Nasya Karma

As discussed in our samhitas, Sanshodhana chikitsa in ayurveda is primarily dependent upon Panchkarma therapies .

We have various ways to cleanse the Urdha Bhaga by Vaman, Adho Bhaga by Virechan and to an Sarvanga extent Vata everywhere by Basti.

Even then there is still a part of body left which doesn't get treated completely with these sanshodhana therapies which is above Jatru i.e. Uttamanga or Shiras.

To cure the diseases occurring in the Shiras region medicine is administered through Nasal orifices and is known as 'NASYA KARMA'.

ऊर्ध्वजत्रु र्विकारेषु विशेषान्नस्यमिष्यते।

नासाहि शिरसो द्वारन् तेन तद्व्याप्यहन्तिान्।।

(अ. हृ. सु. 20/2)

नस्तः कर्म च कुर्वीत शिरोरोगेषु शस्त्रवित् ।

द्वारं हि शिरसो नासा......।।

(च. सि. 9/88)

Etymology( nirukti):-

Nasya word composed of 2 words= Nasya+ karma. Nasya: 'Nas' is substituted for Nasa when it is followed by the Suffix 'Yath'. Nasika + Yath = Nasadeshacha. Nasikaayaihitam-Nasya.

"नासिकाये हितं तत्र भवोवायत् नासादेशः ।''

(वाच्शपतिं)

According to Vachaspatyam the word "Nastah" means beneficial for the nose.

The word Nasya is derived from 'Nasa' Dhatu which conveys the sense of Gati- Motion (Nasa Gatau). The literal meaning of being in the nose or the things beneficial to the nose.According to Shabda-kalpa-druma:- * नासिकायायैः हितं इति नस्यः।

* नासिका देय चूर्णादि।

* नासाद्वारादेयौषधविशेषा।

Definition: -

"औषधं औषध सिध्दोवास्नेहो नासिकाभ्यां दीयते इति नस्यम्।"

(सु.चि.40/21)

"नस्यमिति नासाया दीयते इति नस्यम्।"

(शा.उ.तं.8/1)

"नासायां प्राणीयमानौषधं नस्यम्।

नावनं नस्तः कर्मेति च संज्ञा लभते।।"

(अ.सं.सु.29)

Synonym:-

# shirovirechana, shirovireka, murdhavirechana

Above indicates its main function; elimination of morbid Doshas from parts above the Clavicles.

# Navana, Nasta karma

Above both denotes the site of administration and measures which are beneficial to the nose.

Significance of Nasya karma:-

The main aim of Panchkarma is to remove Doshas through the easiest / nearest route .

"द्वारं हि शिरसो नासा तेनं तद् व्याप्य हन्ति तान्।।"

(च.सि.9/88)

Nasta karma is the main line of treatment for diseases above the clavicles and it is the only Shodhana Karma for Urdhvanga. Along with these, Nasya karma has the following benefits: -

-Can be used even in Unconscious patients.

-Promotion of health as a part of Dincharya.

-Rapid drug absorption via highly vascularized mucosa.

-Avoiding the gastrointestinal tract and first pass metabolism.

-Improved bioavailability.

-Lower side effects .

General Darvya used for Nasya:-

A large no. Of drugs have been indicated for nasya karma in Charka sutrasthana adhyaya 2.

"अपामार्गस्य बीजानि पिप्पलीर्मरिचानि च।

विङ्गान्यथ शिग्रुणि सर्षपांस् तुंबरूणि च।।

अजाजीं च अजगंधा च पीलून्येलां हरेणुकाम्।

पृथ्वीकां सुरसां श्वेतां कुठेरक फणिञ्झकौ।।

शिरीषबीजं लशुनं हरिद्रे लवणद्वयम्।

ज्योतिष्मति नागरं च दद्दात् शीर्षविरेचने।।"

(च.सू.2/3-5)

Shirovirechana darvya according to useful part.(च.वि.8/151)

(Phala, Patra,Mula,Kanda,Pushpa,Nirtasa,Twak).

