NASYA or Errhines
Nasya is one of the Panchakarma procedure wherein
medicaments are instilled into nasal cavity to Expel the Doshas pertaining to the
Head, Nose, throat, eyes etc..(uttamanga), to achieve desired multidimensional
effects.
Nasya is Contraindicated in
persons:
i)
who are suffering from indigestion
ii)
just after taking food
iii)
after taking Oleation(Sneha Pana) therapy
iv)
who are thirsty
v)
after taking a bath (shira snana)
vi)
exhausted by walking or hunger
vii)
unconscious
viii)
Injured
ix)
Undergone purgation therapy or Oil enema (anuvasana)
x)
Pregnant women etc..
Nasya is to be performed in
persons suffering from
a)
Diseases of head, tooth, neck
b)
Locked jaw
c)
Coryza
d)
Diseases of throat
e)
Timira (Cataract)
f)
Diseases of eyelid
g)
Hemicrania (ardhavabhedaka)
h)
Facial paralysis (ardhita)
i)
Cervical lymphadenitis
j)
Cavity of tooth
k)
Hoarseness of voice
l)
Urdhwajatrugata Roga ( Diseases localized in the organs
above clavicle)
Materials required: (for navana)
1.
Nasya oil– Q.S.
2.
Oil for abyanga – Q .S.
3.
Nasyapeeta/nasyasayya, caliberrated dropper/gauze to
instill the nasya drug.
4.
Pillow, chair for dhoomanasya, table, Cotton pad,
gauze, lotus petals to protect eyes while swedana.
5.
For swedana – boiling water, towels or arrangement for
nadi swedana (pressure cooker without weight, long heat resistant flexible pipe),
appropriate swedana materials for tapasweda {cloth/towel/hotwaterbag}.
6.
Gokarna
7.
Warm water for kavala
8.
Karpooradi or haridradi dhooma varthi / Other suitable
drugs can also be used according to the type of Nasya with paper cone.
9.
Disposable sterile plastic container for
spitting(preferably transparent)
10. Clean
cotton towels, cotton, tissue paper etc for cleansing
Time of administration
·
According to dosha predominance
Kapha
- morning
Pitta - afternoon
Vata - evening
·
In swasthas
Sheeta
kala - afternoon
Sharat
and vasantha – morning
Greeshma
– evening
Varsha
– cloudless day with sunshine
·
Age group eligible for nasya
7-80
years
Dose determination of nasya
·
When index finger is dipped upto two parwas
(joints) in drava dravya and taken out the amount of dravya falling from it is
considered as one bindu. Approximately one bindu is 0.5 ml.( for oil)
·
Sneha nasya 10/8/6 bindu respectively for uttama, madhyama
and avara matra
Poorva karma
- Patient is advised to wash face and mouth with luke warm water.
- Abyanga is done over shiras, lalata, kapala, greeva & skanda.
- Shiroabhyanga is enough. Nadisweda or tapasweda can be done.Abhyanga over palm and sole can be done.Dhoomapana can be done for srotosodha (in case of nasal congestion).
- Eyes are bandaged with a clean gauze piece after placing lotus petals and cotton pad over closed eyelids
- Then Nadi sweda is done (urdhwajathru).
- Dhoomapana can be done for srotoshodana, if necessary.
- Patient is made to lie in supine position with slightly elevated legs and head extended backwards.
Pradhana karma
- The medicine mildly warmed over a water bath.
- The prescribed dose of medicine is taken in the gokarna and poured into either nostril closing the other in a continuous single stream.
- Immediately after instillation of medicine mild massage is done over pani, pada, greeva, skanda.
- Mridu swedana can be done in the above mentioned areas with suitable method (Hasthasweda or vasanasweda).
- Patient is asked to inhale the medicine with moderate force and to spit it through mouth turning head to either side alternatively without rising from the cot.
- Patient is made to lie in the same position for 100 matra kala (3-5 minutes)
Paschat karma
- Dhoomapana is done with appropriate drugs according to the type of Nasya.
- Kavala with warm water is done to attain kantha shudhi.
- The talam should be wiped off and dry powder (used for preparing talam) is gently rubbed over the anterior frontanale.
- It is advisible not to take any type of food 2 hrs prior to and 1 hour after nasya.
- Na atidrava annapana is indicated in nasya.
Precautions
- While positioning the patient for nasya, if the head is not sufficiently bent the nasya dravya will not enter shiras and if the head is more bent dravya may enter mastulunga and cause complications like headache, dizziness etc.
- If the spitting is not done properly, or medicine is swallowed, it will cause kaphotklesha, agnimandya and the disease aggravates.
- If patient spits on one side only, then proper spreading of medicine won’t take place.
- If the patient talk, sneezes, laughs or gets angry or excessively moves his head while doing nasya, the nasya dravya won’t reach expected site and instead causes complications like cough, sinusitis rhinorrhoea, and head ache.
- Patient must avoid exposure to dust, sun breeze, drinking excessive water, alcohol, sneha dravya, bathing, excessive walking etc. Head bathing should be avoided during nasya period (since nasya arhas are almost snana anarhas), if bath is not contraindicated it can be given after 3hours.
Avapeeda nasya
It is usually administered
for 2 purposes- sthambhana and sodhana. It is named so because the medicine has
to be squeezed for obtaining the nasya dravya.
Materials required
1 Drug in wet
form Eg: tulasi pathra, ardraka kanda
2 Mortar &
pestle
3 Clean white
cotton cloth (Coloured cloth should not be used)
4 Honey,
swarasa etc should be added.
Preparation of medicine
Paste of the
required medicine is prepared and squeezed in a clean cloth to get juice. If
the medicine is theekshna to the patient, then it can be diluted with milk.
Dose
4-8
bindu (drops)
Preparation of the patient
Abhyanga
and sweda depends on doshaavastha and purpose of nasya. In pravruttha/ drava
dosha – without or with minimum sweda. In apravrutta / Sandra dosha , abhyanga
and ooshma sweda can be done. If done for sthambhana purpose swedana should not
be done.
Procedure is similar to marsha nasya
Pradhamana nasya
It produces profuse dosha
sodhana. Drug is used in the form of fine powder.
Materials required
1 Six inches
long straw (Preferably tetrapack piercing straw)
2 Fine powders
obtained from micropulveriser or filtered with 200 number mesh or similar
cotton cloth.
Dose
1-2 pinches
Procedure
The powder
is filled in the straw and blown into the nostril.
Severe burning
sensation : Nasya with sugar dissolved cold water,
plain gritha nasya
Sirodhoomayana : Ksheerabala nasya
Nasal bleeding :
Doorva swrasa + honey nasya, vasa swarasa.
Kshavadhu-
repeated sneezing: Sneha nasya with ksheerabala 101
Precautions
Do a very minute test dose before using theekshna nasya. (Both the doctor
and patient-in dose of milligrams).The blowing should not be done by a person
with infections, that could be spread by touch/droplets/breath air.
