on Pan akatin

ATent Bok
Tugaksh
Yashtmadhu,
I'an hagamdha C Tua, on old waale
butteulk

Balanoola,
m ulk,
Iiturated eithci
Dashamoila
u hich is

c o n d i t l o n may
be used
thc need of the
as er
Murdhni Taila the body parts
as
amongst
importance
Head has a special hcad has beccn separaleiu
the oleation of
the
tananga. So
as
considered ol Murdhni Taila
described under the headng
different procedures whih are a
Murdhni consists four
Taila of
follows
(As.Hr.Su 22/23)
M g o T aik IGTRWNHII
I Shiro-Abhyanga
2. Shiro-Seka
3. Shiro-Pichu and
4 Shiro-Basti
Succesive procedures are considered as the best i.e Seka is better
than Abhyanga, Pichu is better than Seka and Basti is better than Pichu.
1. Shiro-Abhyanga
Introduction
Application of oil on Head followed by massage is populariy
known as Shiroabhyanga.
Usually Shiroabhyanga is performed as a part of sharirabhyanga
Shiroubhyanga is an important route of diug administration in
patientssulfering iron disease of head.
Shiroabhyanga is one among dinacharya

f17.aurure i faTqUI yitr4qI (AsHr.Su 2/8 9)

Mateiial Requircd
Oil

S
 Snehana
Pre Operative Procedure 67
oil in kharapaka or
climate, prakriti madhyamapak a
should be selected
to
and diseae
condition of the
according
The oil is heated between patient
Jukewarn oil is selected. 38'C-44'C. For shiro abhyanga,
Procedure
Patient should be seated on the
position. The oil with optimum droni/table, in comfortable
head, first in the anterior temperalure should be applicd to
fontanellac and then the whole
Then Karnaabhyanga should be
done prior
scalp
to the main process.
The oil heated should
be applied uniformly
Start massaging
scalp, head and move down to neck, upper back,
shoulders.
It includes total 9
steps as follows on vertex, occipital &
region temporal
1.
Smearing of the Oil
Oil is heated
O1l is then
approximately 40 C.
poured over head & is smeared over the
dividing the hairs with the help of fingers or by using cottonhead by
in oil. dipped
. Gharshana Hasta

hen massage the whole head, moving the palmarsurface of the

nard from before
backwards. Complete area of scalp is massaged
for a desired period.
Mridvanguli Tadana
Finge of the both hands are moved as if picking up tuftothairs
.Dihasta Tadana
"nllestrokesare placed with the palnar surface onth sealp hn
n d , simultaneously &alternativels.
aTan 1lasta
westrtohes
ke'S placed on the
palm n u i Otis
eathead hy d 1

nguli Kridana asta

he head with the palmar aspect t h e
ng 1n0ven
ement on

inger & thumb will touch the seip

 A Text Book on Panchakän

i d u Musti Tadana on all eas

area the
of th
strokes are
placed
gentie ulnar
border. Fir
ia this mancuver
through
the
with the closed fist
head
simultaneously then alternatively

S.Shabdanguli Kreedana Iinger lolded

with Iittie
together
Both the hands are claspedhands by the other Iingers producine
loose
is done with
Stroking
a bubbling sound.

9. Ghatita Hasta & is moulded in to

is placed the clients head
on
F l a t of the palm

the shape of the scalp.

on the head
Followed by exerting gentle & firm pressure
the Face should be
of the procedure the medicine on
At the end
off with tissue paper
/ towels.
wiped
Post Operative Procedure
comfortable
rest for 15 minutes in
Patient shouldtake complete
position.
suitable medicated
.Patient can take bath in lukewarm water with
snana choorma.
soap or
Rasnadi choorna should be applied on head after snana.

Duration: 25-35 minutes.

Indications-A: t h TUEHRI (As.Hru.Su.22/24
Contraindications-aisZ: B1ATETENEEZSIfoffT:
(As.Hr.Su.29

2. Shiro-dhara
Continuous pouring of medicated liquid in a systematic manne
on the forehead or scalp using Dhara Yantra is known as Shiro-Dhar
Synonyms- Dhara, Seka, Parisheka, Avasheka, Sechan
Praseu hana
B d on the Liquid used for the Dhara, Dhara is offmany tT
Ta :ita
A
 Snehana 69
Ksheca Dhara
Ksheera Paka Dhara
Jala Dhara
Equipments for Dhara

Selection of Dravya for TailaDhara

In shuddha vata
Mahasneha/ Tila taila
In Pitta & Rakta
Ghritha
In Kapha
Tila Taila
Rakta Pitta mishrita Vata
Equal quantity of Taila &Ghritha
Kaphaadhika vata Gritha half the quantity of Taila
Materials Required
Shirodhara device
Droni
Varti
1
Suitable oil 1 litre
Gauze
Cotton earplugs 2
Soft pillow covered with rexin 1
Rasnadi choorna 5 gm
ecification of Dhara patra and varti

