Sunday, 21 July 2024
Wednesday, 18 March 2020
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.
Sunday, 25 August 2019
Wednesday, 27 December 2017
THE EFFICACY OF LAGHUMALINIVASANT IN UPVISHTAK (Intra ...
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