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Nasya 2-ksr


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Standardization of Nasya Procedure - By
Dr KSR Prasad
CME on Panchakarma for AYUSH Doctors
January 9th to 14th 2017 @ Alva’s Ayurveda Medical College, Moodbidri, Karnataka
Standardization of Sneha Paka for Nasya Karma.
Standard operation procedure of different Nasyas.
Standard operation procedure of Dhumapana
Complications and their management in Nasya Karma.
Rationale of 14 Kalas prescribed in Pratimarsha Nasya.
Demonstration of Nasya Karma and practical demonstrations.

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Nasya 2-ksr

  1. 1. Standardization of Nasya Procedure Standardization of Nasya ProcedureProcedure By  Dr KSR Prasad CME on Panchakarma for AYUSH Doctors  January 9th to 14th 2017 @  Alva’s Ayurveda Medical College Moodbidri KarnatakaAlva s Ayurveda Medical College, Moodbidri, Karnataka Dr. K. Shiva Rama Prasad, at
  2. 2. Standardization of Nasya Procedure Learning Objectives  St d di ti f S h P k f N K• Standardization of Sneha Paka for Nasya Karma. • Standard operation procedure of different  NasyasNasyas. • Standard operation procedure of Dhumapana C li i d h i i N• Complications and their management in Nasya Karma. R ti l f 14 K l ib d i P ti h• Rationale of 14 Kalas prescribed in Pratimarsha Nasya.  • Demonstration of Nasya Karma and practical• Demonstration of Nasya Karma and practical  demonstrations. Dr. K. Shiva Rama Prasad, at
  3. 3. Standardization of Nasya Procedure Standardization • Standardization of Nasya – Material = Tailam / Ghrutam/ • Taila /Ghruta Pakam • MatraMatra – Procedure  • Pratimarsha• Pratimarsha • Marsha • Dhmapana (Churna)• Dhmapana (Churna) • Dhoomapana nasya Dr. K. Shiva Rama Prasad, at
  4. 4. Standardization of Nasya Procedure Material Standardization  f l h ifi di i• Unfortunately there are no specific medicines  prepared for the Nasya or very few are  available  • All the medicines used are commonly y prepared in proportions and standard oil  preparation methods p p • Nasya materials are expected either  Hydrophilic or Lipophilic in nature to absorbHydrophilic or Lipophilic in nature to absorb  and effect  Dr. K. Shiva Rama Prasad, at
  5. 5. Standardization of Nasya Procedure Preparation of Nasya Tailam Sh dh d ib d ll h (Gh t / t il )• Sharngdhara described all sneha (Ghruta / taila)  preparation rules as – 1:4 times of Kalka or liquid materials– 1:4 times of Kalka or liquid materials  – Kashaya (liquid) preparation for tailapaka reduced to  half quantity q y • Mrudu (Guduchi) dravya = 1: 4 water • Madhyama = 1: 8 water  K thi D 1 16 t• Kathina Dravya = 1:16 water  – Based on quantity  • Karsha to Pala = 1: 16Karsha to Pala   1: 16 • Pala to Kudava = 1:8 • Prastha to Khari = 1:4 Dr. K. Shiva Rama Prasad, at
  6. 6. Standardization of Nasya Procedure Dose of Nasya • Teekshna Aushadha = 1 Sana (8 drops) (1600 mg) • Hingu (niryasa) = 1 Yava (16mg) • Saindhava Lavana = 1 Masha = 400mg • Ksheera = 8 sana (64 drops)• Ksheera = 8 sana (64 drops) • Udaka = 3 karsha / 3 tola (36gm) /• Sharkara / Madhura dravya = 1 Karsha (12gm) Dr. K. Shiva Rama Prasad, at
  7. 7. Standardization of Nasya Procedure Snehapaka N T il i l M d k• Nasya Taila is always Mrudupaka • Paka are 3 types Mrudu, Madhyama, Khara paka f h k lk l dl d k– If the kalka is liquidly – Mrudupaka – Non‐Liquidly and soft – Madhyamapaka No liquid and hard Kharapaka– No liquid and hard ‐ Kharapaka • The other two not to be used are – Khara (over  burnt) & Amapaka (uncooked)burnt) & Amapaka (uncooked) • Test: If the Kalka is soft & non sticky extends like  wick and when burnt do not show any waterwick and when burnt do not show any water  content with splitting noise is well cooked taila Dr. K. Shiva Rama Prasad, at
