Standardized Nasya Procedure Optimization

Standardization of Nasya Procedure
Standardization of Nasya
ProcedureProcedure
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 Dhumapana
C li i d h i i N• Complications and their management in Nasya
Karma.
R ti l f 14 K l ib d i P ti h• Rationale of 14 Kalas prescribed in Pratimarsha
Nasya.
• 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 y
prepared 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 Tailam
Sh 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)

Snehapaka
N T il i l M d k• Nasya Taila is always Mrudupaka
• Paka are 3 types Mrudu, Madhyama, Khara paka
f h k lk l dl d k– If the kalka is liquidly – Mrudupaka
– Non‐Liquidly and soft – Madhyamapaka
No 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 Nasya
i 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, Shirogata
Kriimiroga, Alcoholic, etc.
M di i P h d i V dhi i t il• Medicines: Panchendriya Vardhini taila,
Anutaila, etc.

16 Pratimarsha Kala
Effect achieved Timing g
Sroto shuddi (4) Night, Afternoon, After food,
After day sleep y p
Sleep 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, Malamootra
visarjanam,
Oral hygiene (2) After brushing, after laughing
yg ( ) g, g g

SOP for Marsha Nasya
M 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 Pradhanakarma
All 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

h ld
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

h ld
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 Ardhita
D d k hik t l R l Of D h l• Devender kaushik et.al, Role Of Dashamula
Kwatha 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 Swedna
and 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)

Ardhavabhedaka
Sh 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.

Ardhavabhedaka
l 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 Taila
Nasya 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 y
Shirodhara 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

Standardized Nasya Procedure Optimization

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