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AabhyantaraAabhyantara
snehapanasnehapana
-DR.N.A.MURTHY-DR.N.A.MURTHY,,
EX-JOINT DIRECTOR,DEAN ,SKAMC&HEX-JOINT DIRECTOR,DEAN ,SKAMC&H
BANGALOREBANGALORE
LanghanamLanghanam brimhanambrimhanam kaalekaale
rookshanamrookshanam snehanamsnehanam tatha ,tatha ,
SwedanamSwedanam stambhanamstambhanam chaivachaiva
jaanaati yah sa vai bhishak .jaanaati yah sa vai bhishak .
• Snehana is one such important procedure
mentioned under Shadvidhopakrama.
• Snehana itself can act as a …
…poorvakarma for shodhana i.e.,
Shodhananga sneha.
…pradhana karma in alleviating diseases i.e.,
Shamana sneha.
…paschat karma in bringing compactness to
the body i.e., Brimhana sneha.
SnehanamSnehanam snehasneha vishyandavishyanda
maardavammaardavam kleda kaarakamkleda kaarakam……
• Snehana is the process by which
snehana(unctousness), vishyandana(vilayana-
fluidity), maardavata(softness),
kledana(moistness) are brought about.
•Sneha is observed by gaatra, pureesha and twak
snigdhata.
•Vishyanda is observed by excretion of sneha with
pureesha.
•Maardavata is observed by gaatramaardavata.
•Kleda is observed by asamhata varchas.
Snehamagre pryunjeetaSnehamagre pryunjeeta
tatah swedamanataram,tatah swedamanataram,
SnehaswedopapannasyaSnehaswedopapannasya
samshodhanamathetaram.samshodhanamathetaram.
•Vriddhyaa vishyandanaat paakaatVriddhyaa vishyandanaat paakaat
srotomukha vishodhanaat,srotomukha vishodhanaat,
Shaakaam muktwaa malaah koshtamShaakaam muktwaa malaah koshtam
yaanti vaayoshcha nigrahaat.yaanti vaayoshcha nigrahaat.
•Charaka- quotes… measures to bring back
doshas from shaakha to koshtha are vriddhi,
vishyandana, paaka & srotomukhavishodhana
by deeepana, paachana, snehana & swedana.
•Chakradatta- opines snehana as superior for
shaakhagamana of doshas.
•Sushruta- says that doshas are brought to koshta
just like the water in the vessel smeared with
ghrita flows out easily.
Classification ofClassification of SnehaSneha
Sneha
Kaarmukata bheda Maatra bheda Prayoga bheda
1. Hriseeyasi
2. Hriswa
3. Madhyama
4. Uttama
1. Shodhanaanga
2. Shamana
3. Brimhana
1. Acchapeya
2. Vichaarana
sneha
•Shamana sneha is designed to alleviate the doshas
and it should be given in annakaala when one has
proper interest towards food.
•Brumhana sneha gives strength to the body and
accomplishes compactness. It should be given along
with food.
•Shodhanaanga sneha is designed as poorvakarma
for shodhana. It is given when the food taken in the
previous night is completely digested but person
doesn’t have much interest to have food. It is given
early in the morning, after few minutes of sunrise,
in the incremental dose for about 7 days, until
samyak snighda laxanas are seen.
Kaarmukata Bheda
Maatra Bheda
•Dwaabhyaam chaturbhirashtaabhir yaamair jeeryanti
yaah kramaat,
Hriswamadhyottama maatraastaastaabhyashcha
hriseeyaseem,
Kalpayedveekshya doshaadeen praageva tu
hriseeyaseem.
Sl.No
.
Class Property
1. Hriswa (Minimum dose) Digestible in 6 hrs.
2. Madhyama (Medium
dose)
Digestible in 12
hrs.
3. Uttama (Maximum dose) Digestible in 24
hrs.
Samjna Bheda
• Acchapeyastu yah sneho na
tamaahurvichaaranaam,
Snehasya sah bhishagdrishtah kalpah
praathamakaalikah.
•Acchah = Kevalah
(Vichaarana na bhavati)
• Snehairyatharham taan siddhaih snehayet
avikaaribhih,
Pippalibhirhareetakyaa siddhaih triphalayaa
api vaa.
