This document discusses the Ayurvedic nasal procedure known as Nasya. It begins by questioning whether modern Nasya practices fully follow classical techniques. The basic anatomy of the nasal passages and their connection to the brain is then outlined. Different types of Nasya are classified and their indications, dosages, procedures, and complications are described in detail. Specific conditions that may benefit from Nasya are also explained. The document aims to analyze modern Nasya practices and promote standardizing dosage and techniques according to classical Ayurvedic texts.

1. Nasyakarma
Dr. Prakash Mangalasseri
Professor Dept. of Kayachikitsa, Vaidyaratnam PS Varier Ayurveda College, Kottakkal
Director, Kottakkal Ayurveda School of Excellence (KASE), an initiative of KASRS

2. Pheromones

3. Sanjeevani Nasya

4. Nasya
 Easiest employed procedure
 OPD Panchakarma
 Direct entry to cranial vault
 Even unconscious patient can be managed
 Most popular procedure

5. Problem statement
 Do we do ‘real’ Nasya?
 Are complications really less?
 Classical Nasya

6. Basic Anatomy

7. Nasa hi Shiraso Dwaram…..

8. Paranasal Sinuses

9. Trubinates

10. Anatomy of Oordhwajatru

11. Olfactory Pathway

12. Direct access to Brain

13. Nasya
 Nasa grahyam yath oushadham
 Pre requisite – Snehana , Swedana & (Vamana, Virechana ?)

14. Nasya - Indications
 Oordhwanga gata dosha
 Manodosha
 Kapha
 Vatha
 Pitta & Rakta

15. Classification of Nasya
 Navana
 Avapeeda
 Dhmapana
 Dhooma
 Pratimarsha

16. Navana
 Snehana
 Shodhana

17. Dhmapana
 Shodhana (Deha sroto vishodhana . Ca Si)
 Cheto vikara, krimi, vishabhipanna (Su)
 Choorna
 Nasagre nihita: sa hi aavegakartaro bhavati (AS)

18. Avapeeda
 Shodhana
 Sthambhana
 Kalka

19. Dhooma
 Prayogika (shamana)
 Snaihika
 Vairechanika
 Mukhapeyastu dhoomo na nasyam

20. Pratimarsha
 Ubhatyarthakrith
 Snehana
 Virechana

21. Classification
 Brimhana (tharpana) - Vataja
 Shamana - (sthambhana)- Pitta rakta
 Virechana - Kaphaja

22. Brimhana
 Vatika shirahshoola
 Sooryavartha
 Swarasada
 Nasashosha / Asyashosha
 Vaksanga
 Apabahuka
 Shirakampa
 Ardita

23. Shamana
 Neelika
 Vyanga
 Kesha dosha
 Akshirga
 Raktapitta

24. Rechana nasya
 Shirahshoola (kapha predominant)
 Jaadya
 Abhishyanda
 Galaroga
 Krimi
 Kushtha
 Apasmara
 Peenasa
 Manyasthambha

25. Shirovirechana gana
 Vidanga
 Apamarga
 Vyosha
 Sigrubeeja
 Saindhava etc…
 Madhura skandha

26. Other articles / vehicles
 Ghee
 Honey
 Milk
 Blood
 Meat juice
 Water
 Swarasa – lasuna etc.

27. Dosage Fixation
Bindu Pramana…..

28. Dose of Nasya
 Bindu ???
 Bindu – 10 / 8 / 6 (marsha mathra)
 8 / 6 / 4 (Kalkadi)

29. ROUTINE PRACTICE
10 Bindu = 10 drops
8 Bindu = 8 drops
6 Bindu = 6 drops
Only One Instillation
One Sitting of Nasya

30. Is It The Classical
Practice?

31. Bindu ????
प्रदेशिन्यङगुलीपर्वद्र्यान्मग्नसमुध्दृतात् ।
यार्त्पतत्यसौ बिन्दु …….अ.ह्र्.सू.२०/१०
यावत्पततत तावान् बिन्दुः, न प्रथमपततत एव ।
आ.र.

32. एर्ंवर्धैबिवन्दुसंज्ञैरष्टश िः
िाण उच्यते ।
िा.उ.८/३९,४०

33. 1 Shana = 4 Masha = 4 gm = 4ml
Thus 8 Bindu = 1 Shana = 4 ml
1 Bindu = 0.5 ml
As 1 drop = 0.05ml (Ayurvedic Formulary of India)
10 drops = 0.5 ml
1 Bindu = 10 drops = 0.5ml

34. STANDARDIZED DOSE
MARSA NASYA
ONE BINDU = 0.5ml

35. CLASSICAL DOSE
10 Bindu = 10 x 0.5ml = 5ml
8 Bindu = 8 x 0.5ml = 4ml
6 Bindu = 6 x 0.5ml = 3ml
Sushruta, Sharangdhara, Chakradatta???

