Treatment for eye , ear , nose and throat disorders.

1. नस्य कर्म
PT. KHUSHILAL SHARMA GOVT.(AUTO.) AYURVEDA
COLLEGE AND INSTITUTE , BHOPAL(M.P.)
DEPARTMENT OF PANCHKARMA
Presented by -
Payal Sindel
Session 2022-23

2. Introduction
नस्य कर्म
नासा हि शिरसो द्वारम् तेन तद् व्याव्य हन्ति तान् IIअ.हृ.सू २०/१
Accordingly the Acharya Vagbhata postulates the above
shloka, elucidating that nose is considered as the entrance
gate of the bonce (head) and all the diseases related to the
head region vanishes by this nasya karma thus proffer you a
perfect health internally as well as externally (balanced tri
doshas).
The term ‘nasya’ denotes ‘being in the nose’ or ‘belonging to
nose’. It is one among the five purification procedures
(panchakarma). In this procedure, the medicines are instilled
through the nostrils. It is indicated in the diseases of head and
associated structures.[A.Hr. Sutra Sthana 20/1]Considering
the therapeutic efficacy, it is used to treat a wide spectrum of
diseases ranging from headache to infertility.

3. WHAT IS NASA !
नस्य कर्म
Nasa means nose which is one of the cardinal sense organ
among the five senses. Its is also baptized as an olfactory
organ as it is a medium for sense of smell and also helps in
conditioning of inhaled air by warming it and making more
favourable to the body. Nose is also the door or the
pathway to the brain. The brain and nose are separated by
the cribriform plate and above the cribriform plate there is
little extension from the brain that is known as the olfactory
bulb (bundle of nerves) that sends its projections into the
olfactory epithelium. The olfactory epithelium receives the
impulse from the odour and send it to the olfactory nerves
in the olfactory bulb which further send the signals to the
mitral or tufted cells of brain. Hence we can say that the
nose is directly connected to the brain. Similarly in
ayurveda it is said that nose is the door or the direct
pathway for the brain. In nasya therapy medicated oils show
their direct effect on the target organ in less time and less
dose is required.

4. DRUG USED FOR NASYA ARE AS FOLLOWS:
नस्य कर्म
Achyranthes Aspera, Piper longum, Piper Nigrum, Emblica
ribes, Moringa pterygosperma, Brassica nigra, Cumin
cyminum, Carum roxburghianum, Salvadora Persica, Nigella
sativa, Ocimum sanctum, Chitoria Terneta, Albizzia lebeck,
Allium sativum, Cureuma longa, Berberis aristata, celastrus
paniculata, Zingiber officinale, Boswellia serrata, Zanthoxylum
alatum, balanites roxburghii, Cinnamomum zeylanicum,
Solanum melongena, Elettaria cardamom, Raphanus sativus,
Calotropis procera, Calotropis gigantia, Saussurea lappa,
Croton oblongifolius, Acorus calamus, Clerodendron
serratum, Citrullus colocynthis, Hydrocotyle asiatica,
Aconitum heterophyllum, Symplocos Racemosa, Randia
dumetorum, Alstonia scholaris and many more...

5. Etymology and derivation
नस्य कर्म
The term ‘nasya’ is derived from the root word
‘nas’, which means ‘motion’ (nasagatau) or
pervasion (nasavyapatau).
The term ‘nastaha’ means ‘beneficial to nose’.
Administration of any form of medicine into the
nose is called nasya. [Su.Sa.Chikitsa Sthana 40/21]
Synonyms
Navana, nastakarma [A.S. Sutra Sthana 29/2],
nasyakarma [Sha.Sa.Uttarakhanda 8/1], nastaha
prachardana[Cha.Sa.Sutra Sthana 1/85],
shirovireka, murdhavirechana.

