2. SNEHA
The word тАЬsnehaтАЭ is derived from рд╕реНрдирд┐рдЧреНрдз + рдШрдб. (рдкреБрд▓ рд┐рдВрдЧ); and it
denotes to рдкреНрд░реЗрдо, рддреИ рд╛рджрд┐ рд░рд╕рднреЗрд┐
The word тАЬsnehanaтАЭ is derived from рд╕реНрдирд┐рд╣:+рдгрд┐рдЪ рд▓реНрдпреБрдЯ (рд┐рдкреБрд┐рдВрд╕рдХ)
and it denotes to рддреИ рд╛рджрд┐рдорд┐рджрд┐реЗ рдЕрднреНрдпрд┐рдВрдЧреЗ;рд╕реНрдирд┐рдЧреНреНрддрд╛рд╕рд╛рдзрд┐реЗ рдХреНрд░рд┐рдпрд╛рднреЗрд┐реЗ: I
(рд╡рд╛рдЪрдирдкрддрдд )
2
6. PROPERTIESOF SNEHA
рджреНрд░рд╡рд┐рдВ рд╕реВрдХреНрд╖реНрдорд┐рдВ рд╕рд░рд┐рдВ рд╕реНрдирд┐рдЧреНрдзрд┐рдВ рд╡рдкрд╕реНрдЫрд┐ рд┐рдВ рдЧреБрд░реБ рд╢реАрдд рдо I
рдкреНрд░рд╛рдпреЛ рдордиреНрд┐рд┐рдВ рдореГрд┐реБ рдЪ рдпрджреНрд░реНрд╡реНрдпрд┐рдВ рддрддреНрд╕рдирд┐реЗрд╣рд┐рд┐рдВ рдорддрдо реН II
(Ch.Su.22/15)
Sneha acts upon the body by its some specific attributes. These are:
1.Snigdha 6.Pichchhila
2.Guru 7.Sara
3.Shita 8.Manda
4.Mridu 9.Sukshma
5.Drava
6
7. SNIGDHA- рдХреН реЗрд┐рд┐реЗ рд╕реНрдирд┐рдЧреНрдз: тАжтАж..(Hemadri)
рдирд┐реЗрд╣реЗрдорд╛рд┐рджрд╡рдХреГ рдд рд╕реНрдирд┐рдЧреНрдзреЛ рдм рд╡рд┐рджрдХрд░рдирддрдерд╛ I (S.Su. 46/516 )
Snigdha substances may induces four attributes as follows:
a) snehakrit (that induces snehana)
b)Mardavakrit (that produces softness in the body )
c) Balakrit (which strengthens the body)
d) Varnakara (that makes fair complexion )
7
8. GURU - рдмреГрд┐рдВрд╣рд┐: рдЧреБрд░реБ: тАжтАж.(Hemadri)
рд╕рд╛рд┐реЛрдк реЗрдкрдм рдХреГ рддрдирддрдкрджрд┐рдмреГрд┐рдВрд╣рд┐: I (S.Su.46/518)
The attributes of guru are:
a) Sadakrit (which produces fatigueness in the body )
b) Uplepakrit (which produces mala as well as kapha in the body )
c) Balakrit (which strengthens the body )
d) Tarpankrit ( which nourishes the body )
e) Brimhankrit (which increases the body weight )
8
9. SHITA - рд╣реНрд╕ рд╛рд┐рд┐: рдирддрдореНрднрд┐: рд╢реАрддреЛ рдореВрд┐рд╛рджрддреГрдЯрдирд╡реЗрд┐рд┐рд╛рд╣рд╕реНрдЬрдд I
(S.Su. 46/515)
This quality produces following features :
a) Hladana (happiness)
b) Stambhana
c) Murchchhaharan
d) Trishna prashamana
e) Sveda harana (pacification of sweating )
f) Daha prashamana (pacification of burning) 9
10. MRIDU -: рдорд╛рд┐рджрд╡рдХреГ рдд рд┐реЗрд╣реЗ тАжтАж (Hemadri)
рд┐рд╛рд╣рдкрд╛рдХрдХрд░рдирддреАрдХреНрд╖реНрд┐: рд╕реНрд░рд╛рд╡рд┐реЛ,рдореГрд┐реБрд░рдиреНрдпрдерд╛ I (S.Su.46/518)
This quality attributes softness and looseness of body.