36. PROCEDURE
द्वर्स्त्रिर्ाव नरयमाचरेत |
वर्रेचयेत् बिद्ववर्रथैकिो र्ा िलं समीक्ष्य
बिवर्धं मलानाम् । च.शस. १/५०

37. Sushruta , Sharangdhara, Chakradatta???
6 Bindu each nostril x 1/2/3 times
= 12/24/36 Bindu
8 Bindu each nostril x 1/2/ 3 times
= 16/32/ 48 Bindu
10 Bindu each nostril x 1/2/3 times
= 20/40/60 Bindu

38. Routine BINDU Vs Classical BINDU
0.05ml 0.5ml
10 TIMES MORE
ONE SITTING OF NASYA
10x 1 Instillation = 10 times more
10x 2 Instillation = 20 times more
10x 3 Instillation = 30 times more

39. DOSES REVISED
ACCORDING TO TIME
Dose changes according to medicine
&

40. Always 1 bindu is 0.5 ml
(10 drops) ???

41. Revised Kottakkal Practise
Higher doses are essential for better
outcome

42. Clinical Indications

43. Indications
 Neurological
 Ophthalmic
 Stato-acoustic
 Scalp
 Vascular
 Psycological
 Dermatological

44. Special indications
 Pakshaghata
 Ardita
 Manyasthambha
 Apabahuka

45. Pakshaghata
 Nasya with
 Karpasasthyadi taila
 Ksheerabala Avarthi taila
 Dhanwantharam Avrthi taila

46. Ardita
 Ksheeradhooma
 Nasya and
 Karnapoorana togther

47. Apabahuka
 Brihana Nasya
 Khapuramanjari Nasya

48. Manyasthambha
 Rooksha Nasya
 Continous Administration relievs fibromyalgia

49. Cervical Canal Stenosis
Be cautious and careful…..

50. Specific indications
 Kshavathu
 Putaka
 Kamala

51. Jeemutha (Luffa echinata)
Nasya in Hyperbiliubinemia

52. Contra indications (sneha nasya)
 Ajeerna
 After food
 After drinking water
 After bath
 Durdina
 Nava pratishyaya
 During snehapana or anuvasana

53. Contra indications (rooksha nasya)
 Kshaama
 Garbhini
 After hard exertion
 After virechana

54. General contraindications
 Swasa
 Kasa
 Shuddha
 After Nirooha
 Anarthava Durdina
 Before 7 years
 After 80 years

55. Poorvakarma
 Snehana
 Swedana

56. Nasyakala
 Prak soorya (summer)
 Madhya soorya (winter)
 Kapha – Morning
 Pitta – Noon
 Vata – evening or night
 Swastha – morning in sarath & Vasanth
 evening in greesha

57. Positioning (avak shirasa)
 Head lowered / foot raised (kinchith)

58. Procedure
 Sneha & sweda – uttamanga
 Application of warm oil on palms & soles
 Application of warm medicine (pranadi / pichu)
 Mardhana of pada etc
 Further sweda
 2 or 3 times nasya
 Dhumapana / Kabala
 Diet & regimen

59. Frequency
 Daily twice
 Vataabhibhoote…..
 Alternate Days
 7 Days

60. Dhmapana nasya
Dwimukha Nali…

61. Dhoomanasya
Sheshsa Dosha Shamana after Vamana

62. Samyak lakshana
 Samyk sneha
 सम्यस्त््रनग्धे सुखोच््र्ासरर्प्निोधाक्षपाटर्म्||२३||
 Samyak virikta
 सुवर्रर्तेऽक्षक्षलघुतार््ररर्रवर्िुद्धयिः|
 AH. SU.20

63. Complications
 Moorcha
 Ayoga
 Atiyoga
 रूक्षेऽक्षक्षरतब्धता िोषो नासारये मूद्वधिून्यता|
स्त्रनग्धेऽतत कण्डूगुरुताप्रसेकारुचचपीनसािः||२४||
 दुवर्वरर्ते गदोद्रेकिः, क्षामताऽततवर्रेचचते||२५|| AH. SU.20/25

64. Pratimarsha nasya
 Snehangulim dadyat
 Dwi bindukah
 Eeshath uchhringhitham dravyam yavath vakthra
prapadyate
 As a Routine – 15 kala
 Ubhayaarthakrith