6. नस्य कर्म
परिभाषा
Nasya is the instillation of medicine along with
Sneha through both nostrils.
Modes of formulation which are used for Nasya
include:Taila, Ghṛta, Svarasa, Kvātha, Kshīra, Jala,
Chūrṇa, Madhu, Māṁ sarasa
Taila is considered as best Nasya Dravya. It is
generally considered superior to Ghṛta because
Taila does not disturb the pH of nasal mucosa,
whereas GhṛIta is alkaline and causes changes in
the pH.
According to Sushruta Saṁ hitā
औषधम् औषध सिद्धं सनेहो वा नासिकाभ्याम् दीयते इति
नस्यम्II(सु.चि ४०-२१)

7. नस्य कर्म
परिभाषा
According to Aṣṭāṅ ga Saṅ graha
नासायां प्रणियमानामौषधं नस्यं । (अ.सं. - सू - २९)
Instillation of medicine through nostrils is known as
Nasya.
According to Bhāvaprakāsha Nighantu
नासां ग्रह्यं यदौषधं नस्यं । (भा - प्र - पू - ५)
Receiving medicine through the nose is considered as
Nasya.
उर्ध्व जत्रु विकारेषु विशेषान् नस्यम् पश्यते II
Nasya is indicated in the diseases related to the the
region above the clavicle (head and neck collectively).

8. नस्य कर्म
Age limit for Nasya
According to Ācharya Vāgbhaṭa, Nasya can be
done from 7 years of age onwards.
Dhūmapāna should not be performed in persons
below the age of 18.
According to Ācharya Sharṇgadhara, Nasya can
be done from 8 years of age onwards.
Generally, after the age of 80, Nasya should not
be done.
Pratimarsha Nasya is the exception; it may be
done from birth till death, same as Mātrābasti.
आजन्ममरणम शस्तम प्रतिमर्शस्तु बस्तिवत
(अ.सं. - सू - २९ / अ.हृ. - सू - २०)

9. नस्य कर्म
Karmukta / Mode
of Action:
Aṣṭāṅ ga Saṅ graha
It is explained that Nāsa is the entry
to Shira. The drug administered
through the nostrils reaches the
Shṛṅ gāṭaka Marma, which is a Sirā
Marma, by Nāsa Srotas and further
spreads in the Mūrdha (brain),
reaches the junctional place of Netra
(eyes), Srotra (ears), Kaṇṭha (throat),
Sirāmukha (opening of the vessels)
etc. and removes or detatches the
morbid Doṣa present in the
supraclavicular region.
According to Āchārya Charaka,
Nāsa is the gateway of Shira. The drug
administered through the nose reaches
the brain and eliminates the morbid
Doṣa responsible for producing disease.
The Dravya administered by Nasya
Karma enters in to Shira and draws out
exclusively the morbid matter.
Āchārya Sushruta
has explained Shṛṅ gāṭaka Marma as
a Sirā marma, present in the middle
of the confluence of Sirā supplying
nourishment to the Nāsa, Karṇa,
Chakṣu and Jihvā. Under the
complication of Nasya Karma, Ā.
Sushruta noted that the excessive
Shodhan Nasya may cause
Mastuluṅ ga (CSF) to flow out; this
further shows the relation between
Nāsa and Shira.

10. Karmukta / Mode of Action
Of Nasya
Keeping the head in a lowered position
and retention of medicine in the naso-
pharynx helps in providing enough time
for local drug absorption.
Any liquid soluble substance has greater
possibility for passive absorption
directly through the cells of the
membrane.
Massage and local fomentation enhance
the drug absorption.
The nose is connected to the brain
through a vascular system, lymphatic
path, nerve plexus of olfactory nerve and
ophthalmic and maxillary branches of
trigeminal nerves.