Shirovirechana darvya:-

"ज्योतिष्मति क्षवक मरिच पिप्पली विङ्ग शिग्रु सर्षप अपामार्गतण्डुल श्वेता महाश्वेता इति दशेमानि शिरोविरेचनोपगानि भवन्ति।।"

(च.सु.4/13)

Shirovirechana Gana:-

"वोल्ला (विङ्ग) अपामार्गव्योषदार्वीसुराल(सर्जरस)बीजं शैरीषंबहितं शैग्रव च ।

सारो मधुकः सैन्धवं तार्क्ष्यशैलं(रसांजन) त्रुटयौ(दोनों एला) पृथ्वीका(हींगु) शोधयन्तु उत्तमाङ्गम्।।

(अ.हृ.सु.15/4)

Classification of Nasya:-

1. According to Charka's Nasya (च.सि.9/89-92)

Navan- Snehana and Shodhana.

Avapida-Shodhana and Stambhana.

Dhmapana.

Dhuma-Prayogika, Vairechanika, Snaihika.

Pratimarasa- Snehana, Shodhana

Charka also said nasya as - Rechana, Tarpana,Shamana.

Rechana, Tarpana, Shamna are type of nasya according to action.

Charka also mentioned 7 type of Nasya (च.वि.8/154)

According to parts of drugs to be used in Nasya Karma:-

Phala,Patra,Mula,Kanda,Pushpa,Niryasa,Twaka.

2. According to Sushruta :-(सु.चि.40/21)

"तद् द्विविधम् शिरोविरेचनं स्नेहनं च। तद् द्विविधमपि पञ्चधा तद्दथा- नस्यं शिरोविरेचनं, प्रतिमर्शः,अवपीडः प्रधमनं च।

°Shirovirechana

|- Shirovirechana.

|- Pradhamana.

|- Avapida.

°Snehana

|- Nasya.

|- Pratimarsha.

3.According to Vagbhatta:- (अ.हृ.सु. 20/2)

"विरेचनं बृहणं शमनं च तिधामपितत्।"

° Shirovirechana

|- Pradhamana

|- Murdha virechana

° Brijana or Sneha nasya

|- Pratimarsha

|- Marsha

° Shamana

|- Avapida

• Astang Sangraha = Nasya are 3 types.

° Shirovirachana

|- Shirovirechana

|- Pradhamana

|- Avapida

° Brihana ( Snehana)

|- Marsha

|- Pratimarsha

° Shamana

|- Nasya

|- Pratimarsha

4. According to Kashyapa's text:- ( का.सं.अ.2/4)

"बृहणं कर्षणं चैव द्विविधं नस्य कर्मं तु।

शोधनं पूरणं चैवं द्विविधं नस्यमुच्यते।।"

5. According to Sharangdhara:-

"नस्य भेदो द्विधा प्रोक्तो रेचनं स्नेहनं तथा।

रेचनं कर्षणं प्रोक्तं स्नेहनं बृहणं मतम्।।"

(शा.उ.ख.8/2,11,24)

6. According to Bhoja:-

° Prayogika ° Sneihika

7. According to Videha:-(ड./ सु.चि.40/31)

° Sangyaprabodhaka

° Stmabhana

Indication and Contraindication :-

Indication -

In general Nasya karma is useful in the disorders of organs situated above the clavicle.

"विशेषस्तु शिरोदन्तमन्यास्तम्भ गल हनुग्रह पीनस गल शुण्डिक शालूक शुक्रतिमिर वर्त्मरोग व्यङ्ग उपजिव्हिका अर्धावभेदक ग्रीवा स्कन्ध अंसास्य नासिका कर्णाक्षि मूर्धकपाल शिरोरोगा अर्दित आपतन्त्रक अपतानक गलगण्ड दन्तशूलहर्षचल अक्षिराजि अर्बुद स्वरभेद वाग्ग्रह गद्रद क्रथनादय ऊर्ध्वजत्रुगताश्च वातेादिविकाराः परिपक्वाश्चः एतेषु शिरोविरेचनं प्रधानतमम् इत्युक्तं।।"

(च.सि.2/22)

According to Ashtanga Sangraha :

if the Nasya is to be given as the part of performing the complete Panchkarma then, it should be given after Bastikarma.

