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SHIRO DHARA

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INTRODUCTION

  • SHIRODHARA IS ONE OF THE BAHYA SNEHANA
  • SHIRODHARA PROCEDURE IS DEFINED AS STREAM OF CONTINUOUS POURING OF LIQUID OVER FOREHEAD OR SCALP WITH SPECIFIED TIME
  • IT CAN BE DONE BY DIFFERENT MEDICAMENTS LIKE TAILA,TAKRA,KSHEERA,KWATHA ETC
  • SHIROSEKA, SHIRO SECHANA,ARE SYNONYMS OF SHIRODHARA
  • SHIRODHARA IS A TYPE OF MURDHNI TAILA

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  • MURDHNI TAILA BELONGS TO THE CATEGORY OF BAAHYASNEHANA AND REFERS TO APPLYING OIL TO THE HEAD.

  • शिरसि यत्तैलं दीयते तन्मूर्धतैलमुच्यते| COMMENTARY ON (A.S.S.31/10)

MURDHA OR MURDHNI MEANS HEAD , TAILA MEANS OIL. THUS IT IS A PROCEDURE OF CONDUCTING TREATMENT OVER THE SHIRAPRADESHA WITH MEDICATED OILS SUCH THAT OIL REMAINS IN CONTACT WITH THE SCALPA FOR A FIXED DURATION OF TIME IS CALLED MURDHNI OR MURDHA TAILA.

  • MURDHNI TAILA – CHARAKA

MURDHNA TAILA – VAGBHATA

MASTHISKYA – SUSHRUTHA

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  • मूर्धतैलं पुनश्चतुर्धा भिद्यते-अभ्यङ्गः परिषेकः पिचुर्बस्तिरिति| यथोत्तरं ते बलिनः| (A.S.S. 31/10)

  • अभ्यङ्गसेकपिचवो बस्तिश्चेति चतुर्विधम्||२३|| मूर्द्धतैलम् बहुगुणं तद्विद्यादुत्तरोत्तरम्| (A.H.S.22/23)

  • अभ्यङ्गः परिषेचनं पिचुशिरोवस्ती विध्याच्चतु भेदं

मूर्द्धनि तैलमप्यतिगुणं चैतत् क्रमेणोत्तरम् । (SY)

THEY ARE CONSIDERED TO BE THE BEST IN THE SUCCESSIVE ORDER.

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  • अभ्यङ्गः मर्दनम्। परिषेकः तैलावगाहनम् ।

पिचु प्लोतः तूलवस्त्रादि तैलाक्तधारणम् ।. (S. GODHARTHADIPIKA)

  • ABHYANGA IS DEFINED AS MERE APPLICATION OF UNCTUOUS SUBSTANCE. PANDITA KÄSIRAMA VAIDYA DEFINES ABHYANGA AS MASSAGING THE HEAD WITH UNCTUOUS SUBSTANCE.
  • THE POURING OF MEDICINAL SUBTANCES BY MEANS OF A CONTAINER LIKE DARA (CONCH SHELL) ETC. IS TERMED AS PARISEKA. PANDITA KASTRAMA VAIDYA INTERPRETS PARIŞEKA AS IMMERSION OF THE BODY PART IN OIL.
  • PICHU, LITERALLY MEANS CLOTH; THUS IT IS A PROCESS WHERE IN A PIECE OF COTTON CLOTH IS IMMERSED IN OIL AND PLACED OVER THE SCALP.

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  • WHY IT IS MOORDHNA TAILA ???
  • SHIRAS –

MARMA STHAANA

SEAT OF TARPAKA KAPHA, ALOCHAKA PITTA AND PRANA VAATA

SO,

SNIGDHA GUNA IN SHIRAS – SHOULD NOT INCREASE KAPHA

AMONG CHATURVIDHA SNEHA THE IDEAL IS TAILA AS IT IS VATAKAPHAHARA.