DRAVA - рджреНрд░рд╡ рдХреН реЗрд┐рдХрд░реЛ реНрдпрд╛рдкреА I (Sha.Pu.4/33)
It contributes to the moistening of the body.
10
11. PICHCHILA- рд╡рдкрд╕реНрдЫрд┐ реЛ рдЬреАрд╡рд┐реЛ рдмрд▓реНрдп: рд╕рдиреНрдзрд╛рд┐:рд╢реН реЗрд╖реНрдо реЛ рдЧреБрд░реБ I (S.Su.46/517)
It means sliminess.It has following attributes :
a) Jivana (enhancer of longevity)
b) balya (strengthener)
c) Sandhana (binds up the cells and molecules )
d) Shleshmavardhaka (that increases kapha )
e) Guru (heaviness)
11
12. SARA - рд╕рд░ рддреЗрд╖рд╛рд┐рдВ рдкреНрд░рд╡рддрджрдХ: I (Sha.Pu.4/32)
рд╕рд░реЛрд┐реБ реЛрдорд┐: рдкреНрд░реЛрдХреНрддреЛ I (hemadri on A.Hr.Su.1/18)
It contributes to the mobilization of the substances.
It may also be considered as anulomana.
MANDA - рд╕рдХ рдХрд╛рдпрд╛рджрдгрд┐ рд╢реИрдердерд▓реНрдпреЗрд┐ рдХрд░реЛрддрдд рджрд╣ I (Sa.Pu.4/34)
It is responsible for the slowness of activity.
12
21. тАв Shodhana Sneha тАУSneha used for preparation of patients for a
particular purificatory procedure.
тАв Shamana Sneha- Sneha used for pacification of dosha as well as
roga is called Shamana Sneha.It is taken with principal meal time
in hungry condition.
тАв Brimhana Sneha- Sneha used for nourishing purpose of the body
is Brimhana Sneha.It is taken along with masa
rasa,Madhya,ksheera etc. 21
22. тАв ACHCHHA SNEHA - The sneha which is used
without being processed by other rasa or without
mixing with any other substances.
тАв VICHARANA SNEHA-The Sneha which is processed with six
types of rasa in permutation and combination to produce 63 types
of variety is called Vicharana Sneha.
22
24. 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 24
25. USEOFDIFFERENTPAKA
NAME OF
ACHARYA
MRIDUPAKA MADHYAPAKA KHARAPAKA
Charak and
Vaghatta
Nasya Snehapana,Basti Abhyanga
Sushruta Snehapana Nasya,
Abhyanga
Basti and
karnapuran
Sharangdhara Nasya Snehapana,Basti,
karnapuran
Abhyanga
25
34. SNEHO ANILAM HANTIтАжтАж.
-Vata shamak property of sneha
-Sneha have opposite gunas of vata
-Helps in proper gati of vata
-Vatanulomana-samyak snehan lakshan
34
38. FAT DIGESTION
тАв Fat digestion begins in the small intestine.(minor amount in oral
cavity)
тАв Lingual lipase catalyzes the triglycerides into partial glycerides and
free fatty acids(FFA)
тАв Gastric lipase activates at a PH of 4-5,so no digestion in stomach.
тАв In duodenum,1 molecule of TGL is hydrolysed to 1 molecule of MGL
and 2 molecule of FFA
тАв Bile helps in fat digestion through emulsification of fat droplets
38
39. FAT ABSORPTION
тАв Large fat droplets are emulsified into monoglycerides and fatty acids
by bile salts and are packed into Micelle.
тАв Micelles are taken up by the alimentary canal (jejunum and
ileum)where absorption take place by a process called pinocytosis.
тАв The fat fragments are then reassembled into triglycerides and packed
into chylomicrons.
тАв Chylomicrons,exocytose from the enterocyte to the central lacteal of
villus,passing to lymphatic channels and ultimately reach the
subclavian vein 39
47. PURVAKARMA
тАвAtura pariksha - It includes dashvidha pariksha.
