Takradhara is the procedure of pouring medicated takra over the forehead for a specific duration of time.

• Ref General Requirements SOP
• Musta churna – 75 gm
• Amalaki churna – 250 gm
• Milk – 600 ml
• Curd – 5 ml
• Water – 6.4 L
• Cotton ear plugs- 2
• Head band – 1
• Eye pad – 1
• Soft towel – 2
• Vessels – 3
• Dhara patra – 1
• Dhara stand – 1
• Dhara table – 1

Manpower

• Therapist – 2
• Physician – 1

Preparation of Medicine

 Preparation of Amalaki Kashaya

• 250g of Amalaki Churna is boiled in 4 L of water and reduced to 1 L.

Preparation of Mustaksheerapaka

• 75 g of Musta Churna is boiled with 600 ml of milk and 2.4 L of water.
• It is boiled and reduced to 600ml of musta ksheerapaka.

Preparation of Takra

• Mustha Ksheerapaka is filtered and  5ml of curd is added to it .
• It is kept overnight for fermentation.
• Next day this is churned well to remove all butter.
• Add amalaka Kashaya to this churned takra and mix it well.

Preparation of tray

• Take a clean tray.
• Put medicated takra in a vessel, langotti, towel, thalam, eye pad, head band, cotton ear plugs

Preparation of patient

• Check vitals.
• Jeernahara lakshana assessed.
• Vegotsarga
• Make patient wear langotti.

• Patient is asked to sit comfortably over the droni with legs extended.
• Ear plugs are kept on both ears.
• Head band is tied around the head above the eyebrows of the patient.
• Both the eyes are covered with an eye pad.
• Patient is asked to lie in supine position and covered with a blanket.
• Dhara patra hanged on the dhara stand is fixed 4 angulas above the level of forehead.

• Ensure the knob of dharapatra is closed.
• The prepared takra is poured into the dharapatra.
• The knob is slowly opened to get a continuous stream of flow.
• The dharapatra is oscillated in a to and fro motion covering the whole forehead.
• The head of the patient is simultaneously massaged at frequent intervals.
• Another therapist has to collect the takra in a container placed under droni and refill the dharapatra before it gets emptied.

• The nozzle is closed and dharapatra is removed.
• Patient is asked to wash the head with Amalaki Kashaya.
• Earplugs, headband and eye pad are removed and the head is wiped with a towel.
• Patient is asked to take hot shower after resting for a while .
• Rasnadi Churna is applied over vertex after bath.
• The nozzle is closed and dharapatra is removed.
• Patient is asked to wash the head with Amalaki Kashaya.
• Earplugs, headband and eye pad are removed and the head is wiped with a towel.
• Patient is asked to take hot shower after resting for a while .
• Rasnadi Churna is applied over vertex after bath.

• 45 mints – 1 hour.

• Early greying and thinning of hair
• Insomnia
• Headache
• Anxiety
• Mental stress
• Cerebrovascular disorders
• Psychological disorders
• Disorders of head, eyes and ears

• Glaucoma
• Conjunctivitis
• Fever
• Inflammatory conditions of head.

• During the procedure eyes are well protected and covered to avoid leakage of medicated liquid into eyes.
• The height of the dhara patra should not be more than 4 Angula above the level of forehead.
• Oscillation of the dhara patra should be neither too fast nor too slow.
• Also the stream of flow should not go beyond the temporal region on both sides.

• If the dhara is done from more height, very fast or very slow, then it may produce murccha, shoola, chardi, raktapitta and jwara.
• For these dhara doshas, treatments like gandusha, nasya, sunti kashayapana etc can be done.
• Yusha with black pepper can be administered.
• On the third day basti should be given.
• Shivering observed due to excess sheeta. In such condition, procedure is stopped immediately and the patient is managed with ushnopachara.