PT. KHUSHILAL SHARMA GOVT.(AUTO.

) AYURVEDA
COLLEGE AND INSTITUTE , BHOPAL(M.P.)

DEPARTMENT OF PANCHKARMA

न स्य क र्म
Presented by -
Payal Sindel
Session 2022-23
 न स्य क र्म
Introduction

The term ‘nasya’ denotes ‘being in the nose’ or ‘belonging to

nose’. It is one among the five purification procedures
(panchakarma). In this procedure, the medicines are instilled
through the nostrils. It is indicated in the diseases of head and
associated structures.[[Link]. Sutra Sthana 20/1]Considering
the therapeutic efficacy, it is used to treat a wide spectrum of
diseases ranging from headache to infertility.

नासा हि शिरसो द्वारम् तेन तद् व्याव्य हन्ति तान् IIअ.हृ.सू २०/१

Accordingly the Acharya Vagbhata postulates the above

shloka, elucidating that nose is considered as the entrance
gate of the bonce (head) and all the diseases related to the
head region vanishes by this nasya karma thus proffer you a
perfect health internally as well as externally (balanced tri
doshas).
 न स्य क र्म
WHAT IS NASA !

Nasa means nose which is one of the cardinal sense organ

among the five senses. Its is also baptized as an olfactory
organ as it is a medium for sense of smell and also helps in
conditioning of inhaled air by warming it and making more
favourable to the body. Nose is also the door or the
pathway to the brain. The brain and nose are separated by
the cribriform plate and above the cribriform plate there is
little extension from the brain that is known as the olfactory
bulb (bundle of nerves) that sends its projections into the
olfactory epithelium. The olfactory epithelium receives the
impulse from the odour and send it to the olfactory nerves
in the olfactory bulb which further send the signals to the
mitral or tufted cells of brain. Hence we can say that the
nose is directly connected to the brain. Similarly in
ayurveda it is said that nose is the door or the direct
pathway for the brain. In nasya therapy medicated oils show
their direct effect on the target organ in less time and less
dose is required.
 न स्य क र्म
DRUG USED FOR NASYA ARE AS FOLLOWS:

Achyranthes Aspera, Piper longum, Piper Nigrum, Emblica

ribes, Moringa pterygosperma, Brassica nigra, Cumin
cyminum, Carum roxburghianum, Salvadora Persica, Nigella
sativa, Ocimum sanctum, Chitoria Terneta, Albizzia lebeck,
Allium sativum, Cureuma longa, Berberis aristata, celastrus
paniculata, Zingiber officinale, Boswellia serrata, Zanthoxylum
alatum, balanites roxburghii, Cinnamomum zeylanicum,
Solanum melongena, Elettaria cardamom, Raphanus sativus,
Calotropis procera, Calotropis gigantia, Saussurea lappa,
Croton oblongifolius, Acorus calamus, Clerodendron
serratum, Citrullus colocynthis, Hydrocotyle asiatica,
Aconitum heterophyllum, Symplocos Racemosa, Randia
dumetorum, Alstonia scholaris and many more...

 न स्य क र्म
Etymology and derivation

The term ‘nasya’ is derived from the root word

‘nas’, which means ‘motion’ (nasagatau) or
pervasion (nasavyapatau).
The term ‘nastaha’ means ‘beneficial to nose’.
Administration of any form of medicine into the
nose is called nasya. [[Link] Sthana 40/21]

Synonyms

Navana, nastakarma [A.S. Sutra Sthana 29/2],

nasyakarma [[Link] 8/1], nastaha
prachardana[[Link] Sthana 1/85],
shirovireka, murdhavirechana.
 न स्य क र्म
परिभाषा

According to Sushruta Saṁ hitā

औषधम् औषध सिद्धं सनेहो वा नासिकाभ्याम् दीयते इति

नस्यम्II(सु.चि ४०-२१)

Nasya is the instillation of medicine along with

Sneha through both nostrils.
Modes of formulation which are used for Nasya
include:Taila, Ghṛta, Svarasa, Kvātha, Kshīra, Jala,
Chūrṇa, Madhu, Māṁ sarasa
Taila is considered as best Nasya Dravya. It is
generally considered superior to Ghṛta because
Taila does not disturb the pH of nasal mucosa,
whereas GhṛIta is alkaline and causes changes in
the pH.
 न स्य क र्म
परिभाषा
According to Aṣṭāṅ ga Saṅ graha

नासायां प्रणियमानामौषधं नस्यं । (अ.सं. - सू - २९)

Instillation of medicine through nostrils is known as
Nasya.