11. Karmukta / Mode of Action Of Nasya
Lipid soluble substances have grater affinity for
passive absorption through the cell walls of nasal
mucosa.
The cilia of the olfactory cells and perhaps the
portions of the body of the olfactory cells contain
relatively large quantities of lipid materials.
Non-polar hydrophobic molecules diffuse through
the lipid bilayer of the plasma membrane, into and
out of cells.
Such molecules include oxygen, carbondioxide and
nitrogen gases; fatty acids, steroids, and fat soluble
vitamins.
It is a route of absorption of some nutrients and
excretion of waste by body cells which are lipid
soluble. Further drug absorption can also be
enhanced by local massage and fomentation.
Diffusion of Medicine
Vascular path transportation is possible through the
pooling of nasal venous blood into the facial vein,
which naturally occurs.
At the opposite entrance, the inferior ophthalmic
vein also pool into the facial vein.
The facial vein has no valves.
It communicates freely with the intracranial
circulation, not only at its commencement but also
by the supra orbital veins which are connected with
the ophthalmic vein, a tributary of the deep facial
vein, which communicates through the pterygoid
plexus with the cavernous venous sinus.
Such a pooling of blood from nasal veins to venous
sinuses of the brain is more likely to occur in head
lowering position due to gravity.
Vascular Path

12. Karmukta / Mode of Action Of Nasya
Lymphatic Path
Drug transportation by
lymphatic path can reach
direct into the CSF. It is
known that arachnoid matter
sleeve is extended to the
submucosal area of the nose
along with the olfactory
nerve.
It is concerned with the olfactory stimuli. The olfactory nerve differs from other
cranial nerves in its close relation with the brain.
The peripheral olfactory nerves are chemo-receptor in nature. The olfactory
nerves are connected with the higher centers of brain i.e. limbic system, consisting
mainly of amygdaloidal complex, hypothalamus, epitheliums, anterior thalamic
nuclei parts of basal ganglia etc.
So the drugs administered through the nose stimulate the higher centers of brain
which shows action on regulation of endocrine and nervous system functions.
They stimulate the hypothalamus which in turn regulates the contraction of
smooth and cardiac muscles, and secretions of many glands. It is a major regulator
of visceral activities, including heart rate, peristalsis and contraction of bladder.
It is responsible for integrating the functions of the endocrine system and the
nervous system.
It is known to have direct nerve connection with the posterior pituitary lobe.
Additionally, the hypothalamus is connected with the anterior pituitary lobe
through portal vessels which supply blood to the gland conveying chemical
messages through inhibitory and releasing hormone.
Further, the hypothalamus regulates emotional and behavioral patterns, body
temperature, cardiac rhythm, etc.
Neurological Path

13. द्विविध भेद
Nasya Bheda
According to Sushruta Saṁ hitā: - सु .चि.४०
शिरोविरेचन
स्नेहन
पञ्च विध
मर्श
प्रतिमर्श
शिरोविरेचन
अवपीडन
प्रधमन
Vāta-Pitta shamana, Sneha Dravya is used
Sneha Dravya is used as Snehana & Shamana for
Vāta-Pitta
Kapha shodhana, Sneha Dravya is used Sub-classification
according to Aṣṭāṅ ga Hṛdaya.
स्तम्भन
शोधन
Kvātha, Svarasa, Kshīra is used Subclassification is
according to Sharṇgadhara Saṁ hitā.
1.
2.
Sūkṣma Chūrṇa is used; it is also known asध्मापन
म्रुदु
तीक्ष्ण
तीक्ष्णतम
1.
2.
3.

14. त्रिविध
Nasya Bheda
According to Charaka Samhita:
रेचन
तर्पण
पञ्च विध
नावन
प्रतिमर्श
धूमपान
अवपीडन
ध्मापन
स्नेहन
शोधन
1.
2.
स्नेहन
स्तम्भन
शोधन
1.
2.
Sūkṣma Chūrṇa is used
प्रायोगिक - Mild Kapha shodhana; used for Dinacharya
वैरेचनिक - Strong Kapha shodhana
स्नैहिक - Vāta shamana / Snehana
1.
2.
3.
शमन