65. Pratimarsha nasya
 No age bar
 No contra indication (even in akalavarsha)
 No restrictions
 No complications
 Preferred as routine
 Dushthapeenasa / Madyapeetha / Moordhni krimi /
Abalasrothra / Uthklishta dosha / Klishta dosha

66. Nithya Nasya
 Kushtha
 Alternate 3 days Nasya

67. Practical tips
 Blood pressure & Nasya
 Nasya after Shirovasthi
 Nasya in respiratory problems
 Nasya in psychiatric patients

68. Important yoga
 Anu thaila
 Ksheerabala (101)
 Dhanwanthram (101)
 Ksheeramruth (101)
 Karpasasthyadi taila
 Maharajaprasarini taila
 Shadbindu taila

69. Important yoga
 Katphala / shunthi / kushtha
 Vasha / Doorva / jeemoothaka
 Lashuna / Hingu / Tulasi
 Haritamanjari / Tulasi / Dronapushpi
 Ghrita manda

70. Important yoga .. Contd..
 Thuvaraka taila
 Sthanya
 Lavana nasya

71. Specific Areas
 Trigemnal neuralgia
 Adhesive capsulitis
 Hemiplegia

72. Nasya - Medhya
 Brahmi ghrita
 Jyotisjhmati taila

73. Cosmetic effect
 Khalitya
 Palitya
 Vynga
 Kumkumadi taila Nasya

74. Cervical Spondylosis
Nityam Pratimarsha Nasya - Prophylatic

75. Sanyasa
 Apatantraka
 Coma
 Nasal Administration of Drug

76. Contagious Episodes
Influenza
 Nasangulim Dadyat…..

77. Head Aches
 Chronic Sinusitis
 Vascular Headaches
 Tension Headaches

78. Premature Greying / Hair loss
ृढेस्त्न्द्रयारतपशलता र्ेयुनवरयिीशलनिः||३९|
AH. Su 20

79. Qualities of Nasya sheela
 Physical compactness of shoulder, neck and chest
 Pleasing appearance of face & skin
 Sensorial excellence
 Sweet voice
 Prevents graying

80. Nasaapaana
 Common practise in Arya Vaidya Sala Kottakkal
 Especially in Apabaahuka

81. Mode of action
 Shrinkataka marma
 Shiraso antharmadhyam
 Nethra / Srothra / Kantha
 Position
 Sudation
 Massage
 Drug

82. Mode of action
 BBB
 Olfacto hypothalamo pitutary pathway
 Influencing limbic system
 Stimulation of barroreceptors in the carotid sinus
 Momentary hyperaemia
 Absorption (vascular or lymphatic)
 Decongestant action
 Eliminative action

83. Understanding IN delivery
 Bioavailability
 First pass metabolism
 Nose brain pathway
 Lipophilicity

84. Bioavailability
 How much of the administered medication actually ends
up in the blood stream.
 Examples:
 IV medications are 100% bioavailable.
 Most oral medications are about 5%-10% bioavailable due to
destruction in the gut and liver.
 Nasal medications discussed in this lecture range in the 55% to 100%
bioavailability range - approaching IV delivery systems.

85. First pass metabolism
 Molecules absorbed through the gut, including all oral
medications enter the “portal circulation” and are
transported to the liver.
 Liver enzymes then break down most of these drug
molecules and only a small fraction enter the bodies
circulation as active drug.
 Nasally delivered medications avoid the gut so do not
suffer first pass metabolism.

86. Nose brain pathway
 The olfactory mucosa (smelling area in nose) is in direct contact with the brain
and CSF.
 Medications absorbed across the olfactory mucosa directly enter the brain.
 This area is termed the nose brain pathway and offers a rapid, direct route for
drug delivery to the brain.

87. Lipophilicity
 “Lipid Loving.”
 Cellular membranes are composed on layers of lipid material.
 Drugs that are lipophilic are easily and rapidly absorbed across the
mucous membranes.

88. Intranasal Medication -Absrption
 Drugs absorbed via the nasal mucosa:
 Are absorbed via the rich vascular plexus of the nose and
directly enter the circulation.
 Can be absorbed directly through the olfactory mucosa into
the CSF - giving rapid brain levels of the drug.

89. Intranasal Medication Administration:
Advantages
 Compared to oral medications, intranasal medication delivery results in:
 Faster delivery to the blood stream
 Higher blood levels
 No destruction by stomach acid and intestinal
enzymes
 No destruction by hepatic first pass metabolism

90. Nasl applications studied
 LH
 ADH
 Insulin / Glucagon
 Contraceptive drugs
 Steroids

91. Conclusion
 Least expensive Shodhana
 Highly beneficial if properly employed
 Multifaceted utility
 Be cautious about complications

92. Thank u!
ayurvedaprakash@gmail.com