Sapo is also applied to superficial burns on the skin. A small stick is made red hot and just the top layer of the skin is burned.
Sapo is then applied onto the burn and thus absorbed into the body.

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Sapo is considered an ‘ordeal’ medicine. This means that your experience within the Sapo Cleanse will most likely be a purification and may not be easy. Once the Sapo is applied to the skin, a feeling of warmth immediately follows. The immediate effects of Sapo are intense and unpleasant but short-lived, usually lasting no more than 30-40 minutes. You will begin to feel the effects within 10secs, they include a feverish rise in temperature, sweating, shivers, and dizziness as the heart rate becomes rapid—possibly reaching more than 190 beats per minute. The blood pressure may rise or fall dramatically, accompanied by an increased awareness of the veins and arteries. Relax into the experience. Many people report a tingling or burning sensation like electricity that starts from the points and spreads through the body. Some may also feel a dissociative or drunken high.  It is helpful to work with the breath: Inhale and receive the medicine with love and trust, exhale and surrender. It is a common experience that the throat will gently swell. This is normal. It will not swell shut.

Overwhelming nausea is generally unavoidable with Sapo and purging is likely—either by vomiting, defecation, or both. Other effects include a feeling of pressure in the head, neck, and torso, stomach pain, inflammation of the throat, dry mouth, blurred vision (or temporary blindness), difficulty moving, and numb, swollen lips and tongue. You will have a bucket handy and you will purge into the bucket. You may also need to go to the bathroom. You will be assisted to do so.

After 15mins, the Sapo medicine will be removed from your body and the major part of your cleanse is over. Many people reporting feeling very peaceful immediately after the treatment and often the next day one feels amazing. After these initial effects have worn off and the heart rate has returned to normal, it may be necessary to rest. Some fall into a dreamless sleep, while others make strange animal noises.

Your experience may feel enhanced following the purge. You may feel great physical strength, sharpened senses, and heightened mental alertness. Desirable after-effects like these may take a day to materialize or they could be immediate. They also tend to include a consistently elevated mood, increased physical and mental energy, decreased stress, and enhanced focus.