1. Nasya
 Thirupathy
 Dr. Prakash Mangalasseri

2. Pheromones

3. Sanjeevani Nasya

4. Nasyakarma
Dr. Prakash Mangalasseri
MD Ayu.
Associate Professor
Dept. of Kayachikitsa
Vaidyaratnam PS Varier Ayurveda College
Kottakkal

5. Nasya
 Easiest employed procedure
 OPD Panchakarma
 Direct entry to cranial vault
 Even unconscious patient can be
managed
 Most popular procedure

6. Problem statement
 We do real nasya?
 Complications are really less?
 Classical nasya

7. Basic Anatomy

16. Nasya
 Nasa grahyam yath oushadham
 Pre requisite – Snehana , Swedana &
(Vamana, Virechana ?)

17. Nasya - Indications
 Oordhwanga gata dosha
 Manodosha
 Kapha
 Vatha
 Pitta & Rakta

18. Classification of Nasya
 Navana
 Avapeeda
 Dhmapana
 Dhooma
 Pratimarsha

19. Navana
 Snehana
 Shodhana

20. Dhmapana
 Shodhana (Deha sroto vishodhana . Ca Si)
 Cheto vikara, krimi, vishabhipanna (Su)
 Choorna
 Nasagre nihita: sa hi aavegakartaro
bhavati (AS)

23. Avapeeda
 Shodhana
 Sthambhana
 Kalka

24. Dhooma
 Prayogika (shamana)
 Snaihika
 Vairechanika
 Mukhapeyastu dhoomo na nasyam

25. Pratimarsha
 Ubhatyarthakrith
 Snehana
 Virechana

26. Classification
 Brimhana (tharpana) - Vataja
 Shamana - (sthambhana)- Pitta
rakta
 Virechana - Kaphaja

27. Brimhana
 Vatika shirahshoola
 Sooryavartha
 Swarasada
 Nasashosha / Asyashosha
 Vaksanga
 Apabahuka
 Shirakampa
 Ardita

28. Shamana
 Neelika
 Vyanga
 Kesha dosha
 Akshirga
 Raktapitta

29. Rechana nasya
 Shirahshoola (kapha predominant)
 Jaadya
 Abhishyanda
 Galaroga
 Krimi
 Kushtha
 Apasmara
 Peenasa
 Manyasthambha

30. Shirovirechana gana
 Vidanga
 Apamarga
 Vyosha
 Sigrubeeja
 Saindhava etc…
 Madhura skandha

31. Other articles / vehicles
 Ghee
 Honey
 Milk
 Blood
 Meat juice
 Water
 Swarasa – lasuna etc.

32. Dosage Fixation

33. Dose of Nasya
 Bindu ???
 Bindu – 10 / 8 / 6 (marsha mathra)
 8 / 6 / 4 (Kalkadi)

34. ROUTINE PRACTICE
10 Bindu = 10 drops
8 Bindu = 8 drops
6 Bindu = 6 drops
Only One Instillation
One Sitting of Nasya

35. Is It The Classical
Practice?

36. Bindu ????
……. . . . /
,
. .

37. . . / ,

38. 1 Shana = 4 Masha = 4 gm = 4ml
Thus 8 Bindu = 1 Shana = 4 ml
1 Bindu = 0.5 ml
As 1 drop = 0.05ml (Ayurvedic Formulary
of India)
10 drops = 0.5 ml
1 Bindu = 10 drops = 0.5ml

39. STANDARDIZED DOSE
MARSA NASYA
ONE BINDU = 0.5ml

40. CLASSICAL DOSE
10 Bindu = 10 x 0.5ml = 5ml
8 Bindu = 8 x 0.5ml = 4ml
6 Bindu = 6 x 0.5ml = 3ml
Sushruta, Sharangdhara,
Chakradatta???

41. PROCEDURE
|

. . /

42. Sushruta , Sharangdhara,
Chakradatta???
6 Bindu each nostril x 1/2/3 times
= 12/24/36 Bindu
8 Bindu each nostril x 1/2/ 3 times
= 16/32/ 48 Bindu
10 Bindu each nostril x 1/2/3 times
= 20/40/60 Bindu

43. Routine BINDU Vs Classical BINDU
0.05ml 0.5ml
10 TIMES MORE
ONE SITTING OF NASYA
10x 1 Instillation = 10 times more
10x 2 Instillation = 20 times more
10x 3 Instillation = 30 times more

44. DOSES REVISED
ACCORDING TO TIME
DOSES CHANGES
ACCORDING TO MEDICINE
&

45. Always 1 bindu is 0.5 ml
(10 drops) ???

46. Revised Kottakkal Practise

47. Clinical Indications

48. Indications
 Neurological
 Ophthalmic
 Stato-acoustic
 Scalp
 Vascular
 Psycological
 Dermatological

49. Special indications
 Pakshaghata
 Ardita
 Manyasthambha
 Apabahuka

50. Pakshaghata

51. Ardita

52. Apabahuka

53. Manyasthambha

55. Specific indications
 Kshavathu
 Putaka
 Kamala

56. Jeemutha (Luffa echinata)

57. Contra indications (sneha nasya)
 Ajeerna
 After food
 After drinking water
 After bath
 Durdina
 Nava pratishyaya
 During snehapana or anuvasana

