Nasya karma

M
Monika GhangasStudent um B.A.M.S final year student
NASYA KARMA
in Panchakarma
Chikitsa
“वमनं रेचनं नस्यं ननरूहश्चानुवासनम्।
एतानन पञ्चकमााणि कथितानन मुनीश्वरै:॥”
(शा॰स॰उ॰ख॰ ८/६३)
Presented by – Monika
Ghangas
B.A.M.S 4 th year student
Vamana Virechana Vasti
Nasya Raktamokshana
दोषा: कदाचित् क
ु प्यन्तत न्िता लघनं पािनै: ।
न्िता: संशोधनैयेतु न तेषां पुनरूद्भव: ।। (ि०सू० १६/२०)
NASYA KARMA
Nirukti –
the word Nasya karma is composed of two words Nasya and karma.
Nasya : 'Nas' is substituted for Nasa when it is followed by the suffix 'Yath’.
Nasika + Yath = Nasadeshancha
Nasikaayaihitam – Nasya
नाससकाये हहतं तत्र भवोवायत ् शासनादेश: । (Vachaspatyam)
The word Nasya is derived from 'Nasa' dhatu which conveys the sense of Gati- motion (Nasa
Gatau).The literal meaning of the word Nasya is being in the nose or the things beneficial to the nose.
Defination –
१. औषधं औषध ससद्धं स्नेहो वा नाससकाभयां दीयते इनत नस्यम् । (सु०थच० ४०/२१)
Administration of medicine drug for medicated oil through the nose is known as Nasya.
२. नासायां प्रिीयमानौषधं नस्यम ् । नावनं नस्त: कमेनत च संज्ञा रहते ।। (अ०सं०सू० २९)
Administration of medicine through the nasal route is known as Nasya.It is also known as Navana
as nasta karma.
Synonyms – Shirovirechana, Shirovireka, Murdha virechana, Navana, Nasta karma
Navan Dhamapan
Avpid Dhoom Partimarsha
Shaman
Tarpana
Barahana
Virechana
Pradhaman
Avapid
Partimarsha
Shirovirechan
Nasya
Shamana
Shodhan
Shirovirechan Snehana
Acc. To Acharya Charaka
Acc. To Acharya Susrutha
Acc. To Acharya Vagbahatta
Snehana Shodhana
Paryogik Virechanik Snehik
Shodhana Stambhana
types
आश्रयानुसार भेद - शशरोववरेिनम् सप्तववधम् –
फलपत्रमूलक
ं द पुष्पननयाास त्वागाश्रय भेदात् ।।(ि॰वव॰ ८/१५४)
Yogya
• Shira Sthambha , Manya Sthambha,
• Hanusthambha, Galashundika, Galashaluka
• Upajiwika, Ardhawabhedaka
• Skandha Roga
• Karna Shula Nasa Shula, Akshi Shula
• Ardita
• Apatntraka , Apatanaka
• Arbuda , Swarabheda
• Netra Raji
• Danta shula, Dantaharsha
• Kranthana
• Vak Graha
• Gadagadatwa
Ayogya
• Bhukta Bhakta
• Ajirna
• Sneha Pita, Madhaya Pita, Jal Pita
• Shira Sanana
• Kshudha , Trishna
• Vayayam, Vavaya, Klanta
• Garbhini
• Nav Partishaya
• Arogya Ritu & Durdhina
• Anuvashita
• Virechana
• Nawa Jwara, Shoka
Manya sthambha
Ardita
Danta
Shula
Ajirna
Garbhini
Nav Jwara
NASYA DRAVYA
Disease Nasya Dravya
Raktapitta • दूवाा स्वरस
•साररवा व कमल का िूर्ा
Unmada •पुरार् घृत
Apsamar •श्यामादद गर् द्रव्य िूर्ा
Hikka Shwasa •गुड + शुण्ठी
•शक
ा रा +मधु
Visha Chikitsa •दवीकर सपा में शसधुवार मूलादद
वेल्लापामागाव्योषदावीसुराबीिं शैरीषं बार्ातं शैग्रवं ि।
सारो माधूक: सैतधवं ताक्षयाशैलं त्रुट्यौ पृथ्वीका शोधतत्युत्तमामामगम ् ।। (अ॰र्॰सू॰ १५/४)
NASYA KALA
Ritu Time of Nasya
Garishma Morning
Sisira Afternoon
Varsha In clear morning
Sarat + Vasanta In morning
Sisira + Hemanta Afternoon
Grishma + Varsha Evening
Doshic Predominance Time of Nasya
Kaphaja Vikara Morning
Pittaja Vikara Afternoon
Vataja Vikara Evening
NASYA MATRA
s.no Types of Nasya Hasva Matra Madhyam Matra Uttam Matra