According to Bhāvaprakāsha Nighantu

नासां ग्रह्यं यदौषधं नस्यं । (भा - प्र - पू - ५)

Receiving medicine through the nose is considered as
Nasya.

उर्ध्व जत्रु विकारेषु विशेषान् नस्यम् पश्यते II

Nasya is indicated in the diseases related to the the

region above the clavicle (head and neck collectively).
 न स्य क र्म
Age limit for Nasya

According to Ācharya Vāgbhaṭa, Nasya can be

done from 7 years of age onwards.
Dhūmapāna should not be performed in persons
below the age of 18.
According to Ācharya Sharṇgadhara, Nasya can
be done from 8 years of age onwards.
Generally, after the age of 80, Nasya should not
be done.
Pratimarsha Nasya is the exception; it may be
done from birth till death, same as Mātrābasti.

आजन्ममरणम शस्तम प्रतिमर्शस्तु बस्तिवत

(अ.सं. - सू - २९ / अ.हृ. - सू - २०)
 Aṣṭāṅ ga Saṅ graha न स्य क र्म Āchārya Sushruta

It is explained that Nāsa is the entry

has explained Shṛṅ gāṭaka Marma as
to Shira. The drug administered
a Sirā marma, present in the middle
through the nostrils reaches the
Shṛṅ gāṭaka Marma, which is a Sirā Karmukta / Mode of the confluence of Sirā supplying
nourishment to the Nāsa, Karṇa,
Marma, by Nāsa Srotas and further
spreads in the Mūrdha (brain), of Action: Chakṣu and Jihvā. Under the
complication of Nasya Karma, Ā.
reaches the junctional place of Netra
Sushruta noted that the excessive
(eyes), Srotra (ears), Kaṇṭha (throat),
Shodhan Nasya may cause
Sirāmukha (opening of the vessels)
Mastuluṅ ga (CSF) to flow out; this
etc. and removes or detatches the
According to Āchārya Charaka, further shows the relation between
morbid Doṣa present in the

Nāsa and Shira.
supraclavicular region.
Nāsa is the gateway of Shira. The drug
administered through the nose reaches
the brain and eliminates the morbid
Doṣa responsible for producing disease.
The Dravya administered by Nasya
Karma enters in to Shira and draws out
exclusively the morbid matter.
Karmukta / Mode of Action
Of Nasya

Keeping the head in a lowered position

and retention of medicine in the naso-
pharynx helps in providing enough time
for local drug absorption.
Any liquid soluble substance has greater
possibility for passive absorption
directly through the cells of the
membrane.
Massage and local fomentation enhance
the drug absorption.
The nose is connected to the brain
through a vascular system, lymphatic
path, nerve plexus of olfactory nerve and
ophthalmic and maxillary branches of
trigeminal nerves.
 Karmukta / Mode of Action Of Nasya

Diffusion of Medicine Vascular Path

Lipid soluble substances have grater affinity for Vascular path transportation is possible through the
passive absorption through the cell walls of nasal pooling of nasal venous blood into the facial vein,
mucosa. which naturally occurs.
The cilia of the olfactory cells and perhaps the At the opposite entrance, the inferior ophthalmic
portions of the body of the olfactory cells contain vein also pool into the facial vein.
relatively large quantities of lipid materials. The facial vein has no valves.
Non-polar hydrophobic molecules diffuse through It communicates freely with the intracranial
the lipid bilayer of the plasma membrane, into and circulation, not only at its commencement but also
out of cells. by the supra orbital veins which are connected with
Such molecules include oxygen, carbondioxide and the ophthalmic vein, a tributary of the deep facial
nitrogen gases; fatty acids, steroids, and fat soluble vein, which communicates through the pterygoid
vitamins. plexus with the cavernous venous sinus.
It is a route of absorption of some nutrients and Such a pooling of blood from nasal veins to venous
excretion of waste by body cells which are lipid sinuses of the brain is more likely to occur in head
soluble. Further drug absorption can also be lowering position due to gravity.
enhanced by local massage and fomentation.
 Karmukta / Mode of Action Of Nasya
Neurological Path

