1. Nasya Karma

2. Introduction
The nose is the doorway to the mind and senses, where Prana or vital energy is absorbed in the process of breathing.

3. NASYA (Shirovirechana Karma)
Definition:
Medicine or Medicated oil administered through Nasal passage is known as Nasya.
Involves the cleansing of the nasal passage by the administration of oils, powders, herbal juices, infusions or smoke.
Nasya also means beneficial to nose. 

4. SIGNIFICANCE OF NASYA
In the diseases of the head and supraclavicular diseases Nasya is the best and most specific procedure.
‘Nasa Hi Siraso Dwaram’ Nasal passage is the gateway of the head and the drugs given through this passage mitigate the various vitiated Doshas and cure the diseases.

5. Shirovirechan Murdha-virechan Prachchhardana Shirovireka Nastaha Karma
NASYA SYNONYMS
Shirovirechan
Murdha-virechan
Prachchhardana
Shirovireka
Nastaha Karma
Amongst the various synonyms of Nasya karma Shirovirechana, Shirovireka and Murdhavirechana are suggestive of elimination of Doshas from the Shira or parts situated above the clavicle i.e. Prachchardana, whereas the terms Nastaha and Navana indicates site of administration.

6. NASYA CLASSIFICATION OF NASYA
Nasya is of 5 types, viz
Navan nasya (using oils & ghee)
Avapida nasya ( uses herbal extracts, juices)
Dhmapan nasya (Insufflation)
Dhooma nasya (Inhalation)
Pratimarsh nasya

7. NASYA CLASSIFICATION OF NASYA
According to action:
Purification (Shodhana) to eliminate doshas
Palliation (Shamana) to reduce dosha provocation
Tonifying (Brimhana) to strengthen Vata.
According to dose:
Pratimarsha - 2 drops in each nostril
Marsha drops in each nostril

8. Indications
Nasya indicated in various diseases of the supraclavicular region such as
Stiff neck and jaw,
Graying of hair,
Baldness,
Facial palsy
Sinusitis, rhinitis, Earache.
Stammering or alteration of voice, Hoarseness of voice,
Corrhyza,
Tonsillitis

9. Indications Diseases of Nose Catract Diseases of Ear
Diseases of eye
Diseases of Head and skull,Headache, Migraine.
Hysteria
Tetnus
Goitre
Catract
Diseases of eye lid
Pigmented face
Diseases of neck
Diseases of shoulder
Diseases of Mouth

10. Contraindication Nasya should be avoided in patients who have
Severe digestive disorders
immediately after physical exertion
Pregnant women
Children under 7 years.
Acute fevers
Acute corrhyza
Purgation
Fast
Indigestion

11. NASYA DESCRIPTION OF NASYA
Age : Nasya should be administered to patients who are 7 to 80 years old.
Time of Administration:-
In Kapha Roga – Fore Noon
In Pittaja Roga – Noon
In Vataj Roga – After noon

12. Ritu Evum Kala (Season And Time)
Pravrita, Sharda(autumn) and Vasant(spring) are the best seasons for nasya administration.
Whether should neither be too hot nor too cold.
In Summer Nasya should be given before noon.
In Autumn Nasya should be given afternoon.
In Rains Nasya should be given on a clear day i.e. non- cloudy.

13. Navan Nasya
Navan Nasya:- Medicated oil or ghee is administered through Nasal passage.
Eg.
Kshirbalatail
Chandanbalalakshadi Tail
Anu Tail
Shadbindu Tail
Brahmi Ghrita

14. Avapida Nasya
Juice of drugs / Kalka is administer through Nasal passage.
Stambhana (to check the flow ): Ikshu-rasa, Milk, Ghrita.
Shodhana: Saindhavpiplyadi Kalka.
Sanghya-Prabhodhaka : Nasya should be given to restore senses in case of snake bite, Vishpidita (Intoxicated), Apsamara.

