Procedure of holding oil or decoctions in the buccal cavity following by gargling for a certain period is known as kavala. If plain or medicated oil is used in the procedure then it is referred as sneha kavala. This therapy is somewhat similar to the gandusha. In case of gandusha liquid medicine is kept in the mouth undisturbed for a specific period. In contrast to this liquid medicine is used for gargling in case of kavala. Medicines used in the kavala have both local and systemic effect. Medicines having qualities like vyavayi and vikasi tend to get absorbed in to the blood and then get distributed ubiquitously in the body to exhibit systemic effect. More over mucous membrane of the buccal cavity is one of the local routes of drug administration. Lipid soluble drug are said to get absorbed rapidly through this mucous membrane. The drugs directly enter into the systemic circulation bypassing the liver exhibiting their unique pharmacological action.
TYPES OF KAVALA
In accordance with the variation in the therapeutic effect there are four types of kavala. They are named as snehi kavala, prasadi kavala, shodhi kavala and ropana kavala.
When unctuous and warm liquid medicine is used in the form of kavala, then it is called as snehi kavala. This type of kavala is effective in correcting the imbalances of the vata dosha in the mouth.
Sweet and cool infusion or oil is used in the form of kavala for the alleviation of vitiated pitta dosha in the buccal cavity. This type of kavala is known as prasadi kavala.
Kavala may be performed by using warm irritant oil or infusion, consisting of pungent, sour as well as salt taste. This type of kavala is known by the name shodhi kavala and is capable of clearing the vitiation of kapha dosha in the mouth.
Astringent, sweet, bitter and pungent herbs having the therapeutic effect of healing the ulcers is used in the ropana type of kavala.
Manyastambha* Cures pain in the sides of the neck.
Siro roga * Effective in complete remission of headache.
Karna roga * Helpful in overcoming the diseases of the ear.
Akshi roga * Diseases of the eye may be effectively treated
Mukha roga * Chief and effective remedy in disease related
To the mouth.
Praseka * Controls salivary secretions.
Kanthamaya * Effective remedy for diseases of throat.
Vaktra shosha * Prevents and cures dryness of mouth.
Tandra * Beneficial in relieving the drowsiness.
Pinasa * Useful in the treatment of rhinitis.
Hrillasa * Nausea can be controlled by the kavala
Aruchi * Corrects the tasteless in the mouth.
Hanvorbalam * Improves the strength of mandible.
Svarabalam * Voice becomes more effective and melodious.
Vadanopachaya* Kavala nourishes the mouth.
Param * Capability of the tongue in perceiving the taste
Rasajnanam sensation is improved.
Na chasya kan-* Snehi kavala prevents dryness of the throat.
Na oshthayoh * By the regular practice of kavala, lips never
Sphutanadbhayam : develop cracks.
Dridhamula * Improves the stability of the teeth and gums
Danta : and hence teeth do not fall even during the old
Krimi danta * Prevents dental carried.
Na shulyante * By the regular practice of kavala one can
Prevent tooth avhe.
Na hrishyante * By the use of kavala there will not be any fear of developing dental hypersensitivity.
Kharan bhaks-* Teeth become so strong to eat any hard food
To begin with the client is treated with abhyanga of face and anterior neck followed by svedana to these parts. Then the liquid medicine kept in the mouth and gargled for a desired period. This is the procedure of kavala in short.
- MASSAGING THE FACE AND ANTERIOR NECK
- SVEDANA TO THE FACE AND NECK
- OIL IS HEATED
- FILLING THE MOUTH WITH OIL
- CLEARING THE MOUTH
DURATION OF KAVALA
Gargling continued till the client develops following symptoms:
Kapha purnasyata * Filling of the throat by oropharyngea secretions.
Ghrana srava * Watery discharge from the nose.
Akshi srava * Watering of the eyes.
Ones the client develops these symptoms, he can spit out the oil. If required the procedure may be repeated.