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Nasya Karma - Nasal Medication

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Nasya Karma - Nasal Medication

Post by Admin on Mon 25 Oct 2010, 12:07 am

Nasya Karma - Nasal Medication
Nasya is the procedure in which medications are administered through the nostrils in order to purify the head and neck region.

The medicines which are used for this procedure include oil, pastes, powders, plant juices, decoctions, infusions, and even smoke.

“Nasa hi shiraso dwarum” means the nose is the doorway to the head. Being gateway to the head, is considered to be effective in diseases of head including five sense organs (Indriyas). In this procedure vitiated doshas above the region of clavicle – In the head and neck – are eliminated through the nose. Hence this therapy is specifically advised for head and neck diseases.

Types of Nasal Medication
There are three ways of differentiating the various forms of nasal medication.
1. According to action
· Shodhana (Purification) or Virechana – for the elimination of aggravated doshas

· Shamana (Palliation) – for subsiding the aggravated doshas
· Brimhana (Nourishing) – for subsidence of Vata
2. According to the substance used
· Avapeeda – Fresh herbs are squeezed and the juice is put into the nose
· Navana – Instilling liquids into the nose like milk and oils
· Dhooma – Inhaling the smoke of various dry herbs
· Virechana dhumapana – Employing medicinal powders into the nose with a special apparatus.

3.According to the dose
· Pratimarsha – a dose of only 2 drops in each nostril
· Marsha – 8 to 32 drops in each nostril.
Here are some of the other types of nasya which have been described over the centuries in the ancient texts:

Tarpana - nourishing
Karshana - depleting
Sneha nasya - oil nasya
Dhooma - using medicinal smoke or vapours
Virechana - blowing the herbal powder into the nose by tube
Prayogika - frequent
Stambhana - for stopping the bleeding from nose – astringent herbs
Raktastambhana – Haemostatic

Indications for Nasal medication

Headache, migraine, stiffness in head, neck, shoulders, lock jaw, dental pain, ear pain, nasal pain, eye pain, sinusitis, facial paralysis, epilepsy, sleeplessness, loss of speech, stammering, diseases of shoulder, hysteria. In short this can be given for any disease of eye, nose, ear or throat .

Contraindications for Nasal medication
Pregnancy, menstruation, exhaustion due to any of the physical exercises, sex, hard labour, extreme thirst, extreme hunger, immediately following purgation or Vasti and during fasting, bleeding disorders, patients who are below 8 years of age and above 80 years, shortness of breath, suffering from acute anger or grief.

In short, nasya should not be administered directly following a meal, a bath, an alcoholic drink, sex, or exercise.

Common herbs and other substances used for Nasal medication:-
Apamarga seeds- Achyranthus aspera, Pippali – Piper longum, Marich – Black pepper, Shunthi – Zinziber officinale, Vidanga – Embelia ribes, Tulsi – Ocimum sanctum, Haridra – Curcuma longa, Brahmi – Centella asiatica, Madana Phala – Randia dumatorum, Devdara – Cedrus deodara, Til oil – Sesame oil, Ghee, Milk, Honey, Medicated oils – Anu taila, Vacha taila, Panchaguna taila, Padmakadi taila.

Some commonly used preparations for Nasal medications:

Anu tailum, Shadbindu taila, Padmakadi taila, Jatyadi taila, Cow-ghee, Shatavari ghrita, Brahmi ghrita, Shunthi guda, Trikatu, Katphala churna, Nirgundi oil and vapourof Nirgundi leaves, smoke of Kantakari.

Method of administration
Preliminary procedure
Nasal medication usually follows Vamana, Virechana and/or Vasti. There is a one day rest period between the completion of these procedures and nasya.

· The patient is first asked to empty the bladder and/or the bowels.
· Then a light meal can be taken, if the patient is hungry
· The teeth must be then cleaned.

Then follow the next steps.
1. First apply suitable oil on head, face, forehead, shoulder and nasal region for 10 minutes.

2. Then carry out hot water fomentation by rubber bag, or cloths for another 10 minutes leaving the eyes.


Main Procedure:

1. Allow patient to lie down on straight bed, keeping pillow below his neck to bring nose in front and face in little lower position. Or patient can sit in a special chair like dental chair and neck can be rested on cushion to keep face in lower level and nose up.

2. Anu taila, shadbindu taila, or juice or any liquid medicine should be warmed and taken into the special container or dropper. Close left nostril by thumb, and put 4 to 8 drops in right nostril and ask the patient to inhale the same. Repeat the same in left nostril by closing right nostril. Advice the patient to inhale it by inspiration.


