Nasya Kama- A Critical Analysis
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This document discusses the Ayurvedic nasal procedure known as Nasya. It begins by questioning whether modern Nasya practices fully follow classical techniques. The basic anatomy of the nasal passages and their connection to the brain is then outlined. Different types of Nasya are classified and their indications, dosages, procedures, and complications are described in detail. Specific conditions that may benefit from Nasya are also explained. The document aims to analyze modern Nasya practices and promote standardizing dosage and techniques according to classical Ayurvedic texts.
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Nasya Kama- A Critical Analysis
- 1. Nasyakarma Dr. Prakash Mangalasseri Professor Dept. of Kayachikitsa, Vaidyaratnam PS Varier Ayurveda College, Kottakkal Director, Kottakkal Ayurveda School of Excellence (KASE), an initiative of KASRS
- 2. Pheromones
- 4. Nasya Easiest employed procedure OPD Panchakarma Direct entry to cranial vault Even unconscious patient can be managed Most popular procedure
- 5. Problem statement Do we do ‘real’ Nasya? Are complications really less? Classical Nasya
- 7. Nasa hi Shiraso Dwaram…..
- 9. Trubinates
- 12. Direct access to Brain
- 13. Nasya Nasa grahyam yath oushadham Pre requisite – Snehana , Swedana & (Vamana, Virechana ?)
- 14. Nasya - Indications Oordhwanga gata dosha Manodosha Kapha Vatha Pitta & Rakta
- 15. Classification of Nasya Navana Avapeeda Dhmapana Dhooma Pratimarsha
- 17. Dhmapana Shodhana (Deha sroto vishodhana . Ca Si) Cheto vikara, krimi, vishabhipanna (Su) Choorna Nasagre nihita: sa hi aavegakartaro bhavati (AS)
- 18. Avapeeda Shodhana Sthambhana Kalka
- 19. Dhooma Prayogika (shamana) Snaihika Vairechanika Mukhapeyastu dhoomo na nasyam
- 20. Pratimarsha Ubhatyarthakrith Snehana Virechana
- 21. Classification Brimhana (tharpana) - Vataja Shamana - (sthambhana)- Pitta rakta Virechana - Kaphaja
- 22. Brimhana Vatika shirahshoola Sooryavartha Swarasada Nasashosha / Asyashosha Vaksanga Apabahuka Shirakampa Ardita
- 23. Shamana Neelika Vyanga Kesha dosha Akshirga Raktapitta
- 24. Rechana nasya Shirahshoola (kapha predominant) Jaadya Abhishyanda Galaroga Krimi Kushtha Apasmara Peenasa Manyasthambha
- 25. Shirovirechana gana Vidanga Apamarga Vyosha Sigrubeeja Saindhava etc… Madhura skandha
- 26. Other articles / vehicles Ghee Honey Milk Blood Meat juice Water Swarasa – lasuna etc.
- 28. Dose of Nasya Bindu ??? Bindu – 10 / 8 / 6 (marsha mathra) 8 / 6 / 4 (Kalkadi)
- 29. ROUTINE PRACTICE 10 Bindu = 10 drops 8 Bindu = 8 drops 6 Bindu = 6 drops Only One Instillation One Sitting of Nasya
- 30. Is It The Classical Practice?
- 31. Bindu ???? प्रदेशिन्यङगुलीपर्वद्र्यान्मग्नसमुध्दृतात् । यार्त्पतत्यसौ बिन्दु …….अ.ह्र्.सू.२०/१० यावत्पततत तावान् बिन्दुः, न प्रथमपततत एव । आ.र.
- 32. एर्ंवर्धैबिवन्दुसंज्ञैरष्टश िः िाण उच्यते । िा.उ.८/३९,४०
- 33. 1 Shana = 4 Masha = 4 gm = 4ml Thus 8 Bindu = 1 Shana = 4 ml 1 Bindu = 0.5 ml As 1 drop = 0.05ml (Ayurvedic Formulary of India) 10 drops = 0.5 ml 1 Bindu = 10 drops = 0.5ml
- 34. STANDARDIZED DOSE MARSA NASYA ONE BINDU = 0.5ml
- 35. CLASSICAL DOSE 10 Bindu = 10 x 0.5ml = 5ml 8 Bindu = 8 x 0.5ml = 4ml 6 Bindu = 6 x 0.5ml = 3ml Sushruta, Sharangdhara, Chakradatta???