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  • SPECTRUM OF MOORDHNI TAILA

Abhynga

Rookshya, kandu,mala

Vata kapha

Seka

Arunshika, shirastoda. Daha, paka,vrana

Pitta kapha

Pichu

Kesha shata, sputana,dhoopana,netra stambha

Vata pitta

Basti

Prasupti, ardita, nasa asya shosha, timira, daruna, shiroroga

vata

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  • SHIROSEKA INDICATIONS –
  • परिषेकत्वरूषिकाशिरस्तोददाहपाकव्रणेषु| (A.S.S.31/10)

  • अरूंषिकाशिरस्तोददाहपाकव्रणेषु तु| � परिषेकः-----------------------------|२५| (A.H.S.22/25)

  • दाहशोफव्रण क्लेदादीन् परिषेचनं

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स्नेहधारागुणाः

धातूनां दृढतां करोति वृषतां देहाग्निवर्णौजसां

स्थैर्य पाटवमिन्द्रियस्य जरसोमान्द्यं चिरञ्जीवितम्।

अस्थनां भङ्गमपाकरोति नितरां दोषान् समीरादिकान्

सर्वस्नेहकृता सुखोष्णसुभगा सर्वाङ्गधारा नृणाम्

तस्तु रोगान्सङ्गृह्य वातपित्तकफोद्भवान् ।

स्रोतसां मार्दवकरः कफवातविनाशनः ॥ धातूनां पुष्टिजननो बलवर्णकरः

परःवातरोगानशेषांश्च जयेदेषाविशेषतः

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दोषविशेषे योज्याः स्नेहाः  

(INDICATION OF VARIOUS DRAVA DRAVYA FOR DHARA)

पित्तेऽस्रे घृतं कफे तु तिलजं वातेऽस्रपित्तान्विते

तैलाज्यन्तु समं कफेन सहिते तैलार्द्धभागं घृतम्॥

घृततैल-धारासेचन-गुणाः॥

स्थैर्यं वाङ्मनसोः शरीरबलमप्याहारकांक्षाधृति

मधुर्यं वचसस्त्वचोऽपि मृदुता नेत्रे प्रकाशोऽगदः।

शुक्रासृक्परिपोषणं रतरतिर्दीर्घायुरल्पोष्णता

सुस्वप्नं घृततैलसेचनगुणेनास्तीह जाग्रत्सुखम् ||

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PROCEDURE

  • POORVAKARMA

REQUIREMENTS :

DRONI :

  • ॥सेचनविधौ द्रोणीकरणयोग्या वृक्षाः॥ 

पुक्षोदुम्बरगन्धसार 'वरुणन्यग्रोधदेवद्रुमाः

पुन्नागाह्वकपित्थचोचबकुलाशोकासनाम्रास्तथा।

डोलाचम्पकबिल्वनिम्बखदिरामोघाग्निमन्थार्जुना

इत्याद्यन्यतमेन सेचनविधौ द्रोणीं प्रकुर्याद् बुधः  

 

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  • द्रोणी-प्रमाणम्  

द्रोणीं हस्तचतुष्कदीर्घकरमात्रव्यासतत्पादमा

त्रोद्यद्भित्तियुता दृढा समतला पादान्तरन्ध्रा बहिः।

शीर्षस्थान इहोन्नतैककरमत्रातानविस्तारका निम्ना

किञ्चनमध्यतश्च चरणैर्हस्तैश्च युक्ता दृढैः॥

LENGTH- 4 HASTA (96 ANGULAS OR 72 INCHES OR 6 FEET)

WIDTH- 1 HASTA (24 ANGULAS OR 18 INCHES)

HEIGHT- THAT PADA SAMA -6 ANGULAS (FOUR AND HALF INCHES)

LENGTH AND BREADTH OF HEADPART – 1 HASTA (18 INCHES)

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THE MEASUREMENT OF THE DRONI AS PER THE ASTAVAIDYA TRADITION (FAMILIES OF NAMBOOTHIRI)