1. Shaman Sneha
(Navan)
16 boond
(8 in each nostrils)
32 boond
(16 in each nostrils)
64 boond
(32 in each nostrils)
2. Shodhan Sneha 4 Boond
In each nostrils
6 boond
In each nostrils
8 boond
In each nostrils
3. Pradhmana 250 mg 375 mg 500 mg
4. Marsha 6 boond 8 boond 10 boond
5. Partimarsha 2 boond 2 boond 2 boond
6. Kalka Nasya
(Avpid)
4 boond 6 boond 8 boond
7. Dhoom Nasya 1-2 min 2-3 min 5 min
The main aim of panchakarma is to remove the Doshas through the easiest/ nearest
route.
"उर्धवा जत्रु ववकारेषु ववशेषान्नस्यसमष्यते।
नासा ही सशरसो द्वारं तेन तद् व्याप्य हन्न्त तान्।।" (अ०ह्र०सू० २०/१)
Nasa is said to be the door of the shiras. Medicine administered through the nose ,
spreads through the shiras and helps in evacuation of Dosha, thereby pacifying the
disease. Nasya karma is the main line of treatment for disease above the clavicle
and it is the only Shodhana karma for Urdhwanga.
Along with these, Nasya karma has the following benefits.
• Can be used even in unconscious patients.
• Promotion of health as a part of Dincharya.
• Rapid drug absorption via highly vascularized mucosa.
• Avoiding the gastrointestinal tract and first -pass metabolism.
• Improved bioavailability.
• Lower side effects.
Nasya dravya
'Sringataka marma"
a vital Point consist of nerve cell function of speech broca's centre.
( A key centre in the linking phenomic sequences)
Sringataka is a connecting with four sense organs nose, ear, eye and tongue.
Beneficial in Urdhwangrogas
NASA is the doorways to the brain and it is also the doorway to consciousness.
Mechanism
- Acc. To Acharya
vagbhatta
Mode of action of Nasya Karma
Effect at Neuro – endocrinal level
Peripheral olfactory nerves
(chemoreceptor)
Nerves connects with the limbic
system which control endocrinal
secretions.
Limbic system and hippocampus
both have a main role in the memory
Absorption and transportation of the drugs
Administered by nasal pathway
Transportation by
Vascular path
Nasal vein, ophthalmic
vein, facial vein
Cavernous venous
No Direct Relation between Nasal Cavity and Brain. But the drug transported through 3 different pathways.
By simple diffusion across the nasal mucosal epithelium
-vascular pathway, Lymphatic pathway and olfactory pathway.
lymphatic path
Along with olfactory nerve, the
arachnoid matter sleeve is
extended to the sub mucosal-
area of the nose, due to which the
drug can reach the CSF.
NASYA – KARMA VIDHI
• Purva karma
1. Sambhar Sangraha
2. Rogi Pariksha
3. Atura Sidhta
• Pardhana karma
1. Nasya Daan
2. Nasyotar
Parichya
3. Nasya Vayapad
• Paschat karma
1. Nasyaoparant
karniye karma
2. Dhumpan
3. Kaval avm
Gandusha
4. Pathya – apathya
5. Nasyaotar karma
avm chikitsa
Sambhar Sangarha
• independent room for nasya karma with
proper ventilation for sunlight.
• It can be given in sitting/sleeping position.
• Proper Medication.
• Nasya netra which is 6 inches long.
• Well trained attendents required.
• Collection for sitting (chair), towel, cotton,
dhoom netra, oil for massage etc.
