving back to the upper back and then up above, right hand and left hand split (right hand moves to the back of the upper right toward the lower back, and the left hand moves to the back of the upper left toward the lower back). This movement is conducted each 4-7 times as much.

2) Movement scrubbing width and length of the back with a clockwise direction of motion is done as much as 4-7 times. The motion carried by two pen-treatment simultaneously.

3) thumb lock adjacent palms. For pentreatmen who are patient enough to move the left hand from the fingertips to the patient's pelvis to the direction of the patient's body curve. For the pen-treatments that are on the right, zig zag movement, this movement consists of 4 counts. The first count of the movement of the lower back rub to the back of the right hemisphere. Then from the first position followed by a second movement that is slanted upward direction of movement is towards the bottom left flank. The third movement is forward position towards the back end of the second movement on the left and the last movement is pulling into its initial position on the right flank.

4) Furthermore, the movement of the patient's thigh. This movement is the same as before-earlier movement Movement thighs rubbing patients with anti-clockwise direction. This movement started from the bottom outer thighs toward the upper inner thigh. The motion carried 4-7 times as much.

5) Movement rubbing the lower leg, from the tip down to the elbow feet. This movement started from the bottom side toward the outside of the foot to the inside of the elbow. The motion carried 4-7 times as much.

6) Movement rubbing feet from toe to upper thigh of patients with anti-clockwise direction. This movement started from the bottom of the foot towards the outside of the upper inner thigh. This movement was as much as 4-7 times

7) Rubbing the soles of the feet and toes

8) Rubbing ankle

9) Rub on your feet approximately 10 cm long

10) Scrubbing ankle

11) Massaging the leg elbow

12) Back at rubbing motion foot from toe to upper thigh of patients with anti-clockwise direction. This movement started from the bottom of the foot towards the outside of the upper inner thigh. This movement was as much as 4-7 times

13) Movement to a patient's body length. Movement of the toe to be forwarded to the patient's shoulder and along hands and back up at the toe. The motion carried 4-6 times as much back and forth.

14) Closing movement by transmitting the outward movement of the patient's body (motion sickness shoo) is done quickly.

 f. Lying Position (Supain Position)

1) smear the patient's body with oil

2) Movement initiated from the patient's abdomen. Circular motion clockwise 4 times, and then forwarded to the patient's shoulder and along the arm.

3) Movement in the hands of patients. The average movement is performed in the same treatments that movement of the outer side of the body inward toward the body. The position of the hands palms together and lock arms open using the thumb and left hand. Movement along this hand done as much as 4-6 times

4) Return the same movement on the number (2), namely Rotating clockwise 4 times, and then forwarded to the patient's shoulder and along the arm.

5) Rub hands with open fingers of the patient, patient's palms attached to the bed.

6) Rotating clockwise 4 times, and then forwarded to the patient's shoulder and along the arm.

7) Movement on the patient's thigh. Patient's thigh rubbing motion with the anti-clockwise direction. This movement started from the bottom outer thighs toward the upper inner thigh. The motion carried 4-7 times as much.

8) Movement rubbing the lower leg, from the tip down to the elbow feet. This movement started from the bottom side toward the outside of the foot to the inside of the elbow. The motion carried 4-7 times as much.

9) Movement rubbing feet from toe to upper thigh of patients with anti-clockwise direction. This movement started from the bottom of the foot towards the outside of the upper inner thigh. This movement was as much as 4-7 times

10) Rub your feet and toes

11) Scrubbing ankle

12) Rub on your feet approximately 10 cm long

13) Scrubbing ankle

14) Massaging elbow

15) with the same movement points (9), Movement rubbing feet from toe to upper thigh of patients with anti-clockwise direction. This movement started from the bottom of the foot towards the outside of the upper inner thigh. The motion carried 4-7 times as much.

16) Return gets stomach, Rotating clockwise 4 times, passed on to the shoulders and along the patient's hand and returned to the toe. The motion carried 4-6 times as much back and forth.

17) In one position, the closing movement by transmitting the outward movement of the patient's body (motion sickness shoo) is done quickly. This movement could mean that the current position has been completed and replace it with the next position.

 g. Sitting Position

1) smear the body with oil, from the back, arms, abdomen, thighs, and legs.

2) The movement in the back. The twist in the back of the shoulder down 4 times and then passed along the back of the patient play. Kerakan one step is done as much as 3-6 times.

3) The twist along the patient's back down which was as much as 3-6 times a round.

4) Rub both sides of the shoulder (front and rear) with the right hand and left

5) Rub the top of the shoulder

6) Back shoulder enggosok two sides (front and rear) with the right hand and left

7) Rubbing shoulder width apart right up to the left shoulder using both hands right and left

8) using the patient's hand rubbing along the right and left hand turns

9) Rub the palms and fingers continued to patient.

10) Movement rubbing feet from toe to upper thigh of patients with anti-clockwise direction. This movement started from the bottom of the foot towards the outside of the upper inner thigh. The motion carried 4-7 times as much.

11) Closing movement by transmitting the outward movement of the patient's body (motion sickness shoo) is done quickly.

12) Clean the patient's palms and soles of the feet of patients using a cloth that has been prepared.

7. finishing Treatment

a. Prepare hot water for bathing patients.

b. Setting up a green powder that is mixed with water to body scrubs. Green powder serves to release the oil that is in the patient's body.

c. Allow the patient to sit in a chair

d. Started smearing the whole body of patients with scrub gently rubbed with a green powder

e. Once done, rinse with warm water that has been prepared

f. Dry the patient's body with a towel.