NASYA Definition

1
NASYADefinition

• The drug administered through nasal route is
  known Nasya
• UkLa rr dFrs /khjSukZlkxzkáa nkS"k/ke
• kkÛlÛ mÛ kÛ 8_at_1
• Medicine or Medicated oil administred through
  Nasal passage is known as Nasya.
•  

2
NasyaDefinition

• vkS"k/ka vkS"k/kfl)a Lusgks ok ukfldkHka nhrs
  bfr uLe
• 
  lqÛfpÛ40_at_21
• uklkxzkáa nkS"k/ka rn uLe
• Hkk iz
  iwoZ kÛ
• uklkke Hkoa uLe
• v.knÙk
•  

3
NASYASIGNIFICANCE OF NASYA

• m/oZrtqfodkjs"kq foks"kkUuLfe"rs A
• uklk fg fkkjlks kja rsu rn OkIgafr rku AA
  
• v g lw 20/1
• i.e. In the diseases of the head and most
  specific is regarded as the best and most
  specific procedure. Nasal passage is the gateway
  of the head and the drugs given through this
  passage mitigate the various vitiated doshas and
  cure the diseases.
•  

4
NASYASYNONYMS

• Shirovirechan
• Murdha-virechan
• Nastah-Pracchardnam
• Nasya
• Navan
• Ch. Su. 1/86
•  

5
NASYACLASSIFICATION OF NASYA

• (I)According to Charka
• (a) According to the part of the
  drug used Nasya is of 7 types
• Phala-Nasya
• Patra-Nasya
• Pushpa-Nasya
• Mula- Nasya
• Kanda Nasaya
• Twak-Nasya
• Niryas-Nasya
•  

6
NASYACLASSIFICATION OF NASYA
TYPE OF NASYA DRUGS USED
1 Phala Nasya Apamarg, Mrich, shirish, Vidang, Ela, Ajmoda etc.
2 Patra Nasya Tulsi, Talish, Tamalpatra, Sarshap, Moolak, Lahsun etc.
3 Pushpa Nasya Lodhra, Madanphala, Nimb, Madar.
4 Mula Nasya Arka, Brahmi, Vacha, Apamarg, Atis etc.
5 Kanda Nasya Hridra, Mooli, Aadrak, Lahsun etc.
6 Twak Nasya Tejbal, Sehjan, Dalchini, Kantkari etc.
7 Niryas Nasya Devdar, Agar, Sallaki, Vijaysar

•  

7
NASYACLASSIFICATION OF NASYA

• (b) Nasya is of 5 types, viz
• Navan
• Avapida
• Dhamapan
• Dhooma
• Pratimarsh
• 
  Ch. Si. 9/89-92

8
NASYACLASSIFICATION OF NASYA

• These 5 types are further divided into -
• NASYA
• NAVAN AVPIDAN DHAMAPAN
  DHOOMA PRATIMARSH
• Snehan Stambhana
  Prayogic Snehan
• Shodhan Shodhana
  Snehika Shodhana
• 
  Virechanika
• (c) According to the action, Nasya is of 3 types
• (i) Rechana (ii) Tarpana
  (iii) Shamana

9
NASYACLASSIFICATION OF NASYA

• (II) According to Sushruta -
• rnffo/ke fkjksfojspua Lusgua p A
• rnfo/efi iap/kk AA
• rFkk uLa fkjksfojspu izfrekZ voihM
  iz/keua p AA
• lqÛ fpÛ 40_at_21
• i.e. Nasya is mainly of two types
• Shirovirechama
• Snehana

10
NASYACLASSIFICATION OF NASYA

• These two types are further divided into 5 types
• Nasya
• Shirovirechana
• Pratimarsha
• Avapida
• Pradhamana

11
NASYACLASSIFICATION OF NASYA

• (III) According to Vagbhatta
• fojspua cg.ka p keua p f/kkfi rr A
• i.e. Nasya is of 3 types viz.
• Virechana
• Brimhana
• Shamana

12
NASYACLASSIFICATION OF NASYA

• (III) According to Kashyapa
• cag.ka d"kZ.ka pSo ffo/ka uLdeZ rq A
• i.e. Nasya Karma is of two types
• Brinhana
• Karshana

