Snehana is one of the Purvakarma of Panchakarma

1. `

2. ABHYANTARA SNEHAPANA
Dr. Ketan Mahajan
M.D. Panchakarma
Assistant Professor
Department of Panchakarma
Patanjali Bhartiya Ayurvigyan Evam Anusandhan Sansthan
Haridwar, U.K.
Email: ketanmahajan82@gmail.com

3. Order of Treatment
•Deepana
•Pachana
Poorvakarma
•Snehana
•Svedana
Pradhankarma
•Shodhana
Paschatkarma
•Ahara
•Aushadh
•Vihar

4. Classification
Bahya
Abhyantara

5. The process which produces:
Sneha
Vishyandana
Mriduta
Kledana

6. Sneha therapy can be administered only
when:-
There is good Agnideepti
There is Srotoshodhana
For this purpose Deepana, Pachana, Rooksha
aushadhis are given before Snehana.

7. Deepana- Pachana Chikitsa
Enhances the Agni
Clears the Srotas
Better absorption & efficacy
Reduces the risk of complications

8. How to apply Deepana Pachana in
practice
CHOORNA
• Panchakola
• Ajmodadi
• Vaishwanara
etc..
KASHAYA
• Dashmoola
• Chirbilwadi
• Shunthi etc..
VATI
• Chitrakadi
• Agnitundi
etc..

9. • Agnitundi
Vati
• Trikatu
Churna
• Jeerak
Churna
• Panchakola
Phanta
Vata Pitta
Shoola
Pradhan
Roga
Kapha

10. Note: If necessary mild Anulomana Dravyas can be advised
during Deepana Pachana like Abhayarishta, Avipattikara
Churna etc..
 If Rukshana is necessary Takrarishta, Udvartana can be
adviced.

11. Multifaceted Therapy
As Poorvakarma
External & Internal Use
Localized & Systemic
Action
Different modes of
Administration
Nourishes Body &
Mind

12. Where can we give Sneha ??

13. Indications
 Svedya
 Samshodya
 Ruksha
 Vata Vikara
 Vyayamanitya
 Madhyanitya
 Streenitya
 Chintaka
 Vriddha
 Bala
 Abala
 Krisha
 Ksheenasra
 Ksheenaretas
 Syanda
 Timira
 Daruna Pratibodhinah

14. Practically what we come across..
Degenerative disorders of joints
Skin disorders
Psychiatric illnesses
Neurological diseases
Immune pathologies
Myopathies
Gynecological disorders

15. Contraindications
 Rukshanarha
 Utsanna Kapha
 Utsanna Medas
 Abhishyanna-
Anaha
 Abhishyanna
Guda
 Mandagni
 Trishna
 Murcha
 Garbhini
 Talushosha
 Annadvesha
 Chardi
 Gar-ardita
 Ama-ardita
 Durbala
 Snehaglanayah
 Madatura
 Ajirna
 Taruna jwara
 Basti karma
 Aruchi
 Vamita
 Virikta
 Akala prasruta
 Udararogi
 Urustambha
 Atisara

16. Practically what we come across..
Patients with
Mandagni
Diseases of Kapha
Anubandha
Diseases of Meda
Anubandha

17. Variety
Pitta
Vata
Vata
Kapha
Vata Vata

18. Ghee- Points to remember
 Samskara Anuvartanam
 Madhura
 Avidahitvat
 Janmadyeva Cha Sheelanat
 Administered in Sharad Ritu
 Those who desire for longevity, Bala, Varna, Svara,
Pushti, Smriti, Medha, Dhee, Agni etc..

19. Taila- Points to remember
 Madhura Rasa Ushna Guna
 Administered in Pravrut & Sheeta Kala
 Pravriddha Shleshma & Medas
 In Krimi Kostha
 In Krura Kostha
 Those who desire for Bala, Laghuta etc..