тАвAtura siddhata- deepen pachan,diet regimen
тАвSambhara sangraha-The required medicaments, first aids and
essential materials to treat the vyapat should be kept ready
47
48. PRADHANA KARMA
тАв Administration of sneha
тАв Observation of тАУsneha jiryamana and sneha jirna lakshana
тАв Snigdha,atisnigdha and asnigdha lakshana
48
51. ASSESSMENT OF AGNI
тАв Understand the level and degree of appetite
тАв Details of food habit
тАв Any history of ajeerna
тАв Quantity and quality of food
тАв Timing and interval of food
51
53. INVESTIGATION MAY BE DONE PRIOR TO SNEHA
PANA
тАв Hb %
тАв Lipid profile
тАв L.F.T
тАв Blood sugar
тАв ECG
тАв Stool-R/M
53
54. SNEHA DOSE
рдЕрд╣реЛрд░рд╛рд░рдорд╣: рдХреГ рддреНрд╕рдирд┐рдГрдордзрд╛рджрд╣рд┐рдВ рдЪ рдкреНрд░рддрддрдХреНрд╖рддреЗ I
рдкреНрд░рдзрд╛рд┐рд╛ рдореНрдпрдорд╛ рд╣реГрдирд╡рд╛ рдирд┐реЗрд╣рдорд╛рд░рд╛ рдЬрд░рд╛рдордкреНрд░рддрдд II
рдЗрддрдд рддрддрдирд░: рд╕рдореБрджрд┐рд╖реНрдЯрд╛ рдорд╛рд░рд╛:рдирд┐реЗрд╣рд╛рдирдп рдорд╛рд┐рдд: I (Ch.Su.13/29-30)
54
55. тАв The quantity of oil digested in 24 hours-uttam matra indicated
in krura kostha and in strong persons.
тАв The quantity of oil digested in 12 hours-madhyam matra
indicated in madhyam kostha and a person having moderate
strength.
тАв The quantity of oil digested in 6 hours-hriswa matra indicated
in mrudu kostha and in less vitiated conditions.
(A.H.SU.16/17)55
57. рдЖрдЬреНрдЮрд╛рдд рдХреЛрд╖реН реЗ рджрд╣ рдХреБ рдпрд╛рджрддрдЬреАрд╡рд╡рд┐рдВрдд рд╕рд┐рдВрд╢рдпрдо I
(A.H.Su.25/23)
Oil should not be administered internally without
knowing the kostha,If so,at times the life of the patients
may be put into danger.
57
58. TEST TO KNOWWHETHER OIL IS DIGESTED OR NOT ??
рдЬреАрд┐рд╛рдж-рдЬреАрд┐рдж рд╡рд╡рд╢рд┐рдВрдХрд╛рдпрд╛ рдирд┐реЗрд╣рд╛рдирдпреЛрд╖реНрд┐реЛрд┐рдХрд┐рдВ рд╡рдкрдмреЗрдд I (Su.Chi.31/22)
тАв Ask the patient to take some hot water,if there is clear
eructation,it indicates that the given oil is completely
digested and eructation with oily smell indicate that is yet
to digested.
58
59. DOSE SCHEDULE BY VANGASEN:
Dose 1st day 2nd day 3rd day 4th day 5th day 6th day 7th day
Uttama 12 karsha 14 karsha 16 karsha 18 karsha 20 karsha 22 karsha 24 karsha
Madhyam
a
6 karsha 7 karsha 8 karsha 9 karsha 10 karsha 11 karsha 12 karsha
Hrasva 3 karsha 3 ┬╜
karsha
4 karsha 4 ┬╜
karsha
5 karsha 5 ┬╜
karsha
6 karsha
59
63. SNEHA AJIRNA AND JIRNA LAKSHANA
SNEHA AJIRNA SNEHA JIRNA
Shiroruja (headache)
Bhrama (vertigo)
Lalasrava (salivation)
Murchchha(fainting )
Sada (lethargy )
Klama (tiredness without any hard
laborious work)
Trishna (thirst )
Daha (burning sensation )
Arati (uneasiness)
Disappearance of the symptoms of Sneha
ajirna
Laghuta (lightness of the body)
Vatanulomana
Kshuddha pravriti
Trishna pravriti
Udgara shuddhi
63
64. SAMYAK SNEHAN LAKSHAN
рд╡рд╛рддрд┐реБ реЛрдорд┐рд┐рдВ рд┐реАрддрджрддреЛрд╜рд╕реНрдЧреНрд┐рд╡рдЪрдж: рд╕реНрдирд┐рдЧреНрдзрдорд╕рд┐рдВрд╣рддрдореН I
рдорд╛рд┐рджрд╡рд┐рдВ рд╕реНрдирд┐рдЧреНрдзрддрд╛ рдЪрд╛рдЩреНрдЧреЗ рд╕реНрдирд┐рдШреНрд┐рд╛рдореБрдкрдЬрд╛рдпрддреЗ I (Ch.Su.13/58)
тАв Vatanulomana тАУ normal GIT movements
тАв Agnideepti тАУ normal appetite
тАв Varcha snigdhata and asamhata тАУ oily stool
тАв Snehodwega тАУ aversion to sneha
тАв Klama - lassitude 64
68. Vatanulomana - Following points are to interrogated :
a) Adhovayu prvriti (passing of flatus)-
тАв Whether it is sagandha or nirgandha;sashabda/nihshabda ?