13
NASYACLASSIFICATION OF NASYA

• (IV) According to Sharangdhar
• uL Hksnks f/kk izksDrks jspua Lusgua
  rFkk A
• jspua d"kZ.ka izksDra Lusgua cg.ka ere
  AA kk Û mÛ kÛ 8_at_2
• Nasya is of 2 types viz.
• Rechana (Karshana)
• Snehana (Brimhana)
• voihM iz/keukS kS HksnkoijkS LerkS
  fkjksfojspuLk kkÛmÛkÛ8_at_11
• ekZ izfrekZp kS HksnkS Lusgus erkS
  kkÛmÛkÛ8_at_24
• i.e. Rechana is subdivided into
• 1. Avapida
• 2. Pradhamana
• Snehana is subdivided into
• 1. Marsha
• 2. Pratimarsha

14
NASYACLASSIFICATION OF NASYA

• (VI) According to Bhoja-
• Nasya is of 2 types
• 1. Prayogika
• 2. Snehika Dalhan on
  Su. chi. 40/23
•  
• (VII) According to Videha
• Nasya is of 2 types -
• 1. Sanghya-Prabodhaka
• 2. Stambhana Su.
  Chi. 40/44
•  

15
NASYADESCRIPTION OF NASYA

• 1. Navan Nasya- Medicated oil is administered
  through Nasal passage. It is mainly divided into
• Types- (i) Snehana Nasya
• (ii) Shodhan Nasya
• Indications - (Su. chi. 40/22)
• Vataj Shirahshool
• Danta pata
• Kesha pata
• Shamshru pata
• Acute earache
• Karna Kshweda
• Akalaja Valipalit
• Timira
• Nasa roga
• Mukh shosha
• Awabahuka
• Swedopghata

16
NASYADESCRIPTION OF NASYA

• Time of Administration-
• In Kapha Roga Fore Noon
• In Pittaja Roga Noon
• In Vataj Roga After noon
• Ritu Evum Kala (Season And Time) Su. Chi. 40/53
•  
• Pravrita, Sharda and Vasant are the best sesons
  for nasya administration.
• Whether should neither be too hot nor too cold.
• (a) In Grishama ---- Nasya should be given
  before noon.
• (b) In Sharda ------- Nasya should be given
  afternoon.
• (c) In varsha --------- Nasya should be given on
  a clear day i.e. non-
• cloudy.

17
NASYADESCRIPTION OF NASYA

• Dose Navan Nasya is of two types. Dose of
  both types vary because of the difference on
  their properties and actions.-Su.chi. 40/25
•  

Type Hina Matra (Min. Dose) Madhyama matra (Mod. Dose) Uttama matra (Max. Dose)
Snehana Nasya 8 drops/Nostril Total16 drops 16 drops/Nostril Total32 drops 32 drops/Nostril Total64 drops
Shodhana Nasya 4 drops/Nostril Total8 drops 6 drops/Nostril Total12 drops 8 drops/Nostril Total16 drops
18
NASYADESCRIPTION OF NASYA

• 2. Avapida Nasya -
• Juice of drugs / Kalka is adminbistred through
  Nasal passage.
• Types -
• Sushruta 1. Shohdana
• 2. Shamana
• Chakrapani
• 1. Shohdana
• 2. Shamana
• 3. Stambhana
• Dalhana
• 1. Sanghya
  prabhodhaka
• 2. Stambhana

19
NASYADESCRIPTION OF NASYA
Indications -

• 9. Bhaiya
• 10. Chitodvega
• 11. Manasroga
• 12. Krish
• 13. Stri
• 14. Sukumar
• 15. Rakatpitta
• 16. Vishapidit

• 1. Moha
• 2. Murcha
• 3. Mad
• 4. Sanayas
• 5. Aptantrak
• 6. Apsamar
• 7. Shirobheda
• 8. Krodh

20
NASYADESCRIPTION OF NASYA

• Dose
• Hina Matra 4 drops
• Madhyama Matra 6 drops
• Uttama Matra 8 drops
•  
• For Stambhana e.g. in case of Rakata-pitta etc.
  Nasya should be given with Kalka, Sharkaram,
  Ikshu-rasa, Milk, Ghrita, Mansa-Rasa and honey.
• For shodhan, Saindhavpiplyadi Kalka etc. should
  be used (Chakrapani).
• Sanghya-Prabhodhaka Nasya should be given to
  restore senses in case of snake bite, Vishpidita
  (Intoxicated), Mada, Apsamara, Krodha etc.

