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complete description of ayurvedic nasya karma procedure.

complete description of ayurvedic nasya karma procedure.

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    Nasya karma Nasya karma Presentation Transcript

    • NASYA KARMA ByDr. B. ARUN KUMAR MD (Ay)
    • NASYA SAMANYA PARICHAY नासायाम् भवं नस्यम् By Aruna datta नासाग्रह by Bhava prakasha A.H.Su.20-1 औषधम् औषध िसधम् स्नेहो वा निसकाभ्यम् दीयते इतित नस्यम् by Sushritha. नस्तः प्रच्छ् ःःढनर्ढन by Charaka C.S.Su-1-85
    • NOSE 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 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 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 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 ANATOMY
    • NOSE 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 nerves through 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 CHARAKA C.S.SU.2-3,4,5
    • NASYA DRUGS BY CHARAKA C.S.Vi.8-154
    • Some importantNasya drugs
    • APAMARGA  Properties—  Rasa -Katu, Tikta  Guna- Laghu, Rüksa, Tiksna  Virya- Usna  Vipãka- Katu  Karma- Kapha-vatahara, Sirovirecana, Dipana-pacana, Medohara Indications— Chardi, Hridroga, Adhmãna, Kandü, sula, Udara, Apaci, Raktaras, Visücikã, Krimi, Sidhma, Sadyo vrana, Mutrakrcchra
    • PIPPALI  Properties  Rasa- Katu  Guna- Laghu. Snigdha. Tiksna (Ardra—Guru)  Virya- Usna (Ardra-Sita)  Vipãka- Madhura  Karma (Ardra-Kapha vardhaka), Dipana, Vrsya, Rasayana  Indications— Udara. Pliharoga, jvara, Kustha, Prameha, Gulma, Arsas, Amavata .
    • MARICHA  Properties—  Rasa- Katu  Gun-a Laghu. Tikshna  Virya -Usna  Vipäka- Katu Karma- Kapha-vatahara, Avrsya. Dipana, Pramãthi Indications— Pinasa, Kãsa, Pravahik, Hrdroga, Krmi, sväsa, süla. • Part Used— Fruit . . Dosage— Powder 0.5-1 g.
    • VIDANGA — Properties   Rasa- Katu, Kasaya  Guna- Laghu, RUksa, Tiksna  Virya- Usna  Vipaka- Katu Karma- Visaghna, Krmighna, Dipana.  External uses Bactericidal. kushthaghna and shirovirechan. Hence it is useful in dental caries, toothache etc. Decoction is used for gargles in dental
    • SHIGRU  Properties—  Rasa- Katu, Tikta  Guna- Laghu, Ruksa, Tiksna  Virya—usna  Vipaka—katu  Karma- Kapha-vãtahara, sukrala, Grãhi, Dipana, Hrdya  Internal uses- Nervous system As it is tikshna and ushna, it is a nerve stimulant. The non crystalline part of the bark is very strong and it acts through afferent
    • Nasya drugs by Sushrutha Su.S.Su.39-6
    • Nasya drugs by Vagbhata A.H.Su.15-4
    • Nasya Varieties by Charaka C.S.Si.9-89
    • Nasya Varieties by Sushrita Su.Ch.40-21
    • Nasya Varieties by Vagbhata A.H.Su-20-2 Sha.S.U.K 8-2 Sha.S.U.K 8-11
    • Nasya Varieties by Sharangadahara Sha.S.U.K 8-24
    • Nasya Varieties Based on Ashraya Bedhas.
    • AboutIndividu al NASYA
    • NAVANA It is one of theNASYA important nasya. Susrutha mentioned that snehana nasya is equal to navana nasya Anu taila will be used for this. With karpasa pichu sneha will be inserted through the nostrils as a drops.
    • NAVANA NASYA Dosage of sneha nasya. Acc.Susrita it is comes under shirovirechana nasya. Acc.Susrita snehana & shodana nasya will be given before annakala. Matra Uttama Madyama Heena Charaka 64 drops 32 16 Bhoja 24 16 8 Sushrita 8 6 4
    • NAVANA NASYA In Kaphaja diseases nasya given in Purvahna kala In Pittaja diseases nasya given in Madyaahna kala In Vataja diseases nasya given in Aparahna kala. In Swastha purusha –during winter it is given in madyahna kala, during sharad ritu Purvahna kala, Grishna ritu Aparahna kala, in varsha ritu after sun rise.