Atura Siddhta
• Mala-mutradi vega nivrtta
• Diet should be given.
• After sometime tooth brush.
• Adequate dhumpana.
• Patient should lie down on Nasya Saiya.
• Put oil on scalp for massage.
• Mrudu snehana on head
• Tapa sweda
Rogi Pariksha
• Nasya yogya/ayogya.
• Asta sathan pariksha.
• Age – Nasya should not given in persons below 7 years and
after 80 years. Partimarsha may be administered at any age
between birth to death while dhuma is indicated after 12
years of age.
• Ritu – nasya should be given in pravrt, sharad and vasanta
ritu. In grishma ritu – before noon, in sheeta ritu – noon,
varsha ritu – day should be clear.
• Blood pressure test.
• Physical examination etc.
Samyak yoga Ayoga
Atiyoga
• Laghawa (lightness in body)
• Nidra (good sleep)
• Shira laghtwa (lightness in head )
• Srotas shuddhi (cleaning of channels)
• Indriya and mana Prasanna (sensorial and
mental happiness.
• Indriya rukshata (dryness in senses)
• Aprasama roga (no relief)
• Kandu (itching)
• Anga gourawa heaviness in body)
• Nasa, netra, mukha srawa (hyper secretion)
• shirashula (headache)
• Indriya vibhrama (confusion)
• Kapha srawa (salivation)
Nasya vyapad avm chikitsa
s.no. Nasya vyapad chikitsa
1. Dosha utklesha Shodhana avm shamana chikitsa
2. Dosha kshayjanya Brihana chikitsa
3. Kapha parkopa • Trikatu churna, tankan bhasma
• Ushna, tikshana dravya
4. Krash, klanta,garbhini • Aswagnadha churna, shatavri churna
• After snehana swedna brihana chikitsa
5. Jwara, shoka Ruksha avm sheetal chikitsa
• Immidiate paschat karma after nasya.
- Tapa sweda over head,shoulder and back.
- Gandusha and kavalagraha
• Dhumapana
• Kavala graha – Gandusha
• Nasyottara bojana
- Luke warm water for drinking purpose.
- Laghu ahara
- Avoid cold air.
- Do not give snigdha ahara which increases kapha and hard to digest,
they does abhishyandi.
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Nasya karma

  • 1. NASYA KARMA in Panchakarma Chikitsa “वमनं रेचनं नस्यं ननरूहश्चानुवासनम्। एतानन पञ्चकमााणि कथितानन मुनीश्वरै:॥” (शा॰स॰उ॰ख॰ ८/६३) Presented by – Monika Ghangas B.A.M.S 4 th year student
  • 2. Vamana Virechana Vasti Nasya Raktamokshana दोषा: कदाचित् क ु प्यन्तत न्िता लघनं पािनै: । न्िता: संशोधनैयेतु न तेषां पुनरूद्भव: ।। (ि०सू० १६/२०)
  • 3. NASYA KARMA Nirukti – the word Nasya karma is composed of two words Nasya and karma. Nasya : 'Nas' is substituted for Nasa when it is followed by the suffix 'Yath’. Nasika + Yath = Nasadeshancha Nasikaayaihitam – Nasya नाससकाये हहतं तत्र भवोवायत ् शासनादेश: । (Vachaspatyam) The word Nasya is derived from 'Nasa' dhatu which conveys the sense of Gati- motion (Nasa Gatau).The literal meaning of the word Nasya is being in the nose or the things beneficial to the nose. Defination – १. औषधं औषध ससद्धं स्नेहो वा नाससकाभयां दीयते इनत नस्यम् । (सु०थच० ४०/२१) Administration of medicine drug for medicated oil through the nose is known as Nasya. २. नासायां प्रिीयमानौषधं नस्यम ् । नावनं नस्त: कमेनत च संज्ञा रहते ।। (अ०सं०सू० २९) Administration of medicine through the nasal route is known as Nasya.It is also known as Navana as nasta karma. Synonyms – Shirovirechana, Shirovireka, Murdha virechana, Navana, Nasta karma