15. त्रिविध
Nasya Bheda
According to Aṣṭāṅ ga Hṛdaya:
विरेचन
बृंहण
द्विविध भेद
शमन
मर्श
प्रतिमर्श
Nasya Kāla
According to Sushruta Saṁ hitā;
on the basis of Doṣa:
1) पूर्वाह्न
-> Kapha (morning)
2)मध्याह्न -> Pitta (noon)
3) अपराह्न -> Vāta (evening)
According to Charaka Saṁ hitā & Aṣṭāṅ ga
Hṛdaya;
on the basis of Ṛtu:
1) पूवामिन -> Vāsanta, Sharada
2) र््यािन -> Shishira, Hemanta
3) अपरािन -> Grīṣma
In Varṣa Ṛtu, Nasya should only be done if the
sky is clear. Mostly, there are excessive clouds
& rain in Varṣa Ṛtu, so Nasya is generally
contraindicated.

16. 1. Navana Nasya
Nasya Bheda
(b) Navana Shodhana Nasya
(a) Navana Sneh Nasya
- This is an important type of Nasya that can be
used regularly or in any season.
According to Acharya Sushruta the type of Nasya which cures
the cognitive lethargy, strengthens the head, neck, shoulder,
thorax region and also enhances the eyesight is called as the
Navana Nasya.
Material used
Medicated oils such as Anu tail and Shadbindu tail
Indications
Headache, weak teeths, hair fall, moustaches hair loss,
earache, tinnitus, defects of the vision, diseases related to
nose, dryness of mouth, frozen shoulder, wrinkles, greying of
hairs.
The Navana Shodhana Nasya is used when
Kapha is accumulated in the neck, head and
in nasal region moreover for the persons
who suffer from anorexia, feeling of
heaviness in head, rhinitis, epilepsy,
anosmia and the diseases of the head
region. The unctuous substance used for
Nasya according to the Doshas: in
Vatakaphaj –Thaila, in kevalavata – Vasaa, in
pitta - Ghee And in vaata pitta -Majjaa
Material used: Pipliyadi saneh and Anu tail

17. 2. Avapeed Nasya
Nasya Bheda
(b) Stambhan Nasya
(a) Shodhana Nasya
Avapeed means compression and the Nasya therapy in which the herbs are compressed to obtain the
Savaras and Kalk to administer in the nostrils is called as the Avapeed Nasya. It is of two type's Stambhan
and Shodhana Nasya.
Shodhana Nasya is a type of Avapeed Nasya in
which cleansing of the head region is done.
Acharya Sushruta called Avapeed Nasya as the
other option for Shiro Virechana because of its
purifying nature.
A type of Avapeed Nasya which is used as a
styptic. Saindhav pippalyadi kalk, milk,
sugarcane juice, clarified butter, meat
soup, dorva svaras are used in this type of
Nasya

18. 3. Dhamapan Nasya
Nasya Bheda
Dhamapan means to blow; it is a type of Shodhana Nasya in
which powder of drugs are blown in the nostrils i.e. fine powder.
It is also known as the Pradhaman Nasya. Nasya netra is used to
execute the Dhamapan Nasya. It is tube approximately of 6 angul
length and open from both the ends.
The narrow end of the tube is filled with medicated powder while
the air is blown from the other open end.
The dose of the drugs depends upon the diseases and the type of
drug used.
Dose of Dhamapan Nasya is generally 3 muchyuti.
Dhamapan Nasya can be execute in other ways such as take
shukti prman of finne powder and bind it into the bale and ask the
patient to inhale through the bale.
Indication: It is indicated in mania, epilepsy and various mental
ailments.