20. Vasa- Points to remember
 Having best Agni Bala
 Ruksha
 Emaciated from weight lifting, coitus & excessive
walking
 Sandhi, Asthi, Marma, Koshţha Ruja
 Vata Avarana
 Vasa Satmya

21. Majja- Points to remember
 Diptagni
 Klesha Saha
 Krura Koshţha
 Sneha Sevi
 Those who desire of Bala-Shukra-Majja-Asthi Vardhana

22. Yamaka & Maha Sneha
 To use in different degrees of Vata vitiation
 Eg. Jeevantyadi Yamak in Vipadika, Mahasneha in
Asthimajjagata Vata

23. Karmukta Bheda of Sneha
Criteria Shodhana Shamana Brimhana
Purpose Doshutklesha Vyadhi
Shamana
Brimhana
Form Accha,
Vicharana
Accha Vicharana
Dose Uttama Madhayam Alpa
Time & Method
of
administration
Morning
Akshudhita
Morning
Kshudhita
Any time with
food
Duration Maximum 7
days
Till Vyadhi
Shamana
Till samyak
Brimhana

24. Types of Abhyantara Snehapana in Practice
 Accha Sneha
 Pravicharana Sneha
 Sadhya Sneha

25. Accha Sneha

26.  Intake of large quantity of Sneha, without mixing with any other
materials.
 Taking large quantity of Sneha after the digestion of previous
night meal.
 If Accha Sneha is taken during Kshudha Kala it does not serve
the purpose of Shodhana because of Deeptagni.

27. Indications Contraindications
Sneha Satmaya Sneha Dveshi
Klesha Saha Kshama
Nati Sheeta/Ushna Kala Mridu Kostha
Sneha-Madhya Nitya

28. Duration of administration
Krura Koshta - 7 days
Madhyama Koshta - 4 to 5 days
Mrudu Koshta - 3 days
Or
Upto Samyak Snigdha Lakshana, whichever is earlier.
If administered for long time it will lead to Satmyata.

29. Materials required
 Sneha- Q.S.
 Measuring jar-1
 Glass-1
 Cloth-1
 Lemon-1
 Water boiled with Shunti - Q.S.
 Cotton- Q.S.
 Gauze-1
 Tumbler-1

30. Pre operative procedure
 Proper Patient examination
 Assessment of digestion and bowel
 Test dose

31. Important Factors for Abhyantara Snehapana
KOSTHA AGNI

32. Assessment of Kostha
 Frequency of stool
 Consistency of stool
 Time for defecation
 Level of satisfaction
 Effect of food items & medicines
 Any GIT pathology

33. Assessment of Agni
 Understand the level and degree of Appetite
 Details of Food habit
 Any history of Ajeerna
 Quantity and Quality of food
 Timing and interval of Food

34. Investigations required prior to Accha
Snehapana
 Blood - RE, LFT, Sugar levels , Lipid profiles.
 Urine - RE
 Stool - RE

35. Procedure
 Dosage of the sneha must be decided according to
Vayas, Prakriti, Vikriti, Dosha and Agnibala.
 It must be in between 30-50 ml
 The dose for the next day should be fixed after assessing
the time taken for digestion.

36.  Within half an hour of sunrise, patient should be seated in a
comfortable position and Sneha should be given in empty
stomach.
 After giving the Sneha warm water should be given as
Anupana

37. Specific Anupana
 Ushnodaka for most of the sneha except those
processed with Tuvarak & Bhallatak
 Yusha- for Taila
 Manda- Vasa & Majja

38.  Then the patient should wash the face and mouth with
hot water to remove the taste of Sneha.
 When thirst occurs, hot water can be given.

39. Jiryamana Lakshana Jirna Lakshana
Shiroruja Shirorujadi Jiryamana
Lakshana Prashamana
Bhrama Vatanulomana
Nishthiva Svastyata
Murcha Kshut
Sada Trishna
Arati Udgarashuddhi
Klama Laghuta

40. Samyak Snigdha Lakshana
1. Agnideepti (increase in appetite)
2. Sneha- Dvesha (intolerance to fat)
3. Asamhata Varcha (loose stools)
4. Anga Laghava (lightness in the body)
5. Gatra Mardawa (soft feeling of body parts)
6. Snigdha Gatrata (smoothness in the body)

41. 7. Snigdha Pureesha (oily stools)
8. Snigdha Twcha (oily skin)
9. Vatanulomana (passage of flatus)
10. Adastad Sneha Darsanam (passing of fat in stools)
11. Klama (tiredness without doing physical work)
12. Shaithilya (lethargy)

42. Key Points
 Vatanulomana – Normal GIT movements
 Agnideepti – Normal Appetite
 Varcha Snigdhata and Asamhata – Oily stool
 Snehodwega – Aversion to Sneha
 Klama - Lassitude

