Basic Module 2 - Lesson 6

SNEHANA

EXPLANATORY NOTES

KARṆAPŪRAṆA

     Introduction

  • Karṇapūraṇa is a procedure of dropping medicated taila into the ears.
  • It has been told as a part of sarvāṅga abhyaṅga.
  • Ācārya caraka has mentioned in Sūtra sthāna about karṇapurāṇa.
  • Ācārya sushruta has mentioned in cikitsāsthāna.

 

Benefits of karṇapūraṇa

 

  • Indicated in Vātaja karṇa roga
  • Prevents manyāgraha and hanugraha
  • Indicated in Hanuśūla, manyāśūla, śiraḥśūla, Karṇaśūla, Bādhirya

 

Pūrva karma

  •  Sambhāra saṅgraha
  • Abhyaṅga table or droṇi
  • Taila for abhyaṅga
  • Stove or heat source
  • Taila for karṇapurāṇa
  • Gokarṇa
  • Cotton
  • Ātura parīkṣā
  • Check whether the subject is yogya for the procedure.
  • Ātura siddhata
  • Procedure has to be carried out preferably in the morning time.
  • Svastivacana and prayers to Lord dhanvantari has to be done.
  • Patient is made lie down on the abhyaṅga table in lateral position for dropping the taila into the left and right ear.
  • Sthānika abhyaṅga has to be done to the anterior and posterior of the ear.
  • After abhyaṅga sthānika sweda (tāpa sweda) has to be done.

 

Pradhāna karma

  • The subject is made to lie down on lateral position and for dropping the oil in the right ear, subject has to make to lie down on left lateral position and similarly for the left ear.
  • The taila selected for karṇapurāṇa has to be made luke warm by placing it over a hot water bath.
  • The luke warm oil is taken in a dropper spoon or gokarṇa and is dropped into the subjects ear.
  • For easy flow of taila ear pinna can be pulled out a little towards posterior side.
  • After dropping the taila, ear is closed by placing cotton plug or else the taila in the ear will leak out.
  • Subject is advised to lie down on right lateral position for pouring the taila in the left ear.

 

Paścāt karma

  • The taila dropped in the ear is kept undisturbed and next day morning the cotton plug can be removed and ear is cleaned gently.
  • If the dravyas used for karṇapūraṇa is tīkṣṇa , then the oil is kept in the ear for a short duration of time approximately 30seconds.
  • Tailas used for karṇapūraṇa – bilva taila, nirguṇḍī taila, vacalaśunādi taila, kṣāra taila.
  • Precautions
  • The taila used for karṇapūraṇa should be of good quality and preferably medicated taila.
  • The temperature of the taila has to be checked before dropping into the ear.
  • The therapy can be avoided if there is ear injury, ear drum rupture etc.
AKṢITARPAṆA
  • Also known as Netra tarpaṇa
  • Snehana procedure – retaining sneha dravyas over the surface of the eyes for a specific period of time
  • Indicated in healthy and diseases conditions.

 

Pūrva karma

 

  • Sambhāra saṅgraha
  1. Abhyaṅga droṇi – 1
  2. Black gram powder – 200 gm
  3. Water – qty sufficient
  4. Medicated ghee – traiphala ghṛtam, mahātraiphala ghṛta etc 100-150ml
  5. Vessels, cotton or dropper
  6. Therapist -1

 

Indication

 

  • Timira
  • Śuṣka akṣi
  • Rūkṣa akṣi
  • Akṣiabhighāta
  • Vāta pitta akṣiroga
  • Abhisyanda
  • Adhimantha
  • Anyatovāta
  • Netraśūla

 

 Contraindication

 

  • Durdina – cloudy day
  • Atiuṣṇa
  • Atiśīta
  • Bhrama
  • Contraindications of nasya

 

Preparation of paste

 

  • Black gram flour is added with water and beaten to form a paste.
  • The paste is rolled into two elongated shapes and the free ends are stuck together to form two circular rings.
  • This rim is placed around the eyes and portion touching the skin surface is pressed against the skin with the help of wet finger.

