complete description of ayurvedic nasya karma procedure.

1. NASYA
KARMA
By
Dr. B. ARUN KUMAR
MD (Ay)

2. NASYA SAMANYA

PARICHAY
नासायाम् भवं नस्यम् By Aruna datta
 नासाग्रह by Bhava prakasha
A.H.Su.20-1
 औषधम् औषध िसधम् स्नेहो वा निसकाभ्यम् दीयते इतित
नस्यम् by Sushritha.
 नस्तः प्रच्छ् ःःढनर्ढन by Charaka
C.S.Su-1-85

3. NOSE ANATOMY
 The nose consists of the nasal bones, the frontal
process of the maxilla at the root of the nose, and a
number of cartilages.
 These nasal cartilages are made of hyaline cartilage.
These are the lateral nasal cartilages, the greater alar
cartilages, and the lesser alar cartilages.
 The septal cartilage also forms part of these
cartilages.
 The openings of the nose (nostrils) are the external
nares (external naris singular).

4. NOSE ANATOMY
 The nasal cavity has a wall that runs down the middle of it
called the nasal septum.
 The septum consists of three parts, the perpendicular plate
of the ethmoid bone (a continuation of the crista galli) , the
vomer and the septal cartilage.
 At the end of the nasal septum are two holes that separate
the nasal cavity from the nasopharynx. These are the
choanae or internal nares.
 The floor of the nasal cavity is bordered by the hard palate
and the soft palate.
 At the junction of the crista galli and the perpendicular plate
of the ethmoid is the cribriform plate of the ethmoid.

5. NOSE ANATOMY
 When looking at the nasal cavity, if the septal
cartilage is removed you can see the nasal conchae.
These structures force the inhaled air to come into
contact with the wall of the nasal cavity where the
air is warmed and moistened.
 There are three nasal conchae, the superior nasal
concha, the middle nasal concha, and the inferior
nasal concha.
 Note the position of the conchae with the nasal
bone, the hard palate and the soft palate.

6. NOSE ANATOMY
 The nasal cavity is lined with respiratory epithelium
which is pseudostratified ciliated columnar
epithelium with goblet cells.
 Respiratory epithelium is found in the nasal cavity,
the lower larynx, trachea, and bronchi. The goblet
cells secrete mucus which forms a film over the
epithelial surface. Dust and other particulate matter
sticks to the mucous sheet which is moved by the
cilia.
 This provides a protective function, removing
particulate matter from entering the lungs where it
might do damage.

7. NOSE ANATOMY

8. NOSE PHYSIOLOGY
 The sense of smell is more complex than the sense of taste.
There are only five primary tastes but many different kinds
of smells.
 The region that is sensitive to smell is the olfactory
epithelium which is located in the superior portion of the
nasal cavity.
 The olfactory epithelium consists of elongated epithelial
cells that are supporting cells with neurons called olfactory
cells. These olfactory cells have olfactory hairs on their
surface.
 Chemicals that are inhaled come into contact with a mucous
sheet and are picked up by the olfactory cells.
 The sensation of smell is transmitted by the olfactory nerves
through the cribriform plate of the ethmoid bone and they
synapse in the olfactory bulb at the base of the frontal lobe
of the brain.

9. NASYA DRUGS BY
CHARAKA
C.S.SU.2-3,4,5

10. NASYA DRUGS BY
CHARAKA
C.S.Vi.8-154

11. Some
important
Nasya drugs

12. APAMARGA
 Properties—
 Rasa -Katu, Tikta
 Guna- Laghu, Rüksa, Tiksna
 Virya- Usna
 Vipãka- Katu
 Karma- Kapha-vatahara,
Sirovirecana, Dipana-pacana,
Medohara
Indications— Chardi,
Hridroga, Adhmãna, Kandü,
sula, Udara, Apaci, Raktaras,
Visücikã, Krimi, Sidhma, Sadyo
vrana, Mutrakrcchra

13. PIPPALI
 Properties
 Rasa- Katu
 Guna- Laghu. Snigdha.
Tiksna (Ardra—Guru)
 Virya- Usna (Ardra-Sita)
 Vipãka- Madhura
 Karma (Ardra-Kapha
vardhaka), Dipana, Vrsya,
Rasayana
 Indications— Udara.
Pliharoga, jvara, Kustha,
Prameha, Gulma, Arsas,
Amavata .