21
NASYADESCRIPTION OF NASYA

• 3. Dhampana/Pradhamana Nasysa
• (Su.Ch.
  40/46, Ch. Si. 9/107)
• Churana i.e. powered drug is blown into the
  nostril with the help of a 6 finger long
  Nadi-Ynatra. It is a specific shohdana Nasya.
• Indications-
• Mansika roga mental disorders
• Krimij shiroroga
• Vishpidit Intoxicated.
• Dose-
• One Muchyuti i.e. A pinch i.e. drug taken
  between thumb and fore finger.
• In the alternative method as described by videh
  powered drug in the dose of shukti pramana i.e. 2
  tola is packed in bolus and is inhaled through
  nostrils.

22
NASYADESCRIPTION OF NASYA

• 4. Dhoom Nasya - (Ch.Su. 5/45)
• Medicated smoke inhaled through nostrils and
  exhaled through buccal cavity is known as Dhooma.
• Dhooma inhaled through nostrils should be
  exhaled through buccal cavity but it is not
  advisable to take Dhoom orally and exhale through
  Nostrils, as it is harmful to eyes.
• Types-
• 1. Prayogika
• 2. Snehika
• 3. Vairechanika
• Indications-
• 1. shiroroga
• 2. Nasa Roga
• 3. Akshi Roga
• Dose-
• 3-3 puffs.

23
NASYADESCRIPTION OF NASYA

• 5.Marsh-Pratimarsh Nasya
• (Ch. Si.
  9/12, A.H.Su. 20/7, Su. Chi 40/52)
• In both of these medicated oil is instilled in
  the nostrils. Dose is the difference between
  them.
• Pratimarsh Nasya-
• it is well tolerated and very convenient to use.
• Can be given in all seasons.
• Should be given twice daily i.e. in morning and
  evening.
• It strengthens the body.
• It can be given throughout the life i.e. from
  birth till death.
• Indications-
• It is indicated especially in Bala, Vridha,
  Sukumar, Weak and Kshat-peedita i.e. injured.

24
NASYADESCRIPTION OF NASYA

• Contraindications-
• It is contraindicated in patients suffering
  from-
• Peenas - Coryza
• Madhya-pita -Who consumed alcohol
• Badhira -Deaf
• Krimija Shiroroga
• Dose - 2 drops
• The dose of Pratimarsh Nasya is Alpa-Matra i.
  e. minimum dose of Sneha so that it only reaches
  the throat but does not produce secretions there.
• Dip the finger in medicated oil and drop in the
  nostril.
•  

25
NASYADESCRIPTION OF NASYA

• Marsh Nasya -
• The difference between the Marsh and Pratimarsh
  Nasya is the dose
• Dose of Marsh Nasya -
• According to Vagbhatta Dip the index finger in
  the medicated oil up to two parts and quantity of
  oil that falls off the finger is known as drop of
  oil.
• And the dose is
• 10 drops -------- Uttama matra
• 8 drops --------- Madhyam matra
• 6 drops ---------- Hina matra

26
NASYADESCRIPTION OF NASYA

• The difference between Marsha and Pratimarsh
  Nasya can be summarized as follows

MARSH PRATIMARSH
1. May produce doshas Never
2. Not indicated in all ages and seasons Indicated
3. Associated with complications Not associated
4. Quick Acting Slow acting
5. Highly Efficacious Low efficacious
6. Long lasting effect Short lasting effect
7. Dose 10 drops Max. 8 drops Mod., 6 drops Min. 2 drops
27
NASYADESCRIPTION OF NASYA

• Special indications of Pratimarsha Nasaya
• (Su.
  Chi. 40/50, A.h. Su. 20/27)
• TalpothithaKala in the morning after
  nightws sleep
• Prakshalit Danta After brushing teeth
  
• Grihanirgachatta Before miving out of
  home
• Vyayamottrta After exercise
• Vyavayottra After coitus
• Adhwa Parishrauta Tired after walking
• Mala Visarjanottra After Evacuating
  bladder
• Mutra Visarjaottra After evacuating
  bladder
• After Kawala -- After Gargling
• After Anjana After Cleaning eyes
  with medicated
• 
  powder

28
NASYADESCRIPTION OF NASYA

• Special indications of Pratimarsha Nasaya
• (Su. Chi. 40/50, A.h. Su.
  20/27)
• Bhojanottra After meals
• Vamanottra After Emesis
• Divaswapanothit awakening after days
  sleep
• Sainya kala In the evening
  hours 
• Vagbhatta - Excluded Grihanirgachatta from the
  list and included
• After shiro-abhyang -After head
  massage
• After Hasya -After
  humours talk
• Thus counting special times indicated for
  Pratimarsha Nasya