19. 4. Dhoom Nasya
Nasya Bheda
(c)Virechanik Nasya
(a)Prayogik Nasya
Dhoom means smoke in this type of procedure through nostrils the medicated smoke is inhaled hence it is termed
as the Dhoom Nsaya. It is of three types as follows -
Note: When the medicated smoke is inhaled from the nose it is called as the Dhoom Nasya while when undertaken
through the mouth it is called as the Dhoompan.
Prayogik Nasya means to
subside. It basically subside the
vitiated Doshas in the region
above the clavicle and the Nasya
netra which is used for this type
of Nasya is of 36 angul.
Snehik Nasya is the type of
Nasya which provides the
moisture to lubricate the head
region and in this type of
therapy Nasya netra used is of
32 angul.
(b)Snehik Nasya
In Virecahnaik Nasya the word
Virechana means cleansing and the
type of Nasya which is used to purify
the senses located in the head region is
called as the Virechanik Nasya. The
Nasya netra used for this is of 24 angul.
(e)Vāmanīya
(d)Kāsaghna
Bṛhatī, Kaṇṭakārī, Shuṇṭhī, Maricha, Pippalī, Hiṅ gu,
Guḍūchī, etc.
Madanaphala, Jīmūtaka, Ikṣvāku, Vatsaka, Dhāmārgava,
etc.

20. Dhoom Nasya types
A) According to Ā. Charaka: - 3 B) According to Ā. Sushruta: - 5 C) According to Ā. Vāgbhaṭa: - 3
D) According to Ā.
Shārṅgadhara: - 5
1) Prāyogika (Vāta-Kapha shamana)
1) Prāyogika (Vāta-Kapha
shamana)
1) Snigdha / Mṛdu (Vāta
shamana)
1) Shamana (Vāta-Kapha
shamana)
2) Vairechanika (Kapha haraṇa) 2) Vairechanika (Kapha haraṇa)
2) Madhya (Vāta-Kapha
shamana)
2) Bṛmhaṇa (Vāta
shamana)
3) Snaihika (Vāta shamana) 3) Snaihika (Vāta shamana) 3) Tīkṣṇa (Kapha haraṇa)
3) Rechana (Kapha
haraṇa)
4) Kāsaghna (Kāsa shamana)
4) Kāsahara (Kāsa
shamana)
5) Vāmanīya (Vamana karma)
5) Vāmana (Vamana
karma)
Indication: It is indicated in the head, nose and eyes related diseases. Dhoom netra here proves to be very
beneficial, now asks the patient to keep the medicine at the wide end of the Dhoom netra and procure 3 puffs
from the narrow end of it. Inhale puff alternatively 3 times.

21. 4. Dhoom Nasya
Yogya Ayogya
Kāsa, Shvāsa, Pīnasa, Visvaratva (hoarsness of voice), , Kṣavathu Pitta duṣṭi, Rakta duṣṭi
Pūtigandha (halitosis), Keshadoṣa, Kehsapātana, Karṇa-Āsya-Akṣi Srāva, - Udara, Meha, Timira, Ūrdhvānila, Ādhmāna, Rohiṇī, Pāṇḍuroga
Kaṇḍū, Arti, Jāḍya, Tandrā, Hidhmā/Hikkā, , - Shirasya abhihate (head injury)
Karṇashoola, Netrashūla, Galagraha, Putīnasya, Manyāgraha - Virikta (those who have undergone purgation)
Kṛmi, Atinidrā, Danta Daurbalya, Khālitya, Palita, - Datta-Bastiṣu (those who were given Basti)
Shirogaurava, Shiroshūla, Ardhāvabhedaka - Jāgarite Nishi (those who kept awake at night)
- After consuming Matsya, Madya, Dadhi, Kṣīra, Kṣaudra, Sneha,
Viṣa

