Nasya Thirupathy Dr. Prakash Mangalasseri
Pheromones
Sanjeevani Nasya
NasyakarmaDr. Prakash MangalasseriMD Ayu.Associate ProfessorDept. of KayachikitsaVaidyaratnam PS Varier Ayurveda CollegeKo...
Nasya Easiest employed procedure OPD Panchakarma Direct entry to cranial vault Even unconscious patient can bemanaged...
Problem statement We do real nasya? Complications are really less? Classical nasya
Basic Anatomy
Nasya Nasa grahyam yath oushadham Pre requisite – Snehana , Swedana &(Vamana, Virechana ?)
Nasya - Indications Oordhwanga gata dosha Manodosha Kapha Vatha Pitta & Rakta
Classification of Nasya Navana Avapeeda Dhmapana Dhooma Pratimarsha
Navana Snehana Shodhana
Dhmapana Shodhana (Deha sroto vishodhana . Ca Si) Cheto vikara, krimi, vishabhipanna (Su) Choorna Nasagre nihita: sa h...
Avapeeda Shodhana Sthambhana Kalka
Dhooma Prayogika (shamana) Snaihika Vairechanika Mukhapeyastu dhoomo na nasyam
Pratimarsha Ubhatyarthakrith Snehana Virechana
Classification Brimhana (tharpana) - Vataja Shamana - (sthambhana)- Pittarakta Virechana - Kaphaja
Brimhana Vatika shirahshoola Sooryavartha Swarasada Nasashosha / Asyashosha Vaksanga Apabahuka Shirakampa Ardita
Shamana Neelika Vyanga Kesha dosha Akshirga Raktapitta
Rechana nasya Shirahshoola (kapha predominant) Jaadya Abhishyanda Galaroga Krimi Kushtha Apasmara Peenasa Manyast...
Shirovirechana gana Vidanga Apamarga Vyosha Sigrubeeja Saindhava etc… Madhura skandha
Other articles / vehicles Ghee Honey Milk Blood Meat juice Water Swarasa – lasuna etc.
Dosage Fixation
Dose of Nasya Bindu ??? Bindu – 10 / 8 / 6 (marsha mathra) 8 / 6 / 4 (Kalkadi)
ROUTINE PRACTICE10 Bindu = 10 drops8 Bindu = 8 drops6 Bindu = 6 dropsOnly One InstillationOne Sitting of Nasya
Is It The ClassicalPractice?
Bindu ????……. . . . /,. .
. . / ,
1 Shana = 4 Masha = 4 gm = 4mlThus 8 Bindu = 1 Shana = 4 ml1 Bindu = 0.5 mlAs 1 drop = 0.05ml (Ayurvedic Formularyof India...
STANDARDIZED DOSEMARSA NASYAONE BINDU = 0.5ml
CLASSICAL DOSE10 Bindu = 10 x 0.5ml = 5ml8 Bindu = 8 x 0.5ml = 4ml6 Bindu = 6 x 0.5ml = 3mlSushruta, Sharangdhara,Chakrada...
PROCEDURE|. . /
Sushruta , Sharangdhara,Chakradatta???6 Bindu each nostril x 1/2/3 times= 12/24/36 Bindu8 Bindu each nostril x 1/2/ 3 time...
Routine BINDU Vs Classical BINDU0.05ml 0.5ml10 TIMES MOREONE SITTING OF NASYA10x 1 Instillation = 10 times more10x 2 Insti...
DOSES REVISEDACCORDING TO TIMEDOSES CHANGESACCORDING TO MEDICINE&
Always 1 bindu is 0.5 ml(10 drops) ???
Revised Kottakkal Practise
Clinical Indications
Indications Neurological Ophthalmic Stato-acoustic Scalp Vascular Psycological Dermatological
Special indications Pakshaghata Ardita Manyasthambha Apabahuka
Pakshaghata
Ardita
Apabahuka
Manyasthambha
Specific indications Kshavathu Putaka Kamala
Jeemutha (Luffa echinata)
Contra indications (sneha nasya) Ajeerna After food After drinking water After bath Durdina Nava pratishyaya During...
Contra indications (rooksha nasya) Kshaama Garbhini After hard exertion After virechana
General contraindications Swasa Kasa Shuddha After Nirooha Anarthava Durdina Before 7 years After 80 years
Poorvakarma Snehana Swedana
Nasyakala Prak soorya (summer) Madhya soorya (winter) Kapha – Morning Pitta – Noon Vata – evening or night Swastha –...
Positioning (avak shirasa) Head lowered / foot raised (kinchith)
Procedure Sneha & sweda – uttamanga Application of warm oil on palms & soles Application of warm medicine (pranadi /pic...