Contraindication -

1.Bhukta bhakta and Ajirna- Reason: obstructs the Urdhvavahasrotas and causes Kasa, Shvasa , Chhardi,Pratishyaya.

2. Pita sneha, Pita madya , Pita toya, Snehadi Patukarmah- Reason: causes excessive discharge from Mukha, Nasa and Causes Timira and Shiroroga.

3. Snatah shirah, Snatu kamah- Reason: causes Pratishyaya.

4. Kshudhata- Reason: causes Vata prakopa.

5. Shramarta

6. Matta

7. Murchhita

8. Shastradandahrita- Reason: increases pain

9. Vyavayaklanta, Vyayamaklanta, Panaklanta- Reason: Affects shira, skandha, netra and uras.

10. Navajvara Pidita , Shokabhitapta- Reason: The heat spreading in the vessels in the eyes , will cause Timira and Javara.

11. Virikta- Reason: Indriya Upaghata.

12.Anuvasita- Reason: causes Shirogurutva, Kandu , Krimi dosha.

13. Garbini- Reason: causes Garhastambhana.

14. Navapratishyayarta

15. Apatarpita

16. Pita dravah

17. Trishnarta- Reason: increases Trishna and causes dryness of mouth.

18. Gararta

19. Kruddha

20. Bala

21. Vriddha

22.Vegavrodha

23.Raktasravita

24.Sutika

25.Shvasapidita

26.Kasapidita

* Anritu and Durdina - causes diseases due to cold, Puti nasa Shiroroga.

Time of administration of Nasya:-

•"प्रावृट् शरद्वसन्तेतरेष्वात्ययिकेषु रोगेषु नावनं कुर्यात् कृत्रिमगुणोपधानात्ः, ग्रीष्मे पूर्वाह्ने, शीते मध्याह्ने, वर्षास्वदुर्दिने चेति।"

(च.सि.2/23)

•"तत्रेत द्विविधमपि अभुक्तवतो अन्नकाले पूर्वाह्ने श्लेष्मरोगिणां, मध्याह्ने पित्तरोगिणां, अपराह्ने वातरोगिणाम्।।

(सु.चि.40/2)

•"प्रातः श्लेष्मणि, मध्याह्ने पित्ते, सांयनिशोश्चले।

स्वस्थवृत्ते तु पूर्वाग्रह्ने शरत्काले वसंतयोः।।

शीते मध्यंदिने, ग्रीष्मे सायं वर्षासु सातपे।

वाताभिभूते शिरसि हिध्मायाम् अपतानके।।

मन्यास्तम्भे स्वरभ्रंशे सायंप्रातर्दिनेदिने।।"

(अ.हृ.सु.20/14-15)

•"लालास्त्राव सुप्तप्रलाप दन्तकटकटायन क्रथन कृच्छ्रोल्मीलन पूतिमुख कर्णनाद तृष्णार्दिते शिरोरोग श्वास कासोन्निद्रेषु रात्रौ।।"

(अ.सं.सु.29/16)

Course of Nasya karma:-

- Nasya karma may be given for seven consecutive days. In conditions like Vata dosha in head, hiccup, torticollis, loss of voice etc. It may be done twice a day (morning and evening) .(Ashtang hridya).

- Use of Nasya on 3rd,5th,7th,8th day or till the patient shows symptoms of Samyak Nasya as stated in Ashtanga Sangraha 29/16.

-Bhoja says that if Nasya is given continuously beyond nine days then it becomes Satmya (adaptable) to patient .

- According to Sushruta40/42-43 Nasya maybe given repeatedly at interval of 1,2,7 and 21 days, depending upon the condition of patient and disease he/she suffer.

- Charka has not maintioned specific duration of Nasya therapy, but suggestive to give according to Severity of diseases.

Dose of Nasya karma:-

Bindu pramana. ( bindu doesn't mean drop).