58. Contra indications (rooksha nasya)
 Kshaama
 Garbhini
 After hard exertion
 After virechana

59. General contraindications
 Swasa
 Kasa
 Shuddha
 After Nirooha
 Anarthava Durdina
 Before 7 years
 After 80 years

60. Poorvakarma
 Snehana
 Swedana

61. Nasyakala
 Prak soorya (summer)
 Madhya soorya (winter)
 Kapha – Morning
 Pitta – Noon
 Vata – evening or night
 Swastha – morning in sarath & Vasanth
 evening in greesha

62. Positioning (avak shirasa)
 Head lowered / foot raised (kinchith)

63. 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

64. Frequency
 Daily twice
 Vataabhibhoote…..
 Alternate Days
 7 Days

65. Dhmapana nasya

66. Dhoomanasya

67. Samyak lakshana
 Samyk sneha
 Samyak virikta

68. Complications
 Moorcha
 Ayoga
 Atiyoga

69. Pratimarsha nasya
 Snehangulim dadyat
 Dwi bindukah
 Eeshath uchhringhitham dravyam
yavath vakthra prapadyate
 As a Routine – 15 kala
 Ubhayaarthakrith

70. Pratimarsha nasya
 No age bar
 No contra indication (even in akalavarsha)
 No restrictions
 No complications
 Preferred as routine
 Dushthapeenasa / Madyapeetha / Moordhni
krimi / Abalasrothra / Uthklishta dosha /
Klishta dosha

71. Nithya Nasya
 Kushtha

72. Practical tips
 Blood pressure & Nasya
 Nasya after Shirovasthi
 Nasya in respiratory problems
 Nasya in psychiatric patients

73. Important yoga
 Anu thaila
 Ksheerabala (101)
 Dhanwanthram (101)
 Ksheeramruth (101)
 Karpasasthyadi taila
 Maharajaprasarini taila
 Shadbindu taila

74. Important yoga
 Katphala / shunthi / kushtha
 Vasha / Doorva / jeemoothaka
 Lashuna / Hingu / Tulasi
 Haritamanjari / Tulasi / Dronapushpi
 Ghrita manda

75. Important yoga .. Contd..
 Thuvaraka taila
 Sthanya
 Lavana nasya

76. Specific Areas
 Trigemnal neuralgia
 Adhesive capsulitis
 Hemiplegia

77. Nasya - Medhya

78. Pumsavana effect

79. Cosmetic effect

80. Cervical Spondylosis

81. Hyperpigmentations

82. Sanyasa
 Apatantraka
 Coma

83. Swine Flu

85. Head Aches

86. Premature Greying / Hair loss

87. Nasya in every 3 days

88. Qualities of Nasya sheela
 Physical compactness of shoulder,
neck and chest
 Pleasing appearance of face & skin
 Sensorial excellence
 Sweet voice
 Prevents graying

89. Nasaapaana
 Common practise in Arya Vaidya Sala
Kottakkal
 Especially in Apabaahuka

90. Mode of action
 Shrinkataka marma
 Shiraso antharmadhyam
 Nethra / Srothra / Kantha
 Position
 Sudation
 Massage
 Drug

91. Mode of action
 BBB
 Olfacto hypothalamo pitutary pathway
 Influencing limbic system
 Stimulation of barroreceptors in the carotid
sinus
 Momentary hyperaemia
 Absorption (vascular or lymphatic)
 Decongestant action
 Eliminative action

92. Understanding IN delivery
 Bioavailability
 First pass metabolism
 Nose brain pathway
 Lipophilicity

93. Bioavailability
 How much of the administered
medication actually ends up in the
blood stream.
 Examples:
 IV medications are 100% bioavailable.
 Most oral medications are about 5%-10%
bioavailable due to destruction in the gut
and liver.
 Nasal medications discussed in this lecture
range in the 55% to 100% bioavailability
range - approaching IV delivery systems.

94. First pass metabolism
 Molecules absorbed through the gut,
including all oral medications enter the
“portal circulation” and are transported to
the liver.
 Liver enzymes then break down most of
these drug molecules and only a small
fraction enter the bodies circulation as
active drug.
 Nasally delivered medications avoid the gut
so do not suffer first pass metabolism.

95. Nose brain pathway
 The olfactory mucosa (smelling area
in nose) is in direct contact with the
brain and CSF.
 Medications absorbed across the
olfactory mucosa directly enter the
brain.
 This area is termed the nose brain
pathway and offers a rapid, direct
route for drug delivery to the brain.

96. Lipophilicity
 “Lipid Loving.”
 Cellular membranes are composed on
layers of lipid material.
 Drugs that are lipophilic are easily and
rapidly absorbed across the mucous
membranes.

97. Intranasal Medication -
Absrption
 Drugs absorbed via the nasal mucosa:
 Are absorbed via the rich vascular plexus of
the nose and directly enter the circulation.
 Can be absorbed directly through the
olfactory mucosa into the CSF - giving rapid
brain levels of the drug.

98. Intranasal Medication
Administration: Advantages
 Compared to oral medications,
intranasal medication delivery results
in:
 Faster delivery to the blood stream
 Higher blood levels
 No destruction by stomach acid and intestinal
enzymes
 No destruction by hepatic first pass
metabolism

99. Nasl applications studied
 LH
 ADH
 Insulin / Glucagon
 Contraceptive drugs
 Steroids

100. Conclusion
 Least expensive Shodhana
 Highly beneficial if properly employed
 Multifaceted utility
 Be cautious about complications

101. Thank u all