Nasya 2-ksr

Standardization of Nasya Procedure

Standardization of NasyaProcedure Procedure

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 http://www.technoayurveda.com/


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 DhumapanaC li i d h i i N• Complications and their management in NasyaKarma.R ti l f 14 K l ib d i P ti h• Rationale of 14 Kalas prescribed in PratimarshaNasya.

• Demonstration of Nasya Karma and practical• Demonstration of Nasya Karma and practical demonstrations.



Standardization

• Standardization of Nasya– Material = Tailam / Ghrutam/

• Taila /Ghruta Pakam• MatraMatra

– Procedure • Pratimarsha• Pratimarsha• Marsha• Dhmapana (Churna)• Dhmapana (Churna)• Dhoomapana nasya



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 yprepared 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



Preparation of Nasya TailamSh 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



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)



SnehapakaN T il i l M d k• Nasya Taila is always Mrudupaka

• Paka are 3 types Mrudu, Madhyama, Khara pakaf h k lk l dl d k– If the kalka is liquidly – Mrudupaka

– Non‐Liquidly and soft – MadhyamapakaNo 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



SOP for Pratimarsha Nasyai 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, ShirogataKriimiroga, Alcoholic, etc. M di i P h d i V dhi i t il• Medicines: Panchendriya Vardhini taila, Anutaila, etc.



16 Pratimarsha KalaEffect achieved Timing gSroto shuddi (4) Night, Afternoon, After food,

After day sleep y pSleep 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, Malamootravisarjanam,

Oral hygiene (2) After brushing, after laughing


yg ( ) g, g g


SOP for Marsha NasyaM 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 PradhanakarmaAll th K h t it t• Allow the Kapha to spit out

• Undertake small local massage • Gandusha & Dhooma pana to be done as Paschatkarma



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



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



Few Studies


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Frozen Shoulder • Gayathry MS et.al, 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


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Frozen Shoulder • Banamali Das et.al, 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



Use of Nasya in ArdhitaD d k hik t l R l Of D h l• Devender kaushik et.al, Role Of DashamulaKwatha 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 et.al, Role of Kukkutanda Swednaand 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)



ArdhavabhedakaSh Vid P t l MANAGEMENT OF ARDHAVABHEDAKA• Shree Vidya P et.al, 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. et.al, 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.



Ardhavabhedakal li i l d h• HEMAL PAREKH et.al, 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 TailaNasya 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.



Migraine

• Mridul Ranajan et.al, A Controlled Clinical Study on the Role of Nasya Karma and y yShirodhara 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)



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.



Demonstration



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.



Thank You


Health & Medicine

Nasya 2-ksr