1. Powder nasya – a pinch (125 mgm) can be administered by inspiration inhalation.


2. Pradhamana nasya – It is specific type in which powder is filled in metal or wooden tube or paper tube and enter one end of it into the nostril of the patient. Then blow the powder in the nostril. Other devices such as rubber balloon with tubing can also be used for this purpose.


3. Vapour nasya – Leaves of medicine or decoction is kept on boiling.
Patient is advised to cover with towel his head and face and inhale the
vapour as per his tolerance.

Signs of optimum purification of Nasya

Lightness in head and body, good sleep, proper functioning of sense organs and mind, elimination of vitiated doshas from nasal sinuses and nose, relieves signs and symptoms of disease for which it is given.

Signs of inadequate Nasya


Signs of vata aggravation like dryness in the nose with itching occurs. In this condition administer again the proper nasya medicine in the nostrils.



Signs of excessive purification due to Nasya

Due to shodhana or prdhamana nasya there may be excessive secretions not only from nose but also from eyes with severe burning. Some times there might be bleeding from the nose. In such case always instill few drops of ghee in the nostrils.

Post Nasya procedure

Give mild fomentation on forehead, face, throat and neck., wash face and neck, ask the patient to gargle with hot water. Once the optimum symptoms of purification are found, allow the patient to take complete rest. After purification type of nasya, always instill some ghee drops in the nostrils.

Benefits of Nasya
1. Regular use can prevent disease of ear, nose, throat and that of head
2. It is also very effective for treating diseases like falling of hairs, baldness and use of nasya can improve the quality of hairs.

3. Nasya controls all doshas in the region of head as well as all the centres of sense organs and motor organs situated in the head, hence it is also useful in the treatment of various disorders like headache, migraine facial paralysis, hemiplegia, aphasis etc.

Signs of optimum purification of Nasya
Lightness in head and body, good sleep, proper functioning of sense organs and mind, elimination of vitiated doshas from nasal sinuses and nostrils, relieves signs and symptoms of disease for which it is given.

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nasya karma full details- & dhumapana & kandoosha

Post by Admin on Sat 06 Nov 2010, 9:44 pm


Nasya Karma

It is also known as shiroveraechan. A very important part of the panch karma therapy. Nasya karma is a procedure mentioned in ayurvedic texts regarding the diseases related to head, eyes, nose etc. i.e. in urdhv jatru gata roga. Nasya karma means administration medicine through the nostrils. Nostril is considered as the pathway to the brain.

Importance of nasya karma


The importance of administration of treatment through nostril has been practiced in India since ages. Nasal douching with the clean and pure water early morning is considered good for improving eyesight, prevents premature graying of hairs and hair fall. Purpose of performing nasya karma is to through out the vitiated dosha in the head region. Nasya karma is particularly advised in disease of head such as inflammation of nasal sinuses, diseases of eyes such as pains, inflammation, reddishness and weakness, diseases of ears and diseases of the upper throat. It has been regularly being prescribed in insanity.

Diseases in which nasya karma is used
• Shirh stambhManya stambh
• HanugrahPeenus
• Dant stanbh shoolGal shalook
• Netra rogaTimir
• Vartam rogaUpjhivika
• Ardh vibehdakGriva roga
• Skandh rogaAns shool
• Mukh rogaKarn shool
• Nasa shoolAkshi shool
• Shirh shoolArdit
• AptantrakGalgand
• Dant shoolDant harsh
• ArburdSwar bheda

Following are the diseases in which nasya karma is not to be given
• AjirnPitt sneh
• Shudha yuktShrammit
• MoorchaShastra dand hatt
• VyayamkalantNav jwar
• Shok santaptGarbhini
• BaalVridh
• VegavrodhitSwasgrast
• Rakta sravitSutika
• Kaas grasitGar peerit
• krudh

The main function of the nose is to warm the air when it passes through the labyrinth of the intricate passage into the nose and also to filter the air of certain impurities contained in the atmosphere. If the air comes in contact with the epithelium of the lungs, without undergoing the process of drying and filtration, it is sure that it may cause an injury. To make the nose capable for inhaling nasya is also advised.

Timings of performing nasya karma


Usually nasya karma is to be performed in early morning for kapha related disorders. In pitta related disorders nasya is to be performed in the noon or mid day time. Evening is the time for treating vata related disorders.

Nasya is also advised in night time for certain disease s like excessive salivating, talking in sleep, grinding of teeth, greaning in sleep, difficulty in opening the eye lids, offensive breathe, karna naada (tinnitus aurium), hemiplegia, disease of head, swas roga (asthma), cough and excessive sleepiness.