VichaaranaVichaarana
Snehadvishah snehanityaa
mridukoshtashcha ye naraah,
Kleshaasaha madyanityaah
teshaabhishtaa vichaarana
Sneha prakarsha kaalaSneha prakarsha kaala
•Snehanasya prakarshou tu saptaraatra
triraatrakou…
•Saptaraatraat param snehah saatmeebhavathi sevithah.
Day Quantity
(Apprx.)
1st
25 ml.
2nd
50 ml.
3rd
80-100 ml.
3 days’ schedule
Day Quantity(Apprx.)
1st
20-30 ml.
2nd
30-60 ml.
3rd
60-80 ml.
4th
80-100 ml.
5th
100-125 ml.
6th
125-150 ml.
7th
150-175 ml.
7 days’ schedule
Samyak snigdha lakshanaSamyak snigdha lakshana
• Vaataanulomana
• Agnideepti
• Pureesha snigdhata
• Asamhata varchas
• Gaatra maardavata
• Gaatra snigdhata
• Glaani
• Anga laaghava
•Adhasthat sneha darshana
•Sneha dwesha
•Klama
•Vimalendriyata
•Dhriti
•Medhapushti
•Teja vriddhi
•Kaale shareera vritti
Need of this knowledge…Need of this knowledge…
• Coronary Artery Disease (CAD) is becoming
a major killer in India and predicted to
assume epidemic proportion by the year
2015.
• NCEP(National Cholesterol Education
Programme) categorizes CAD risk factors
with lipid parameters.
• Elevated blood cholesterol level is the
strongest risk factor for CAD.
• Framingham study- in patients with HTN, the
more the pressure rises the more is the lipid
problem
•The relationship of triglycerides and VLDL to IHD is
confounded by a rise in triglycerides as VLDL rises.
•The NCEP guidelines state that S.cholesterol and lipid
profile should be measured in all adults over 20 years
of age at least once in 5 years.
•The first step in the treatment of hyperlipidaemia is
attention to diet. A single dietary approach to all forms
of hyperlipidaemia includes reduced intake of calories,
cholesterol and saturated fats.
•Based on general awareness of such information,
the public who make use of Ayurvedic system of
medicine are in a dilemma. They are getting
suspicious over prescriptions which suggest internal
use of medicated fats. Convincing the public about
the safety of Snehapana and of other therapies is
important for the propagation of the cause which
Ayurveda stands for.
•Investigations on experimental animals like Wister
rats (Kumar et al., 1999) and Indian desert gerbils
indicated lowering of S.cholesterol and triglycerides
when the animals consumed ghee at the levels of
greater than 2.5 weight percent in the diet.
•From dietary intake of rats, it was calculated that
consumption of ghee at more than 1.875 g per day per kg
body weight can exhibit HYPOCHOLESTEROLEMIC
EFFECT.
•This indicates that the consumption of ghee at levels of
112.5 g per day per adult (60kg) may result in
HYPOCHOLESTEROLEMIC EFFECT in humans.
•Serum lipid profile showed that after consuming medicated
ghee there was overall drop in …
…S,cholesterol by 8.3%
…Triglyceride levels by 26.6%
…Phospholipids by 17.8%
…Cholesterol esters by 15.8%
•Studies have shown that, in Psoriasis suppression
of leukotrienes and prostaglandins will help to
prevent it.
•Even though ghee lipids are deficient in essential
fatty acids, it did not affect the levels of linoleic and
arachidonic acid in serum lipids of patients and in
experimental animals but, decrease the formation of
leukotrines and prostaglandins.
ConclusionConclusion
• Samyak snigdha laxanas are the
definite parameters which assess the
proper snigdhata of the body as told by
our Acharyas.
• Among Samyak snigdha laxanas,
Asamhata varchas, pureesha snigdhata
and agnideepti are considered as very
important features.
•Shodhana poorva aabhyantara snehapaana can be safely
carried in patients with hyperlipidaemia, who are
Sneharhas.
•All the hyperlipidaemic patients shown marked reduction
in the S.triglycerides and VLDL levels, which indicates
significance of Shodhana poorva aabhyntara snehapaana.
•Most of the samples showed decrease in cholesterol,
LDL, AI, C/HDL levels, indicating the safety and
significance of Shodhana poorva aabhyntara snehapaana.