It is concerned with the olfactory stimuli. The olfactory nerve differs from other
cranial nerves in its close relation with the brain. Lymphatic Path
The peripheral olfactory nerves are chemo-receptor in nature. The olfactory

nerves are connected with the higher centers of brain i.e. limbic system, consisting Drug transportation by
mainly of amygdaloidal complex, hypothalamus, epitheliums, anterior thalamic lymphatic path can reach
nuclei parts of basal ganglia etc. direct into the CSF. It is
So the drugs administered through the nose stimulate the higher centers of brain known that arachnoid matter
which shows action on regulation of endocrine and nervous system functions. sleeve is extended to the
They stimulate the hypothalamus which in turn regulates the contraction of submucosal area of the nose
smooth and cardiac muscles, and secretions of many glands. It is a major regulator along with the olfactory
of visceral activities, including heart rate, peristalsis and contraction of bladder. nerve.
It is responsible for integrating the functions of the endocrine system and the
nervous system.
It is known to have direct nerve connection with the posterior pituitary lobe.
Additionally, the hypothalamus is connected with the anterior pituitary lobe
through portal vessels which supply blood to the gland conveying chemical
messages through inhibitory and releasing hormone.
Further, the hypothalamus regulates emotional and behavioral patterns, body
temperature, cardiac rhythm, etc.
 Nasya Bheda
According to Sushruta Saṁ hitā: - सु .चि.४०
पञ्च विध

द्विविध भेद
मर्श Vāta-Pitta shamana, Sneha Dravya is used

स्नेहन
Sneha Dravya is used as Snehana & Shamana for
प्रतिमर्श Vāta-Pitta

शिरोविरेचन
Kapha shodhana, Sneha Dravya is used Sub-classification
शिरोविरेचन according to Aṣṭāṅ ga Hṛdaya. 1. म्रुदु
2. तीक्ष्ण
3. तीक्ष्णतम
Kvātha, Svarasa, Kshīra is used Subclassification is
अवपीडन according to Sharṇgadhara Saṁ hitā.
1. स्तम्भन
2. शोधन

प्रधमन Sūkṣma Chūrṇa is used; it is also known asध्मापन

 Nasya Bheda
According to Charaka Samhita:
पञ्च विध

त्रिविध
1. स्नेहन
नावन
2. शोधन
तर्पण

प्रतिमर्श स्नेहन
रेचन

शमन 1. प्रायोगिक - Mild Kapha shodhana; used for Dinacharya

धूमपान 2. वैरेचनिक - Strong Kapha shodhana
3. स्नैहिक - Vāta shamana / Snehana

अवपीडन 1. स्तम्भन
2. शोधन

ध्मापन Sūkṣma Chūrṇa is used

 Nasya Bheda Nasya Kāla
According to Aṣṭāṅ ga Hṛdaya:
According to Sushruta Saṁ hitā;
on the basis of Doṣa:
1) पूर्वाह्न
-> Kapha (morning)
त्रिविध द्विविध भेद
2)मध्याह्न -> Pitta (noon)
3) अपराह्न -> Vāta (evening)

बृंहण According to Charaka Saṁ hitā & Aṣṭāṅ ga

मर्श
Hṛdaya;
on the basis of Ṛtu:

विरेचन 1) पूवामिन -> Vāsanta, Sharada

प्रतिमर्श
2) र््यािन -> Shishira, Hemanta
3) अपरािन -> Grīṣma

शमन
In Varṣa Ṛtu, Nasya should only be done if the
sky is clear. Mostly, there are excessive clouds
& rain in Varṣa Ṛtu, so Nasya is generally
contraindicated.
 Nasya Bheda
1. Navana Nasya

- This is an important type of Nasya that can be

used regularly or in any season.

(a) Navana Sneh Nasya (b) Navana Shodhana Nasya

According to Acharya Sushruta the type of Nasya which cures The Navana Shodhana Nasya is used when
the cognitive lethargy, strengthens the head, neck, shoulder, Kapha is accumulated in the neck, head and
thorax region and also enhances the eyesight is called as the in nasal region moreover for the persons
Navana Nasya. who suffer from anorexia, feeling of
heaviness in head, rhinitis, epilepsy,
Material used anosmia and the diseases of the head
Medicated oils such as Anu tail and Shadbindu tail region. The unctuous substance used for

Nasya according to the Doshas: in
Indications Vatakaphaj –Thaila, in kevalavata – Vasaa, in
Headache, weak teeths, hair fall, moustaches hair loss, pitta - Ghee And in vaata pitta -Majjaa
earache, tinnitus, defects of the vision, diseases related to

nose, dryness of mouth, frozen shoulder, wrinkles, greying of Material used: Pipliyadi saneh and Anu tail
hairs.
 Nasya Bheda

2. Avapeed Nasya

Avapeed means compression and the Nasya therapy in which the herbs are compressed to obtain the
Savaras and Kalk to administer in the nostrils is called as the Avapeed Nasya. It is of two type's Stambhan
and Shodhana Nasya.

