NASYANASYAKARMAKARMA

By By

Dr. B. ARUN KUMARDr. B. ARUN KUMAR MD (Ay)MD (Ay)

NASYA SAMANYA NASYA SAMANYA PARICHAYPARICHAY

ना�सा�या�म्� भवं नास्याम्� By Aruna datta ना�सा�ग्रह्य by Bhava prakasha

औषधम्� औषध सिसाधम्� स्ना�हो� वं� नासिसाका�भ्याम्� दी�याते� इतिते नास्याम्� by Sushritha.

नास्ते� प्रच्छ्ः� �र्ढ ना by Charaka

A.H.Su.20-1

C.S.Su-1-85

NOSE ANATOMYNOSE ANATOMY The nose consists of the nasal bones, the frontal

process of the maxilla at the root of the nose, and a number of cartilages.

These nasal cartilages are made of hyaline cartilage. These are the lateral nasal cartilages, the greater alar cartilages, and the lesser alar cartilages.

The septal cartilage also forms part of these cartilages. The openings of the nose (nostrils) are the external

nares (external naris singular).

NOSE ANATOMYNOSE ANATOMY The nasal cavity has a wall that runs down the middle of it

called the nasal septum. The septum consists of three parts, the perpendicular plate

of the ethmoid bone (a continuation of the crista galli) , the vomer and the septal cartilage.

At the end of the nasal septum are two holes that separate the nasal cavity from the nasopharynx. These are the choanae or internal nares.

The floor of the nasal cavity is bordered by the hard palate and the soft palate.

At the junction of the crista galli and the perpendicular plate of the ethmoid is the cribriform plate of the ethmoid.

NOSE ANATOMYNOSE ANATOMY When looking at the nasal cavity, if the septal

cartilage is removed you can see the nasal conchae. These structures force the inhaled air to come into contact with the wall of the nasal cavity where the air is warmed and moistened.

There are three nasal conchae, the superior nasal concha, the middle nasal concha, and the inferior nasal concha.

Note the position of the conchae with the nasal bone, the hard palate and the soft palate.

NOSE ANATOMYNOSE ANATOMY The nasal cavity is lined with respiratory epithelium

which is pseudostratified ciliated columnar epithelium with goblet cells.

Respiratory epithelium is found in the nasal cavity, the lower larynx, trachea, and bronchi. The goblet cells secrete mucus which forms a film over the epithelial surface. Dust and other particulate matter sticks to the mucous sheet which is moved by the cilia.

This provides a protective function, removing particulate matter from entering the lungs where it might do damage.

NOSE ANATOMYNOSE ANATOMY

NOSE PHYSIOLOGYNOSE PHYSIOLOGY The sense of smell is more complex than the sense of taste.

There are only five primary tastes but many different kinds of smells.

The region that is sensitive to smell is the olfactory epithelium which is located in the superior portion of the nasal cavity.

The olfactory epithelium consists of elongated epithelial cells that are supporting cells with neurons called olfactory cells. These olfactory cells have olfactory hairs on their surface.

Chemicals that are inhaled come into contact with a mucous sheet and are picked up by the olfactory cells.

The sensation of smell is transmitted by the olfactory nervesthrough the cribriform plate of the ethmoid bone and they synapse in the olfactory bulb at the base of the frontal lobe of the brain.

NASYA DRUGS BY NASYA DRUGS BY CHARAKACHARAKA

C.S.SU.2-3,4,5

NASYA DRUGS BY NASYA DRUGS BY CHARAKACHARAKA

C.S.Vi.8-154

Some Some important important

Nasya drugsNasya drugs

APAMARGAAPAMARGA PropertiesProperties—— Rasa -Katu, TiktaRasa -Katu, Tikta Guna- Laghu, Rüksa, TiksnaGuna- Laghu, Rüksa, Tiksna Virya- UsnaVirya- Usna Vipãka- Katu Vipãka- Katu  Karma- Kapha-vatahara, Karma- Kapha-vatahara,

Sirovirecana, Dipana-pacana, Sirovirecana, Dipana-pacana, MedoharaMedoharaIndicationsIndications— Chardi, — Chardi, Hridroga, Adhmãna, Kandü, Hridroga, Adhmãna, Kandü, sula, Udara, Apaci, Raktaras, sula, Udara, Apaci, Raktaras, Visücikã, Krimi, Sidhma, Sadyo Visücikã, Krimi, Sidhma, Sadyo vrana, Mutrakrcchravrana, Mutrakrcchra

PIPPALIPIPPALI PropertiesProperties   Rasa- KatuRasa- Katu Guna- Laghu. Snigdha. Guna- Laghu. Snigdha.