•Most of the samples showed rise in the HDL levels,
which indicates the protective role Shodhana poorva
aabhyntara snehapaana.
Abhyantara snehapana  dr.anjaneya murthy

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Abhyantara snehapana dr.anjaneya murthy

  • 2. LanghanamLanghanam brimhanambrimhanam kaalekaale rookshanamrookshanam snehanamsnehanam tatha ,tatha , SwedanamSwedanam stambhanamstambhanam chaivachaiva jaanaati yah sa vai bhishak .jaanaati yah sa vai bhishak . • Snehana is one such important procedure mentioned under Shadvidhopakrama. • Snehana itself can act as a … …poorvakarma for shodhana i.e., Shodhananga sneha. …pradhana karma in alleviating diseases i.e., Shamana sneha. …paschat karma in bringing compactness to the body i.e., Brimhana sneha.
  • 3. SnehanamSnehanam snehasneha vishyandavishyanda maardavammaardavam kleda kaarakamkleda kaarakam…… • Snehana is the process by which snehana(unctousness), vishyandana(vilayana- fluidity), maardavata(softness), kledana(moistness) are brought about. •Sneha is observed by gaatra, pureesha and twak snigdhata. •Vishyanda is observed by excretion of sneha with pureesha. •Maardavata is observed by gaatramaardavata. •Kleda is observed by asamhata varchas.
  • 4. Snehamagre pryunjeetaSnehamagre pryunjeeta tatah swedamanataram,tatah swedamanataram, SnehaswedopapannasyaSnehaswedopapannasya samshodhanamathetaram.samshodhanamathetaram. •Vriddhyaa vishyandanaat paakaatVriddhyaa vishyandanaat paakaat srotomukha vishodhanaat,srotomukha vishodhanaat, Shaakaam muktwaa malaah koshtamShaakaam muktwaa malaah koshtam yaanti vaayoshcha nigrahaat.yaanti vaayoshcha nigrahaat.
  • 5. •Charaka- quotes… measures to bring back doshas from shaakha to koshtha are vriddhi, vishyandana, paaka & srotomukhavishodhana by deeepana, paachana, snehana & swedana. •Chakradatta- opines snehana as superior for shaakhagamana of doshas. •Sushruta- says that doshas are brought to koshta just like the water in the vessel smeared with ghrita flows out easily.
  • 6. Classification ofClassification of SnehaSneha Sneha Kaarmukata bheda Maatra bheda Prayoga bheda 1. Hriseeyasi 2. Hriswa 3. Madhyama 4. Uttama 1. Shodhanaanga 2. Shamana 3. Brimhana 1. Acchapeya 2. Vichaarana sneha
  • 7. •Shamana sneha is designed to alleviate the doshas and it should be given in annakaala when one has proper interest towards food. •Brumhana sneha gives strength to the body and accomplishes compactness. It should be given along with food. •Shodhanaanga sneha is designed as poorvakarma for shodhana. It is given when the food taken in the previous night is completely digested but person doesn’t have much interest to have food. It is given early in the morning, after few minutes of sunrise, in the incremental dose for about 7 days, until samyak snighda laxanas are seen. Kaarmukata Bheda
  • 8. Maatra Bheda •Dwaabhyaam chaturbhirashtaabhir yaamair jeeryanti yaah kramaat, Hriswamadhyottama maatraastaastaabhyashcha hriseeyaseem, Kalpayedveekshya doshaadeen praageva tu hriseeyaseem. Sl.No . Class Property 1. Hriswa (Minimum dose) Digestible in 6 hrs. 2. Madhyama (Medium dose) Digestible in 12 hrs. 3. Uttama (Maximum dose) Digestible in 24 hrs.
  • 9. Samjna Bheda • Acchapeyastu yah sneho na tamaahurvichaaranaam, Snehasya sah bhishagdrishtah kalpah praathamakaalikah. •Acchah = Kevalah (Vichaarana na bhavati) • Snehairyatharham taan siddhaih snehayet avikaaribhih, Pippalibhirhareetakyaa siddhaih triphalayaa api vaa.
