Nasya

Poorva karma

• We ask the patient to wash their face and mouth with lukewarm water.
• We then administer Abhyanga over shiras (head), lalata( forehead), kapala ( skull ), greeva (neck) & skanda (shoulder).
• Shiroabhyanga (head massage) only is also enough. We also apply Nadisweda (steam through a tube ) or tapa sweda (applying steam through a medium). Abhyanga over palm and sole is done. We also prescribe Dhoomapana (inhalation of medicated fumes ) for the purpose of sroto shodhan which means cleansing the channels. (in case of nasal congestion).
• We advise the eyes to be bandaged with a clean gauze piece after placing lotus petals and a cotton pad over the eyelids.
• Then Nadi sweda, i.e., steam through a tube is done (in the head and neck region).
• Dhoomapana can be done for srotoshodana, if necessary.
• We ask the patient to lie in a supine position with slightly elevated legs and head extended backward.

Pradhana karma

• Firstly, the medicine is mildly warmed over a water bath.
• The prescribed dose of medicine is taken in the Gokarna which is the instrument used for nasya and poured into either nostril closing the other in a continuous single stream.
• Immediately after the instillation of medicine, mild massage is done over pani (hands), pada (feet), greeva (neck), skandha (shoulder).
• We then apply Mridu swedana (mild perspiration therapy) in the above-mentioned areas with a suitable method (Hasthasweda – with warm hands or vasanasweda- heated vessel).
• The patient is then asked to inhale the medicine with moderate force and to spit it through the mouth turning their head to either side alternatively without rising from the cot.
• We advise the patient 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( gargling ) with warm water is done to attain kantha shuddhi, i.e., cleansing the throat.
• The talam (application of medicine on the head ) should be wiped off and dry powder (used for preparing talam) is gently nibbed over the anterior fontanelle.
• It is advisable not to take any type of food 2 hrs before and 1 hour after nasya.
• Na adidrava annapana is indicated in nasya, i.e., the patient must not have extremely liquid food substances.

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