14. MARICHA
 Properties—
 Rasa- Katu
 Gun-a Laghu. Tikshna
 Virya -Usna
 Vipäka- Katu
Karma- Kapha-vatahara,
Avrsya. Dipana, Pramãthi
Indications— Pinasa,
Kãsa, Pravahik, Hrdroga,
Krmi, sväsa, süla.
• Part Used— Fruit . .
Dosage— Powder 0.5-1 g.

15. VIDANGA —
Properties

 Rasa- Katu, Kasaya
 Guna- Laghu, RUksa,
Tiksna
 Virya- Usna
 Vipaka- Katu
Karma- Visaghna, Krmighna,
Dipana.
 External uses Bactericidal.
kushthaghna and
shirovirechan. Hence it is
useful in dental caries,
toothache etc. Decoction is
used for gargles in dental

16. SHIGRU
 Properties—
 Rasa- Katu, Tikta
 Guna- Laghu, Ruksa, Tiksna
 Virya—usna
 Vipaka—katu
 Karma- Kapha-vãtahara,
sukrala, Grãhi, Dipana, Hrdya
 Internal uses-
Nervous system As it is tikshna
and ushna, it is a nerve
stimulant. The non crystalline
part of the bark is very strong
and it acts through afferent

17. Nasya drugs by
Sushrutha
Su.S.Su.39-6

18. Nasya drugs by
Vagbhata
A.H.Su.15-4

19. Nasya Varieties by
Charaka
C.S.Si.9-89

20. Nasya Varieties by
Sushrita
Su.Ch.40-21

21. Nasya Varieties by
Vagbhata
A.H.Su-20-2
Sha.S.U.K 8-2
Sha.S.U.K 8-11

22. Nasya Varieties by
Sharangadahara
Sha.S.U.K 8-24

23. Nasya Varieties Based on
Ashraya Bedhas.

24. About
Individu
al
NASYA

25. NAVANA
 It is one of theNASYA
important nasya.
 Susrutha mentioned that snehana nasya is equal to
navana nasya
 Anu taila will be used for this.
 With karpasa pichu sneha will be inserted through
the nostrils as a drops.

26. NAVANA NASYA
 Dosage of sneha nasya.
 Acc.Susrita it is comes under shirovirechana nasya.
 Acc.Susrita snehana & shodana nasya will be given before
annakala.
Matra Uttama Madyama Heena
Charaka 64 drops 32 16
Bhoja 24 16 8
Sushrita 8 6 4

27. NAVANA NASYA
 In Kaphaja diseases nasya given in Purvahna kala
 In Pittaja diseases nasya given in Madyaahna kala
 In Vataja diseases nasya given in Aparahna kala.
 In Swastha purusha –during winter it is given in
madyahna kala,
during sharad ritu Purvahna kala,
Grishna ritu Aparahna kala,
in varsha ritu after sun rise.

28. AVAPEEDANA
 NASYA
It is done with the swarasa/kalka.
 It is useful in shodana of the doshas.
 For the Rakta stambana purpose ikshurasa/sharkara
are used to control the bleeding.
 Its dosage is 4/6/8 drops heena/madyama/uttama
matra.
 Chakrapani mentioned that 3 karmas for
Avapidana nasya Shodana/stambana/shamana.
 Dalhana/videha mentioned 2 varieties for this
Sagna prabodaka/Stambana

29. AVAPEEDANA
 Indications: NASYA

30. DHMAPANA NASYA
 It is also called Prathamana nasya
 It is one type of shodana nasya
 Churna is used in this nasya
 6 inches tube will be used for this purpose
 It is useful in manasika rogas, krimija shiro rogas.
 Its dosage 3 muchiti according to Videha.
 Muchyuti-how much u take with index finger and thumb
finger that is muchyti.
 Acc.Videha- make potali with finest powder and put it
before the nostrils and take inspiration, drug will enter into
the nostrils from the potali. This is another method. it is safe
method for not enters the excessive amount of churna.

