Concept and practice of snehapana, Arohana Matra Snehapana Practical Approach, Importance of snehana and swedana as poorvakarma for shodhana

1. Dr Ananth Ram Sharma
MD Panchakarma
Amrita School of Ayurveda
Department of Panchakarma
Presented at IMG (Institute of Management in
Government at Kakkanad) on the Occasion of
STP (State Training Program) for government
Medical officers on 04/03/2012 – After Noon
Session.

2. Importance of Purva karma
• Charaka: Si
Dr Sharma's Panchakarma Concepts

3. Su:Chi:33/40
• To prevent complications
• To bring the Shakha gata Dosha to Koshtha
• To detach the leena dosha from the Dhatu’s
• For utkleshana
• To minimize the Strain
• To prevent Vata Prakopa
Dr Sharma's Panchakarma Concepts

4. Shodhananga Snehana
• Vicharana Sneha
• Abhyangadi and Bhojyadi
• Achapana
• With out Odanadi
• Sadya Snehana
• One sort of Vicharana only
Dr Sharma's Panchakarma Concepts

5. Vicharana Sneha
• Its act as Shodhananga, Samana and Brumhana Sneha
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6. • Abhayanga etc as purvakarma of vasthi and
Nasya
• Snehavasthi as Purvakarma of Niruha Vasthi
• Navana as Purva karma of Shirovirechana
• Sneha mixed with Ahara in
Uttama/Madhyama Matara
for Shodhana
Dr Sharma's Panchakarma Concepts

7. Achapana
• Kevala sneha or Samskarita Sneha ?
• This also used as Shamana and Shodhana
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8. Sadya Snehana
• Shamana
• Shodhana
• Brumhana
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9. Shodhananga Sneha ?
• Dose of the Sneha
• Kala of Sneha sevana
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10. • Uttama Matra by Vagbhata
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11. Kala
• Charaka Dose not mention about Kala
• Udaya giri Shikhara Samsthite Pratapta kanaka
nikara peeta losite….. Su:Ch
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12. Duration
• Ekaham Vishramya Punah Snehayet
• Dalhana says divide Koshtha into Mrudu tama.
Mrudu Tara and Mrudu – 123
• Madhyama tara, Madhyama
tama, Madhyama - 456
• Krura, Krura tara, Krura Tama - 789
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13. Pattern
• This is not given anywhere in brihat or
laghutrayee.
• 'kalyanakara'(6th ad)is the first person to
mention increasing pattern of internal sneha.
• Hrasva Matra, Madhyama Matra, Pravara
Matra Any one of these dose is given
continuously depending on the koshtha till we
get the Samyak Lakshana
Dr Sharma's Panchakarma Concepts

14. Pattern
Vangasena
MATRA 1st 2nd 3rd 4th 5th 6th 7th
Uttama 3 pala 3 ½ pala 4 pala 4 ½ pala 5 pala 5 ½ pala 6 pala
Madhyama 1 ½ pala 7 Karsha 8 Karsha 9 Karsha 10 Karsha 11 Karsha 3 pala
Hrasva 3 Karsha 3 ½ Karsha 4 Karsha 4 ½ Karsha 5 Karsha 5 ½ Karsha 6 Karsha
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15. Observations
• Jeeryamana Lakshana
• Jeernajeerna Vishankayaam
punarushnodakam pibet
• Samyak Snigda Lakshana
• Atisnigda Lakshana
• Asnigda Lakshana
• Vyapat
Dr Sharma's Panchakarma Concepts

16. Dr Sharma's Panchakarma Concepts

17. Vyapat and Chikitsa
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18. Practical Approach
• Consider Koshtha, Agni, Vyadhi, Vyadhita and
Kala
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19. Divide koshtha
• Mridu- virechana/ loose stools by milk/ small
dose of Avipatti/ draksha rasa
• Madhyama - with the above materials nothing
will happens
• Krura – not passes/ hard stools even with a
medium (10-20 gm) dose of Avipatti/ trivruth
Duration
• Mridu koshtha –within 3 days
• Madhyama koshtha –within 5days
• Krura koshtha–within 7days
Dr Sharma's Panchakarma Concepts

20. Dose Calculation
• Snehapanam on mridu koshtham
• Dwabhyaam………….
• 1st day - sneha that should be digesting in 1 hour
• 2nd day – sneha that should be digesting in 3 hour
• 3 rd day- sneha that should be digest in 6 hour
•
• Snehapanam on Madhyama koshtham
• Chaturbhir……………….
• 1st day - sneha that should be digesting in 3 hour
• 2nd day – sneha that should be digesting in 6 hour
• 3rd day- sneha that should be digest in 8 hour
• 4th day – sneha that should be digesting in 10 hour
• 5th day - sneha that should be digesting in 12 hour
Dr Sharma's Panchakarma Concepts

21. Dose Calculation
• Snehapanam on Krura koshtham
• Ashtabhir……………….
• 1st day - sneha that should be digesting in 3 hour
• 2nd day – sneha that should be digesting in 6 hour
• 3rd day- sneha that should be digest in 8 hour
• 4th day – sneha that should be digesting in 10 hour
• 5th day - sneha that should be digesting in 12 hour
• 6th day – sneha that should be digesting in 18 hour
• 7th day - sneha that should be digesting in 24 hour
Dr Sharma's Panchakarma Concepts

22. Example
snehapana in a Krura koshtha Person
Day Dose Time taken Quantity/ hour Next day dose
1st Hrasiyasi – 30 ml Suppose 2 hours 15 ml digesting in 6 hour = 15 x 6
2nd 90 ml Suppose 5 hours 18 ml digesting in 8 hour = 18 x 8 = 144
3rd Around 150 ml Suppose 6 hours 25 ml digesting in 10 hour = 25 x 10 = 250
4th 250 ml Suppose 6 hours 41ml digesting in 12 hour = 41 x 12 = 492
5th 492 Suppose 10 hours 49.2 ml ≈50 ml digesting in 18 hour = 50 x 18 = 900 ml
6th 900 ml Suppose 16 hours 56.52 digesting in 24 hour = 56.52 x 24 =1356.48
7th Around 1360 ml
In between if you get the Samyak Snigdha Lakshanam you can stop the Snehapana
Dr Sharma's Panchakarma Concepts

23. Some observations
• Generally from the 3rd day onwards there will be agni deepthi
• Kosta Snigdhata is seen before Twak snigdhata
• We can asses koshta snigdhata by sneha darshana in stool – this can
be under stood by asking the patient whether he felt oiliness in the
hand while washing after defecation.
• In some cases for the first 2 days the patients won’t pass the stools
• For all the complications of snehapana – Shunti dhanyaka jala is
sufficient.
• Before snehapana a thorough rookshana is necessary for better
results.
• High doses can be given in two divided doses with ½ to 1 hour gap.
Dr Sharma's Panchakarma Concepts

24. • Intake of hot water is essential in small quantity
but frequently.
• In case of nausea can give ardraka to chew/
lemon to smell and taste.
• Sneha with Honey and Saindhava
• Food only when hunger is there
• Sometime during digestion it may mimic hunger.
• Sometimes patients may not tell hunger but feel
severe weakness then food has to be given.
• Food as per text
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25. Swedana
• After Shodhananga Sneha Sweda is given
• Vyadyanusara
• Aturanusara
• Kalanusara
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26. Action of Snehana and Swedana
• Sneho anilam Hanthi mridukaroti deham
• Snigdasya sukshmeshu ayaneshu linam
swedastu dosham nayati Dravatvam
Dr Sharma's Panchakarma Concepts

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