22. 4. Dhoom Nasya
Samyak Dhūmapāna
Lakṣaṇa:
Ayoga Dhūmapāna
Lakṣaṇa:
Atiyoga Dhūmapāna Lakṣaṇa: Upadrava:
- Hṛt-Kanṭha-Indriya Saṁshuddhi - Avishuddha Svara - Tālu-Mūrdha-Kaṇṭha Shuṣkatā
Raktapitta, Āndhya, Bādhirya,
Tṛṣṇā, Mūrcchā, Mada, Moha,
Shirobhrama
- Shirasaḥ-Ura-Kaṇṭha Laghutva - Sa Kapha Kaṇṭha
- Tṛṣṇā- Raktasrāva - Shirobhrama - Indriya
Upatapyante (disturbance of sense organs)
Chikitsā = Shītopchāra, Sarpi pāna,
Snaihika Nāvana, Añjana, Tarpaṇa
- Doṣa shamana, Kapha Tanuta
(liquification of Kapha)
- Stimita Mastaka
(rigidity of head)
- Muhyate (being perplexed, confused)-
Mūrcchā
- Adhika Srāva (excessive lacrimation)

23. Dhoom Nasya vidhi
The patient should be seated comfortably and sit upright while focusing on the
procedure only.
According to Ā. Vāgbhaṭa,
medicated fumes should be inhaled through both nostrils alternately, while keeping the
other one closed and the mouth open.However, if the Doṣa located in the nose and head
are not in Utklesha Avastha, for Utkleshanārtha, fumes are first inhaled through the
mouth. Then they are inhaled through the nose.
If Doṣas are residing in the throat, for Utkleshanārtha, fumes are first inhaled through
the nose, then through the mouth.
According to Ā. Charaka,
medicated fumes should be inhaled through the nose if Doṣas are located in Shiraḥ,
Ghrāna or Akṣi; and through the mouth if Doṣas are located in Kaṇtha or Mukha.
According to Ā. Sushruta:
i) Prāyogika Dhūmapāna - through the nose
ii) Vairechanika Dhūmapāna - through the nose
iii) Snaihika Dhūmapāna - through the mouth & nose
v) Kāsaghna Dhūmapāna - through the mouth
vi) Vāmanīya Dhūmapāna - through the mouth
The fumes should always be exhaled through the mouth. Exhalation through the nose
(Pratiloma Gati) will lead to Netraroga / Dṛk-vighāta.
(Conclusive, Dhūma Nasya is only of 3 types: Prāyogika, Vairechanika, Snaihika)

24. 5. Prati Marsha and Marsha Nasya
Nasya Bheda
(b) Pratimarsh Nasya
(a) Marsha Nasya
Pratim Marsha Nasya and Marsha Nasya are the types of Sneha Nasya i.e. in which Sneha is administered
through the nostrils. There is just a difference of dose between them.
This type of Nasya is
administered in bahu Dosha
Avastha (vitiated Doshas) and
the drugs used here are clarfied
butter, oils etc in Sneha from. It
can be administered all the time
except in durdin (rainy day when
sun is covered with clouds).
This Nasya can be administered throughout
life. It is very much beneficial just like Marsh
Nasya. The dose of Marsh Nasya is 2 drops in
each nostril (Total 4 drops). Acharya
Charaka said that this type of Nasya never
build complications. It should be given two
times a day in morning as well as in evening.
It does not enhance the Doshas and
nourishes the mind as well as the body.

25. (b) Pratimarsh Nasya
Partimarsha Nasya provides
Sroto Shuddhi if
administered after:
Partimarsha Nasya relieves
Klama if administered after:
Partimarsha Nasya promotes
Dṛgbala (eyesight) if
administered after:
Partimarsha Nasya bestows Danta
Dārḍhya (stability/strength of teeth)
if administered after:
1) Nisha (the night; in the
morning)
6) Adhva (long walk /
travelling)
9) Shirobhyaṅga (oil massage
on head)
14) Dantakāṣṭha / Dantadhāvana
(cleaning of teeth)
2) Aha (the day; in the
evening)
7) Shrama (exercise)
10) Gaṇḍūṣa (withholding fluid
in oral cavity)
Partimarsha Nasya pacifies Vāta
Doṣa if administered after:
3) Bhukta (eating) 8) Retasa (ejaculation) 11) Prasrāva (micturition) 15) Hāsa (laughing)
4) Vānta (vomiting) 12) Añjana (collyrium)
5) Svapna (sleep) 13) Varcha (defecation)
Nasya Bheda
Pratimarsha Nasya Kāla: (According to Aṣṭāṅga Hṛdaya)