29
NASYAINDICATIONS OF NASYA (CH. Si. 2/22)

• Shiroroga Disorders of Head
• Manyastamba Torticollis
• Danta Roga Diseases of teeth
• Gala Roga Diseases of Throat
• Hanu Graha lock Jaw
• Gala Shundika Uvelitis
• Peenas Coryza
• Kanth Shalloka Tonsillitis

30
NASYAINDICATIONS OF NASYA (CH. Si. 2/22)

• Timir Roga Catract
• Vartama Roga Diseases of eye lid
• Vyanga Pigmented face
• Upjihibika Uvilitis
• Ardhavbhedaka Hemicrania
• Griva Roga Diseases of neck
• Ansa Roga Diseases of shoulder
• Much Roga Diseases of Mouth

31
NASYAINDICATIONS OF NASYA (CH. Si. 2/22)

• Nasika Roga Diseases of Nose
• Karna Roga Diseases of Ear
• Netra Roga Diseases of eye
• Shiro-kapala Roga Diseases of Head and skull
  
• Ardita Facial palsy
• Aptantrka Hysteria
• Aptanka Tetnus
• Gala-ganda Goitre

32
NASYAINDICATIONS OF NASYA (CH. Si. 2/22)

• Danta shooala Toothache
• Danta harsha Tingling sensation in teeth
• Danta chaal Loose tooth
• Netra Raji Roga Diseases of eye
• Arbud Tumor
• Swarabhanga Hoarness of voice
• Vakgraha Aphonia
• Gadgadatva Stammerning

33
NASYACONTRAINDICATIONS OF NASYA (CH. Si. 2/22)

• Vyayama-kalanta Exhausted with
  exercise
• Vyavaya kalanta Exausted by coitus
• Madyapana Ka Exausted due to
  alcohol
• 
  consumption
• 
  
• Nava-jawara Pidita Suffering from acute
  fever
• Shoka-abhitapta Grieved

34
NASYACONTRAINDICATIONS OF NASYA (CH. Si. 2/22)

• Virikta who had undergone
  purgation
• Garbhini Pregnant woman
• Anuvasita who had taken unctous
  enema
• Nav pratishyaya Acute Coryza
• Anrito Untimely
• Durdin During cloudy day

35
NASYA

• DRUGS WHICH ARE GENERALY USED FOR NASYA
•  
• Katphala churna, Trikatu Churna, Swaskuthar Rasa,
  Anu Tail, Shad-bindu Tail, Jatyadi Taila, Pure
  Ghrita, Panchguna taila etc.
•  
•  

36
NASYA

• DOSE -
•  

NASYA HINA-MATRA/ HRASWA MATRA MADHYAM MATRA UTTAMA MATRA
Shaman (Navan) 8 drops/ Nostril 16 drops/ Nostril 32 drops/ Nostril
Shodhan (Avpidan) 4 drops/ Nostril 6 drops/ Nostril 8 drops/ Nostril
Pradhaman 250 mg 375 mg 500 mg
Marsha 6 drops 8 drops 10 drops
Pratimarsh 2 drops 2 drops 2 drops
Kalka 4 drops 6 drops 8 drops
Dhooma 1-2 mint. 2-3 mint. Up to 5 mint.
37
NASYAPROCEDURE OF NASYA

• PREPARATORY PHASE
• OPERATIVE PHASE
• POST-OP-PHASE

38
NASYAPROCEDURE OF NASYA

• PREPARATORY PHASE
• PATIENT IS MADE TO SIT OR LYE ON NASYA CHIAR OR
  BED, WITH HEAD END SLIGHTLY DOWNWARD. COVER HIS
  EYES WITH A CLEAN BANDAGE. MASSAGE HIS HEAD, FORE
  HEAD, CHEEKS ETC. WITH OIL LIKE KSHEER BALA,
  DHANVANTER, DHASHMOOL ETC. FOR 10 15 minutes
  FOLLOWED BY A LIGHT FOMENTATION.

