The process of administration of the medicines through the nasal route is known as Nasya Karma.

• Ref General Requirements SOP
• Taila for Mukhabhyanga – 50 ml
• Medicine for Nasya – Q. S.
• Dhoomavarthi – 1
• Saindhava jala – Q. S.
• Cotton ear plug – 2
• Eye pad – 1
• Towel – 1
• Gokarna – 1
• Nadisweda yantra – 1
• Dhoomanetra – 1
• Sputum cup – 1
• Tumbler – 1
• Bowl – 2
• Vessel – 1
• Hot water bath

Manpower

• Therapist -1
• Physician -1

1. Preparation of tray

• Take a clean tray.
• Put medicine for nasya, oil for mukhabhyanga in a bowl, eye pad, cotton ear plugs, towel, gokarna, dhooma varthi, dhooma netra, saindhava jala in a tumbler.

1. Preparation of patient

• Check vitals.
• Jeernahara lakshana assessed.
• Vegotsarga

• The patient is asked to be seated in Droni with leg extended.
• Ear plug is inserted into both the ears.
• Then, the patient is asked to lie in supine position.

Mukhabhyanga

• Patient’s face is wiped with a clean towel.
• The Taila for Mukhabhyanga is made lukewarm using a hot water bath.
• Then the luke warm taila is massaged over forehead, nose, cheek, chin and neck of the patient.

Nadi Sweda

• Ref video and SOP of nadi sweda.
• The eyes of the patient are covered with an eye pad.
• The steam is made to fall on the parts above the shoulder.
• Passing of the steam is continued till the appearance of perspiration.

Dhoomapana

• Ref video and SOP of dhoomapana.
• The patient is asked to inhale smoke through one nostril while closing the other nostril and exhale by mouth.
• The eye pad is removed after dhoomapana.

• The medicine to be instilled in to the nostril is made lukewarm using a hot water bath.
• The eyes of the patient are covered with an eye pad.
• Patient is asked to lie straight in supine position spreading his upper and lower limbs.
• Slightly raise the legs of the patient by keeping a pillow behind the foot.
• Then extend the patient’s neck partially.
• The tip of patient’s nose is drawn upward by left middle finger of the therapist and with right hand lukewarm medicine is poured in to the nasal cavity using gokarna.
• The medicine is administered to both nostrils in a continuous stream, one after the other, keeping one nostril closed with left ring finger or index finger while the other is instilled with medicine.
• Patient is asked to inhale the medicine slowly.

• The eyepad is removed and the patient is asked to relax in supine position .
• Then massage the regions of ears, forehead, cheeks, nape of neck, palm and sole.
• Patient is asked to inhale with moderate force and to spit out the medicine along with Kapha by turning head to both sides alternatively without rising from the cot.
• Then patient is asked to be seated and again eyes are covered with an eye pad.
• Nadi Sweda is to be given till all the medicine is brought out.
• Thereafter, according to the type of shuddhi, dhoomapana is to be done as before.
• Then kavala (gargle) is to be done with luke warm saindhava jala.
• The ear plugs are removed.
• Rasnadi churna is applied over the vertex.

• 30 – 45 minutes

• Headache
• Diseases of head
• Falling and premature greying of hair
• Dandruff
• Diseases of mouth, eyes, nose, throat and ears
• Psychosomatic disorders
• Facial paralysis
• Frozen shoulder
• Convulsions
• Worm infestation
• Poisoning

• Pregnancy
• Weak persons
• Fever
• Indigestion
• Who has consumed meals, Sneha, water
• Who has taken head bath
• Extreme fatigue

• Should closely observe the general condition of the patient during the procedure.
• Do not swallow the medicine.
• Medicine should be poured in a uniform and continuous stream.
• Instruct the patient to avoid exposure to dust, smoke, sunshine, intake of Sneha, excessive intake of fluids, head bath, excessive travelling, suffering from emotional disturbances like anger, grief etc.

• Headache and heaviness of head
• Acute rhinitis
• Nasal blockage and nasal irritation

These conditions can be managed by steam inhalation.

• Fainting: sprinkle cold water over face.