Frequency Daily twice Vataabhibhoote….. Alternate Days 7 Days
Dhmapana nasya
Dhoomanasya
Samyak lakshana Samyk sneha Samyak virikta
Complications Moorcha Ayoga Atiyoga
Pratimarsha nasya Snehangulim dadyat Dwi bindukah Eeshath uchhringhitham dravyamyavath vakthra prapadyate As a Routine...
Pratimarsha nasya No age bar No contra indication (even in akalavarsha) No restrictions No complications Preferred as...
Nithya Nasya Kushtha
Practical tips Blood pressure & Nasya Nasya after Shirovasthi Nasya in respiratory problems Nasya in psychiatric patie...
Important yoga Anu thaila Ksheerabala (101) Dhanwanthram (101) Ksheeramruth (101) Karpasasthyadi taila Maharajaprasa...
Important yoga Katphala / shunthi / kushtha Vasha / Doorva / jeemoothaka Lashuna / Hingu / Tulasi Haritamanjari / Tula...
Important yoga .. Contd.. Thuvaraka taila Sthanya Lavana nasya
Specific Areas Trigemnal neuralgia Adhesive capsulitis Hemiplegia
Nasya - Medhya
Pumsavana effect
Cosmetic effect
Cervical Spondylosis
Hyperpigmentations
Sanyasa Apatantraka Coma
Swine Flu
Head Aches
Premature Greying / Hair loss
Nasya in every 3 days
Qualities of Nasya sheela Physical compactness of shoulder,neck and chest Pleasing appearance of face & skin Sensorial ...
Nasaapaana Common practise in Arya Vaidya SalaKottakkal Especially in Apabaahuka
Mode of action Shrinkataka marma Shiraso antharmadhyam Nethra / Srothra / Kantha Position Sudation Massage Drug
Mode of action BBB Olfacto hypothalamo pitutary pathway Influencing limbic system Stimulation of barroreceptors in the...
Understanding IN delivery Bioavailability First pass metabolism Nose brain pathway Lipophilicity
Bioavailability How much of the administeredmedication actually ends up in theblood stream. Examples: IV medications ar...
First pass metabolism Molecules absorbed through the gut,including all oral medications enter the“portal circulation” and...
Nose brain pathway The olfactory mucosa (smelling areain nose) is in direct contact with thebrain and CSF. Medications a...
Lipophilicity “Lipid Loving.” Cellular membranes are composed onlayers of lipid material. Drugs that are lipophilic are...
Intranasal Medication -Absrption Drugs absorbed via the nasal mucosa: Are absorbed via the rich vascular plexus ofthe no...
Intranasal MedicationAdministration: Advantages Compared to oral medications,intranasal medication delivery resultsin: F...
Nasl applications studied LH ADH Insulin / Glucagon Contraceptive drugs Steroids
Conclusion Least expensive Shodhana Highly beneficial if properly employed Multifaceted utility Be cautious about comp...
Thank u all
Nasya dr.prakash mangalsery
Nasya dr.prakash mangalsery
Nasya dr.prakash mangalsery
Nasya dr.prakash mangalsery
Nasya dr.prakash mangalsery
Nasya dr.prakash mangalsery
Nasya dr.prakash mangalsery
Nasya dr.prakash mangalsery
Nasya dr.prakash mangalsery
Nasya dr.prakash mangalsery
Nasya dr.prakash mangalsery
Nasya dr.prakash mangalsery
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Nasya dr.prakash mangalsery

Published on: Mar 3, 2016
Published in: Health & Medicine      Spiritual      
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Transcripts - Nasya dr.prakash mangalsery

  • 1. Nasya Thirupathy Dr. Prakash Mangalasseri
  • 2. Pheromones
  • 3. Sanjeevani Nasya
  • 4. NasyakarmaDr. Prakash MangalasseriMD Ayu.Associate ProfessorDept. of KayachikitsaVaidyaratnam PS Varier Ayurveda CollegeKottakkal
  • 5. Nasya Easiest employed procedure OPD Panchakarma Direct entry to cranial vault Even unconscious patient can bemanaged Most popular procedure
  • 6. Problem statement We do real nasya? Complications are really less? Classical nasya
  • 7. Basic Anatomy
  • 8. Nasya Nasa grahyam yath oushadham Pre requisite – Snehana , Swedana &(Vamana, Virechana ?)