Tiksna (Ardra—Guru)Tiksna (Ardra—Guru) Virya- Usna (Ardra-Sita)Virya- Usna (Ardra-Sita) Vipãka- MadhuraVipãka- Madhura Karma  (Ardra-Kapha Karma  (Ardra-Kapha

vardhaka), Dipana, Vrsya, vardhaka), Dipana, Vrsya, RasayanaRasayana

Indications— Udara. Indications— Udara. Pliharoga, jvara, Kustha, Pliharoga, jvara, Kustha, Prameha, Gulma, Arsas, Prameha, Gulma, Arsas, Amavata .Amavata .

MARICHAMARICHA PropertiesProperties—— Rasa- KatuRasa- Katu Gun-a  Laghu. TikshnaGun-a  Laghu. Tikshna Virya -UsnaVirya -Usna Vipäka-  KatuVipäka-  Katu

Karma- Karma- Kapha-vatahara, Kapha-vatahara, Avrsya. DipanaAvrsya. Dipana, , PramãthiPramãthiIndications— Indications— Pinasa, Pinasa, Kãsa, Pravahik, Hrdroga, Kãsa, Pravahik, Hrdroga, Krmi, sväsa, süla.Krmi, sväsa, süla.• Part Part Used— Fruit . .Used— Fruit . .

  Dosage— Powder Dosage— Powder 0.5-1 g.0.5-1 g.

VIDANGAVIDANGA PropertiesProperties—— Rasa- Katu, KasayaRasa- Katu, Kasaya Guna- Laghu, RUksa, TiksnaGuna- Laghu, RUksa, Tiksna Virya- UsnaVirya- Usna Vipaka- KatuVipaka- Katu

Karma- Visaghna, Krmighna, Karma- Visaghna, Krmighna, Dipana. Dipana. 

External usesExternal uses Bactericidal.  Bactericidal. kushthaghna and shirovirechan. kushthaghna and shirovirechan. Hence it is useful in dental Hence it is useful in dental caries, toothache etc. caries, toothache etc. Decoction is used for gargles in Decoction is used for gargles in dental diseases. dental diseases.

SHIGRUSHIGRU PropertiesProperties—— Rasa- Katu, TiktaRasa- Katu, Tikta Guna- Laghu, Ruksa, TiksnaGuna- Laghu, Ruksa, Tiksna Virya—usnaVirya—usna Vipaka—katuVipaka—katu     Karma- Karma- Kapha-vãtahara, sukrala, Kapha-vãtahara, sukrala,

Grãhi, Dipana, HrdyaGrãhi, Dipana, Hrdya Internal uses-Internal uses-

Nervous system As it is tikshna and Nervous system As it is tikshna and ushna, it is a nerve stimulant. The ushna, it is a nerve stimulant. The non crystalline part of the bark is non crystalline part of the bark is very strong and it acts through very strong and it acts through afferentafferent

  

Nasya drugs by Nasya drugs by SushruthaSushrutha

Su.S.Su.39-6

Nasya drugs by Nasya drugs by VagbhataVagbhata

A.H.Su.15-4

Nasya Varieties by Nasya Varieties by CharakaCharaka

C.S.Si.9-89

Nasya Varieties by Nasya Varieties by SushritaSushrita

Su.Ch.40-21

Nasya Varieties by Nasya Varieties by VagbhataVagbhata

A.H.Su-20-2

Sha.S.U.K 8-2

Sha.S.U.K 8-11

Nasya Varieties by Nasya Varieties by SharangadaharaSharangadahara

Sha.S.U.K 8-24

Nasya Varieties Based on Nasya Varieties Based on Ashraya Bedhas.Ashraya Bedhas.

About About IndividuIndividu

al al NASYANASYA

NAVANA NAVANA NASYANASYA It is one of the important nasya.It is one of the important nasya.