TRaafaat faua gfa

qraITa aT
TRTEtradafu
e: Td: frraAII (Sahasrayoga.Dha.Ka)
TPatia
pof Sphatika.Gold, good metal, Plakshaadi tree ormud,
6inches depth with wide open mouth, round at the

ucity of hoidino 2 prastha(aprox1.5-21itres)

u l d be a hole in the centre ofthe bottom measuringthe
clittle finer.
sluld be three holes with cqual distance to the ridges of
70 A Text Book on Panchakarma
the patra, to tie up three strings for the purpose of hanging ove

the stand.
Dhara Varthi
threads with a free end
lis a wick or a string of loose cotton
hole of dhara vessel
about 4 inches coming out through the
as not to s
The threads of the wick should be placed firmly
to permit a continuous
from the hole, but loose enough
uniform low of the liquid poured into the Dhara patra.

Pre Operative Procedure

shoulder and chest
Abhyanga should be done over the face, neck,
Whole body abhyanga can also be done).
Gauze is tied around the head just above the eyebrows of the
patient.
Eyes should be closed by tieing the eyepad.
Ear plug should be placed in ears.
Procedure
Patient should lie in a supine position on the droni with a small
pillow underthe neck and the Shirodhara device should be placed
near his head.
its height should be fixed such that oil should fall from a height
of 4-5inches in a continuous stream of little finger thickness.
Serrated coconut shell should be placed inside the apparatus to
maintain uniform dhara.
O:1 hould be heated just above body temperature (38- 40C) and
urcd into the Dharapatra. A continuous stream of oil should be
cd to fall on the entire forehead, while oscillating the
rapaira to cover the entire head.

a oscillations should be done in too fast or too

not
Slow
r (llaton Is rcquired for uniform dhara. Simultaneous
t hother hand can
also be done.
be
recollccted fronathe droni, reheated and poul
tt haapitta.
t t Procedure

p e tl tll with t e an towel

 Snehana
Head bath should be done with lukewarm 71
Rasnadi choorna should be applied over thewater after 45mins.
head
Duration-45 minutes for the required number of after the bath.
Precautions days.
Refilling of oil should be done from side to
oil into the eyes. avoid spilling of the
Patient should not sleep during
the procedure.
Moderate height, speed, thickness and
should be maintained. uniform flow of the fluid
Hair of the patient may be shaved or
cut short as much as
Benefits of T'ailadhara possible.

za TadrHTAJUHIRHta qIHrHEqI
Increases stability in (Sahasrayoga. Dha. Ka)
increases relishness towardsspeech and mind, increases strength,
smoothness of skin, food, increases sweetness in
improves voice,
nourishes Shukra and Rakta, eye sight and prevents eye disorders,
disturbed sleep. increases desire, longevity and prevents
Complications and its Management
1. Fainting
2. Headache.
3. Rhinitis.
4.
Coldness of foot.
APply Rasna choorna over Anterior Fontenelle
Dishna Upachara
Takra Dhara
SD Takra
Ma
dhara is a variety of Shirodhara, in which medicated Takra
d in a continuous streamover the forehead, in a specified manner.
aterials Required
Shirodhara patra 1
Droni
 Panchakarma
A Text Book
on

ton pad 200 gms

Amalak Chooma
X) ml
Milk
75 gms
Musta
10 ml
Ol lor talam
Rasnadi Choorna
5 gms
2
Attendents
5400 ml
Water
Medicine
Preparation of the
TTYTs autaufgruftutufayaututq

yT fefuftfa yafu: s s aT Fo:II (Sahasrayoga. Dha.Ka

in sunlight and kept in mist
Amalaki. one year old which is dried
dunng night should be taken in the quantity of I prastha.

.1/6 Kashaya is prepared by adding 18 Kudava of water.

should be added to the prepared
Equal quantity of s o u r butter milk
kashaya and used for the treatment.