31. DHUMA NASYA
 In this nasya inhalation of dhuma nasya through the
nostrils will be done.
 Chakrapani mentioned that dhuma which is given
through the nostrils is known as dhuma nasya.
 It is three types 1.prayogika/shamana
2.vairechanika 3. Snaihika.
 Nasya netra pramana is in prayogika nasya 36
angula, in vairechanika nasya 24 angula, in sanihika
nasya 32 angulas.
 In sitting position nasya will be given.

32. DHUMA NASYA
 With concentrated mind, by closing one nostril, with
another nostril inhale the dhuma and exhale with
closed nostril.
 With each nostril it is repeated 3 times.
 The medicated fumes(bashpa sweda) are prepared
with herbs and inhaled through the nostrils are
known as another method of nasya.ex:kantakaryadi
kashaya bashpa sweda nasya to relieve the
congetion of the throat.

33. DHUMA
NASYA
Prayogika Snaihika Vairechanika
dhuma nasya dhuma nasya dhuma nasya
Useful drugs Harenu,chand Vasa,ghee,wa Jyotishmati,m
ana,ushira,pad x,jivaniya anahshila,agar
maka,gugulu,l gana dravya upatra,sweta
odhra,sarjaras drugs. aparajitha.
a,nagaramotha
Dhuma netra 36 Angula 32 angula 24 angula
pramana

34. PRATIMARSHA
 NASYA
Marsha and pratimarsha both are similar but slight
difference in matra only.
 In this there is no complications and easy.
 It doesn’t aggravates any other doshas
 It increases the strength of the body.
 It is given in all rithus, any time.
 Its dosage 2 drops in each nostril(pratimarsha)

35. PRATIMARSHA
 Timings to give NASYA
Pratimarsha nasya

36. PRATIMARSHA
 NASYA
Acc. Vagbhata marsha nasya dosage is 10/8/6 drops
uttama/madyama/hina matra.
 Pratimarsha dosage is 2 drops only.

37. PRATIMARSHA
NASYA

38. Nasya yogya & Ayogya
Yogya:
Ayogyas:
C.S.Si.2-20

39. Ayogyas & their
complications

40. Nasya procedure
Nasya procedure
Purva karma Pradhana karma Paschat karma
Sambara sangraha Nasya aasana& karma Paschatkarma
Atura pariksha Nasyottara paricharya Dhumapana
Atura siddata Vyapath&Treatment. Kavalagraha-gandusa
Nasyotara bojanam
Pariharyavishaya

41. PURVA
KARM
A

42. Sambara sangraha
(preparation for the
procedure)
 Intependent room for nasya karma(Nasya bhavan)
 It can be given in sitting/sleeping positions.
 To give sitting position nasya peeta is required.
 To give in sleeping position nasya shayya is
required.
 Nasyoushadi:katphal chu., trikatu, swasakutara,
vataviwdamsini, pippali, maricha, vidanga, anu
taila, shadbindu taila, jatyadi taila, shudda grita,
rasouna, hingu, vacha, panchaguna taila, ghanasara
yoga.

43. Sambara sangraha
(preparation for the
procedure)
 Nasya netra which is 6 inches long.
 Dhuma nasya 24 inches, snaihika nasya 32 inches,
prayogika nasya yantra 36inches should be there.
 For the purpose of marsha/pratimarsha nasya pichu
is required.
 Well trained attendents are required.
 Vastra khanda-(napkin) useful to clean the face.
 Gas stove,test tubes,useful items for tapa sweda,oil
for abhyanga,droper,other useful things which are
useful for the nasya procedures.