Susrutha mentioned that snehana nasya is equal to Susrutha mentioned that snehana nasya is equal to navana nasyanavana nasya

Anu taila will be used for this.Anu taila will be used for this. With karpasa pichu sneha will be inserted through With karpasa pichu sneha will be inserted through

the nostrils as a drops.the nostrils as a drops.

NAVANA NASYANAVANA NASYA Dosage of sneha nasya.Dosage of sneha nasya. Acc.Susrita it is comes under shirovirechana nasya.Acc.Susrita it is comes under shirovirechana nasya. Acc.Susrita snehana & shodana nasya will be given before Acc.Susrita snehana & shodana nasya will be given before

annakala.annakala.

MatraMatra UttamaUttama MadyamaMadyama HeenaHeena

CharakaCharaka 64 drops64 drops 3232 1616

BhojaBhoja 2424 1616 88

SushritaSushrita 88 66 44

NAVANA NASYANAVANA NASYA In In KaphajaKaphaja diseases nasya given in diseases nasya given in Purvahna kalaPurvahna kala In In PittajaPittaja diseases nasya given in diseases nasya given in Madyaahna kalaMadyaahna kala In In VatajaVataja diseases nasya given in diseases nasya given in Aparahna kalaAparahna kala.. In In Swastha purushaSwastha purusha –during –during winterwinter it is given in it is given in

madyahnamadyahna kala, kala,

during during sharad ritusharad ritu PurvahnaPurvahna kala, kala,

GrishnaGrishna ritu ritu AparahnaAparahna kala, kala,

in in varshavarsha ritu ritu after sun rise.after sun rise.

AVAPEEDANA AVAPEEDANA NASYANASYA It is done with the swarasa/kalka.It is done with the swarasa/kalka.

It is useful in shodana of the doshas.It is useful in shodana of the doshas. For the Rakta stambana purpose ikshurasa/sharkara For the Rakta stambana purpose ikshurasa/sharkara

are used to control the bleeding.are used to control the bleeding. Its dosage is 4/6/8 drops heena/madyama/uttama Its dosage is 4/6/8 drops heena/madyama/uttama

matra.matra. ChakrapaniChakrapani mentioned that 3 karmas for mentioned that 3 karmas for

Avapidana nasya Shodana/stambana/shamana.Avapidana nasya Shodana/stambana/shamana. Dalhana/videha mentioned 2 varieties for this mentioned 2 varieties for this

Sagna prabodaka/Stambana Sagna prabodaka/Stambana

AVAPEEDANA AVAPEEDANA NASYANASYA Indications:

DHMAPANA NASYADHMAPANA NASYA It is also called Prathamana nasya It is one type of shodana nasya Churna is used in this nasya 6 inches tube will be used for this purpose It is useful in manasika rogas, krimija shiro rogas. Its dosage 3 muchiti according to Videha. Muchyuti-how much u take with index finger and thumb

finger that is muchyti. Acc.Videha- make potali with finest powder and put it

before the nostrils and take inspiration, drug will enter into the nostrils from the potali. This is another method. it is safe method for not enters the excessive amount of churna.

DHUMA NASYADHUMA NASYA In this nasya inhalation of dhuma nasya through the In this nasya inhalation of dhuma nasya through the

nostrils will be done.nostrils will be done. ChakrapaniChakrapani mentioned that dhuma which is given mentioned that dhuma which is given

through the nostrils is known as dhuma nasya.through the nostrils is known as dhuma nasya. It is three types 1.prayogika/shamana It is three types 1.prayogika/shamana

2.vairechanika 3. Snaihika.2.vairechanika 3. Snaihika. Nasya netra pramana is in prayogika nasya 36 Nasya netra pramana is in prayogika nasya 36

angula, in vairechanika nasya 24 angula, in sanihika angula, in vairechanika nasya 24 angula, in sanihika nasya 32 angulas.nasya 32 angulas.

In sitting position nasya will be given.In sitting position nasya will be given.

DHUMA NASYADHUMA NASYA With concentrated mind, by closing one nostril, with With concentrated mind, by closing one nostril, with

another nostril inhale the dhuma and exhale with another nostril inhale the dhuma and exhale with closed nostril.closed nostril.