39
NASYAPROCEDURE OF NASYA

• OPERATIVE PHASE
• RAISE THE TIP OF THE NOSE OF PATIENT AND INSTILL
  LUKE WARM NASYA MEDICINE IN EACH NOSTRIL IN THE
  PRESCTIBED DOSE, FOLLOWED BY LIGHT SUDATION OF
  THE FACIAL AREA.
• PATIENT SHOULD LYE CALMLY DURING ALL THIS
  PROCEDURE. GUIDE THE PATIENT NOT TO SWALLOW THE
  MEDICINE, INSTEAD SPIT IT REPEATEDLY.

40
NASYAPROCEDURE OF NASYA

• Features of Samyak, Hina and Atiyoga
• These features should be monitored very
  
• carefully so as to manage complications
  
• accordingly and well in time.
• (a) Features of Samyak Nasya
• (b)Features of Atiyoga.
• (c) Features of Hina Yoga.

41
NASYAPROCEDURE OF NASYA

• (A) Features of Samyak Nasya (Adequate Nasya)
• 
  (Su. Chi. 40/33,38)
• Shiro laghava lightness of head
• Sukh Swapana Sound Sleelp
• Vikaro Prashama Remission of the disease
• Mana Prasanta Mental happiness
• Sroto Shudhi Cleansing of Channels.
• Laghava Lightness in the body
• Indriya Shudhi Cleansing of senses.

42
NASYAPROCEDURE OF NASYA

• (B) Features of Atiyoga of Nasya
• (Excessive Nasya) (Su. Chi.
  40/34,40)
• Kapha Praseka -- Excessive Salivation
• Shiro Guruta Heaviness of head
• Indriya Vibhrama Confusion.
• Shiro Shoonyata -- Emptiness of head.
• Vata Vridhi Vitiation of Vata

43
NASYAPROCEDURE OF NASYA

• (C) Features of Hina Yoga of Nasya
• (Inadequate Nasya) (Su.
  Chi. 40/35,39)
•  
• Vata Vigunta
• Indriya-Rukshata dryness of sences
• Kandu Itching
• Sroto-guruta Heaviness of
  Channels
• Updeha
• Kapha-srava Excessive Secretions
• of
  Eye,Nose and Mouth

44
NASYAPROCEDURE OF NASYA

• Treatment
• Of Hina Yoga of Nasya
• Repeated Nasya In Hina Yoga
• Of Atiyoga of Nasya -
• Kapha Vata Suppressive (Shamaka) treatment
  should be done.
• In samayak yoga
• Ghrita Nasya should be given
• (Su. Chi. 40/41)

45
NASYAPROCEDURE OF NASYA

• POST-OP. PHASE
• DHOOMPAN
• WARM GARGLES

46
NASYAPROCEDURE OF NASYA

• DOS AND DONTS
• PATIENT SHOULD AVOID
• COLD WATER
• SUNLIGHT, DUST, SMOKE DIRECT AIR.
• INCOMPATABLE DIET, UNCTUOUS
• SUBSTANCE,
• ALCOHOL
• ANGER
• TRAVELLING
• PATIENT SHOULD OBSERVE CELEBACY.

47
NASYAMODE OF ACTION

48
NASYAMODE OF ACTION

1. LOCAL EFFECTS
2. SYSTEMIC EFFECTS

49
NASYAMODE OF ACTION

• LOCAL EFFECTS
• IRRITATING DRUGS
• STIMULATION OF OFFACTORY NEURONS
• SNEEZ REFLEX
• EXPULSION OF SECRETIONS FROM
• PARANASAL SINUSES

50
NASYAMODE OF ACTION

• LOCAL EFFECTS
• STIMULATION OF TERIGOPALANTINE GANGLION
• STIMULATION OF CAROTID PLEXUS
• ALLEVIATION OF SYMPTOMS LIKE HEADACHE

51
NASYAMODE OF ACTION

• LOCAL EFFECTS
• STIMULATION OF OPTHALMIC AND MAXILLARY BRANCHES
  OF TRIGEMINAL NERVE
• STIMULATION OF TRIGEMINAL GANGLION
• STIMULATION OF TRIGEMINAL NEURONES
• ALLEVIATION OF SYMPTOMS LIKE HEADACHE

52
NASYAMODE OF ACTION

• SYSTEMIC EFFECTS
• ABSORPTION OF NASYA DRUGS
• STIMULATION OF HYPOTHALAMUS
• RELEASE OF CERTAIN NEUROCHEMICAL
• TRANSMITORS
• ALLEVIATION OF SYMPTOMS OF DISEASE

53
THANKS