(a) Shodhana Nasya (b) Stambhan Nasya

Shodhana Nasya is a type of Avapeed Nasya in A type of Avapeed Nasya which is used as a
which cleansing of the head region is done. styptic. Saindhav pippalyadi kalk, milk,
Acharya Sushruta called Avapeed Nasya as the sugarcane juice, clarified butter, meat
other option for Shiro Virechana because of its soup, dorva svaras are used in this type of
purifying nature. Nasya
Nasya Bheda

3. Dhamapan Nasya

Dhamapan means to blow; it is a type of Shodhana Nasya in

which powder of drugs are blown in the nostrils i.e. fine powder.
It is also known as the Pradhaman Nasya. Nasya netra is used to
execute the Dhamapan Nasya. It is tube approximately of 6 angul
length and open from both the ends.
The narrow end of the tube is filled with medicated powder while
the air is blown from the other open end.
The dose of the drugs depends upon the diseases and the type of
drug used.
Dose of Dhamapan Nasya is generally 3 muchyuti.
Dhamapan Nasya can be execute in other ways such as take
shukti prman of finne powder and bind it into the bale and ask the
patient to inhale through the bale.
Indication: It is indicated in mania, epilepsy and various mental
ailments.
 Nasya Bheda

4. Dhoom Nasya

Dhoom means smoke in this type of procedure through nostrils the medicated smoke is inhaled hence it is termed
as the Dhoom Nsaya. It is of three types as follows -
Note: When the medicated smoke is inhaled from the nose it is called as the Dhoom Nasya while when undertaken
through the mouth it is called as the Dhoompan.

(a)Prayogik Nasya (b)Snehik Nasya (c)Virechanik Nasya

Prayogik Nasya means to Snehik Nasya is the type of In Virecahnaik Nasya the word
subside. It basically subside the Nasya which provides the Virechana means cleansing and the
vitiated Doshas in the region moisture to lubricate the head type of Nasya which is used to purify
above the clavicle and the Nasya region and in this type of the senses located in the head region is
netra which is used for this type therapy Nasya netra used is of called as the Virechanik Nasya. The
of Nasya is of 36 angul. 32 angul. Nasya netra used for this is of 24 angul.

(d)Kāsaghna (e)Vāmanīya

Bṛhatī, Kaṇṭakārī, Shuṇṭhī, Maricha, Pippalī, Hiṅ gu, Madanaphala, Jīmūtaka, Ikṣvāku, Vatsaka, Dhāmārgava,
Guḍūchī, etc. etc.
 Dhoom Nasya types

D) According to Ā.
A) According to Ā. Charaka: - 3 B) According to Ā. Sushruta: - 5 C) According to Ā. Vāgbhaṭa: - 3
Shārṅgadhara: - 5

1) Prāyogika (Vāta-Kapha 1) Snigdha / Mṛdu (Vāta 1) Shamana (Vāta-Kapha

1) Prāyogika (Vāta-Kapha shamana)
shamana) shamana) shamana)

2) Madhya (Vāta-Kapha 2) Bṛmhaṇa (Vāta

2) Vairechanika (Kapha haraṇa) 2) Vairechanika (Kapha haraṇa)
shamana) shamana)

3) Rechana (Kapha
3) Snaihika (Vāta shamana) 3) Snaihika (Vāta shamana) 3) Tīkṣṇa (Kapha haraṇa)
haraṇa)

4) Kāsahara (Kāsa
4) Kāsaghna (Kāsa shamana)
shamana)

5) Vāmana (Vamana
5) Vāmanīya (Vamana karma)
karma)

Indication: It is indicated in the head, nose and eyes related diseases. Dhoom netra here proves to be very
beneficial, now asks the patient to keep the medicine at the wide end of the Dhoom netra and procure 3 puffs
from the narrow end of it. Inhale puff alternatively 3 times.
 4. Dhoom Nasya