It is to be kept in mind that before performing nasya karma, Snehan and swedan is to be done to the head region. Usually paanitaap sweda (application of heat with the heated palms) is to be done all over the head Procedure of nasya karma Before stating the main procedure one should always apply the oil on the head and then it is massaged and then it is warmed with the palms. The patient is then laid down on a hard bench on his back and is bent bit backwards. Now the tumbler containing the medicine is put into hot water so as to warm the medicine. Now close one nostril and the medicine is put into other nostril and vice versa. The excess medicine that reaches his mouth is to be spitted out. A good massage to his feet, shoulders and head is to done. After the first administration of nasya, the head, cheeks, neck etc are again done with swedan. After this procedure is over the patient is advised Dhumapanam (medicated smoking). Patient should be kept in a clean environment where he is to be protected fro direct exposure to air, dirt and dust. Emotional stress should also be avoided. If the nasya is performed in a proper way the patient feels lightness on his head and has good sleep with out any discomfort.

Important points to be noted for nasya karma


Nasya karma may be at the most consecutively performed for seven days.
• Nasya karma can be performed in both morning and evening in diseases like hiccups, tonsillitis etc.
• After the completion of nasya karma one should take nutritious diet.
• After completion of virechan nasya (avapeed or pradhamana) some oil drops are to be put into the nostril.
• After the nasya is complete, the patient should lie down on the bed for at least half an hour.

Paschat karma of nasya karma
Following are the things that are to be performed after nasya karma.


• Dhumapanam
• Kaval and Gandusha
• Life style
• Dhumapanam


Dhumapanam is the inhalation of medicated smoke. It is employed in certain diseases i.e. kapha and vata disorders pertaining to head and neck. The patient is made to smoke through pipe, or through inhalation of dhum (fumes) or by specially prepared cigars. It is also of three types


• Snigdh
• Madyam
• Tikshan.

Procedure
The dhum is to be taken when the person is sitting erect with his mind attentive on the act. Usually dhum is sucked is taken through one nostril and the process is repeated in vice versa. If the dosha is situated in the head region or in the nose and if it moved from its seat (utklishta). In such a case person should smoke through nose. In contrast, if the dosha is firmly attached in the head or nose and is not moving, then he may take the smoke through the mouth. If the dosha is situated in the throat then, he should first take the smoke through the nostril and next through the mouth. In all the cases, this inhalation of smoke should be left off through the mouth and never through the nose. The smoke is to be drawn in and then left off and this process is repeated three times on an occasion.

Herbs used for Dhumapanam
Shallaki, laksha, prithveeka, lotus, lily, nyagrodha bark, udumbara, aswatha, plaksha, lodhar, sugar, muklethi, suwarnatwak, padmakam, manjishtha and all the fragrants substavces excepts kushta and tagra. These are saman dravya (herbs), if after these still some doshas are left then administration of tikshan dhum is done.

Disease in which Dhumapanam is indicated
Disease or symptoms like cough, asthma, peenus, loss of voice, offensive breath, anemia, premature graying of hairs, ottorrhoea, discharge from eyes, excessive salivation, itching and pain in the eyes, ears and mouth, stiffness in these parts, sleepiness and sluggishness and hiccough. These symptoms or disease are prevented in a person who uses proper humapanam. Dhum may be applied to the ulcers and at that procedure it is called vranadhupnah (fumigation of the wound.)

Kaval and Gandusha
Gandusha means holding a mouthful of tailam or any decoction for a while after filling the mouth wit it. Kaval means filling the mouth partially and gargling with it.

Gandusha is of for types
Snigdh Gandusha : it is done with oils. These are medicated with sweet, sour and saltish substances. It is useful in pitta disorders. Saman Gandusha : it is done by decoction prepared with the bitter, astringent and sweet substance. It is useful in kapha disorders.Shodhana Gandusha: it is done with the decoction etc. prepared with astringent and sweet substance. It is useful in vata disorder. Ropana Gandusha: it is done with the decoction which is prepared with astringent and bitter substances. It is useful in ulceration of mouth.

Dravya (herbs) used in Gandusha For performing Gandusha oils, ghee, milk, water mixed with honey, liquors, meat juice, cow’s urine, and dhaanyaamlam etc, mixed or unmixed with other herbs may be used. These herbs have rasa or the taste, as indicated the disease we are treating. Sweet gingerly oil or meat juice may be employed for Gandusha daily by all the people, even they are not suffering from any disease also.

In mukh paak (stomatitis) or the ulceration of the mouth or in inflammation of any part of the mouth accompanied with burning sensation or in injuries caused in the mouth, Gandusha with honey, ghee and milk are very effective. If there is kapha in mouth, Gandusha with ksharodaka is very useful.