    • AVAPEEDANA NASYA It is done with the swarasa/kalka. It is useful in shodana of the doshas. For the Rakta stambana purpose ikshurasa/sharkara are used to control the bleeding. Its dosage is 4/6/8 drops heena/madyama/uttama matra. Chakrapani mentioned that 3 karmas for Avapidana nasya Shodana/stambana/shamana. Dalhana/videha mentioned 2 varieties for this Sagna prabodaka/Stambana
    • AVAPEEDANA Indications: NASYA
    • DHMAPANA 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 NASYA In this nasya inhalation of dhuma nasya through the nostrils will be done. Chakrapani mentioned that dhuma which is given through the nostrils is known as dhuma nasya. It is three types 1.prayogika/shamana 2.vairechanika 3. Snaihika. Nasya netra pramana is in prayogika nasya 36 angula, in vairechanika nasya 24 angula, in sanihika nasya 32 angulas. In sitting position nasya will be given.
    • DHUMA NASYA With concentrated mind, by closing one nostril, with another nostril inhale the dhuma and exhale with closed nostril. With each nostril it is repeated 3 times. The medicated fumes(bashpa sweda) are prepared with herbs and inhaled through the nostrils are known as another method of nasya.ex:kantakaryadi kashaya bashpa sweda nasya to relieve the congetion of the throat.
    • DHUMA NASYA Prayogika Snaihika Vairechanika dhuma nasya dhuma nasya dhuma nasyaUseful drugs Harenu,chand Vasa,ghee,wa Jyotishmati,m ana,ushira,pad x,jivaniya anahshila,agar maka,gugulu,l gana dravya upatra,sweta odhra,sarjaras drugs. aparajitha. a,nagaramothaDhuma netra 36 Angula 32 angula 24 angulapramana
    • PRATIMARSHA NASYA Marsha and pratimarsha both are similar but slight difference in matra only. In this there is no complications and easy. It doesn’t aggravates any other doshas It increases the strength of the body. It is given in all rithus, any time. Its dosage 2 drops in each nostril(pratimarsha)
    • PRATIMARSHA Timings to give NASYA Pratimarsha nasya
    • PRATIMARSHA NASYA Acc. Vagbhata marsha nasya dosage is 10/8/6 drops uttama/madyama/hina matra. Pratimarsha dosage is 2 drops only.
    • PRATIMARSHA NASYA
    • Nasya yogya & AyogyaYogya:Ayogyas: C.S.Si.2-20
    • Ayogyas & their complications
    • Nasya procedure Nasya procedure Purva karma Pradhana karma Paschat karmaSambara sangraha Nasya aasana& karma PaschatkarmaAtura pariksha Nasyottara paricharya DhumapanaAtura siddata Vyapath&Treatment. Kavalagraha-gandusa Nasyotara bojanam Pariharyavishaya
    • PURVAKARM A
    • Sambara sangraha (preparation for the 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 sangraha (preparation for the 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 PARIKSHA• Nasya yogya/ayogya.• Is he suffereing from any ayogya nasya disease• Asta stana pariksha• Physical/psychological fitness• Dasha vida pariksha• Dosha• Saamavasta• Dosha ashraya-kosta/shaka• Dosha –swatantra/paratantra• Stana –swastana/para stana• Dosha quantity-alpa/madyama/utkrista• Rogi avasta-baala/yavana/vridda• Desha –jangala/anupa/sadarana• Kala –rutu bheda-swasta/atura-best in pravrit/varsha/sharat• <7yrs,> 70yrs are contraindicated for nasya karma.
    • PREPARATION OF THE PATIENT Before giving nasya karma don’t give sneha pana. For the purpose of dosha dravikarana/vilaya purpose give alpa matra sneha for three days. Ask the patient to pass urination and stool. After that give meals. Go for the nasya procedure. Abhyanga is indicated first with the danvantara/kshirabala/panchaguna taila.on shiras. Do swedana karma over the face, head,neck are for 15 min.before doing nasya.
    • PRADANKARMA
    • PRADANA It contains KARMA Nasya karma Nasyottara paricharya/nirikshana Nasya vyapath and treatments.
    • Nasya karma Abhyanga & procedure sweda Ask the patient to sleep in supine position for the nasya karma. Lift the patient nose with the left hand and put nasal drops into each nostrils (luke warm) with the right hand. Close the eyes with a piece of cloth. Put the head not too high/too low due to this drug doesn’t enters into the target area. Don’t give too fast/slow. Sneha/swarasa/kwatha/milk/mamsarasa/udaka can be given. For Dhumapana nasya churna,cloth and 6 inches pipe are used.
