Ela or ila or patra means leaves; kizhi or pinda means bolus; Swedam means sudation. It is one of the major sudation process using herbal leaves, practiced by Vaidyas (physicians) in Kerala. It is highly effective in ailments affecting bones, joints and nervous system.
Fresh leaves which are having Vata pacifying properties are collected. Most commonly used leaves are leaves of tamarind, Calatropis gigentica, Ricinus communis, drumstick, Vitex nigundo, Adatoda vasica etc. They are chopped and mixed with grated coconut, lemon, turmeric rock salt etc. depending on the condition and the type of physical condition. The mixture is fried in plain sesame oil or other medicated oil as per the requirement. They are divided into four equal parts and tied in a linen cloth in the form of boluses. These are kept in a vessel containing the oil used to fry the ingredients and the vessel is then heated,followed by An Abhyangam (a gentle oil massage) given for about 10 to 15 minutes, the massage is given with warm boluses.
The boluses are applied over the body in seven different postures. Care is taken to maintain the the temperature at around 46 degree centigrade by reheating the bolus over hot vessel. After the procedure, the body is covered with a thick blanket for about 30 minutes.In the end, one has to take Shower with Hot water.
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