With each nostril it is repeated 3 times.With each nostril it is repeated 3 times. The medicated fumes(bashpa sweda) are prepared The medicated fumes(bashpa sweda) are prepared

with herbs and inhaled through the nostrils are with herbs and inhaled through the nostrils are known as another method of nasya.ex:kantakaryadi known as another method of nasya.ex:kantakaryadi kashaya bashpa sweda nasya to relieve the kashaya bashpa sweda nasya to relieve the congetion of the throat.congetion of the throat.

DHUMA DHUMA NASYANASYAPrayogika

dhuma nasyaSnaihika dhuma nasya

Vairechanika dhuma nasya

Useful drugs Harenu,chandana,ushira,padmaka,gugulu,lodhra,sarjarasa,nagaramotha

Vasa,ghee,wax,jivaniya gana dravya drugs.

Jyotishmati,manahshila,agarupatra,sweta aparajitha.

Dhuma netra pramana

36 Angula 32 angula 24 angula

PRATIMARSHA PRATIMARSHA NASYANASYA Marsha and pratimarsha both are similar but slight Marsha and pratimarsha both are similar but slight

difference in matra only.difference in matra only. In this there is no complications and easy.In this there is no complications and easy.

It doesn’t aggravates any other doshasIt doesn’t aggravates any other doshas It increases the strength of the body.It increases the strength of the body. It is given in all rithus, any time.It is given in all rithus, any time. Its dosage 2 drops in each nostril(pratimarsha)Its dosage 2 drops in each nostril(pratimarsha)

PRATIMARSHA PRATIMARSHA NASYANASYA Timings to give Pratimarsha nasyaTimings to give Pratimarsha nasya

PRATIMARSHA PRATIMARSHA NASYANASYA Acc. Vagbhata marsha nasya dosage is 10/8/6 drops Acc. Vagbhata marsha nasya dosage is 10/8/6 drops

uttama/madyama/hina matra.uttama/madyama/hina matra. Pratimarsha dosage is 2 drops only.Pratimarsha dosage is 2 drops only.

PRATIMARSHA PRATIMARSHA NASYANASYA

Nasya yogya & AyogyaNasya yogya & AyogyaYogya:Yogya:

Ayogyas:Ayogyas:

C.S.Si.2-20

Ayogyas & their Ayogyas & their complicationscomplications

Nasya procedureNasya procedureNasya procedure

Purva karma Pradhana karma Paschat karma

Sambara sangraha Nasya aasana& karma PaschatkarmaSambara sangraha Nasya aasana& karma Paschatkarma

Atura pariksha Nasyottara paricharya DhumapanaAtura pariksha Nasyottara paricharya Dhumapana

Atura siddata Vyapath&Treatment. Kavalagraha-gandusaAtura siddata Vyapath&Treatment. Kavalagraha-gandusa

Nasyotara Nasyotara bojanambojanam

PariharyavishayaPariharyavishaya

PURVA PURVA KARMKARM

AA

Sambara sangrahaSambara sangraha(preparation for the (preparation for the

procedure)procedure) Intependent room for nasya karma(Nasya bhavan) It can be given in sitting/sleeping positions. To give sitting position nasya peeta is required. To give in sleeping position nasya shayya is

required. Nasyoushadi:katphal chu., trikatu, swasakutara,

vataviwdamsini, pippali, maricha, vidanga, anu taila, shadbindu taila, jatyadi taila, shudda grita, rasouna, hingu, vacha, panchaguna taila, ghanasara yoga.

Sambara sangrahaSambara sangraha(preparation for the (preparation for the procedure)procedure)

Nasya netra which is 6 inches long. Dhuma nasya 24 inches, snaihika nasya 32 inches,

prayogika nasya yantra 36inches should be there. For the purpose of marsha/pratimarsha nasya pichu

is required. Well trained attendents are required. Vastra khanda-(napkin) useful to clean the face. Gas stove,test tubes,useful items for tapa sweda,oil

for abhyanga,droper,other useful things which are useful for the nasya procedures.