Yogya Ayogya

Kāsa, Shvāsa, Pīnasa, Visvaratva (hoarsness of voice), , Kṣavathu Pitta duṣṭi, Rakta duṣṭi

Pūtigandha (halitosis), Keshadoṣa, Kehsapātana, Karṇa-Āsya-Akṣi Srāva, - Udara, Meha, Timira, Ūrdhvānila, Ādhmāna, Rohiṇī, Pāṇḍuroga

Kaṇḍū, Arti, Jāḍya, Tandrā, Hidhmā/Hikkā, , - Shirasya abhihate (head injury)

Karṇashoola, Netrashūla, Galagraha, Putīnasya, Manyāgraha - Virikta (those who have undergone purgation)

Kṛmi, Atinidrā, Danta Daurbalya, Khālitya, Palita, - Datta-Bastiṣu (those who were given Basti)

Shirogaurava, Shiroshūla, Ardhāvabhedaka - Jāgarite Nishi (those who kept awake at night)

- After consuming Matsya, Madya, Dadhi, Kṣīra, Kṣaudra, Sneha,

Viṣa
 4. Dhoom Nasya

Samyak Dhūmapāna Ayoga Dhūmapāna

Atiyoga Dhūmapāna Lakṣaṇa: Upadrava:
Lakṣaṇa: Lakṣaṇa:

Raktapitta, Āndhya, Bādhirya,

- Hṛt-Kanṭha-Indriya Saṁshuddhi - Avishuddha Svara - Tālu-Mūrdha-Kaṇṭha Shuṣkatā Tṛṣṇā, Mūrcchā, Mada, Moha,
Shirobhrama

- Tṛṣṇā- Raktasrāva - Shirobhrama - Indriya Chikitsā = Shītopchāra, Sarpi pāna,

- Shirasaḥ-Ura-Kaṇṭha Laghutva - Sa Kapha Kaṇṭha
Upatapyante (disturbance of sense organs) Snaihika Nāvana, Añjana, Tarpaṇa

- Doṣa shamana, Kapha Tanuta - Stimita Mastaka - Muhyate (being perplexed, confused)-
(liquification of Kapha) (rigidity of head) Mūrcchā

- Adhika Srāva (excessive lacrimation)

 Dhoom Nasya vidhi

The patient should be seated comfortably and sit upright while focusing on the
procedure only.
According to Ā. Vāgbhaṭa,
medicated fumes should be inhaled through both nostrils alternately, while keeping the
other one closed and the mouth [Link], if the Doṣa located in the nose and head
are not in Utklesha Avastha, for Utkleshanārtha, fumes are first inhaled through the
mouth. Then they are inhaled through the nose.
If Doṣas are residing in the throat, for Utkleshanārtha, fumes are first inhaled through
the nose, then through the mouth.

According to Ā. Charaka,
medicated fumes should be inhaled through the nose if Doṣas are located in Shiraḥ,
Ghrāna or Akṣi; and through the mouth if Doṣas are located in Kaṇtha or Mukha.

According to Ā. Sushruta:
i) Prāyogika Dhūmapāna - through the nose
ii) Vairechanika Dhūmapāna - through the nose
iii) Snaihika Dhūmapāna - through the mouth & nose
v) Kāsaghna Dhūmapāna - through the mouth
vi) Vāmanīya Dhūmapāna - through the mouth

The fumes should always be exhaled through the mouth. Exhalation through the nose
(Pratiloma Gati) will lead to Netraroga / Dṛk-vighāta.
(Conclusive, Dhūma Nasya is only of 3 types: Prāyogika, Vairechanika, Snaihika)
 Nasya Bheda
5. Prati Marsha and Marsha Nasya

Pratim Marsha Nasya and Marsha Nasya are the types of Sneha Nasya i.e. in which Sneha is administered
through the nostrils. There is just a difference of dose between them.

