DHOOPAN

DHOOPAN

 Definition:

·        Medicated fumes used for local treatment is called as DHOOPAN.

·        It acts as Antimicrobial, Anti-inflammatory, analgesic. Hence it used in puerperium to avoid infection of lochia, episiotomy wound care, & as an analgesic.

·        For same purpose, it is also used in gynecological disorders.

Indications-

·        Post-natal/Puerperal patients from 2 day up to 7 day having episiotomy wound.

·        Per vaginal white discharge.

·        Itching at vulva & vagina.

Contra indications:

Patient having severe anemia, Complaining weakness,giddiness,Ca-Cervix, Asthma.

Scope: - All patients having above indications

5.2 Pre-operative procedure:  ( purva karma

Collection of Instruments & equipment,

·        Specially designed Dhoopan chair (commode chair), thick perforated steel pan, and a well-ventilated room.

·        Charcoal, kerosene, matchbox etc.

·        Powders of Aquilaria agalocha, Commiphora mukul, sausuria lappa & ghee.

            Preparation of patient

·                    Well informed consent.

·        Patient is asked to have light breakfast and asked to empty bowel and bladder. Perineal area cleansed with warm water.

·        Sesame Oil applied on vaginal orifice & vulval area.

Operative Procedure:(pradhan karma)

·        Sitting position is given to patient (on Dhoopan Chair, 1.5 feet away from fire).

·        Glowing white charcoal is put on steel pan centrally under the chair.

·        Dhoopan is given by choorna (powders of drugs). These Powders each in 1gm amount are mixed with ghrita and then deposited over burning charcoal (100gm) and the smoke or fumes arising are directed at vulval region (yoni).

·        Time for dhupan - 5 min in the morning.

·        Duration of dhoopan - This treatment is given for 7 days.

 Post procedure: (paschat karma )

·        Patient is checked for any untoward symptoms like dizziness or dyspnoea.

·        She is asked to get up and to leave the Dhoopan room with an attendant.

·        The attendant accompanies her till she reaches her bed.

 Complications:  ( updrav )

·        Complications - Giddiness, Suffocation.

 Preventive Measures  ( pratibandhatmak )

·        A well ventilated room.

·        Oxygen cylinder with mask.

·        Nebulizer machine with solutions like salbutamol.

·        Pulse-oxy meter.

Emergency Management  ( atyayik chikitsa )

·        If the patient complains of dyspnea or dizziness, abandon the procedure and remove the burning charcoal steel pan out of the room and douse the fire.

·        Call for help (physician or intensivist).

·        Take the patient to her bed and give propped up position.

·        Check the pulse, blood pressure, skin color, breathing pattern and oxymetry.

·        Open the door of the room as well as start the exhaust fan.

·        Start oxygen inhalation (6 lit/min) with mask and/or nebulization immediately.