  8. 8. Standardization of Nasya Procedure SOP for Pratimarsha Nasya i h i k l i l i (• Pratimarsha Nasya is taken multiple times (16  times) in a day with a minimal dose (2 drops)  dipped a finger in the medicine or a pinch of  powder  • Indication: Children, Aged, Lean, Healthy, etc. • Contraindication: Dushta Peenasa ShirogataContraindication: Dushta Peenasa, Shirogata Kriimiroga, Alcoholic, etc.  M di i P h d i V dhi i t il• Medicines: Panchendriya Vardhini taila,  Anutaila, etc.  Dr. K. Shiva Rama Prasad, at
  9. 9. Standardization of Nasya Procedure 16 Pratimarsha Kala Effect achieved   Timing g Sroto shuddi (4) Night, Afternoon, After food,  After day sleep y p Sleep disturbances (1) Evening  Removal of kapha (2) After Vamana, After wakeup,  p ( ) , p, Lightness in the head (3) After walk, after exercise, after  conjugation, j g , Vision improvement  (4) At Shirobhyanga, Gandusha,  Anjana, MalamootraAnjana, Malamootra visarjanam,  Oral hygiene (2) After brushing, after laughing  Dr. K. Shiva Rama Prasad, at yg ( ) g, g g
  10. 10. Standardization of Nasya Procedure SOP for Marsha Nasya M h (S h ) N i l i i h T il• Marsha (Sneha) Nasya is regular practice with Taila or  Ghee  F f 5 i t d Mild f t ti ith• Face massage for 5 minutes and Mild fomentation with  hot water cloth as Purvakarma • Hyper extended neck in supine position• Hyper extended neck in supine position  • Administer the scheduled dose as Pradhanakarma All th K h t it t• Allow the Kapha to spit out  • Undertake small local massage  • Gandusha & Dhooma pana to be done as  Paschatkarma Dr. K. Shiva Rama Prasad, at
  11. 11. Standardization of Nasya Procedure Dhumapana (Nasya)  If h Dh k h h• If the Dhooma taken through  nostrils is Dhooma Nasya and if is  taken from mouth is dhoomapanataken from mouth is dhoomapana • Dhooma Nasya is consumed with  three ridge pipe through nostrilsthree ridge pipe through nostrils  (Akshepa) for three times and  released (Visarga /moksha) from ( g ) mouth  • Daily 3‐4 times in day it is  practiced  • This can be done as vapor also  Dr. K. Shiva Rama Prasad, at
  12. 12. Standardization of Nasya Procedure Complications  • Two types  – Vaidya Nimitta (iatrogenic) – • Heena Matra & Ati Sheeta & Vilambita = Peenasa • Ati matra = Ati yogaAti matra = Ati yoga • Ati Ushna = Raktagama, Paka, Bhrama • Twarita =murcha • Nishiddha • Sarvamm(all above) = Utsnehana, Shiroroga – Atuara (patient) NimittaAtuara (patient) Nimitta • Atyunnata, Atyavanata, Prachalita, etc 6 vyapat • Two types yp – Doshotlesha Nimitta = Use shamana for it  – Doshakshaya Nimitta = Brumhana to be done  Dr. K. Shiva Rama Prasad, at
  13. 13. Standardization of Nasya Procedure Few Studies  Dr. K. Shiva Rama Prasad, at
  14. 14. h ld Standardization of Nasya Procedure Frozen Shoulder  • Gayathry MS, A clinico analytical study on  parinata Keriksheeradi Tailam as Nasya Yoga (Nasalparinata Keriksheeradi Tailam as Nasya Yoga (Nasal  Drug delivery) in the management of frozen shoulder,  Journal of Pharmacognosy and Phytochemistry 2015;  4(3): 90‐97 – Out of 32 patients of frozen shoulder treated with 7 days  of Nasya Karma the patients marked improvement in 30%of Nasya Karma, the patients marked improvement in 30%,  moderate improvement in 43% and mild improvement in  27%. P b bl M d f ti It h di t b ti i t th– Probable Mode of action: It has direct absorption into the  blood stream avoids gastrointestinal destruction and  hepatic first pass metabolism allowing more drug to be  ff i l idl d di bl bi il bl hcost‐effectively, rapidly, and predictably bio‐available than  if it were administered orally. – What he miss is the involvement of T1 nerve Dr. K. Shiva Rama Prasad, at