43. Asnigdha Lakshana
1. Grathita Purisha (passing of hard stools)
2. Ruksha Purisha (passing of dry stools)
3. Agnimandya (weak digestive power)
4. Vayu Pratilomata (unregulated vata)
5. Gatra Kharata (roughness of body)
6. Gatra Rukshata (dryness of body)
7. Urovidaha (burning sensation in chest)
8. Dourbalya (weakness)
9. Kricchra Annapachana (late digestion)
10.Susnigdha Viparyaya (features opposite to those of Samyak
Sneha)

44. Atisnigdha Lakshana
1. Panduta (pallor)
2. Sharira Gaurava (heaviness of body)
3. Jadyata (sluggishness)
4. Apakva Purisha (undigested foods in stools)
5. Tandra (drowsiness)
6. Aruchi (lack of taste in the mouth)
7. Utklesha (nausea)

45. 8. Bhaktadvesha (aversion to take food)
9. Mukhasrava (Excessive salivation)
10. Ghranasrava (discharge from the nose)
11. Gudasrava (secretions in the anus)
12. Gudadaha (burning sensation in the anal region)
13. Pravahika (dysentery)
14. Purisha - Atipravritti (excessive passing of stools)

46. Complications practically observed..
Complication Management
Headache Ushnanupana, Rasnadi Lepa,
Shunthidhanyak Pana
Gas Trouble Hinguvachadi Gutika,
Pippalyasava
Hiccup Hinguvachadi gutika,
Shunthidhanyak Pana,
Dhanvantaram Gutika
Burning Sensation Drakshadi Kashaya, Avipatti
Churna, Nishunthi Shadang
Paniya

47. Complication Management
Fatigue Purnachandrodaya Gutika,
Balaristha, Draksharistha,
Mild Shodhana
Diarrhoea Bilvadi Gutika, Mustarishta
Vomiting Bilvadi Kashaya, Bilvadi
Lehya, Dadima Rasa
Indigestion Hinguvachadi Gutika,
Abhyarishta, Jirakarishta

48. Post Operative Procedure
 Patient should take rest during the Snehapana period
but he/she should not sleep during the day time.
 Lemon can be given to smell to avoid nausea.
 Warm Vilepi should be given when the Sneha is
completely digested and good appetite occurs.

49. Pathya - Diet and Regimen
Usage of hot water for all purposes
Abstinence
Non-suppression of urges
Non-exposure to cold, dust & sun
Stable mentality

50. Pravicharana Sneha

51.  When Sneha is particularly used in the form of Bhaksha, Pana,
Leha, Abhyanjana etc. it is called as‘Pravicharana’.
 While describing the ‘Brimhana Snehapana’ Hemadri says that
Rasa, Madya etc. when mixed according to taste, palatability
and Satmya of the individual in the Sneha is called as
‘Vicharana’.

52.  As per the mode of application these preparations can be divided
in to two groups as –
a) Internal Pravicharana.
b) External Pravicharana.
 The preparations like Odana, Vilepi, Mamsarasa, Paya (milk),
Dadhi, Yavagu, Supa, Shaka, Yush, Kambalika, Khada, Saktu, Tila
pishta, Madya, Lehya etc. comes under internal use category.
 Whereas, Abhyanga, Basti, Uttarbasti, Gandusha, Karnatail, Nasya,
Akshitarpana, Karnatarpana are the external types of
Pravicharana.

53. Karma Bheda of Pravicharana Sneha
Criteria Vamana Virechana Basti Nasya Rakta
Mokshana
Purpose Kaphotklesha Kapha-
Avriddhikara
Angamardava,
Vatanulomana
Dosha
Vilayana
Doshotkleshana
Type Int & Ext Int & Ext Ext Ext Int
Example Dugdha,
Dadhi,
Mamsa,
Tilapishta
Yusha, Supa,
Kambalika,
Khada,
Madya
Abhyanga,
Anuvasana
Basti
Abhyanga,
Gandusha
Yavagu,
Madya

54. Commonly prepared Pravicharana
Odana: 1 part rice + 5
parts water
Vilepi: 1 part cereal + 4
parts water
Rasa: 1 part meat +
2/3/4 parts water

55. Yavagu: 1 part cereal + 6 parts
water
Supa: 1 part pulses + 18 parts
water reduced to 1/4th
Yusha: 1 part pulses + 18 parts
water reduced to 1/2
Saktu: Flour of cereals & pulses
mixed with Ghee

56. Sadhyo Sneha

57.  To achieve Samyak Snigdha Lakshana immediately
 Lakshanas are attained within 1-3 days
 Based mainly on the principal of Pravicharana Sneha

58. Indications
 Bala
 Vriddha
 Sneha Parihara Asahishnu
 Balahina
 Mridu Agni
 Alpa Dosha

59. Contra-Indications
 In Kustha, Prameha & Shotha it should not be given with
Gramya, Anupa, Audaka Mamsa, Kshira, Guda, Dadhi
and Tila.