1bindu=0.5ml

1yava=1/6th of Shana(0.5gm)

1masha=2gm

1 karsha= 12gm

"प्रदेशिन्यङ्गुली पर्वद्वयान् मग्र समुद्दृतात्।

यावत्यसौ बिन्दु.......।।"

(अ.हृ.सु.20)

Matra of bindu in1 nostril:-

1. Shamana Nasya-08( avara), 16(madhyama), 32 (uttama)

2.Shodhana Nasya- 04(avara), 06( madhyama), 08(uttama)

3.Marsha Nasya- 06(avara), 08( madhyama), 10(uttama)

4.Avapida Nasya- 04(avara), 06(madhyama), 08(uttama)

5. Pratimarsga Nasya- 02(avara), 02(madhyama), 02( uttama)

6. Pradhamana- 3 Muchyuti ( churna which will come in between index finger and thumb is 1 Muchyuti).

According to शा. उ. ख. 8/9-10 =

°Tikshnaushadhi- 1 Shana(4 masha)

° Hingu- 1yava

° Saindhava- 1masha

° Dugdha- 8 Shana

° Jala( Aushada siddha)- 3 karshakarsha

° Madhura dravua- 1 Karaha

Pathya- Apathya:-

अपथ्य-

"रजोधूम स्नेह आतप मद्द द्रवपान शिरःस्नान अतियान क्रोधादीनि च परिहरेत्।

(सु.चि.40/31)

पथ्य-

लघु आहर, सुखोष्ण जल।

Administration of Marsha, Pratimarsha, Avapidaka Nasya and Dhumapana etc. :-

It include 3 steps-

a) Purva karma

b) Pradhana karma

c) Pashchat karma

a) Purva karma:-

1.Selection of the patient-

Check whether the patient is fit or unfit for the treatment.

2. Examination of the patient-

Examined according to Deshadi factors.

3. Sambhara Sangraha-

°Medication of nasya-Q.S.

°Oil for abhyanga-Q.S.

°Oil and Churna for talam-Q.S.

°Cotton pad,gauze,lotus petals to protect eyes during Svedana.

°For Svedana- boiling water, towels or nadi svedayantra.

°Gokarna yantra- 2( for instilling medicine)

°Warm water for Kavala-Q.S.

°Dhumavarti(Prayogika, Snaihika, Vairechanika)

4. Preparation of the Patient.

"स्निग्ध स्विन्न उत्तमाङ्गस्य प्राक्वृतावश्यकस्य च।

निवात शयनस्थस्य जत्रूर्ध्वं स्वेदयेत् पुनः।।"

(अ.हृ.सु.20/17)

means After evacuating the natural urges like urine and feces, the patient is advised to wash the face and mouth with luke warm water. Patient should be given Abhyanga and Sveda over Uttamanga.

5. Position of the Patient-

"उत्तानस्य शयानस्य शयने स्वास्तृते सुखम्।

प्रलम्बशिरसः किञ्चित् पादोन्नतस्य च।।

(च. सि. 9/99)

Means the patient should be made to lie straight in supine position extending his/her arms and legs, legs should be slightly raised and the head slightly extended up to 45 degree.

b) Pradhana Karma:-

Described by - अ. हृ.सु20/19

-च.सि.9/102-103

-सु.चि.40/25

°After the purva karma , eyes of the patient are covered with Chaturguna Vastra( four folded cloth).

°The medicament to be administrated is placed in a vessel made up of Suvarna( gold), Rajata( silver), Tamra(copper), Mrit Patra( small mud vessel) or Shukti ( conch shell) and then made luke warm by placing it in hot water container.

°Later, tip of patients nose is drawn upward by the Vama Pradeshni(left index finger), and with the Dakshina Hasta( right hand), lukewarm medicament is instilled into both nostrils using Suktika or Pichu.

°The medicine is administered to both nostrils in an Avichinadhara( a continuous stream), one after the other , keeping one nostril closed while the other is instilled with medicine.