Life style
One should avoid cold water, curd; heavy food stuff and fatty food items. One should bathe with warm water. One should reside in cozy and warm environment. Atmosphere should clean without any dirt, dust and any kind of pollution. Any kind of emotional stress should be avoided. Traveling shold also be avoided.

Types of nasya karma

• Virechan
• Brimhana
• Samana

Brimhana
It is a kind of nasya which make our body organs strong. It is also called nutrient nasya. It is useful in relieving from pain which is predominantly caused by vata vitiation. Certain disease like Surya avartha (a kind of head ache), swar bhang (loss of voice), parching of nose and throat, loss of speech, opening of the eyelids with difficulty and apabhaahuka (paralysis of arm), brimhana nasya may also be performed with the meat juice of jaangula animal or birds, flesh, blood of the animals etc, extract or exudations of certain herbs.
It is still of two types: These are:


Marsa – it means large dose of Snehan. Thirty two drops constitute the maximum dose and sixteen drops is the minimum dose. These doses may not be administered at one go but may be given in two or three times. It is useful in disease caused by vata vitiation.

Pratimarsa – this type of nasya is given in the healthy person. In this only one drop per nostril is being administered. It is basically maintaing the normal health of the individual. The dose should be dropped any number of time in a day without any restrictions. This nasya is advised in any time of the day and even in the night. This nasya is generally recommended in people having hemoptysis, in emaciated people, in children, in old men and in people who desires comforts. It is not advisable in dusht peenus (severe cold), after use of alcohol, when ears are filled with pusetc.


Samana


In this types of nays karma, a patient is administered by providing him the medication by milk and water. Samana nasya are performed in people who are of soft physical built like children, women and old aged people. Timings of performing nasya karma. Usually nasya karma is to be performed in early morning for kapha related disorders. In pitta related disorders nasya is to be performed in the noon or mid day time. Evening is the time for treating vata related disorders.

Nasya is also advised in night time for certain disease s like excessive salivating, talking in sleep, grinding of teeth, greaning in sleep, difficulty in opening the eye lids, offensive breathe, karna naada (tinnitus aurium), hemiplegia, disease of head, swas roga (asthma), cough and excessive sleepiness. It is to be kept in mind that before performing nasya karma, Snehan and swedan is to be done to the head region. Usually paanitaap sweda (application of heat with the heated palms) is to be done all over the head Procedure of nasya karma Before stating the main procedure one should always apply the oil on the head and then it is massaged and then it is warmed with the palms. The patient is then laid down on a hard bench on his back and is bent bit backwards. Now the tumbler containing the medicine is put into hot water so as to warm the medicine. Now close one nostril and the medicine is put into other nostril and vice versa. The excess medicine that reaches his mouth is to be spitted out. A good massage to his feet, shoulders and head is to done. After the first administration of nasya, the head, cheeks, neck etc are again done with swedan. After this procedure is over the patient is advised Dhumapanam (medicated smoking). Patient should be kept in a clean environment where he is to be protected fro direct exposure to air, dirt and dust. Emotional stress should also be avoided. If the nasya is performed in a proper way the patient feels lightness on his head and has good sleep with out any discomfort.

Important points to be noted for nasya karma Nasya karma may be at the most consecutively performedfor seven days. Nasya karma can be performed in both morning and evening in diseases like hiccups, tonsillitis etc. After the completion of nasya karma one should take nutritious diet. After completion of virechan nasya (avapeed or pradhamana) some oil drops are to be put into the nostril. After the nasya is complete, the patient should liedown on the bed for at least half an hour.


• Paschat karma of nasya karma
• Following are the things that are to be performed after nasya karma.
• Dhumapanam
• Kaval and Gandusha
• Life style
• Dhumapanam


Dhumapanam is the inhalation of medicated smoke. It is employed in certain diseases i.e. kapha and vata disorders pertaining to head and neck. The patient is made to smoke through pipe, or through inhalation of dhum (fumes) or by specially prepared cigars. It is also of three types


• Snigdh
• Madyam
• Tikshan.

Procedure


The dhum is to be taken when the person is sitting erect with his mind attentive on the act. Usually dhum is sucked is taken through one nostril and the process is repeated in vice versa. If the dosha is situated in the head region or in the nose and if it moved from its seat (utklishta). In such a case person should smoke through nose. In contrast, if the dosha is firmly attached in the head or nose and is not moving, then he may take the smoke through the mouth. If the dosha is situated in the throat then, he should first take the smoke through the nostril and next through the mouth. In all the cases, this inhalation of smoke should be left off through the mouth and never through the nose. The smoke is to be drawn in and then left off and this process is repeated three times on an occasion. Herbs used for Dhumapanam Shallaki, laksha, prithveeka, lotus, lily, nyagrodha bark, udumbara, aswatha, plaksha, lodhar, sugar, muklethi, suwarnatwak, padmakam, manjishtha and all the fragrants substavces excepts kushta and tagra. These are saman dravya (herbs), if after these still some doshas are left then administration of tikshan dhum is done.

