Materials required:

1. Rexin/leather (75 cm X 20 cm)- 1
2. Black gram flour – 200 g
3. Taila – 1.5 litres
4. Cotton ribbon (120 cm X 10 cm)- 2 strips, moderately tough, clean and dry
5. Spoon -1
6. Vessel (2 litre) -1
7. Large vessel- 1
8. Rasnadi choorna- 5 g
9. Oil for abhyanga- 100 ml
10. Soft towel- 2
11. Hot waterbath-1
12. Armed chair of knee-height- 1
13. Attendent-2

Pre operative procedure:

Shave the head completely. Do generalised abhyanga. Keep cotton cloth in both ears to prevent the entry of oil in to the ear. Bowel and bladder should be emptied.

Procedure:

The patient should be properly seated in an armed chair. The strip of cloth smeared with the paste of black gram flour is to be wound round the head 2 cm above the eye brows. It should be tight enough to prevent leaking of the oil, but not causing any discomfort. The rexin or leather should be fixed over the strap and the junctions are sealed with black gram paste. Another layer of cloth strap smeared with the black gram paste is wrapped over this, sealing the junction of rexin and skin layer. The medicated oil is warmed to just above body temperature and poured into the vastiputaka with a strip of cloth touching the scalp and oil being poured from the other end or a long piece of coconut leaflet held obliquely inside the vastiputaka 2 –3cm above the scalp. The oil is filled up to a height of 2-3cm above the hair root. To maintain the temperature, some amount of oil should be replaced with warm oil at regular intervals. The procedure should continue till secretions through nose, throat and eyes are observed. In case of non attainment of these lakshanas the time should be fixed as 30 minutes for Kapha, 40 minutes for Pitta and 50 minutes for Vata. The patient should sit comfortably with eyes closed. Oil in kharapaka is preferred. Temperature of the oil should be just above body temperature. During procedure gentle massage to neck and shoulders should be done frequently. Movements of neck should be prevented.

Postoperative procedure:

At the end of the procedure, a passage is made above the ear, to remove the oil. Oil over the head must be wiped out with a dry cloth, and abhyanga is done over head, shoulder, palms and soles. Rasnadi choorna is rubbed over the head. Take rest for one hour and then, patient should take bath with lukewarm water..

Time: 3-6 pm, for 7 days

Precautions:

1. Ensure that there is no hole in the junction of the cap before pouring to check leakage of oil.
2. Ensure the uniformity of the taila temperature.
3. Should not heat oil over direct fire, heat through boiling water.
4. Patient should not sleep, sneeze, and laugh during the treatment.
5. Avoid cold food items, cold breeze exposure.
6. Avoid very hot and cold conditions.
7. Avoid head bath if the disease is contra indicated for the same such as Ardita.

Complications and management:

1. Sneezing and rhinitis– Talam with Rasnadi choorna and Jambeera swarasa, dhoomapana with Haridra dhooma varti
2. Neck pain– Local massage
3. Heaviness of head– Stop the procedure and treat accordingly
4. Fainting, Headache & Shivering. Treat accordingly.