(a) Marsha Nasya (b) Pratimarsh Nasya

This Nasya can be administered throughout

This type of Nasya is
life. It is very much beneficial just like Marsh
administered in bahu Dosha
Nasya. The dose of Marsh Nasya is 2 drops in
Avastha (vitiated Doshas) and
each nostril (Total 4 drops). Acharya
the drugs used here are clarfied
Charaka said that this type of Nasya never
butter, oils etc in Sneha from. It
build complications. It should be given two
can be administered all the time
times a day in morning as well as in evening.
except in durdin (rainy day when
It does not enhance the Doshas and
sun is covered with clouds).
nourishes the mind as well as the body.
 Nasya Bheda
(b) Pratimarsh Nasya

Pratimarsha Nasya Kāla: (According to Aṣṭāṅga Hṛdaya)

Partimarsha Nasya provides Partimarsha Nasya promotes Partimarsha Nasya bestows Danta
Partimarsha Nasya relieves
Sroto Shuddhi if Dṛgbala (eyesight) if Dārḍhya (stability/strength of teeth)
Klama if administered after:
administered after: administered after: if administered after:

1) Nisha (the night; in the 6) Adhva (long walk / 9) Shirobhyaṅga (oil massage 14) Dantakāṣṭha / Dantadhāvana
morning) travelling) on head) (cleaning of teeth)

2) Aha (the day; in the 10) Gaṇḍūṣa (withholding fluid Partimarsha Nasya pacifies Vāta
7) Shrama (exercise)
evening) in oral cavity) Doṣa if administered after:

3) Bhukta (eating) 8) Retasa (ejaculation) 11) Prasrāva (micturition) 15) Hāsa (laughing)

4) Vānta (vomiting) 12) Añjana (collyrium)

5) Svapna (sleep) 13) Varcha (defecation)

 (b) Pratimarsh Nasya

Yogya: Ayogya:

Mātrā:
- Duṣṭa Pīnasa - Pratimarsha Nasya is contraindicated 2 Bindu (each nostril)
due to excessive presence of Doṣa. Doṣa are filled
- Kṣatakṣīṇa, Bāla, Vṛddha, Sukhātma,
everywhere around the nose. Pratimarsha Nasya does
Durbala Dravya :
Bṛmhana Karma, so Doṣa will get further aggravated
and Duṣṭa Pīnasa is not relieved. Tila taila should be used for
regular/daily application of
Pratimarsha Nasya. Shira is
- Varṣa Ṛtu, Dinacharya - Utkliṣṭa Doṣa, Bahu Doṣa
Kaphasthāna, hence other
Sneha Dravya are not
- Valita, Palita, Khālitya - After intake of Madya suitable for regular [Link]̣u
taila can be used as well;
- Manyāstambha, Shiroshūla, Ardita, especially if Pratimarsha
Hanustambha, Ardhāvabhedaka, - Abala Shrotra, Bādhirya (Sneha Nasya is indicated) Nasya is used for treatment
Shirokampa, Tṛṣṇa, Mukhashoṣa of diseases.

- Āshu Urdhvajatru Roga - Kṛmi (Shirovirechana Nasya is indicated)

 (b) Pratimarsh Nasya

Differences between Marsha & Pratimarsha Nasya

Marsha Nasya Pratimarsha Nasya

Uttama Mātrā = 10 Bindu

Madhyama Mātrā = 8 Bindu Mātrā = 2 Bindu
Hīna Mātrā = 6 Bindu

Shodhana, Shamana, Bṛmhaṇa depending on Dravya Mṛdu Shodhana, Shamana, Bṛmhaṇa

Indicated in Chirakāri Roga Indicated in Āshukāri Roga

Indicated in Madhyama Avashta Indicated in Bāla, Madhyama & Vriddha Avastha (all age groups), Alpa
(age 7-80) in case of Bahu Doṣa Roga Doṣa, Durbala, Kṣatakṣīṇa, Garbhinī, Sukhātma, Varṣa Ṛtu, Dinacharya

May cause complications Does not cause complications

Strong & quick acting , Curative Mild & slow acting , Preventive & Curative

Pūrvakarma, Pashchātkarma, Parihāra are essential Not specifically required

 Nasya Bheda
Shirovirechana Nasya

Pratim Marsha Nasya and Marsha Nasya are the types of Sneha Nasya i.e. in which Sneha is administered
through the nostrils. There is just a difference of dose between them.

(a) Mridu shirovirechan

(b) Tikshna shirovirechan (c) Tikshnatam shirovirechan

Nastaḥ Pracchardana is a term to denote the

meaning of Shirovirechana. Its literal
translation means nasal emission. It was used
by Āchārya Charaka (Ch. Sū. 1/85).
Sneha nasya
Sneha nasya
 Nasya Vidhi

Nasya Vidhi is the procedure of performing Nasya Karma. The following

basic procedure should be followed; except in case of Pratimarsha Nasya
which is used for Dinacharya, Pūrvakarma and Pashchātkarma are not
required.