44. ATURA PARIKSHA
• Nasya yogya/ayogya.
• Is he suffereing from any ayogya nasya disease
• Asta stana pariksha
• Physical/psychological fitness
• Dasha vida pariksha
• Dosha
• Saamavasta
• Dosha ashraya-kosta/shaka
• Dosha –swatantra/paratantra
• Stana –swastana/para stana
• Dosha quantity-alpa/madyama/utkrista
• Rogi avasta-baala/yavana/vridda
• Desha –jangala/anupa/sadarana
• Kala –rutu bheda-swasta/atura-best in pravrit/varsha/sharat
• <7yrs,> 70yrs are contraindicated for nasya karma.

45. PREPARATION OF THE
PATIENT
 Before giving nasya karma don’t give sneha pana.
 For the purpose of dosha dravikarana/vilaya purpose
give alpa matra sneha for three days.
 Ask the patient to pass urination and stool.
 After that give meals.
 Go for the nasya procedure.
 Abhyanga is indicated first with the
danvantara/kshirabala/panchaguna taila.on shiras.
 Do swedana karma over the face, head,neck are for
15 min.before doing nasya.

46. PRADAN
KARMA

47. PRADANA
 It contains KARMA
Nasya karma
Nasyottara paricharya/nirikshana
Nasya vyapath and treatments.

48. Nasya karma
 Abhyanga & procedure
sweda
 Ask the patient to sleep in supine position for the nasya
karma.
 Lift the patient nose with the left hand and put nasal drops
into each nostrils (luke warm) with the right hand.
 Close the eyes with a piece of cloth.
 Put the head not too high/too low due to this drug doesn’t
enters into the target area.
 Don’t give too fast/slow.
 Sneha/swarasa/kwatha/milk/mamsarasa/udaka can be given.
 For Dhumapana nasya churna,cloth and 6 inches pipe are
used.

49. Nasya karma

procedure netra,
For Dhuma nasya purpose put varthi in nasya
with the end of the 2nd part inhale with each nostril.
 Nasya Dosage: (each nostril)
S.No Variety Hrasva Madyama Uttama
1 Shamana 8 dps 16 32
2 Shodana 4 6 8
3 Marsha 6 8 10
4 Pratimarsha 2 2 2
5 Kalka 4 6 8

50. Nasya karma
 procedure
Nasya Matra according to Sharangadara:
Teekshanoushada---1 shana=8 dps
Hindu matra ---1 yava(1/2 ratti)
saindava lavana ---1 masha(6 ratti)
Milk matra ---8 shana(64dps)
Sharkara,Dadima ---1 tola
Oushada sidda jala---3 tola

51. Nasya karma
 After nasya procedure
karma give swedana
 Do abhyanga over head and neck region.
 If any drug comes into the mouth, spit it.
 After completion of nasya, count 1-100 with
concentrated mind.
 Then give kavala graha,gandusha,dhumapana.
 With luke warm water clean the throat.
 At last dhumapana is indicated. It is useful to clear
the encoated kapha which is on the walls of the
throat.

52. SAMYAK/AYOGA/ATIYOG
A LAKSHANAS
Lakshanas
Samyak
Ayoga
Atiyoga

53. Nasya Vyapath &
Chikitsa
 These are two types
1.Due to dosha prakopa---shodana/shamana.
2.Due to dosha shamana---Brimhana.
complication Effect on dosha treatment
Ajirna Kapha Ushna, tikshna
upacharas, tribuvan
kirtiras, nagaguti,
trikatu churna,
dashamularishta.
Krisha,garbini,vy Vata prakopa Vata
avaya,vyayama,tr hara,brimhana
ishna chikitsa.