26. (b) Pratimarsh Nasya
Yogya: Ayogya:
- Kṣatakṣīṇa, Bāla, Vṛddha, Sukhātma,
Durbala
- Duṣṭa Pīnasa - Pratimarsha Nasya is contraindicated
due to excessive presence of Doṣa. Doṣa are filled
everywhere around the nose. Pratimarsha Nasya does
Bṛmhana Karma, so Doṣa will get further aggravated
and Duṣṭa Pīnasa is not relieved.
- Varṣa Ṛtu, Dinacharya - Utkliṣṭa Doṣa, Bahu Doṣa
- Valita, Palita, Khālitya - After intake of Madya
- Manyāstambha, Shiroshūla, Ardita,
Hanustambha, Ardhāvabhedaka,
Shirokampa, Tṛṣṇa, Mukhashoṣa
- Abala Shrotra, Bādhirya (Sneha Nasya is indicated)
- Āshu Urdhvajatru Roga - Kṛmi (Shirovirechana Nasya is indicated)
Mātrā:
2 Bindu (each nostril)
Dravya :
Tila taila should be used for
regular/daily application of
Pratimarsha Nasya. Shira is
Kaphasthāna, hence other
Sneha Dravya are not
suitable for regular use.Aṇu
taila can be used as well;
especially if Pratimarsha
Nasya is used for treatment
of diseases.

27. (b) Pratimarsh Nasya
Marsha Nasya Pratimarsha Nasya
Uttama Mātrā = 10 Bindu
Madhyama Mātrā = 8 Bindu
Hīna Mātrā = 6 Bindu
Mātrā = 2 Bindu
Shodhana, Shamana, Bṛmhaṇa depending on Dravya Mṛdu Shodhana, Shamana, Bṛmhaṇa
Indicated in Chirakāri Roga Indicated in Āshukāri Roga
Indicated in Madhyama Avashta
(age 7-80) in case of Bahu Doṣa Roga
Indicated in Bāla, Madhyama & Vriddha Avastha (all age groups), Alpa
Doṣa, Durbala, Kṣatakṣīṇa, Garbhinī, Sukhātma, Varṣa Ṛtu, Dinacharya
May cause complications Does not cause complications
Strong & quick acting , Curative Mild & slow acting , Preventive & Curative
Pūrvakarma, Pashchātkarma, Parihāra are essential Not specifically required
Differences between Marsha & Pratimarsha Nasya

28. Shirovirechana Nasya
(a) Mridu shirovirechan
Nasya Bheda
Pratim Marsha Nasya and Marsha Nasya are the types of Sneha Nasya i.e. in which Sneha is administered
through the nostrils. There is just a difference of dose between them.

29. (b) Tikshna shirovirechan (c) Tikshnatam shirovirechan
Nastaḥ Pracchardana is a term to denote the
meaning of Shirovirechana. Its literal
translation means nasal emission. It was used
by Āchārya Charaka (Ch. Sū. 1/85).

30. Sneha nasya

31. Sneha nasya

32. Nasya Vidhi
Nasya Vidhi is the procedure of performing Nasya Karma. The following
basic procedure should be followed; except in case of Pratimarsha Nasya
which is used for Dinacharya, Pūrvakarma and Pashchātkarma are not
required.
Purvakarma
Pradhanakarma
Paschatkarma

33. Nasya Vidhi
Purvakarma
Selection of the patient:-
Selection of the patient for this procedure
depends up on the diagnosis which is done with Astha vidha
pareeksha (eight fold examination) and Dashavidha Pareeksha's
(tenfold examination) which is done by a qualified physician. The
procedure is not to be done with full stomach and the patient is
asked to void all natural urges before the procedure
Selection of the medicine:-
The selection of the medicine for the
procedure is based on the patient's condition, the medicated Oil,
Gritha and Churna is selected depended upon the Rogi Bala
(Strength of the patient) and Roga Bala (severity of the disease).