° The patient should remain relaxed during and after the time of administration of Nasya and has to avoid speech , anger , sneezing , laughing and excerssive shaking of the head.

c) Pashchat Karma:-

"दत्ते पादतल स्कन्ध हस्त कर्णादि मर्दयेत्।

शनैरूच्छिद्द निष्ठीलेत् पार्श्वयोर् उभयोस्ततः।।"

(अ.हृ.सु.20/20)

"आभेषज क्षयादेवं द्वि स्त्रिर्वा नस्यमाचरेत्।।"

(अ.हृ.सु.20/20)

"कृते च स्वेदयेभ्दूय आकर्षेश्च पुनः पुनः।

तं स्नेहं श्लेष्मणा साकं तथा स्नेहो न तिष्ठति।।"

(च.सि.9/103)

Means °patient should lie in supine position for hundred Matrakalas.

° After pradhana karma , the regions of ears, forehead, scalp, and cheek, nape of neck, shoulders, palms and sole are massaged.

° The patient is asked to inhale the medicine with moderate force and spit it through his mouth turning the head to either side alternatively without rising from the cot.

° Frequent fomentation is given till all the medicament is brought out and care is taken that no portion of the medicament is left behind.

°Depending on the type of Shuddhi, Dhumapana can be advised.

° Kavala with hot water is done to get the mouth and throat cleaned.

Rechana Nasya ( Virechana Nasya):-

Rechan nasya denotes to eliminations of vitiated Doshas from Urdhvajatrugata part of body.

Churns( powder) of the required drug or the Sneha prepared with the Shirovirechana drugs like Apamarga, Pippali , Maricha etc. May be used (च.सि.9/96-97)

It may also be given with Snehs, Kvatha or Swarasa of Shirovirechana drugs or by dissolving these drugs in Madya, Madhu, Saindhava, Asava, Pitta and Mutra or mixed with the drugs specific for that diseases.

Indications-

° Specifically in Kaphaja type of Shiroroga like Stambha , Supti and Guruta of Shira.(च.सु.9/13)

° Sushuruta and Vagbhatta have given its other indications as Shleshma . Abhivyapla in Talukantha and Shirokrimi.

° Arochaka, Shula, Shirogaurava, Pinasa, Pratishyaya, Urdhvajatrugata kaphaja vikara (सु.चि.40/23)

° Urdhvajatrugata Shopha, Praseka, Vairasya, Arbuda, Dadru and Kotha(अ.सं.सु.29/5)

° Rechana nasya prepared in Sneha is particularly indicated to the afraid , women, weak and delicate patients.

° Galaroga, Sannipataja jvara, atinidra, manobikara, abhisyanda sarpadansha and murccha may be given Shirovirechana nasya with Kalka, Churna and Swarasa also, but if the immediate effects is required , then Churna ( powder) should be used. (अ.सं.सु.29/6)

Tarpana Nasya:-

Tarpana Nasya of Charaka, Snehana Nasya described by Sushruta and Sharangdhara and Brinhana Nasya mentioned in Ashtanga Sangraha may be considered as the synonyms of each other.

The Sneha prepared with Vatapittahara drugs should be used and the drugs of Madhura Skandha (च.वि.8/139) may also be employed (च.सि.9/97).

According to Vagbhatta, Sneha prepared with Snigdha and Madhura drugs or with drugs described useful for that particular disease should be used. Exudations of certain trees, meat soup and blood also may be administered. (अ.सं.सु.29/6)

Indications-

°Specifically used for Vatika Shiroroga, Dantapata, Keshapata, Damnaka and other Vatapittaja Roga.

°Sushruta also advised the use of Snehana Nasya for prompting the strength and increasing the vision power.

° Used to curing Shirahkampa and Ardita. (च.सि.9/94)

Shamana Nasya:-

Used for the alleviation of Dosha situated in Shirah(head).

It is described by Charaka and Vagbhatta only. May be correlated with Snehana and Marsha - Pratimarsha.

Indications -

°Used to stop bleeding in Raktapitta(च.सि.9/95)

°Akala valita, Palita and Khalitya, Darunaka , Raktaraji, Vyanga and Nilika.