    • Nasya karma procedure netra, For Dhuma nasya purpose put varthi in nasya with the end of the 2nd part inhale with each nostril. Nasya Dosage: (each nostril)S.No Variety Hrasva Madyama Uttama1 Shamana 8 dps 16 322 Shodana 4 6 83 Marsha 6 8 104 Pratimarsha 2 2 25 Kalka 4 6 8
    • Nasya karma procedure 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 After nasya procedure karma give swedana Do abhyanga over head and neck region. If any drug comes into the mouth, spit it. After completion of nasya, count 1-100 with concentrated mind. Then give kavala graha,gandusha,dhumapana. With luke warm water clean the throat. At last dhumapana is indicated. It is useful to clear the encoated kapha which is on the walls of the throat.
    • SAMYAK/AYOGA/ATIYOG A LAKSHANAS LakshanasSamyakAyogaAtiyoga
    • Nasya Vyapath & Chikitsa These are two types 1.Due to dosha prakopa---shodana/shamana. 2.Due to dosha shamana---Brimhana. complication Effect on dosha treatmentAjirna Kapha Ushna, tikshna upacharas, tribuvan kirtiras, nagaguti, trikatu churna, dashamularishta.Krisha,garbini,vy Vata prakopa Vataavaya,vyayama,tr hara,brimhanaishna chikitsa.
    • Nasya Vyapath & ChikitsaVatashula, Vata prakopa Tapaangamarda, muka sweda,ashwagandshosha, garba adistamba grita,VTV,navaji van ras,shatavari chu.Jwara,shoka,mad Timira Ruksha shitaya peeta anjana lepa, putapakaMurcha Syncope Sheeta jala parisheka
    • PASCHA TKARMA
    • Paschat Karma Immeadiate paschat karma after nasya karma Dhumapana Kavala graha- Gandusha Nasyottara bojana Pariharya vishaya
    • Immediate after paschat karma First do Tapa sweda, then Mrudu mardhana over head, shoulder,neck and back. Face wash with luke warm water Gandusha Kavalagraha
    • DHUMAPANA  It eliminates the excessive kapha which is coated over the internal areas of the throat, pharynx, oral cavity.  It is very effective.  Varieties:Charaka(3) Sushrita(5) Vagbata(3) BP/Srgdara(6)Prayogika Prayogika Snigda ShamanaSnaihika Snaihika Madyama BrimhanaVairechanika Vairechanika Tikshna Rechana Kasagna Kasagna Vamaniya Vamana Vrana dupana
    • DHUMAPANA Dhuma netra prepared with gold, silver, copper. Yogya:
    • DHUMAPANA Ayogya:
    • DHUMAPANAMethod: 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.
    • DHUMAPANADhumapana Samyak/Atiyoga/Ayoga lakshanas:Samyak Lightness in the head, hridaya, indriya shuddi, roga prashamana,AtiyogaAyoga Swara ashuddi, kapha prakopa in the throat, Staimitya in the head, Roga aprashamana.
    • DHUMAPANAComplications: 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.
    • DHUMAPANAUses:
    • DHUMAPANA Variety D.N.Pra Inhale with Dosage Uses man Prayogika 48” Nose 3-3 times K shodana, (8 kalas) shamana,V shamana Snaihika 32” Mouth/nose Upto V prashamana due to(V kopa kala) watering of snigdata eyesVairechanika 24” Nose Upto K prakopa, nirharana(k kopa kala) D.Nirharana Kasagna 16” Mouth Vamaniya 16” Mouth
    • Kavalagraham
    • KAVALA GRAHA•After nasya karma especially Shodana kavala graha isindicated.•Medicine preparation:Dravya kalka+Milk/Shukti/Madya/Mamsarasa/Gomutra/Dhanyamla/Madhu udaka.
    • KAVALA GRAHAVarieties:Sushrita(4) Vagbhata(4) Kalka Guna AnupanaSnehana Snigdha M,A,Lavana Mamsa rasaPrasadana Shamana M,Shita Madura rasaShodana Shodana Katu,Ruksha,U,t Go mutra ikshnaRopana Ropana M,kashaya,K,U Grita/Kshira
    • KAVALA/GANDUS HA indications:Kavala/GandushaProcedure: 1.Sweda(urdwagata shirah) 2.Sneha 3.Kavala/gandusha 4.Do kavala/gandusha upto filling of themouth/upto nasa srava from nose.
    • KAVALA/GANDUS HAS.No Yoga Lakshanas1 Samyak2 Ayoga3 Atiyoga
    • PASCHAT 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 VISHAYAS
    • PASCHAT 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 YOU