34. Nasya Vidhi
Pradhanakarma
The patient is allowed to sit in the clam, smokeless and dust free room
for Nasya karma. The Nasya table and Nasya yantra is prepared for the
patient. .
The Nasya yantra that is used for instillation of the oil is 6 angula in
length and wider from one end while narrow from the other.
Ask the patient to lie down on Nasya table in supine position by tilting
head in downward direction approximately at 45 degrees from the
body and then cover the eyes of the patient with hands or cotton swab.
Slight Abhyanga and Swedana are done to the face, neck, chest and
back region before staring the procedure.
Now the physician lifts up the columella of the patient by the index
nger of his left hand and closes his other nostril with his thumb.
Now pour the nasal drops or herbal medicines through nasal dropper in
nostrils of the patient. Neither pour the medicine into nostril with
gradual pace nor too fast neither too slow i.e. it should be poured drop
by drop
Ask the patient to take deep breath so that whole of the medicine
pours down into the nose and now repeat the same procedure on the
other side as well.

35. Pradhanakarma
This procedure is for medicines that occur in liquid state but if Nasya is to be
given in the form of churn then instead of nasal dropper, Nasya Netra or
Dhoom Netra is used for the procedure
There are different types of Nasya according to their dose, drugs types and
given according to seasons along with diseases from which the patient is
suffering.
After administration of medicine the patient should lie in the supine position
up to 100 count and then conduct the massage in the neck, head and facial
region moreover give tap Saweda by cloth dipped in the hot water or by
hands.

36. Pradhanakarma

37. Nasya Vidhi
Paschatkarma
The patient should slowly inhale the instilled medicine,
simultaneously his ears, forehead (lalata), Scalp (kasha bhoomi),
ganda, nape region (manya), Shoulders (skandha), palms (paani
tala), feet (paada tala) are gently massaged.
When the medicine reaches the throat he should spit it by
turning to his right side or left side
He should be instructed not to swallow the medicine
After this Dhoomapana i.e. medicated fume inhalation through
nose indicated in that particular condition is administered.
Warm water Gandoosha (gargling) should be done after the
Dhoomapana (medicated smoking).
After the completion of Nasya therapy the patient feels lightness
in the whole body, have sound sleep, there is decline in the
symptoms of the disease for which Nasya Karma is performed. It
also puries the channels of the head and makes the person
more ebullient

38. Nasya Vidhi
Paschatkarma
Parihāra Vishaya: Patient is advised to stay in Nivāta Sthāna, consume only Laghu Āhāra, and drink Koṣṇodaka.
The whole course of Nasya Karma may be done for 1 / 2 / 7 / 21 days.
The duration of Nasya Karma depends on the disease and is done until
Samyak Lakṣaṇa are obtained.

39. .Charak Samhita , By Dr BrahmaNand Tripathi , Chaukhambha Surbharati Prakashan ,Var anasi
Kaviraj Ambikadatta Shastri. Sushruta Samhita, Varanasi, Chaukhambha Sanskrit Sansthan,
Vagbhata, Astanga Hridayam (Vidyotani Hindi commentary of Kaviraj Atrideva Gupta).
Vridha Vagbhatta, Astanga Samgraha (Saroj Hindi commentary by Dr. Ravi dutta Tripathi)
Shri Bhavmishra, Bhavaprakash Nighantu (Commentary by Prof. K.C. Chunekar).
Sharangdhar Samhita
Prof. Radheyshyam Sharma, Dr. Gopesh Mangal, Dr Gunjan Garg. Ayurvediya Panchakarma
Chikitsa Vigyan
IAMJ( International Ayurvedic Medicine Journal)
Wikipedia
Vedicus
International journal of scientific research
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REFERENCES

40. Thank
Thank
you
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