Purvakarma

Pradhanakarma

Paschatkarma
 Nasya Vidhi

Purvakarma

Selection of the patient:-

Selection of the patient for this procedure

depends up on the diagnosis which is done with Astha vidha
pareeksha (eight fold examination) and Dashavidha Pareeksha's
(tenfold examination) which is done by a qualified physician. The
procedure is not to be done with full stomach and the patient is
asked to void all natural urges before the procedure

Selection of the medicine:-

The selection of the medicine for the

procedure is based on the patient's condition, the medicated Oil,
Gritha and Churna is selected depended upon the Rogi Bala
(Strength of the patient) and Roga Bala (severity of the disease).
 Nasya Vidhi

Pradhanakarma

The patient is allowed to sit in the clam, smokeless and dust free room
for Nasya karma. The Nasya table and Nasya yantra is prepared for the
patient. .
The Nasya yantra that is used for instillation of the oil is 6 angula in
length and wider from one end while narrow from the other.
Ask the patient to lie down on Nasya table in supine position by tilting
head in downward direction approximately at 45 degrees from the
body and then cover the eyes of the patient with hands or cotton swab.
Slight Abhyanga and Swedana are done to the face, neck, chest and
back region before staring the procedure.
Now the physician lifts up the columella of the patient by the index
nger of his left hand and closes his other nostril with his thumb.
Now pour the nasal drops or herbal medicines through nasal dropper in
nostrils of the patient. Neither pour the medicine into nostril with
gradual pace nor too fast neither too slow i.e. it should be poured drop
by drop
Ask the patient to take deep breath so that whole of the medicine
pours down into the nose and now repeat the same procedure on the
other side as well.
 Pradhanakarma

This procedure is for medicines that occur in liquid state but if Nasya is to be
given in the form of churn then instead of nasal dropper, Nasya Netra or
Dhoom Netra is used for the procedure
There are different types of Nasya according to their dose, drugs types and
given according to seasons along with diseases from which the patient is
suffering.
After administration of medicine the patient should lie in the supine position
up to 100 count and then conduct the massage in the neck, head and facial
region moreover give tap Saweda by cloth dipped in the hot water or by
hands.
Pradhanakarma
 Nasya Vidhi

Paschatkarma

The patient should slowly inhale the instilled medicine,

simultaneously his ears, forehead (lalata), Scalp (kasha bhoomi),
ganda, nape region (manya), Shoulders (skandha), palms (paani
tala), feet (paada tala) are gently massaged.
When the medicine reaches the throat he should spit it by
turning to his right side or left side
He should be instructed not to swallow the medicine
After this Dhoomapana i.e. medicated fume inhalation through
nose indicated in that particular condition is administered.
Warm water Gandoosha (gargling) should be done after the
Dhoomapana (medicated smoking).
After the completion of Nasya therapy the patient feels lightness
in the whole body, have sound sleep, there is decline in the
symptoms of the disease for which Nasya Karma is performed. It
also puries the channels of the head and makes the person
more ebullient
 Nasya Vidhi

Paschatkarma

Parihāra Vishaya: Patient is advised to stay in Nivāta Sthāna, consume only Laghu Āhāra, and drink Koṣṇodaka.
The whole course of Nasya Karma may be done for 1 / 2 / 7 / 21 days.
The duration of Nasya Karma depends on the disease and is done until
Samyak Lakṣaṇa are obtained.
 REFERENCES

1. .Charak Samhita , By Dr BrahmaNand Tripathi , Chaukhambha Surbharati Prakashan ,Var anasi

2. Kaviraj Ambikadatta Shastri. Sushruta Samhita, Varanasi, Chaukhambha Sanskrit Sansthan,
3. Vagbhata, Astanga Hridayam (Vidyotani Hindi commentary of Kaviraj Atrideva Gupta).
4. Vridha Vagbhatta, Astanga Samgraha (Saroj Hindi commentary by Dr. Ravi dutta Tripathi)
5. Shri Bhavmishra, Bhavaprakash Nighantu (Commentary by Prof. K.C. Chunekar).
6. Sharangdhar Samhita
7. Prof. Radheyshyam Sharma, Dr. Gopesh Mangal, Dr Gunjan Garg. Ayurvediya Panchakarma
Chikitsa Vigyan
8. IAMJ( International Ayurvedic Medicine Journal)
9. Wikipedia
10. Vedicus
11. International journal of scientific research
Th an k
yo u