In practice
inl of milk diluted with 2400 ml is boiled with 75gm
water
600 The bag
of Musta tied in a
muslin bag, and is reduced to 600 ml.
cooled.
of medicament is taken out and squeezed well. When
milk is fermented by the addition of a little
sour
this prepared
rd over night
by adding
the fermented medicated curd is churned
A moning
of Amalaki kwatha The butter is removed completel
2hn1xture is used for dhara after filtering
Indiu ativn
 Snehana
disorders. Joint disorders, heart diseases, tastelessness, reduced digest Ve
fire and in disorder of hcad, cyes and ears

I n Diabetic mellitus

Psoriasis

.Hypertension
.Loss of memory
.Neurological disorders like headache, neuropathy
In psychosomatic disorders such as IBS
Pre-operative Measures
.Make the patient to lie on Droni in comfortable position in a well
room devoid of any disturbance.
Brief regarding the procedure and benefits out of it.
.Then eyes should be covered with eye pads and gauze should be
tied around the head just above the eyebrows to prevent the entry
of medicine into eyes.
Procedure
The dhara pot should be kept in such a way as to allow steady
flow of the liquid, poured into it, over the forehead of the patient.
The tip of dharavarti should be 4-5 cm above the forehead of the

patient.
Takra falling should be poured again into the vessel after

ollecting it from the Droni.

Te vessel oscillatedcontinously so that the takra will
should be
all into the patient's entire forehead without interruption.
1 af! the procedures are same as shirodhara, but takra should
78 heated or reuscd next day

uration- The process

shouid be done da1ly for a period of 7 to
1t36oir of treatnient as wcll as the limepenod is according

f the di cae and the phySIcal condition ofthe patient.

i n e (45mmutes
to Thour
y fixed

tive Post eddure

it i i Ae d same asthe penod

 A Text Book on Panchakarma
Jomplications and Management
Shivering is observed in some patients due to excess sheeta
such case the procedure is stopped immediately and the In
patient
nt is
managed with ushnopachara.
Shiro Pichu
A small cotton piece or swab is dipped in the
kept on the anterior frontanella is known as Shiro Pichu.
medicated oil and
fg:yTYTTHEa g aar TI (As.Hr.Su.22)
It is indicated for the local scalp disorders like
falling of hairs
splitting of hairs and loss of movement of eyeball.
Shiro-Basti
One of the meanings of Basti is
filling and as in this process oil is
kept on the head with
help of a cap, therefore it is known as Shir
Basti.
Vidhi

3 TaT aTTaaqI (As.Hr.Su.22/27-29)

For this
purpose a special cap opened at both ends is
from thick and firm leather or rexine, prepared
(12 Angula) and the having height of about 9 inches
circumference nearly equal to the
of the head of the
patient. circumference
Shiro Basti is done on
at night. For
empty stomach preferably in the evenin
sealing the cap dough is prepared from the flour of
gram (Masha). After the whole body massage the patient is askedbla
to
comfortably on the chair. The cap is put on the head so that it
to the Jevel of behind and reaches
above the ear lobe. Then the
cap is sealed iro
m

inside and outside with the dough of black om

gram so that no oil leaks
the head. Thereafter a bandage i
is tied outside the cap at its lowert
Then the oil having about 3TC ap
temperature is slowly poured in
tno
from the sideof the cap wiüh the helpof a big spoon.
 Snehana 15
The level of the oil in the cap should
be up to 4 inches (2
Ove the skin or scalp. The Angula)
cition without moving headpatient is asked to
for the
sit calm in up rignt
pos

umptoms of proper specified

performance appear, which period till tne
or
ever is earlier. The
elief in the symptoms and increase in the mouth and nose secretions
are the symptoms or proper performance of Shiro Basti.
Duration

Vata 10,000 Matra (52 minutes)

Pitta 8,000 Matra (42 minutes) and for
Kapha 6,000 Matra (32 minutes).
Swastha-1000Matra.
Post operative: f e HU
Thereafter the oil is taken out of the cap with the of a spoon
and the remaining oil is removed by tilting the head. help
The cap is removed and the extra oil is
wiped with a towel.
Then back of neck, shoulder and fore head are
gently massaged.
After taking some rest in waiting room, the
take hot water bath and consume
patient is allowed to
light diet.
The Shiro Basti is done daily for 3, 5, or 7 days, depending upon
the response of the patient.
Indications

THTANT fafr fyrta a ar5utII (As.Hr.Su. 22/26)

Shiro Basti is indicated in facial paralysis,insomnia, headache
olarlymigraine, dandruff.timira. dryness of nose and mouth
and
S5of
sensation. Shiro-Bastiisconsidered better than Shirodhara.
) Abhyantara Snehana
Ihe administration of Sneha internally through oral route for the
pur
hPOse of Snehana. Based on the action Abhyantara Snehapana is of
three types.
a) Shodhananga snehapana
b)
namanang and
Snehapana
Brumhananga
aOodananga snehapana.
Snehan
99 u qrarà HnsTEI: ZTEÅ TE:I (M... 16/9)
 A TEXT BOOK OF

PANCHAKARMA
Dr. B. A. Lohith

CHAUKHAMBHA ORIENTALIA, VARANASI