Disease in which Dhumapanam is indicated Disease or symptoms like cough, asthma, peenus, loss of voice, offensive breath, anemia, premature graying of hairs, ottorrhoea, discharge from eyes, excessive salivation, itching and pain in the eyes, ears and mouth, stiffness in these parts, sleepiness and sluggishness and hiccough. These symptoms or disease are prevented in a person who uses proper Dhumapanam. Dhum may be applied to the ulcers and at that procedure it is called vranadhupnah (fumigation of the wound.) Kaval and Gandusha Gandusha means holding a mouthful of tailam or any decoction for a while after filling the mouth wit it. Kaval means filling the mouth partially and gargling
with it. Gandusha is of for types

• Snigdh Gandusha : it is done with oils. These are medicated with sweet, sour and saltish substances. It is useful in pitta disorders.
• Saman Gandusha : it is done by decoction prepared with the bitter, astringent and sweet substance. It is useful in kapha disorders.
• Shodhana Gandusha: it is done with the decoction etc. prepared with astringent and sweet substance. It is useful in vata disorder.
• Ropana Gandusha: it is done with the decoction which is prepared with astringent and bitter substances. It is useful in ulceration of mouth.

Dravya (herbs) used in Gandusha For performing Gandusha oils, ghee, milk, water mixed
with honey, liquors, meat juice, cow’s urine, and dhaanyaamlam etc, mixed or unmixed with other herbs may be used. These herbs have rasa or the taste, as indicated the disease we are treating. Sweet gingerly oil or meat juice may be employed for Gandusha daily by all the people, even they are not suffering from any disease also. In mukh paak (stomatitis) or the ulceration of the mouth or in inflammation of any part of the mouth accompanied with burning sensation or in injuries caused in the mouth, Gandusha with honey, ghee and milk are very effective. If there is kapha in mouth, Gandusha with ksharodaka is very useful.

Life style


One should avoid cold water, curd; heavy food stuff and fatty food items. One should bathe with warm water. One should reside in cozy and warm environment. Atmosphere
should clean without any dirt, dust and any kind of pollution. Any kind of emotional stress should be avoided. Traveling shold also be avoided.


Virechan nasya


Virechan nasya or seerssha virechan is useful in shirh shool (head ache), abhishyandi (conjunctivitis), kanth roga (disease of throat), mukh shoof (swelling of the face), Krimi (worms), granthi (enlargement of the glands), kushth (leprosy), apasmaara (epilepsy), peenus (nasal disease in which smell sensation is lost). Following are the herbs used in giving virechan nasya. Garlic juice mixed with mustard oil or medicated sprits with also a addition of marich (black pepper).

Apamarg seeds, pipilli (piper longum), marich (black pepper), vidang, siguru seeds, mustard oils, tamburu (tobacco), ajeern (indigestion), ajagandha, peelu, ela (cardamoms), herenuka, prithweeka, tulsi (holy basil),kutheraa, phanijjaka, saindhav lavan (rock salt), souvarchal lavan, haridra (turmeric), daru haridra, jyotish mati, and sunthi. These herbs are used in performing nasya of vairechanika type. Virechan is thus of two types


• Avapeed
• Pradhamana

Avapeed nasya


Usually fresh juice or juice extracted after throbbing the herb with a little water, if the herbs are dry, oils and sprits medicated with the above termed as avapeed nasya. It is a form of virechan nasya in which the fresh juices or the extracted rasa from there kalk are being used. On an average about four, six or eight drops of the herbs are recommended. This type of nasya is very helpful in kanth roga (disease of throat), jwar (fever), Nidra Nash (insomnia), manas roga (mental disorder), Krimi (worms) etc.

Pradhamana nasya


If the dry drugs are powdered and blown in the nostril, it is called as pradhamana nasya. The pradhamana is more irritating as it is more tikshan (stronger). This kind of nays is administered when the dosha are very intense as it has the capability to absorb doshas. The herbs that are usually used are saindhav lavan (rock salt), marich (black pepper), pipilli, sunthi, garlic, guggulu etc. All these herbs are mixed in equal quantity and is powdered well along with the gall stone of a fish and kept dry. The powder is then used to perform nasya karma

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