  15. 15. h ld Standardization of Nasya Procedure Frozen Shoulder  • Banamali Das, A study on Apabahukay p (frozen shoulder) and its management by  Laghumasha taila nasya Ayu 2010Laghumasha taila nasya, Ayu. 2010  OctDec;31(4): 488–494., doi:  10 4103/09748520 8204810.4103/09748520.82048 – In 18 patients with Apabahuka 53.33% were  moderately improved, followed by 26.66%  improved Dr. K. Shiva Rama Prasad, at
  16. 16. Standardization of Nasya Procedure Use of Nasya in Ardhita D d k hik t l R l Of D h l• Devender kaushik, Role Of Dashamula Kwatha Nadi Sweda And Anu Taila Nasya In The  Management Of Ardita International Journal OfManagement Of Ardita, International Journal Of  Medical Science And Clinical Inventions,  Vol.  3|Issue 04|Pg:1797‐1802, Vol. 3|Issue | | g , | 04|Pg:1797‐1802 • Khurana Pooja, Role of Kukkutanda Swedna and Nasya (Ksheerabala taila) in the  Management of Ardita‐ A Pilot Study,  International journal of ayurvedic & herbalInternational journal of ayurvedic & herbal  medicine 4(5) Sep‐Oct 2014(1602‐1607)  Dr. K. Shiva Rama Prasad, at
  17. 17. Standardization of Nasya Procedure Ardhavabhedaka Sh Vid P t l MANAGEMENT OF ARDHAVABHEDAKA• Shree Vidya P, MANAGEMENT OF ARDHAVABHEDAKA  VIS‐À‐VIS MIGRAINE: AN OBSERVATIONAL CLINICAL  STUDY, Int. J. Res. Ayurveda Pharm. 4(6), Nov – Dec 2013  ( ) f ( )(Shatahvadi taila), Out of 30 patients, 18 patients (60 %) got  complete relief followed by 12 patients (40 %) with marked  relief. • Srikanth, N., A CLINICAL STUDY ON THE ROLE OF  NASYAKARMA AND GHRITAPANA IN THE MANAGEMENT OF  ARDDHAVABHEDAKA VIS A VIS MIGRANOUS HEADACHESARDDHAVABHEDAKA VIS‐A‐VIS MIGRANOUS HEADACHES,  Aryavaidyan Vol. XlV. No.3, Feb.‐ Apr. 2001, Pages 166 – 171  ‐ 20 cases presented with classical features of  ddh bh d k ( i i ) d i t C l t li farddhavabhedaka (migraine) depict Complete relief was  found in 25% cases, marked relief in 15% cases.  Dr. K. Shiva Rama Prasad, at
  18. 18. Standardization of Nasya Procedure Ardhavabhedaka l li i l d h• HEMAL PAREKH, Aclinical study on the  role of Brihat Dashamoola Taila Nasya and  Laghu Sutashekhara Rasa in the management  of Ardhavabhedaka w.s.r. to Migraine, AYU‐ VOL. 30, NO. 1 (JAN.‐MAR.) 2009, pp 29‐33 – Out of 44 patients – Brihat Dashamoola Taila Nasya were having significant improvement on all  the parameters like Headache, Nausea, Vomiting  d h i d f h diand on other associated symptoms of the disease  Ardhavabhedaka. Dr. K. Shiva Rama Prasad, at
  19. 19. Standardization of Nasya Procedure Migraine • Mridul Ranajan, A Controlled Clinical  Study on the Role of Nasya Karma and y y Shirodhara in the Management of Migraine,  Sch J App Med Sci 2015; 3(1C):153‐158Sch. J. App. Med. Sci., 2015; 3(1C):153 158 – It is concluded that Kumkumadi Ghrita Nasya was  more effective in alleviating symptomsmore effective in alleviating symptoms  ofArdhavabhedaka (Migraine)(n=10) Dr. K. Shiva Rama Prasad, at
  20. 20. Standardization of Nasya Procedure Pratimarsha nasya • Patil Y. R., STUDY OF PREVENTIVE EFFECT OF  PRATIMARSHA NASYA WITH SPECIAL  REFERENCE TO ANU TAILAM (AN AYURVEDIC  PREPARATION) IRJP 2012 3 (5) 295‐300 ‐ InPREPARATION), IRJP 2012, 3 (5), 295 300  In  this study 40 volunteers, Pratimarsha Nasya of  Anu Tailam provides significant beneficialAnu Tailam provides significant beneficial  effect on functioning of some Indriyas. Dr. K. Shiva Rama Prasad, at
  21. 21. Standardization of Nasya Procedure Demonstration  Dr. K. Shiva Rama Prasad, at
  22. 22. Standardization of Nasya Procedure Conclusion • Nasya karma is a best procedure of nasal  insufflated medicine in Ayurveday • It can be either hydrophilic or lipophilic in  naturenature – It means swarasa, dugdha or kashaya as  hydrophilic and taila or ghruta as lipophilic are  used – The nasal route is the best to reach Head and the  best management for the diseases of head.  Dr. K. Shiva Rama Prasad, at
  23. 23. Standardization of Nasya Procedure Thank You Dr. K. Shiva Rama Prasad, at