- 36. PROCEDURE द्वर्स्त्रिर्ाव नरयमाचरेत | वर्रेचयेत् बिद्ववर्रथैकिो र्ा िलं समीक्ष्य बिवर्धं मलानाम् । च.शस. १/५०
- 37. Sushruta , Sharangdhara, Chakradatta??? 6 Bindu each nostril x 1/2/3 times = 12/24/36 Bindu 8 Bindu each nostril x 1/2/ 3 times = 16/32/ 48 Bindu 10 Bindu each nostril x 1/2/3 times = 20/40/60 Bindu
- 38. Routine BINDU Vs Classical BINDU 0.05ml 0.5ml 10 TIMES MORE ONE SITTING OF NASYA 10x 1 Instillation = 10 times more 10x 2 Instillation = 20 times more 10x 3 Instillation = 30 times more
- 39. DOSES REVISED ACCORDING TO TIME Dose changes according to medicine &
- 40. Always 1 bindu is 0.5 ml (10 drops) ???
- 41. Revised Kottakkal Practise Higher doses are essential for better outcome
- 43. Indications Neurological Ophthalmic Stato-acoustic Scalp Vascular Psycological Dermatological
- 44. Special indications Pakshaghata Ardita Manyasthambha Apabahuka
- 45. Pakshaghata Nasya with Karpasasthyadi taila Ksheerabala Avarthi taila Dhanwantharam Avrthi taila
- 46. Ardita Ksheeradhooma Nasya and Karnapoorana togther
- 47. Apabahuka Brihana Nasya Khapuramanjari Nasya
- 48. Manyasthambha Rooksha Nasya Continous Administration relievs fibromyalgia
- 49. Cervical Canal Stenosis Be cautious and careful…..
- 50. Specific indications Kshavathu Putaka Kamala
- 51. Jeemutha (Luffa echinata) Nasya in Hyperbiliubinemia
- 52. Contra indications (sneha nasya) Ajeerna After food After drinking water After bath Durdina Nava pratishyaya During snehapana or anuvasana
- 53. Contra indications (rooksha nasya) Kshaama Garbhini After hard exertion After virechana
- 54. General contraindications Swasa Kasa Shuddha After Nirooha Anarthava Durdina Before 7 years After 80 years
- 56. Nasyakala Prak soorya (summer) Madhya soorya (winter) Kapha – Morning Pitta – Noon Vata – evening or night Swastha – morning in sarath & Vasanth evening in greesha
- 57. Positioning (avak shirasa) Head lowered / foot raised (kinchith)
- 58. Procedure Sneha & sweda – uttamanga Application of warm oil on palms & soles Application of warm medicine (pranadi / pichu) Mardhana of pada etc Further sweda 2 or 3 times nasya Dhumapana / Kabala Diet & regimen
- 59. Frequency Daily twice Vataabhibhoote….. Alternate Days 7 Days
- 61. Dhoomanasya Sheshsa Dosha Shamana after Vamana
- 62. Samyak lakshana Samyk sneha सम्यस्त््रनग्धे सुखोच््र्ासरर्प्निोधाक्षपाटर्म्||२३|| Samyak virikta सुवर्रर्तेऽक्षक्षलघुतार््ररर्रवर्िुद्धयिः| AH. SU.20
- 63. Complications Moorcha Ayoga Atiyoga रूक्षेऽक्षक्षरतब्धता िोषो नासारये मूद्वधिून्यता| स्त्रनग्धेऽतत कण्डूगुरुताप्रसेकारुचचपीनसािः||२४|| दुवर्वरर्ते गदोद्रेकिः, क्षामताऽततवर्रेचचते||२५|| AH. SU.20/25
- 64. Pratimarsha nasya Snehangulim dadyat Dwi bindukah Eeshath uchhringhitham dravyam yavath vakthra prapadyate As a Routine – 15 kala Ubhayaarthakrith
- 65. Pratimarsha nasya No age bar No contra indication (even in akalavarsha) No restrictions No complications Preferred as routine Dushthapeenasa / Madyapeetha / Moordhni krimi / Abalasrothra / Uthklishta dosha / Klishta dosha
- 66. Nithya Nasya Kushtha Alternate 3 days Nasya
- 67. Practical tips Blood pressure & Nasya Nasya after Shirovasthi Nasya in respiratory problems Nasya in psychiatric patients
- 68. Important yoga Anu thaila Ksheerabala (101) Dhanwanthram (101) Ksheeramruth (101) Karpasasthyadi taila Maharajaprasarini taila Shadbindu taila