тАв It occurs how many times in a day?
тАв How many times during passage of stool ?
68
69. Udgara (belching) -
- Ashuddha udgara after 2 hr/4 hr/6 hr ?
- Shuddha udgara after .........?
69
70. Utklesh (nausea) тАУ
-After snehapana ?
-Just after taking meal?
-Even by the smell of the food ?
-During digestion of food ?
- In any time of day ?
70
71. Adhmana, Anaha, Atopa тАУ Normal during digestion of Sneha but
persists for a longer time then following questions-
тАв Whether deepan pachan were done properly or not?
тАв Whether food after snehapana is laghu or not ?
71
72. Snehodvega тАУ
This lakshan is not found in first 2-3 days,after that it is
found according to manasika prakriti of the patients.
1.Person should be adviced to take sneha by closing his nostrils
2.After taking sneha,mouth shall be ringed with luke warm water.
3.Lemon may be used for smelling.
4.He may take the whole amount in 2-3 attempts with a interval of 2-3 min.
72
73. Asamhata varcha,grathita purisha-
Assesed by inspection ,appears within 2-3 days of snehapana
purishasya avipakvata-During formation of stool,few metabolic
activities take place.In this case,fecal matter does not undergo such type of
paka ,resulting in unformed ,watery stool.
73
74. Kasa and shvasa pravriti - It is due to not attaining of
vatanulomana during snehapana
74
75. Anga laghav тАУSubjective sensation ,can be
assessed by prashan pariksha.
Whether he is feeling lighter than earlier ?
It should be asked only after proper digestion
of food taken after snehapana.
75
77. Snigdhta- Assesed by sparsh pariksha.
It may be done by making a scratch mark
over the body by nail or pointed material.
If white scratch mark appears and persists
for a long time,then it may be said that no
proper snehana has been made.
77
78. Klama - Assessed by prashna pariksha.It means feeling of
tiredness without any labour.Generally seen on the advance
days of snehapana
78
79. Shaithilya - Assessed by prashna pariksha,person thinks
that his body is not under his control,his knees is unable
to bear his body weight.
Gaurava-Due to overdose of snehapana
79
80. Panduta - It is a relative assesment by
which a comparative panduta of the body
is understood.It is assessed by darshana
pariksha
80
82. Mukhasrava,ghrana srava-Due to overdose of sneha
Gudasrava- Pichchhila srava through the anus.
Pravahika-Very small amount of stool is eliminated out
frequently with tenesmus
82
86. SNEHA VYAPAT CHIKITSA
1. Upvasa- Beneficial in Alpa dosha avastha and enhances agni
bala
2.Ullekhana-in Utklishta dosha avastha sadyo vamana is
beneficial and is also adviced in conditions like sneha
ajirna,snehajanya trishna.
3.Svedana :In conditions such as sthambha, svedana is beneficial.
4.Rukshna Beneficial in sneha atiyogajanya vyapat. Rukshana
dravya can be administered in the form of pana, anna and
bheshaja. 86
92. CONCLUSION
Snehapana plays a major role as a poorva karma to shodhana
(vamana or virechana) procedures, hence in almost all the
shodhana arha conditions snehapana is advised. The entire
procedure of shodhana depends upon the proper mobilization of
dosha from the shakha to kostha which is achieved with the help
of snehana and swedana. That makes changes in vitiated doshas
to mobilize them without trouble, and thus easily expelled from
the body tissues without harming the body.
92