° Anutaila Nasya as a measure of Svasthavritta should be administered in Pravrit , Sharada and Vasant Ritu to promote the functions of eyes, ears and nose to prevent Khalitya and Palitya and other diseases like Manyastambha , Shirahshula, Ardita, Hanustambha, Pinasa, Ardhavbhedaka, Shirokampa and sudden onset of other disease which may occur in the Urdhvajatrupradesha.

Avapida Nasya :-

Avapeeda nasya is type of Nasya in which extracted juice from Kalka is used for instillation.

"अवपीडय यत्र कल्कादीनि दीयन्ते इत्यवपीडः।।"

(च.सि.9/90)

Instillation of extracted juice of leaves or paste( Kalka) of required medicine is Avapida Nasya.

For this Kalka of different Shirovirechana drugs can be used like Pippali, Maricha etc.

" कल्काद्दैरवपीडस्तु स तीक्ष्णैर्मूर्धरेचनः।।"

Avapida is from Kalkadi ( Kalka, Kvatha,Svarasa etc.) . It is teekshna Murdha Rechana and is a strong purgative to head.

Avapida nasya:-

Method-

"कल्कीकृताद् औषधाद्दः पीडितो निःसृतो रसः ।

सोअवपीडः समुद्दिष्टः तीक्ष्णद्रव्यसमुद्भवः ।।"

(शा.उ.8/12)

Materials Required-

1. Drugs in wet form like Patra, Kanda, Kashaya, Other Darva Dravyas.

2. Khalva Yantra.

3. Clean white cloth.

4. Cotton/ clean cloth.

Preparation of Medicine: -

°Clean drug is taken and form Kalka( paste) with the help of Khalva.

° Placed the Kalka in clean white cloth and squeezed to get juice.

°If Kvatha is used then cotton / cloth is dipped in it and then it squeezed.

Dose-

°Avara= 4 Bindu.

°Madhyam= 6 Bindu.

°Uttama= 8 Bindu.

Types of Dravya used-

°Shirovirechana dravya= used as Abhishyanda ( increased Kapha and Medas), Sarpadashta, Visangya.

°Sharkara, Ikshurasa, Ksheera= Ksheera, Raktapitta.

° Ghrita, Mansarasa Kalka= Krisha, Durbala, Bheeru, Sukumara, Yoshita.

Types of Avapida Nasya-

•Stambhana nasya: for this type Ikshu rasa, Ksheera etc are used.

• Shodhana nasya: in this Shirovirevhana dravyas like saindhava, pippali etc are used.

According to Videha- 2types

°संज्ञा प्रबोधक : Which arouses consciousness.

°स्तम्भन : Which checks intrinsic haemorrhage.

Pradhmana or Dhmapana Nasya:-

Dhmapana or prashmana is type of Nasya mainly used for the purpose of Shodhana.

"...........प्रध्मानस्य तु।

तत् षडङ्गुलया नाडया धमेच्चूर्त्णं मुखेन तु।।"

(च.सि. 91/107)

means the powde should be blown by mouth into nostril through a tube of 6 angula length.

Instrument and method-

"......युञ्ज्यान्तं मुखवायुना।

षडङ्गुल द्विमुखया नाडया भेषजगर्भया।

स हि भूरितरं दोषं चूर्णत्वादपकर्षति।।"

(अ.हृ.सु.20/8)

Materials required -

1. Six inches long pipe (or straw).

2. Fine powders of Shirovirechana dravyas, preferably obtained from micro- pulveriser or powder filtered with cotton cloth.

First method-

° 2-3 pinch of fine powder is filled at the one end of the straw.

° Placing that end at the opening of nostril air is blown from the other end of the straw.

Dose: 3 Muchyuti matra(3 pinch).

Second method-

"शुक्तिप्रमाणं जिघ्रेद्वा बध्दं सूक्ष्मेण वाससा।।"

Means one Shukti (24gm) of fine powder is kept in a pottali of thin cloth and then patient is asked to inhale deeply , so that the subtle particles of medicine enter into nostrils.