  • 9. Nasya - Indications Oordhwanga gata dosha Manodosha Kapha Vatha Pitta & Rakta
  • 10. Classification of Nasya Navana Avapeeda Dhmapana Dhooma Pratimarsha
  • 11. Navana Snehana Shodhana
  • 12. Dhmapana Shodhana (Deha sroto vishodhana . Ca Si) Cheto vikara, krimi, vishabhipanna (Su) Choorna Nasagre nihita: sa hi aavegakartarobhavati (AS)
  • 13. Avapeeda Shodhana Sthambhana Kalka
  • 14. Dhooma Prayogika (shamana) Snaihika Vairechanika Mukhapeyastu dhoomo na nasyam
  • 15. Pratimarsha Ubhatyarthakrith Snehana Virechana
  • 16. Classification Brimhana (tharpana) - Vataja Shamana - (sthambhana)- Pittarakta Virechana - Kaphaja
  • 17. Brimhana Vatika shirahshoola Sooryavartha Swarasada Nasashosha / Asyashosha Vaksanga Apabahuka Shirakampa Ardita
  • 18. Shamana Neelika Vyanga Kesha dosha Akshirga Raktapitta
  • 19. Rechana nasya Shirahshoola (kapha predominant) Jaadya Abhishyanda Galaroga Krimi Kushtha Apasmara Peenasa Manyasthambha
  • 20. Shirovirechana gana Vidanga Apamarga Vyosha Sigrubeeja Saindhava etc… Madhura skandha
  • 21. Other articles / vehicles Ghee Honey Milk Blood Meat juice Water Swarasa – lasuna etc.
  • 22. Dosage Fixation
  • 23. Dose of Nasya Bindu ??? Bindu – 10 / 8 / 6 (marsha mathra) 8 / 6 / 4 (Kalkadi)
  • 24. ROUTINE PRACTICE10 Bindu = 10 drops8 Bindu = 8 drops6 Bindu = 6 dropsOnly One InstillationOne Sitting of Nasya
  • 25. Is It The ClassicalPractice?
  • 26. Bindu ????……. . . . /,. .
  • 27. . . / ,
  • 28. 1 Shana = 4 Masha = 4 gm = 4mlThus 8 Bindu = 1 Shana = 4 ml1 Bindu = 0.5 mlAs 1 drop = 0.05ml (Ayurvedic Formularyof India)10 drops = 0.5 ml1 Bindu = 10 drops = 0.5ml
  • 29. STANDARDIZED DOSEMARSA NASYAONE BINDU = 0.5ml
  • 30. CLASSICAL DOSE10 Bindu = 10 x 0.5ml = 5ml8 Bindu = 8 x 0.5ml = 4ml6 Bindu = 6 x 0.5ml = 3mlSushruta, Sharangdhara,Chakradatta???
  • 31. PROCEDURE|. . /
  • 32. Sushruta , Sharangdhara,Chakradatta???6 Bindu each nostril x 1/2/3 times= 12/24/36 Bindu8 Bindu each nostril x 1/2/ 3 times= 16/32/ 48 Bindu10 Bindu each nostril x 1/2/3 times= 20/40/60 Bindu
  • 33. Routine BINDU Vs Classical BINDU0.05ml 0.5ml10 TIMES MOREONE SITTING OF NASYA10x 1 Instillation = 10 times more10x 2 Instillation = 20 times more10x 3 Instillation = 30 times more
  • 34. DOSES REVISEDACCORDING TO TIMEDOSES CHANGESACCORDING TO MEDICINE&
  • 35. Always 1 bindu is 0.5 ml(10 drops) ???
  • 36. Revised Kottakkal Practise
  • 37. Clinical Indications
  • 38. Indications Neurological Ophthalmic Stato-acoustic Scalp Vascular Psycological Dermatological
  • 39. Special indications Pakshaghata Ardita Manyasthambha Apabahuka
  • 40. Pakshaghata
  • 41. Ardita
  • 42. Apabahuka
  • 43. Manyasthambha
  • 44. Specific indications Kshavathu Putaka Kamala
  • 45. Jeemutha (Luffa echinata)
  • 46. Contra indications (sneha nasya) Ajeerna After food After drinking water After bath Durdina Nava pratishyaya During snehapana or anuvasana
  • 47. Contra indications (rooksha nasya) Kshaama Garbhini After hard exertion After virechana
  • 48. General contraindications Swasa Kasa Shuddha After Nirooha Anarthava Durdina Before 7 years After 80 years
  • 49. Poorvakarma Snehana Swedana
  • 50. Nasyakala Prak soorya (summer) Madhya soorya (winter) Kapha – Morning Pitta – Noon Vata – evening or night Swastha – morning in sarath & Vasanth evening in greesha
  • 51. Positioning (avak shirasa) Head lowered / foot raised (kinchith)
  • 52. Procedure Sneha & sweda – uttamanga Application of warm oil on palms & soles Application of warm medicine (pranadi /pichu) Mardhana of pada etc Further sweda 2 or 3 times nasya Dhumapana / Kabala Diet & regimen
  • 53. Frequency Daily twice Vataabhibhoote….. Alternate Days 7 Days
  • 54. Dhmapana nasya
  • 55. Dhoomanasya
  • 56. Samyak lakshana Samyk sneha Samyak virikta
  • 57. Complications Moorcha Ayoga Atiyoga
  • 58. Pratimarsha nasya Snehangulim dadyat Dwi bindukah Eeshath uchhringhitham dravyamyavath vakthra prapadyate As a Routine – 15 kala Ubhayaarthakrith
