Anagni Swedana is a non-fire-based Ayurvedic sudation therapy used for relaxation, pain relief, and restoring balance according to dosha, disease and patient strength. Methods: A three-phase study was conducted. First, classical Ayurvedic texts were reviewed to identify descriptions of Swedana and Anagni Swedana. Next, the techniques were critically analyzed and classified into eight domains. Finally, a validated questionnaire survey was conducted among 104 senior Ayurveda practitioners in Kerala to assess their knowledge, attitude, and practice about Anagni sweda. Results: The review established both similarities and discrepancies in textual descriptions of Anagni Swedana. Practitioners demonstrated strong theoretical understanding but varied in actual clinical use. The survey highlighted inconsistencies in application regarding dosha, disease strength, patient condition and other contextual factors.