HOT FOMENTATION TREATMENT Hot fomentations increase circulation and decrease chest congestion. They are a great treatments for a variety of acute conditions including bronchitis, coughs, chest colds, influenza, asthma, gallstones, dysmenorrhea and insomnia. Contraindications: Do not use hot fomentations over areas of decreased/absent sensation, hemorrhage, gastric ulcers, malignancy, peripheral vascular disease, conditions aggravated by extreme cold. Caution: Speak to your physician regarding changes in treatment for patients with asthma or other conditions that are induced or made worse by cold applications. Supplies: 2 Wool Blankets (polyester if wool unavailable, but not cotton) 3 Washcloths in a bowl of ice water 1 Sheet 6 Medium hand or face towels Hot water bottle 2 basins - one for hot (near boiling) water and the other for cold (ice) water Pillow Prepartation 1. Spread 2 blankets lengthwise on a bed and cover with a sheet. 2. Place the two water filled basins and the hot water bottle nearby. Put two towels in the hot basin and a washcloth in the cold. Procedure 1. The person to be treated should disrobe down to their underwear and lie on their back atop the blanket and sheet. Place the hot water bottle at their feet. Wrap the patient tightly with the blankets leaving the chest free. 2. Wring out 2 towels in hot water and apply them to the chest/abdomen. Wrap sheet and blanket tightly around the whole body "mummy-style". DO NOT BURN THE PATIENT. It is advisable to test the towel on the patient's arm prior to placing on the chest. 3. Place a cold wash cloth on the patient's forehead and place two more towels in the hot water 4. After three minutes, remove the towels from the chest and replace them with two fresh hot ones. 5. After three more minutes, remove the second set of towels. Have the patient sit up, and briskly rub the patient's back and chest for 30 seconds with one of the cold washcloths. 6. Repeat the process one last time (for a total of three cycles). After the last round of hot towels are removed, apply the cold friction to the whole body starting with the hands and arms, chest and back, then the legs and feet. Dip the washcloth into the cold water frequently during the friction rub. 7. Dry the patient and bundle warmly. Have them rest for at least 10 minutes or go to bed. If they are fighting an acute infection, this may help them to spike a fever and start the healing process.