- 69. Important yoga Katphala / shunthi / kushtha Vasha / Doorva / jeemoothaka Lashuna / Hingu / Tulasi Haritamanjari / Tulasi / Dronapushpi Ghrita manda
- 70. Important yoga .. Contd.. Thuvaraka taila Sthanya Lavana nasya
- 71. Specific Areas Trigemnal neuralgia Adhesive capsulitis Hemiplegia
- 72. Nasya - Medhya Brahmi ghrita Jyotisjhmati taila
- 73. Cosmetic effect Khalitya Palitya Vynga Kumkumadi taila Nasya
- 74. Cervical Spondylosis Nityam Pratimarsha Nasya - Prophylatic
- 75. Sanyasa Apatantraka Coma Nasal Administration of Drug
- 76. Contagious Episodes Influenza Nasangulim Dadyat…..
- 77. Head Aches Chronic Sinusitis Vascular Headaches Tension Headaches
- 78. Premature Greying / Hair loss ृढेस्त्न्द्रयारतपशलता र्ेयुनवरयिीशलनिः||३९| AH. Su 20
- 79. Qualities of Nasya sheela Physical compactness of shoulder, neck and chest Pleasing appearance of face & skin Sensorial excellence Sweet voice Prevents graying
- 80. Nasaapaana Common practise in Arya Vaidya Sala Kottakkal Especially in Apabaahuka
- 81. Mode of action Shrinkataka marma Shiraso antharmadhyam Nethra / Srothra / Kantha Position Sudation Massage Drug
- 82. Mode of action BBB Olfacto hypothalamo pitutary pathway Influencing limbic system Stimulation of barroreceptors in the carotid sinus Momentary hyperaemia Absorption (vascular or lymphatic) Decongestant action Eliminative action
- 83. Understanding IN delivery Bioavailability First pass metabolism Nose brain pathway Lipophilicity
- 84. Bioavailability How much of the administered medication actually ends up in the blood stream. Examples: IV medications are 100% bioavailable. Most oral medications are about 5%-10% bioavailable due to destruction in the gut and liver. Nasal medications discussed in this lecture range in the 55% to 100% bioavailability range - approaching IV delivery systems.
- 85. First pass metabolism Molecules absorbed through the gut, including all oral medications enter the “portal circulation” and are transported to the liver. Liver enzymes then break down most of these drug molecules and only a small fraction enter the bodies circulation as active drug. Nasally delivered medications avoid the gut so do not suffer first pass metabolism.
- 86. Nose brain pathway The olfactory mucosa (smelling area in nose) is in direct contact with the brain and CSF. Medications absorbed across the olfactory mucosa directly enter the brain. This area is termed the nose brain pathway and offers a rapid, direct route for drug delivery to the brain.
- 87. Lipophilicity “Lipid Loving.” Cellular membranes are composed on layers of lipid material. Drugs that are lipophilic are easily and rapidly absorbed across the mucous membranes.
- 88. Intranasal Medication -Absrption Drugs absorbed via the nasal mucosa: Are absorbed via the rich vascular plexus of the nose and directly enter the circulation. Can be absorbed directly through the olfactory mucosa into the CSF - giving rapid brain levels of the drug.
- 89. Intranasal Medication Administration: Advantages Compared to oral medications, intranasal medication delivery results in: Faster delivery to the blood stream Higher blood levels No destruction by stomach acid and intestinal enzymes No destruction by hepatic first pass metabolism
- 90. Nasl applications studied LH ADH Insulin / Glucagon Contraceptive drugs Steroids
- 91. Conclusion Least expensive Shodhana Highly beneficial if properly employed Multifaceted utility Be cautious about complications