ATURA PARIKSHAATURA PARIKSHA• Nasya yogya/ayogya.Nasya yogya/ayogya.• Is he suffereing from any ayogya nasya diseaseIs he suffereing from any ayogya nasya disease• Asta stana parikshaAsta stana pariksha• Physical/psychological fitnessPhysical/psychological fitness• Dasha vida parikshaDasha vida pariksha• Dosha Dosha • Saamavasta Saamavasta • Dosha ashraya-kosta/shakaDosha ashraya-kosta/shaka• Dosha –swatantra/paratantraDosha –swatantra/paratantra• Stana –swastana/para stanaStana –swastana/para stana• Dosha quantity-alpa/madyama/utkristaDosha quantity-alpa/madyama/utkrista• Rogi avasta-baala/yavana/vriddaRogi avasta-baala/yavana/vridda• Desha –jangala/anupa/sadaranaDesha –jangala/anupa/sadarana• Kala –rutu bheda-swasta/atura-best in pravrit/varsha/sharatKala –rutu bheda-swasta/atura-best in pravrit/varsha/sharat• <7yrs,> 70yrs are contraindicated for nasya karma.<7yrs,> 70yrs are contraindicated for nasya karma.

PREPARATION OF THE PREPARATION OF THE PATIENTPATIENT

Before giving nasya karma don’t give sneha pana.Before giving nasya karma don’t give sneha pana. For the purpose of dosha dravikarana/vilaya purpose For the purpose of dosha dravikarana/vilaya purpose

give alpa matra sneha for three days.give alpa matra sneha for three days. Ask the patient to pass urination and stool.Ask the patient to pass urination and stool. After that give meals.After that give meals. Go for the nasya procedure.Go for the nasya procedure. Abhyanga is indicated first with the Abhyanga is indicated first with the

danvantara/kshirabala/panchaguna taila.on shiras.danvantara/kshirabala/panchaguna taila.on shiras. Do swedana karma over the face, head,neck are for Do swedana karma over the face, head,neck are for

15 min.before doing nasya.15 min.before doing nasya.

PRADAN PRADAN KARMAKARMA

PRADANA PRADANA KARMAKARMA It containsIt contains

Nasya karmaNasya karma

Nasyottara paricharya/nirikshanaNasyottara paricharya/nirikshana

Nasya vyapath and treatments.Nasya vyapath and treatments.

Nasya karma Nasya karma procedureprocedure Abhyanga & swedaAbhyanga & sweda

Ask the patient to sleep in supine position for the nasya Ask the patient to sleep in supine position for the nasya karma.karma.

Lift the patient nose with the left hand and put nasal drops Lift the patient nose with the left hand and put nasal drops into each nostrils (luke warm) with the right hand.into each nostrils (luke warm) with the right hand.

Close the eyes with a piece of cloth.Close the eyes with a piece of cloth. Put the head not too high/too low due to this drug doesn’t Put the head not too high/too low due to this drug doesn’t

enters into the target area.enters into the target area. Don’t give too fast/slow.Don’t give too fast/slow. Sneha/swarasa/kwatha/milk/mamsarasa/udaka can be given.Sneha/swarasa/kwatha/milk/mamsarasa/udaka can be given. For Dhumapana nasya churna,cloth and 6 inches pipe are For Dhumapana nasya churna,cloth and 6 inches pipe are

used.used.

Nasya karma Nasya karma procedureprocedure For Dhuma nasya purpose put varthi in nasya netra, For Dhuma nasya purpose put varthi in nasya netra,

with the end of the 2with the end of the 2ndnd part inhale with each nostril. part inhale with each nostril. Nasya Dosage: Nasya Dosage: (each nostril)(each nostril)

S.No Variety Hrasva Madyama Uttama

1 Shamana 8 dps 16 32

2 Shodana 4 6 8

3 Marsha 6 8 10

4 Pratimarsha 2 2 2

5 Kalka 4 6 8

Nasya karma Nasya karma procedureprocedure Nasya Matra according to Sharangadara:Nasya Matra according to Sharangadara:

Teekshanoushada---1 shana=8 dps

Hindu matra ---1 yava(1/2 ratti)

saindava lavana ---1 masha(6 ratti)

Milk matra ---8 shana(64dps)

Sharkara,Dadima ---1 tola

Oushada sidda jala---3 tola

Nasya karma Nasya karma procedureprocedure After nasya karma give swedanaAfter nasya karma give swedana

Do abhyanga over head and neck region.Do abhyanga over head and neck region. If any drug comes into the mouth, spit it.If any drug comes into the mouth, spit it. After completion of nasya, count 1-100 with After completion of nasya, count 1-100 with

concentrated mind.concentrated mind. Then give kavala graha,gandusha,dhumapana.Then give kavala graha,gandusha,dhumapana. With luke warm water clean the throat.With luke warm water clean the throat. At last dhumapana is indicated. It is useful to clear At last dhumapana is indicated. It is useful to clear

the encoated kapha which is on the walls of the the encoated kapha which is on the walls of the throat.throat.