Benefits: it expels out the Doshas in more quantity.

Indications -

"चेतोविकारकृमि विषाभिपन्नानां चूर्णं प्रधमेत्।"

(सु.चि.40/44)

"अत्यन्त उत्कटदोषेषु विसंज्ञषु च दीयते।

चूर्णं प्रधमनं धीरैस्तध्दि तीक्ष्णतरं यतः।।"

(शा.उ. 8/17)

means those suffering from : °Cheto vikara( mental disorder)

°Krimi( worm infestation)

° Visha( poisoning)

°Utkata Dosha( excessively vitiated Doahas)

° Visangya ( loss of consciousness ).

Dhuma Nasya:-

Inhalation of medicated smoke/fumes through the Nasal route and exhalation of the same through the mouth is called Dhuma Nasya.

"तेन प्रायोगिक स्नैहिक वैरेचनिक धूमानां नासादीयमानानाम् इह ग्रहणं, मुखपेयस्तु धूमो न नस्यम्।।"

(च.सि.9/91.चक्रपाणी)

Means Prayogika , Snaihika, Vairechanika Dhuma which are administrated through Nasa should be considered as Dhuma Nasya and those which are administered through mouth is Dhumapana.

Types of Dhuma Nasya-

3 types

°Prayogika.

° Snaihika.

°Vairechanika.

1.Prayogika Dhuma-

"प्रायोगिकी च नित्यपेय धूमवर्ति संज्ञा।"

means that which is used daily is called Prayigika.

Kala:

"प्रयोगपाने तस्याष्टौ कालाः संपरिकीर्तिताः।वात श्लेष्म समुत्क्लेशः कालेष्वेषु हि लक्ष्यते।

स्नात्वा भुक्त्वा समुल्लिख्य क्षुत्वा दन्तान्निघृष्य च। नावन अञ्जन निद्रान्ते चात्मवान् धूमपो भवेत्।।"

(च.सु.5/34)

means

1.Snatva- soon after bath.

2.Bhuktva-after meals.

3.Samullikhya-after vomiting.

4.Kshutva-after sneezing.

5.Dantanigrushya-Brushing teeth.

6.Navana-after putting nasal drop.

7.Anjana-after applying collyrium.

8.Nidrante-after the end of sleep.

2.Snaihika Dhuma-

"स्नैहिकी स्नेहनकारिका।"

means Dhuma which causes Snehana is Snaihika Dhuma. It is prepared with drugs of Madhura Gana added with a suitable quantity of Vasa, Ghrita and Madhuchista.

3.Vairechanika Dhuma-

This is used for elimination of Dosha.

"श्वेता ज्योतिष्मती चैव हरितालं मनःशिला।

गन्धाश्वगुरुपत्राद्दा धूमं मूर्धविरेचने।।"

(च.सु.5/26)

means drugs like Apamarga, Jyitishmati, Haratala, Manashila, Agaru etc. Are used in Vairechanika Dhuma Nasya.

°Prayogika-36 Angula Nalika- 2times inhalation in a day.

°Snaihika-32 Angula Nalika- 1time inhalation in a day.

°Vairechanika-24Angula Nalika- 3 to 4 times inhalation in a day.

Method of Dhuma Nasya-

"ऋज्वङ्ग चक्षुस्तच्चेताः सूपविष्टः त्रिपर्ययनम्।

पिबेच्छिद्रं पिधायैकं धूममात्मवान्।।

(च.सु.5/48)

means the person should sit comfortably keeping his/her body and eyes straight and his /her mind sready.

Patient should inhale through one nostril keeping the other one closed. It repeated three times.

** Smoke inhaled through nostril should be exhaled from mouth and that which is inhaled through the mouth should also be exhaled from mouth.

"प्रतिलोमं गतो ह्याशु धूमो हिंस्याध्दि चक्षुषी।"

Means this is to be followed because the smoke moving in upward direction may harm the eyes.

Age for Dhuma : 12-70 years.

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