60. Commonly used Sadhyo Sneha Yogas
 Pippali, Saindhava, Tila Pishta, Ghee
 Ghee, powdered sugar, milk – Ruksha Person
 Yavagu ( rice & milk) with Ghee
 Dugdha with Ghee & Lavana

61.  Pancha Prasruta Sneha – Chatur Sneha ( 1 Prastha each)
mixed with 1 Prastha rice
 Lavanayukta Sneha – Instant Snehana due to
Abhishyandi, Sukshma, Ushna , Vyavayi Guna

62. How Snehana acts..

63. Sneho Anilam Hanti…
 Vata Shamak property of Sneha
 Sneha have opposite Gunas of Vata
 Vatanulomana 1st Samyak Snigdha Lakshana
 Helps in proper Gati of Vata

64. Mrudukaroti Deham
 Snigdha & Mridu Guna of Sneha
 Sneha Mardavkrut
 Can be assessed by Gatra Mardava

65. Malanam Vihanti Sangam
 Malasanga is caused due to Rukshata
 Snigdha property of Sneha overcomes the Rukshata
 Sanga is corrected

66. Commonly used drugs for Snehapana

67. Skin Disorders
Tiktaka Ghrita- Pitta
Gulgulutiktakam Ghrita- Psoriatic
Arthropathy
Patoladi Ghrita- Infectious Skin Diseases

68. Neurological Disorders
Gulgulutiktakam Ghritha- Asthi Majja Gata Vikara
Vidaryadi Ghritha- Vata Pitta Shamana &
Brumhana
Ksheerabala Taila- Pittanubandha Vataroga,
Brumhana
Sahacharadi Taila- Used in Cerebellar Ataxia,
wasting disorder, tremors, rigidity, spasticity
Narayana Taila- Vata Pitta Shamana & Brumhana

69. GIT Disorders
Dadimadi Ghrita- Vatanulonana, ulcers,
folic acid & B12 deficiency
Sukumara Ghrita- Chronic constipation,
Arsha, Kostha Shodhana
Indukanta Ghrita- Agni Deepana, Sroto
Shodhana, acid peptic disorders

70. Genito-Urinary Disorders
Sukumara Ghrita- Vatanulomana & Kostha
Shodhana
Vastyamayantaka Ghrita – Cystitis &
Prostatitis, neurological bladder,
Vatanubandha Mutraroga
Phala Ghrita- Vandhyatva

71. Psychiatric Disorders
Panchagavya Ghrita- Vatapradhana
Manovikara
Kalyanaka Ghrita- Tridoshahara,
Apasmara, Vaksanga
Brahmi Ghrita- Medhya

72. Locomotor disorders
Madhuyashtyadi Taila- Vata Pitta Shamana,
Vatarakta
Dhanwantaram Taila- Vatarakta
Guggulutiktakam Ghrita- Asthi Majja Gata
Vata
Ganda Taila- Osteoporosis, Recovery stage
of pathological fractures, ligament injury

73. Immunopathology
Indukanta ghrita- Agni Deepana, Sroto
Shodhana, Jwara Hara
Shatpala Ghrita- Vatahara, Agnideepana,
bronchial ailments

74. Practical considerations
during Snehapana

75.  In Paittika disorders, Kevala Ghrita should be given.
 In Vatika cases mixed with Lavana
 In Bahu Kapha Ghrita should be combined with Trikatu and
Yavakshara
 In Mandagni to enhance Agni Ghrita should to be administered
along with Kshara and Lavana

76.  In Kushta, Shopha, and Prameha one should not use Gramya-
Anupa- Audaka Mamsa, Guda, Dadhi, Kshira, and Tila for
Sadyo-Snehana.
 Snehas processed with Pippali, Haritaki and Triphala.
 Agni & Kostha should be considered before Snehapana.
 Onset of Samyak Snigdha occur in sequential manner which is
helpful in predicting duration of snehapana.

77.  Selection of Sneha is very important for desired
therapeutic effect.
 Rukshana should be done in Mamsala, Medura, Bahu
Kapha, Vishamagni & Sneha Satmya before Snehapana.