Navara Kizhi is one of the important treatment modalities which is used as a swedana karma. Navara kizhi is a type of bhrimhana Sweda or nourishing therapy.

Shastika Shali(Navara) Means rice which is grown in 60 days. This rice with special medicinal values is used as main ingredient in the procedure and so the name Shastika Shali or Nyavara. Pinda means a bolus. Sweda means Fomentation or sudation.

A bolus which is prepared with the medicated rice along with the other herbal medicines used for sudation is called Navara Kizhi or Shastika Shali Pinda Sweda.

Treatment procedure.
The treatment procedure is divided in to three parts…

Purva karma(pre procedure)
Pradhana Karma(main Procedure)
Pashyat Karma(Post Procedure)

PURVA KARMA (PRE PROCEDURE)
Selection of the patient:-
Selection of the patient for this procedure depends up on the diagnosis which is done with
Astha vidha pareeksha (eight fold examination)and Dashavidha Pareeksha’s(ten fold examination) which is done by a qualified physician.

Selection of the medicine
The Shastika Shali which a medicated rice grown in 60 days is selected and processed with different kinds of herbs and milk according to the condition of the patients depending Rogi bala(Strength of the patient) and Roga Bala(severity of the disease).
These Shastika Shali cooked with the herbs and milk and the prepared medicine is taken in a cloth and tied in the form of bolus.

PRADHANA KARMA(MAIN PROCEDURE)
The person is made to lie on the droni, Abhyanga(massage) is performed for a few minutes with medicated oil followed with Navara Kizhi, where the bolus which is prepared with the medicated Navara herbs is dipped in the Medicated milk and sudation is given to the entire body or locally as per the condition of the patient.
Duration of the treatment—25 to 30 min
PASHYAT KARMA(POST PROCEDURE)
After the treatment the person is advised to take rest for a while.

Benefits of Patra Pinda Sweda:

• It promotes the peripheral vascular circulation
• Stimulates the nerve endings in the periphery
• Restores vitality and enthusiasm
• Stimulates brain cells by reverse stimulation method
• Gives strength to the muscles
• Activate peripheral nervous system
• Improves skin texture and circulation
• Induces good sleep and reduces the stress.

INDICATIONS:

• Under weight
• Arthritis
• Muscular disorders
• Neurological disorders
• Diabetic neuropathy
• Osteoporosis
• ankylosing spondylosis
• motor neuron disease
• residual hemiplegia/paraplegia
• Pseudomuscular hypertrophy
• Chronic rheumatoid arthritis
• Sciatica
• Multiple sclerosis
• Cervical and lumbar spondylosis
• Parkinsonism
• Chronic arthritis

MODE OF ACTION

This treatment acts as both Snehana and Swedana:

The therapeutic action of Ela kizhi is because of the pharmacological action of Herbal drugs which are used in the therapy. Therapeutic action of the procedure Sudation, which is performed in the therapy.

Skin is a large, highly complex organ and structurally integrated organ system and the component of the skin are cutaneous membrane associated with hair, nails and exocrine glands, the cutaneous membrane has two components, superficial epithelium or epidermis and the underlying connective tissue of the dermis. The function of the skin is supported by an extensive network of blood vessels branch, and sensory receptors that monitor touch, pressure, temperature and pain.

When the procedure starts, due to the increased temperature which is more than 2 to 3 c and because of the pharmacological action of the medicine vasodilatation will happen all over the body.As a result of vasodilatation an increased flow of blood through the area occurs so that the necessary oxygen and nutritive materials are supplied and toxins are removed. The active ingredients of medicinal herbs helps to act as muscular relaxants, reduces the pain, inflammation and stiffness

This therapy produces sudation effect because of the medicinal action and temperature and act as a counter irritant which is the thermal stimulus and may affect the pain sensation. It also induces muscles relaxation and increases the efficiency of muscle action as the increased blood supply ensures the optimum condition for muscle contraction. That is because both eccrine and apocrine sweat glands are innervated by postganglionic sympathetic fibres that helps to have control on limbic system.

Healing earth Multispecialty ayurveda hospital gives importance to the selection of the medicine, the rice and the procedure, so that to avoid any kind of complications and to give the optimal results.