15. Avapida Nasya Hina Matra (minimum dose) – 4 drops
Madhyama Matra – 6 drops
Uttama Matra (maximum dose) – 8 drops
Note : Bindu (drop):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.

16. Dhmapana/Pradhamana Nasysa
Churana i.e. powered drug is blown into the nostril with the help of a 6 finger long Nadi-Ynatra (pipe). It is a specific shohdana Nasya. Eg. Katphala churna, Trikatu Churna.
Indications:-
Mental Disorders
Intoxicated.
Dose:- One Muchyuti i.e. A pinch [i.e. drug taken between thumb and fore finger]

17. Dhoom Nasya
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.
Indications:-
1. diseases of head
2. diseases of eye
3. diseases of nose

18. Marsh-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.
Dose: - 2 drops
Indications:-
It is indicated especially in Children, old age, Weak and injured person.
In both of these medicated oil is instilled in the nostrils. Dose is the difference between them.

19. The difference between Marsha and Pratimarsh Nasya can be summarized as follows –1
Not indicated in all ages and seasons
Indicated 2
Associated with complications
Not associated 3
Quick Acting
Slow acting 4
Highly Efficacious
Low efficacious 5
Long lasting effect
Short lasting effect 6
Dose— drops Max drops Mod., drops Min.
2 drops

20. NASYA PROCEDURE OF NASYA
Purva karma(Preparatory Phase)
Pradhana karma (Operative Phase)
Pashchat karma (Post-op-phase)

21. Material required Nasya oil/ other Oil for Abhyanga
Gokarna / dropper/ gauze
For swedana warm water, towels

22. Preparatory phase
Patient is made to sit or lye on Nasya chair or bed, with head end slightly downward.
Cover his eyes with a clean bandage.
Massage his head, fore head, cheeks etc. With oil like Bala tail etc. For 10 – 15 minutes.
Followed by a light fomentation.

23. Operative phase
Raise the tip of the nose of patient and instill luke warm Nasya medicine in each nostril in the prescribed 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.

24. Post-op-phase
Wait for 2 to 3 min (100 Matra : patient should lie supine for time interval consumable for counting numbers up to 100)
Fomentation , Warm gargles
Dhoompana
Light diet
Duration : Maximum for 21 day or till the appearance of adequate effect. Minimum for 7 days.

25. Assessment of symptoms
Features of Samyak Nasya (Adequate Nasya)
Shiro laghava – lightness of head
Sukh Swapana – Sound Sleep
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.

26. (B) Features of Atiyoga of Nasya (Excessive Nasya)
Kapha Praseka Excessive Salivation
Shiro Guruta – Heaviness of head
Indriya Vibhrama – Confusion.
Shiro – Shoonyata Emptiness of head.
Vata Vridhi – Vitiation of Vata
Treatment: Kapha Vata Suppressive (Shamaka) treatment should be done.

27. (C) Features of Hina Yoga of Nasya (Inadequate Nasya)
Vata Vigunta – vitiation of Vata
Indriya-Rukshata – dryness of senses
Kandu – Itching
Sroto-guruta – Heaviness of Channels
Kapha-srava —Excessive Secretions
of Eye,Nose and Mouth
Treatment - Repeated Nasya In Hina Yoga or give Tishna nasya

28. Do’s and Dont’s Patient Should Avoid
Cold water
Sunlight, dust, smoke & direct air.
Incompatible diet, unctuous substance.
Alcohol .
Anger.
Bath by head
Travelling.

29. LOCAL EFFECTS SYSTEMIC EFFECTS
NASYA MODE OF ACTION
LOCAL EFFECTS
SYSTEMIC EFFECTS

30. Local effects Irritating drugs Stimulation of olfactory neurons
Sneeze reflex
Expulsion of secretions from
Paranasal sinuses

31. 2. Systemic effects Absorption of nasya drugs
Stimulation of hypothalamus
Release of certain neurochemical
Transmitters
Alleviation of symptoms of
disease

32. THANKS