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JANU VASTI THERAPY
The term 'Janu' means knee, and 'Basti' refers to a reservoir. During this treatment, practitioners form a reservoir around the knee joint using a dough made from black gram flour. They then pour warm-medicated oil into this reservoir, nourishing the knee joint and addressing various knee issues.
This is a practical modification of snigdhasweda, where warmed sneha is allowed to stand over knee area for a prescribed period of time. It can be used in Janushoola caused by degenerative joint diseases, but contraindicated in inflammatory conditions
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The black gram flour should be thoroughly mixed with hot water to
make thick dough. 1-2 table spoons of flour should be mixed with water loosely to form a paste. The thick dough should be shaped as about of 3 inches height, 1 inch width and length sufficient to form a ring around the required area. Usually it should be 30 cm for a medium sized adult. The knee joint should be completely exposed and if site of manipulation is hairy, it must be shaved clearly. The patient must then be allowed to lie comfortably over the cot, in supine position. Such position is prescribed for uras and it is named as urovasti. If the procedure is to be done on posterior part, the patient is made to lie on prone position.
The area of application should be thoroughly cleaned and flour dough should be pasted over the line, marked around knee joint like a ring. It should be then reinforced by pressing and sealed properly by flour paste to avoid leakage of oil.
The oil should be warmed over hot water bath, usually warm and comfortable to the patient. The warmed oil should be then poured uniformly into bund constructed up to an extent that oil level stands up to 2 inches above the skin level. It should be allowed to remain there for prescribed time. The temperature of oil must be maintained throughout the procedure by taking some oil out using a cotton and replaced by same amount of warmed oil.
Post Operative Procedure: After the prescribed time, complete oil should be removed and area should be cleaned by wiping with a clean dry cotton towel. The patient should be allowed to remain the same position for half hour.
Burns- Apply cold water and Shatadhouta Ghrita.
Discomfort due to sitting for same posture for long time- Make comfortable positions with correct sized cushions, and massage the areas.
JANU VASTI THERAPY
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