 

Preparation of the patient

 

  • Undergo śodhana
  • Check for yogya and ayogya
  • Preferably to be done in morning hours on empty stomach.
  • Asked to lie down in supine position.

 

Preparation of the medicine

 

  • Ghṛta based on the condition is selected.
  • The ghṛta has to be made luke warm by placing it on a hot water bath.

 

Pradhāna karma

 

  • Patient is advised to keep his eyes closed.
  • The luke warm ghee is poured with the help of a dropper from the medial end of both of the eyes.
  • The ghee is filled till the eye lashes.
  • Patient is asked to gently open and close his eyes.
  • Procedure is continued for a certain period of time.

 

 Time period

 

  • Swastha – 500 mātrā kāla
  • Vāta vikāra – 1000mātrā kāla
  • Pitta vikāra – 600 mātrā
  • Kapha vikāra – 600 mātrā

 

Paścāt karma

 

  • Ghee is removed from the lateral border of the rim.
  • The rim is removed from both the sides.
  • The remaining paste is removed with the help of a cotton dipped in luke warm water.
  • Dhūmapāna has to be done.
  • Avoid exposure to sunlight.
TALAM

Introduction

Application of medicated paste made of appropriate herbs on the scalp for a specific period of time.

 

Materials Required

  • Āmalaki Cūrṇa-192gm
  • Butter milk-720ml
  • Vessel
  • Stove
  • Plate
  • Chair

 

Preparation of medicine

Boil 192gms of Āmalaki cūrṇa in 720ml butter milk till the whole buttermilk is evaporated. Make a paste with this mixture before doing procedure.

 

Procedure

Anoint the patient well with suitable taila on head and body. Ask him/her to sit comfortable on a stool. Apply the mixture on vertex about 3-5cms thick in diameter. Massage the body gently while doing the process. After completion remove the paste from head and rub the vertex with dry cloth. If bath is contra indicated, Rāsnādi cūrṇa is rubbed on the head.

 

Duration

45-90 minutes

 

Indication

Psychiatric Disorders, Insomnia, skin disease, Dandruff, psychosomatic diseases, headache, migraine headache etc.

 

Contra-Indication

Cold, Acute bronchial asthma, etc

Dravya used:

  • Vāta Doṣa : Tila Taila, Go Kṣīra, navanīta
  • (Butter), EraṇḍaTaila (Castor Oil), Takra (Butter Milk), Sthanya (Breast Milk).
  • Pitta Doṣa : Stanya, Nālikera Kṣīra,

             Navanīta, Tila Taila, Ghṛta, Suitable Svarasa.

  • Kapha Doṣa : Eraṇḍa Taila, Takra, Tila Taila,

            Suitable Svarasa, Nimba Taila.

  • Sannipata Doṣaavastā : EraṇḍaTaila,

           navanīta, Tila Taila.

 

  • The avoidance of Taila in the conditions of Āma and navanīta in those of the predominance of Kapha doṣa are worth mentioning here. However, Taila and navanīta are used as the medium of Thalam, after subjecting them to specific Samskaras, (processing) in order to avoid the adverse effects of fever, headache, etc

IMPORTANT SLOKA

धारयेत्पूरणं कर्णे कर्णमूलं विमर्दयन्।

रुजः स्यान्मार्दवं यावन्मात्राशतमवेदने॥         (AH.Su – 22/32)

After massaging the base of the ears, pour eardrops and should be retained till the pain subsides or up to 1000 Mātrākāla in healthy person.

कर्णरोगा वातोत्था मन्याहनुसङ्ग्रहः।

नोच्चैः श्रुतिर्न बाधिर्यं स्यान्नित्यं कर्णतर्पणात्॥        (Ch.Su –  5/)84

By filling the ears daily with taila, there will be no ear disease of the vāta type, no stiffness of the neck or jaws, nor hardness of hearing nor deafness.

सुखस्वप्नावबोधत्वं वैशद्यं वर्णपाटवम्

निर्वृतिर्व्याधिविध्वंसः क्रियालाघवमेव ॥         (Su.U – 18/13)

Induces good sleep, easy awakening at proper time, clarity of vision, ability to clearly appreciate the colours, subsides illness, no discomfort in performing movements of eyes.