  • 10. VichaaranaVichaarana Snehadvishah snehanityaa mridukoshtashcha ye naraah, Kleshaasaha madyanityaah teshaabhishtaa vichaarana
  • 11. Sneha prakarsha kaalaSneha prakarsha kaala •Snehanasya prakarshou tu saptaraatra triraatrakou… •Saptaraatraat param snehah saatmeebhavathi sevithah. Day Quantity (Apprx.) 1st 25 ml. 2nd 50 ml. 3rd 80-100 ml. 3 days’ schedule Day Quantity(Apprx.) 1st 20-30 ml. 2nd 30-60 ml. 3rd 60-80 ml. 4th 80-100 ml. 5th 100-125 ml. 6th 125-150 ml. 7th 150-175 ml. 7 days’ schedule
  • 12. Samyak snigdha lakshanaSamyak snigdha lakshana • Vaataanulomana • Agnideepti • Pureesha snigdhata • Asamhata varchas • Gaatra maardavata • Gaatra snigdhata • Glaani • Anga laaghava •Adhasthat sneha darshana •Sneha dwesha •Klama •Vimalendriyata •Dhriti •Medhapushti •Teja vriddhi •Kaale shareera vritti
  • 13. Need of this knowledge…Need of this knowledge… • Coronary Artery Disease (CAD) is becoming a major killer in India and predicted to assume epidemic proportion by the year 2015. • NCEP(National Cholesterol Education Programme) categorizes CAD risk factors with lipid parameters. • Elevated blood cholesterol level is the strongest risk factor for CAD. • Framingham study- in patients with HTN, the more the pressure rises the more is the lipid problem
  • 14. •The relationship of triglycerides and VLDL to IHD is confounded by a rise in triglycerides as VLDL rises. •The NCEP guidelines state that S.cholesterol and lipid profile should be measured in all adults over 20 years of age at least once in 5 years. •The first step in the treatment of hyperlipidaemia is attention to diet. A single dietary approach to all forms of hyperlipidaemia includes reduced intake of calories, cholesterol and saturated fats.
  • 15. •Based on general awareness of such information, the public who make use of Ayurvedic system of medicine are in a dilemma. They are getting suspicious over prescriptions which suggest internal use of medicated fats. Convincing the public about the safety of Snehapana and of other therapies is important for the propagation of the cause which Ayurveda stands for. •Investigations on experimental animals like Wister rats (Kumar et al., 1999) and Indian desert gerbils indicated lowering of S.cholesterol and triglycerides when the animals consumed ghee at the levels of greater than 2.5 weight percent in the diet.
  • 16. •From dietary intake of rats, it was calculated that consumption of ghee at more than 1.875 g per day per kg body weight can exhibit HYPOCHOLESTEROLEMIC EFFECT. •This indicates that the consumption of ghee at levels of 112.5 g per day per adult (60kg) may result in HYPOCHOLESTEROLEMIC EFFECT in humans. •Serum lipid profile showed that after consuming medicated ghee there was overall drop in … …S,cholesterol by 8.3% …Triglyceride levels by 26.6% …Phospholipids by 17.8% …Cholesterol esters by 15.8%
  • 17. •Studies have shown that, in Psoriasis suppression of leukotrienes and prostaglandins will help to prevent it. •Even though ghee lipids are deficient in essential fatty acids, it did not affect the levels of linoleic and arachidonic acid in serum lipids of patients and in experimental animals but, decrease the formation of leukotrines and prostaglandins.
  • 18. ConclusionConclusion • Samyak snigdha laxanas are the definite parameters which assess the proper snigdhata of the body as told by our Acharyas. • Among Samyak snigdha laxanas, Asamhata varchas, pureesha snigdhata and agnideepti are considered as very important features.
  • 19. •Shodhana poorva aabhyantara snehapaana can be safely carried in patients with hyperlipidaemia, who are Sneharhas. •All the hyperlipidaemic patients shown marked reduction in the S.triglycerides and VLDL levels, which indicates significance of Shodhana poorva aabhyntara snehapaana. •Most of the samples showed decrease in cholesterol, LDL, AI, C/HDL levels, indicating the safety and significance of Shodhana poorva aabhyntara snehapaana. •Most of the samples showed rise in the HDL levels, which indicates the protective role Shodhana poorva aabhyntara snehapaana.