SAMYAK/AYOGA/SAMYAK/AYOGA/ATIYOGA LAKSHANASATIYOGA LAKSHANAS

LakshanasLakshanas

SamyakSamyak

AyogaAyoga

AtiyogaAtiyoga

Nasya Vyapath & Nasya Vyapath & ChikitsaChikitsa

These are two types These are two types 1.Due to dosha prakopa---shodana/shamana.1.Due to dosha prakopa---shodana/shamana.2.Due to dosha shamana---Brimhana.2.Due to dosha shamana---Brimhana.

complicationcomplication Effect on doshaEffect on dosha treatmenttreatment

AjirnaAjirna Kapha Kapha Ushna, tikshna Ushna, tikshna upacharas, tribuvan upacharas, tribuvan kirtiras, nagaguti, kirtiras, nagaguti, trikatu churna, trikatu churna, dashamularishta.dashamularishta.

Krisha,garbini,vyKrisha,garbini,vyavaya,vyayama,travaya,vyayama,trishnaishna

Vata prakopaVata prakopa Vata Vata hara,brimhana hara,brimhana chikitsa.chikitsa.

Nasya Vyapath & Nasya Vyapath & ChikitsaChikitsa

Vatashula, Vatashula, angamarda, muka angamarda, muka shosha, garba shosha, garba stambastamba

Vata prakopaVata prakopa Tapa Tapa sweda,ashwagandsweda,ashwagandadi adi grita,VTV,navajigrita,VTV,navajivan ras,shatavari van ras,shatavari chu.chu.

Jwara,shoka,madJwara,shoka,madya peetaya peeta

TimiraTimira Ruksha shita Ruksha shita anjana lepa, anjana lepa, putapakaputapaka

MurchaMurcha SyncopeSyncope Sheeta jala Sheeta jala parishekaparisheka

PASCHAPASCHAT T

KARMAKARMA

Paschat KarmaPaschat Karma Immeadiate paschat karma after nasya Immeadiate paschat karma after nasya

karmakarma DhumapanaDhumapana Kavala graha- GandushaKavala graha- Gandusha Nasyottara bojanaNasyottara bojana Pariharya vishayaPariharya vishaya

Immediate after paschat Immediate after paschat karmakarma

First do Tapa sweda, First do Tapa sweda,

then Mrudu mardhana over head, then Mrudu mardhana over head,

shoulder,neck and back.shoulder,neck and back. Face wash with luke warm waterFace wash with luke warm water GandushaGandusha KavalagrahaKavalagraha

DHUMAPANADHUMAPANA It eliminates the excessive kapha which is coated over It eliminates the excessive kapha which is coated over

the internal areas of the throat, pharynx, oral cavity.the internal areas of the throat, pharynx, oral cavity. It is very effective.It is very effective. Varieties:Varieties:

Charaka(3)Charaka(3) Sushrita(5)Sushrita(5) Vagbata(3)Vagbata(3) BP/Srgdara(6)BP/Srgdara(6)

PrayogikaPrayogika

SnaihikaSnaihika

VairechanikaVairechanika

PrayogikaPrayogika

SnaihikaSnaihika

VairechanikaVairechanika

KasagnaKasagna

VamaniyaVamaniya

SnigdaSnigda

MadyamaMadyama

TikshnaTikshna

ShamanaShamana

BrimhanaBrimhana

RechanaRechana

KasagnaKasagna

VamanaVamana

Vrana dupanaVrana dupana

DHUMAPANADHUMAPANA Dhuma netra prepared with gold, silver, copper.Dhuma netra prepared with gold, silver, copper. Yogya:Yogya:

DHUMAPANADHUMAPANA Ayogya:Ayogya:

DHUMAPANADHUMAPANAMethod:Method: Sit in the chair with concentrated mind. Dhumapana take first with mouth then with nastrils. When inhaled with mouth, exhale with mouth only. When inhaled with nose, exhale with mouth only.