  • 59. Pratimarsha nasya No age bar No contra indication (even in akalavarsha) No restrictions No complications Preferred as routine Dushthapeenasa / Madyapeetha / Moordhnikrimi / Abalasrothra / Uthklishta dosha /Klishta dosha
  • 60. Nithya Nasya Kushtha
  • 61. Practical tips Blood pressure & Nasya Nasya after Shirovasthi Nasya in respiratory problems Nasya in psychiatric patients
  • 62. Important yoga Anu thaila Ksheerabala (101) Dhanwanthram (101) Ksheeramruth (101) Karpasasthyadi taila Maharajaprasarini taila Shadbindu taila
  • 63. Important yoga Katphala / shunthi / kushtha Vasha / Doorva / jeemoothaka Lashuna / Hingu / Tulasi Haritamanjari / Tulasi / Dronapushpi Ghrita manda
  • 64. Important yoga .. Contd.. Thuvaraka taila Sthanya Lavana nasya
  • 65. Specific Areas Trigemnal neuralgia Adhesive capsulitis Hemiplegia
  • 66. Nasya - Medhya
  • 67. Pumsavana effect
  • 68. Cosmetic effect
  • 69. Cervical Spondylosis
  • 70. Hyperpigmentations
  • 71. Sanyasa Apatantraka Coma
  • 72. Swine Flu
  • 73. Head Aches
  • 74. Premature Greying / Hair loss
  • 75. Nasya in every 3 days
  • 76. Qualities of Nasya sheela Physical compactness of shoulder,neck and chest Pleasing appearance of face & skin Sensorial excellence Sweet voice Prevents graying
  • 77. Nasaapaana Common practise in Arya Vaidya SalaKottakkal Especially in Apabaahuka
  • 78. Mode of action Shrinkataka marma Shiraso antharmadhyam Nethra / Srothra / Kantha Position Sudation Massage Drug
  • 79. Mode of action BBB Olfacto hypothalamo pitutary pathway Influencing limbic system Stimulation of barroreceptors in the carotidsinus Momentary hyperaemia Absorption (vascular or lymphatic) Decongestant action Eliminative action
  • 80. Understanding IN delivery Bioavailability First pass metabolism Nose brain pathway Lipophilicity
  • 81. Bioavailability How much of the administeredmedication actually ends up in theblood stream. Examples: IV medications are 100% bioavailable. Most oral medications are about 5%-10%bioavailable due to destruction in the gutand liver. Nasal medications discussed in this lecturerange in the 55% to 100% bioavailabilityrange - approaching IV delivery systems.
  • 82. First pass metabolism Molecules absorbed through the gut,including all oral medications enter the“portal circulation” and are transported tothe liver. Liver enzymes then break down most ofthese drug molecules and only a smallfraction enter the bodies circulation asactive drug. Nasally delivered medications avoid the gutso do not suffer first pass metabolism.
  • 83. Nose brain pathway The olfactory mucosa (smelling areain nose) is in direct contact with thebrain and CSF. Medications absorbed across theolfactory mucosa directly enter thebrain. This area is termed the nose brainpathway and offers a rapid, directroute for drug delivery to the brain.
  • 84. Lipophilicity “Lipid Loving.” Cellular membranes are composed onlayers of lipid material. Drugs that are lipophilic are easily andrapidly absorbed across the mucousmembranes.
  • 85. Intranasal Medication -Absrption Drugs absorbed via the nasal mucosa: Are absorbed via the rich vascular plexus ofthe nose and directly enter the circulation. Can be absorbed directly through theolfactory mucosa into the CSF - giving rapidbrain levels of the drug.
  • 86. Intranasal MedicationAdministration: Advantages Compared to oral medications,intranasal medication delivery resultsin: Faster delivery to the blood stream Higher blood levels No destruction by stomach acid and intestinalenzymes No destruction by hepatic first passmetabolism
  • 87. Nasl applications studied LH ADH Insulin / Glucagon Contraceptive drugs Steroids
  • 88. Conclusion Least expensive Shodhana Highly beneficial if properly employed Multifaceted utility Be cautious about complications
  • 89. Thank u all

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