TheTraditionalTreatmentofaPanicAttack:

TheCoiningHealingRitual
Typically the Coining Ritual Consists of Six
Steps

Step I: Initial treatment

(doing the vessels)

Treatment of the head with khyl

oil: dabbing khyl oil below the
nostrils, where it creates a stream
of pungent odor; massaging the
temples in a circular motion with
a finger tip coated with khyl oil;
various other khyl techniques
such as cracking the joints

Step II: Coining

Coining with khyl

oil or ointment along
the trunk and arms

[A few minutes]

[530 minutes]

Step III: Drinking warm

fluid, taking medication

Taking Advil or other

antipyretic, taking
khyl medicine,
drinking warm water

[A few minutes]

Step IV: Doing the Vessels

Doing the vessels, such as

rubbing the body with khyl oil;
massaging the limbs; pulling on
the ears and hair; twisting the
head; cracking the knuckles of
the hands and feet; snapping out
the arms; having someone step
on the vessels
[1545 minutes]

Step V: Creating Bodily Heat by Eating

Hot Fluids and Wrapping the Body

Wrapping the body in blankets

and eating hot rice porridge

[5 minutes to an hour]

Step VI: Sweating

Sweating brings
relief (e.g., escape of
khyl through the
skin pores)

The Possible Positive Effects of the Coining Ritual

Camphor is absorbed into the blood as a result of coining and may
increase vagal tone, which in turn appears to improve orthostatic
adjustment as well as having other effects
The coining rituals creates a space of interpersonal interaction, an
opportunity for affectionate care, a space for conversation
The coining ritual actually heats the body through coining and the
khyl oil, activating metaphors of warmth and security (ko kdaw)
The coining ritual increases physical and psychological flexibility
through direct, body-work-type healing effects: the flexile body
resulting from massage and other techniques as an embodied metaphor
of flexible adjustment