Dhoomapana is the procedure of inhalingand exhaling medicated smoke for a specific number of times.

• Ref General Requirements SOP 
• Choorna
• Ghee
• Lamp
• Spoon
• Gauze
• Dhoomavarti
• Dhoomanetra
• Eye pad
• Plate

Manpower

• Therapist-1
• Physician -1

Preparation of tray

• Take a clean tray.
• Put towel, thalam, churna, ghee, lamp, spoon, dhoomavarti, dhooma Netra, eyepad

Preparation of patient

• Check vitals.
• Jeernaharalakshana assessed.
• Vegotsarga

Preparation of dhoomavarti

• The required quantity of churna is taken in a bowl.
• To this sufficient amount of ghee is added.
• This is mixed properly to get a thick paste.
• Gauze cloth of required dimension is spread over a plate.
• The prepared thick paste is smeared uniformly over it.
• Then the gauze is evenly rolled with the help of a stick.
• Once the dhoomavarti is rolled, the stick placed in the centre is removed.
• The dhoomavarti is used after drying in sunshade.

• The patient is asked to sit comfortably on a knee height chair.
• Both eyes are covered using an eyepad.
• The dhoomavarti is ignited using a lamp.
• Once it is properly lit, the flame is put off.
• When adequate smoke is generated, the dhoomavarti is inserted into the dhoomanetra.
• The patient is asked to cautiously inhale the smoke through one nostril after closing the other nostril and exhale through the mouth.
• The same procedure is repeated with the other nostril.
• The smoke is inhaled through the nose in case of diseases of the head, nose and eye. 
• Dhoomapanais also advised through mouth in case of diseases of throat.

• Heaviness of head
• Cough
• Toothache
• Pruritis
• Sneezing
• Hair fall
• Warm infestation
• Baldness
• Excessive sleep
• Drowsiness
• Breathlessness
• Chronic rhinitis

• Pregnant women
• Bleeding disorders
• Intoxicated
• Ascites
• Children
• Aged persons

• The inhaled dhuma from nose or mouth should be let out only through mouth.
• If it let out through the nose, this contrary movement may destroy vision.

Complications

• Deafness
• Blindness
• Inability to speak
• Bleeding disorder
• Giddiness

Management

• Intake of ghee
• Administration of nasal drops
• Collyrium
• Demulcent drinks.

These should be prepared with snigdhadravya to pacify vitiated vata associated with pitta, with cooling drugs in the bleeding disorders and rukshadravya in the vitiation of kapha and pitta.