  • THE SINGLE HARD WOOD PIECE OF BY 11 FEET 9 INCHES BY FEET 9 INCHES IS TAKEN FOR PREPARING THE DRONI
  • FOUR ROUNDED HANDLES ARE CARVED AT THE CORNERS A ONE AND HALF INCH MARGIN IS LEFT ALL AROUND AND THE REMAINING SURFACE IS SCOOPED OFF TO A DEPTH OF ONE AND HALF INCH.
  • THEN THE INNER SPACE IS DIVIDED INTO TWO COMPARTMENTS THE ANTERIOR OR HEAD END MEASURING 2 FEET 6 INCHES BY 2 FEET 6 INCHES; AND THE POSTERIOR COMPARTMENT OF THE SPACE 7 FEET 6 INCHES BY 2 FEET 6 INCHES.
  • AT THE JUNCTURE OF THE TWO COMPARTMENTS A RIDGE FOR SEPARATING THE TWO SHOULD BE MADE. THE ANTERIOR COMPARTMENT IS DIVIDED INTO TWO DISTINCT PARTS: A LEVEL PLATFORM AND A SLOPING PLANE.
  • A CIRCULAR HEMISPHERICAL SINK OF THE SIZE 10 INCHES IN DIAMETER AND 6 INCHES IN DEPTH SHOULD BE SCOOPED AT THE HEAD END OF THE PLATFORM TWO INCHES AWAY FROM BORDER
  • SINK SHOULD PROTRUDE 1 INCH INTO THE SLOPING PART BELOW THE HEAD END OF THE PLATFORM ,IN ORDER TO FACILITATE EASY COLLECTION OF THE LIQUID INTO IT
  • POSTERIOR END OF COMPARTMENT SHOULD BE GRADUALLY SLOPING TOWARDS THE FOOT END AND OUTLET IS BORED ALONG THE MARGINAL RIM TO LET OUT THE LIQUIDS
  • THE OTHER AREAS OF THE DRONI SHOULD BE LEVELLED

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  • DRONI MEASUREMENT MENTIONED IN SHIRASEKADI VIDHI
  • द्रोण्यामुत्तानरूपेण शयानस्य तदाचरेत् । 

विल्वडुण्डुकदाव्यद्यैिर्वातघ्नैः कारयेद् भिषक ॥

द्रोणी लक्षणाञ्चशीर्षोच्चामग्रतो गर्तसंयुताम् ॥

चतुर्हस्तायतामत्र हस्तपादोच्छ्रितान् तथा ॥

हस्तमात्रवितानाञ्च द्रोणीं योग्यां विदुर्बुधाः ।

उच्छ्रिते शिरस स्थाने गर्तमर्धाढिकोन्मितम् ॥

पादस्थाने विलन्तत्र स्नेहस्रावायपेष्यते

LENGTH- 4 HASTA, HEIGHT- ¼ HASTA, WIDTH- 1 HASTA

HOLLOW SPACE AT HEADEND ,CAPACITY TO CONTAIN ARDHA ADAKA(1536ML)

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  • DHARA PAATRA

स्वर्णाद्युत्तमलोहजस्तु करको 'मृत्सम्भवो वाऽत्र

नालाग्रन्तु कनिष्ठकांगुलिपरीणाहोन्मितं रोगिणः।

दिप्रस्थप्रमितो विधेय इति वा मध्यस्थरन्ध्रादधो

गच्छद्वर्तिरथोलम्ब्यपि घटः कार्यः शिरस्सेचने॥

2 PRASTHA CAPACITY (1536 ML CAPACITY)

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  • त्रिप्रस्थोन्मानयोग्यश्च दृढपाशेन यन्त्रितः ।