  • 4. Navan Dhamapan Avpid Dhoom Partimarsha Shaman Tarpana Barahana Virechana Pradhaman Avapid Partimarsha Shirovirechan Nasya Shamana Shodhan Shirovirechan Snehana Acc. To Acharya Charaka Acc. To Acharya Susrutha Acc. To Acharya Vagbahatta Snehana Shodhana Paryogik Virechanik Snehik Shodhana Stambhana types आश्रयानुसार भेद - शशरोववरेिनम् सप्तववधम् – फलपत्रमूलक ं द पुष्पननयाास त्वागाश्रय भेदात् ।।(ि॰वव॰ ८/१५४)
  • 5. Yogya • Shira Sthambha , Manya Sthambha, • Hanusthambha, Galashundika, Galashaluka • Upajiwika, Ardhawabhedaka • Skandha Roga • Karna Shula Nasa Shula, Akshi Shula • Ardita • Apatntraka , Apatanaka • Arbuda , Swarabheda • Netra Raji • Danta shula, Dantaharsha • Kranthana • Vak Graha • Gadagadatwa Ayogya • Bhukta Bhakta • Ajirna • Sneha Pita, Madhaya Pita, Jal Pita • Shira Sanana • Kshudha , Trishna • Vayayam, Vavaya, Klanta • Garbhini • Nav Partishaya • Arogya Ritu & Durdhina • Anuvashita • Virechana • Nawa Jwara, Shoka Manya sthambha Ardita Danta Shula Ajirna Garbhini Nav Jwara
  • 6. NASYA DRAVYA Disease Nasya Dravya Raktapitta • दूवाा स्वरस •साररवा व कमल का िूर्ा Unmada •पुरार् घृत Apsamar •श्यामादद गर् द्रव्य िूर्ा Hikka Shwasa •गुड + शुण्ठी •शक ा रा +मधु Visha Chikitsa •दवीकर सपा में शसधुवार मूलादद वेल्लापामागाव्योषदावीसुराबीिं शैरीषं बार्ातं शैग्रवं ि। सारो माधूक: सैतधवं ताक्षयाशैलं त्रुट्यौ पृथ्वीका शोधतत्युत्तमामामगम ् ।। (अ॰र्॰सू॰ १५/४)
  • 7. NASYA KALA Ritu Time of Nasya Garishma Morning Sisira Afternoon Varsha In clear morning Sarat + Vasanta In morning Sisira + Hemanta Afternoon Grishma + Varsha Evening Doshic Predominance Time of Nasya Kaphaja Vikara Morning Pittaja Vikara Afternoon Vataja Vikara Evening
  • 8. NASYA MATRA s.no Types of Nasya Hasva Matra Madhyam Matra Uttam Matra 1. Shaman Sneha (Navan) 16 boond (8 in each nostrils) 32 boond (16 in each nostrils) 64 boond (32 in each nostrils) 2. Shodhan Sneha 4 Boond In each nostrils 6 boond In each nostrils 8 boond In each nostrils 3. Pradhmana 250 mg 375 mg 500 mg 4. Marsha 6 boond 8 boond 10 boond 5. Partimarsha 2 boond 2 boond 2 boond 6. Kalka Nasya (Avpid) 4 boond 6 boond 8 boond 7. Dhoom Nasya 1-2 min 2-3 min 5 min
  • 9. The main aim of panchakarma is to remove the Doshas through the easiest/ nearest route. "उर्धवा जत्रु ववकारेषु ववशेषान्नस्यसमष्यते। नासा ही सशरसो द्वारं तेन तद् व्याप्य हन्न्त तान्।।" (अ०ह्र०सू० २०/१) Nasa is said to be the door of the shiras. Medicine administered through the nose , spreads through the shiras and helps in evacuation of Dosha, thereby pacifying the disease. Nasya karma is the main line of treatment for disease above the clavicle and it is the only Shodhana karma for Urdhwanga. Along with these, Nasya karma has the following benefits. • Can be used even in unconscious patients. • Promotion of health as a part of Dincharya. • Rapid drug absorption via highly vascularized mucosa. • Avoiding the gastrointestinal tract and first -pass metabolism. • Improved bioavailability. • Lower side effects.