DHUMAPANADHUMAPANADhumapana Samyak/Atiyoga/Ayoga lakshanas:

SamyakSamyak Lightness in the head, hridaya, indriya Lightness in the head, hridaya, indriya shuddi, roga prashamana,shuddi, roga prashamana,

AtiyogaAtiyoga

AyogaAyoga Swara ashuddi, kapha prakopa in the Swara ashuddi, kapha prakopa in the throat, Staimitya in the head, Roga throat, Staimitya in the head, Roga aprashamana.aprashamana.

DHUMAPANADHUMAPANAComplications: These are due to inapropriate time of dhumapana. They are bhadirya, mukhatwa, raktapitta,

shirobhrama. For these complications treatment is

Gruthapana,Anjana,Navana nasya,Tarpana,in case of kapha prakopa Rukshana chikitsa is

indicated.

DHUMAPANADHUMAPANAUses:

DHUMAPANADHUMAPANAVarietyVariety D.N.PraD.N.Pra

manmanInhale withInhale with DosageDosage UsesUses

PrayogikaPrayogika

(8 kalas)(8 kalas)48”48” NoseNose 3-3 times3-3 times K shodana, K shodana,

shamana,V shamanashamana,V shamana

SnaihikaSnaihika

(V kopa kala)(V kopa kala)32”32” Mouth/noseMouth/nose Upto Upto

watering of watering of eyeseyes

V prashamana due to V prashamana due to snigdatasnigdata

VairechanikaVairechanika

(k kopa kala)(k kopa kala)24”24” NoseNose Upto Upto

D.NirharanaD.NirharanaK prakopa, nirharanaK prakopa, nirharana

KasagnaKasagna 16”16” MouthMouth

VamaniyaVamaniya 16”16” MouthMouth

Kavala Kavala grahamgraham

KAVALA KAVALA GRAHAGRAHA

•After nasya karma especially Shodana kavala graha is indicated.

•Medicine preparation:

Dravya kalka+Milk/Shukti/Madya/Mamsa rasa/Gomutra/Dhanyamla/Madhu udaka.

KAVALA KAVALA GRAHAGRAHAVarieties:

Sushrita(4)Sushrita(4) Vagbhata(4)Vagbhata(4) Kalka GunaKalka Guna AnupanaAnupana

SnehanaSnehana SnigdhaSnigdha M,A,LavanaM,A,Lavana Mamsa rasaMamsa rasa

PrasadanaPrasadana ShamanaShamana M,ShitaM,Shita Madura rasaMadura rasa

ShodanaShodana ShodanaShodana Katu,Ruksha,U,tKatu,Ruksha,U,tikshnaikshna

Go mutraGo mutra

RopanaRopana RopanaRopana M,kashaya,K,UM,kashaya,K,U Grita/KshiraGrita/Kshira

KAVALA/KAVALA/GANDUSHAGANDUSHAKavala/Gandusha indications:

Procedure: 1.Sweda(urdwagata shirah)

2.Sneha

3.Kavala/gandusha

4.Do kavala/gandusha upto filling of the mouth/upto nasa srava from nose.

KAVALA/KAVALA/GANDUSHAGANDUSHA

S.NoS.No YogaYoga LakshanasLakshanas

11 SamyakSamyak

22 AyogaAyoga

33 AtiyogaAtiyoga

PASCHAT KARMAPASCHAT KARMA(4)Nasyottara Bhojana: After nasya karma give dhumapana, then

kavala/gandusha. Give hot warer to drink Give laghu ahara to eat. Avoid expose to cold air. Don’t give snigdha aharas which increases kapha

and hard to digest, they does abhishyandi.

PARIHARYA VISHAYASPARIHARYA VISHAYAS

PASCHAT KARMAPASCHAT KARMA Nasya will be given with 1day interval/2 days

interval or upto 7 days daily. Sushrita mentioned that upto 21 days/ gaining the

result. Vagbhata mentioned that only 7 days.

THANK THANK

YOUYOU