54. Nasya Vyapath &
Chikitsa
Vatashula, Vata prakopa Tapa
angamarda, muka sweda,ashwagand
shosha, garba adi
stamba grita,VTV,navaji
van ras,shatavari
chu.
Jwara,shoka,mad Timira Ruksha shita
ya peeta anjana lepa,
putapaka
Murcha Syncope Sheeta jala
parisheka

55. PASCHA
T
KARMA

56. Paschat Karma
 Immeadiate paschat karma after nasya
karma
 Dhumapana
 Kavala graha- Gandusha
 Nasyottara bojana
 Pariharya vishaya

57. Immediate after paschat
karma
 First do Tapa sweda,
then Mrudu mardhana over head,
shoulder,neck and back.
 Face wash with luke warm water
 Gandusha
 Kavalagraha

58. DHUMAPANA
 It eliminates the excessive kapha which is coated over
the internal areas of the throat, pharynx, oral cavity.
 It is very effective.
 Varieties:
Charaka(3) Sushrita(5) Vagbata(3) BP/Srgdara(6)
Prayogika Prayogika Snigda Shamana
Snaihika Snaihika Madyama Brimhana
Vairechanika Vairechanika Tikshna Rechana
Kasagna Kasagna
Vamaniya Vamana
Vrana dupana

59. DHUMAPANA
 Dhuma netra prepared with gold, silver, copper.
 Yogya:

60. DHUMAPANA
 Ayogya:

61. DHUMAPANA
Method:
 Sit in the chair with concentrated mind.
 Dhumapana take first with mouth then with nastrils.
 When inhaled with mouth, exhale with mouth only.
 When inhaled with nose, exhale with mouth only.

62. DHUMAPANA
Dhumapana Samyak/Atiyoga/Ayoga lakshanas:
Samyak Lightness in the head, hridaya, indriya
shuddi, roga prashamana,
Atiyoga
Ayoga Swara ashuddi, kapha prakopa in the
throat, Staimitya in the head, Roga
aprashamana.

63. DHUMAPANA
Complications:
 These are due to inapropriate time of dhumapana.
 They are bhadirya, mukhatwa, raktapitta,
shirobhrama.
 For these complications treatment is
Gruthapana,
Anjana,
Navana nasya,
Tarpana,
in case of kapha prakopa Rukshana chikitsa is
indicated.

64. DHUMAPANA
Uses:

65. DHUMAPANA
Variety D.N.Pra Inhale with Dosage Uses
man
Prayogika 48” Nose 3-3 times K shodana,
(8 kalas) shamana,V shamana
Snaihika 32” Mouth/nose Upto V prashamana due to
(V kopa kala) watering of snigdata
eyes
Vairechanika 24” Nose Upto K prakopa, nirharana
(k kopa kala) D.Nirharana
Kasagna 16” Mouth
Vamaniya 16” Mouth

66. Kavala
graham

67. KAVALA
GRAHA
•After nasya karma especially Shodana kavala graha is
indicated.
•Medicine preparation:
Dravya kalka+Milk/Shukti/Madya/Mamsa
rasa/Gomutra/Dhanyamla/Madhu udaka.

68. KAVALA
GRAHA
Varieties:
Sushrita(4) Vagbhata(4) Kalka Guna Anupana
Snehana Snigdha M,A,Lavana Mamsa rasa
Prasadana Shamana M,Shita Madura rasa
Shodana Shodana Katu,Ruksha,U,t Go mutra
ikshna
Ropana Ropana M,kashaya,K,U Grita/Kshira

69. KAVALA/GANDUS
HA indications:
Kavala/Gandusha
Procedure: 1.Sweda(urdwagata shirah)
2.Sneha
3.Kavala/gandusha
4.Do kavala/gandusha upto filling of the
mouth/upto nasa srava from nose.

70. KAVALA/GANDUS
HA
S.No Yoga Lakshanas
1 Samyak
2 Ayoga
3 Atiyoga

71. PASCHAT KARMA
(4)Nasyottara Bhojana:
 After nasya karma give dhumapana, then
kavala/gandusha.
 Give hot warer to drink
 Give laghu ahara to eat.
 Avoid expose to cold air.
 Don’t give snigdha aharas which increases kapha
and hard to digest, they does abhishyandi.

72. PARIHARYA VISHAYAS

73. PASCHAT KARMA
 Nasya will be given with 1day interval/2 days
interval or upto 7 days daily.
 Sushrita mentioned that upto 21 days/ gaining the
result.
 Vagbhata mentioned that only 7 days.

74. THANK
YOU