  • 10. Nasya dravya 'Sringataka marma" a vital Point consist of nerve cell function of speech broca's centre. ( A key centre in the linking phenomic sequences) Sringataka is a connecting with four sense organs nose, ear, eye and tongue. Beneficial in Urdhwangrogas NASA is the doorways to the brain and it is also the doorway to consciousness. Mechanism - Acc. To Acharya vagbhatta
  • 11. Mode of action of Nasya Karma Effect at Neuro – endocrinal level Peripheral olfactory nerves (chemoreceptor) Nerves connects with the limbic system which control endocrinal secretions. Limbic system and hippocampus both have a main role in the memory Absorption and transportation of the drugs Administered by nasal pathway Transportation by Vascular path Nasal vein, ophthalmic vein, facial vein Cavernous venous No Direct Relation between Nasal Cavity and Brain. But the drug transported through 3 different pathways. By simple diffusion across the nasal mucosal epithelium -vascular pathway, Lymphatic pathway and olfactory pathway. lymphatic path Along with olfactory nerve, the arachnoid matter sleeve is extended to the sub mucosal- area of the nose, due to which the drug can reach the CSF.
  • 12. NASYA – KARMA VIDHI • Purva karma 1. Sambhar Sangraha 2. Rogi Pariksha 3. Atura Sidhta • Pardhana karma 1. Nasya Daan 2. Nasyotar Parichya 3. Nasya Vayapad • Paschat karma 1. Nasyaoparant karniye karma 2. Dhumpan 3. Kaval avm Gandusha 4. Pathya – apathya 5. Nasyaotar karma avm chikitsa
  • 13. Sambhar Sangarha • independent room for nasya karma with proper ventilation for sunlight. • It can be given in sitting/sleeping position. • Proper Medication. • Nasya netra which is 6 inches long. • Well trained attendents required. • Collection for sitting (chair), towel, cotton, dhoom netra, oil for massage etc.
  • 14. Atura Siddhta • Mala-mutradi vega nivrtta • Diet should be given. • After sometime tooth brush. • Adequate dhumpana. • Patient should lie down on Nasya Saiya. • Put oil on scalp for massage. • Mrudu snehana on head • Tapa sweda
  • 15. Rogi Pariksha • Nasya yogya/ayogya. • Asta sathan pariksha. • Age – Nasya should not given in persons below 7 years and after 80 years. Partimarsha may be administered at any age between birth to death while dhuma is indicated after 12 years of age. • Ritu – nasya should be given in pravrt, sharad and vasanta ritu. In grishma ritu – before noon, in sheeta ritu – noon, varsha ritu – day should be clear. • Blood pressure test. • Physical examination etc.
  • 16. Samyak yoga Ayoga Atiyoga • Laghawa (lightness in body) • Nidra (good sleep) • Shira laghtwa (lightness in head ) • Srotas shuddhi (cleaning of channels) • Indriya and mana Prasanna (sensorial and mental happiness. • Indriya rukshata (dryness in senses) • Aprasama roga (no relief) • Kandu (itching) • Anga gourawa heaviness in body) • Nasa, netra, mukha srawa (hyper secretion) • shirashula (headache) • Indriya vibhrama (confusion) • Kapha srawa (salivation)
  • 17. Nasya vyapad avm chikitsa s.no. Nasya vyapad chikitsa 1. Dosha utklesha Shodhana avm shamana chikitsa 2. Dosha kshayjanya Brihana chikitsa 3. Kapha parkopa • Trikatu churna, tankan bhasma • Ushna, tikshana dravya 4. Krash, klanta,garbhini • Aswagnadha churna, shatavri churna • After snehana swedna brihana chikitsa 5. Jwara, shoka Ruksha avm sheetal chikitsa
  • 18. • Immidiate paschat karma after nasya. - Tapa sweda over head,shoulder and back. - Gandusha and kavalagraha • Dhumapana • Kavala graha – Gandusha • Nasyottara bojana - Luke warm water for drinking purpose. - Laghu ahara - Avoid cold air. - Do not give snigdha ahara which increases kapha and hard to digest, they does abhishyandi.