शीर्षादूर्ध्वं बन्धनीयः शराब: साधुरोगिण ॥

कनीनिमध्यस्थौल्येन शरावे सुशिरा हिता ।

छिद्रेऽस्मिन् विश्लथाकारा तन्तोः शितिरपीष्यते ।

अधस्तात्तु शरावस्य तन्तोद्दीर्घषडङ्गुलः ॥

द्वयङ्गुलात्सेचनञ्चापि कार्यमित्युच्यते बुधैः (SHIRASEKADI VIDHI)

3 PRASTHA CAPACITY

TIED WITH STRONG ROPE

HOLE SHOLD SIZE OF CIRCUMFERENCE OF LITTLE FINGER

WICK HANGOUT FOM 6 ANGULA FROM MARGIN OF VESSEL

2 ANGULA FROM FOREHEAD ( 2 ANGULA-5CM)

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  • कनिष्टिकामध्यमानमध्यच्छिद्र प्रकल्पयेत् ।

पक्ककेरकपालार्द्ध मूर्धच्छिंद्रमधोमुखम् ॥

शरावमध्ये सुस्ताप्यमसिधारमुखं यथा ।

छिद्रद्वयं चाभिमुखं स्याच्छरावकपालयोः (RAGHUNATH SHARMA)

नीता चाध: सुलंबा स्यात् सुकृताया ॥ -- SHAD ANGULA

द्रवार्द्रा सुवहा वर्तिः यथा नातिदृदया।

 सुदृढश्लक्ष्णसूत्रेणाप्योष्टपाल्यां स्वेष्टितम् (RAGHUNATH SHARMA)

  • A HOLLOW HEMISPHERICAL WOODEN CUP OF SEMICOCONUT SHELL WITH SAW TOOTHES EDGE AND HAVING HOLE CORRESPONDING TO THAT IN THE VESSEL IS PLACED OVER HOLE OF DHARA PATRA
  • THROUGH THIS HOLE 6 ANGULA WICK IS SUSPENDED

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  • DHARA SECHANA VIDHI
  • एवं मारुतहारिभिश्च तरुभिणी विधायादरा

द्देवञ्चेभमुखं द्विजानपि भिषग्वृद्धान् प्रपूज्यातिथीन् ।

पूर्वह्नि दिवसे शुभेऽतिमहिते लग्ने शयानस्य

तदद्रोण्यां सेचनमाचरेत् पट्मतिर्दव्यैर्यथोक्तैर्भिषक्

PATUMATI DRAVYA YATHOKTAI BHISHAK- BENEFICIAL EFFCT OF PROCEDURE RELIES ON SKILL OF VAIDYA AND MEDICAMENT

सेचनविधौ योग्याः परिचारकाः सेचनविधिश्च ॥

ग्राह्यास्ते परिचारकाः स्युरनुरक्ताः सावधानाः शुभाः

ये तद्धस्तदृढावलंबनवशात् तत्पात्रपातादितः।

भीतिर्जातुचिदातुरस्य तु यथा न स्यात् तथाकारयेद्

धारां मूर्धनि हस्तयोरपि पृथग्वक्षःस्थले पादयोः

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  • NEED OF ABHYNGA ?

SUBJECTED FOR ABHYANGA – SARVANGA ABHYANGA

MANIPULATING IMPORTANT TRIMARMA OF THE BODY

  • TAKRA DHAARA – KLEDAHARA, ROOKSHAHARA
  • TAILADHARA – VAATAKAPHAHARA

IF NOT DONE IT MAY CAUSE, AGNIMANDYA, COLD, SNEEZING ETC

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  • SHIRO ABYNGA

Vatahara

Dhnavantara taial,bala taila,mahanarayana taila

Pittahara

Chndanadi taila

Bringamalaka taila

kaphahara

Durdura ptardi taila

Vata kapahahara

Eladi taila. Asana bilwadi taila

Kapha vatahara

Triphaladi taila

vatapittahara

Ksheerabala taila

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तत्रोत्तानशयानस्य ललाटमनुलम्बिते ।

पात्रे रोगिकनिष्टाग्रप्रवेशच्छिद्रमध्यके ||

छिद्राधोलम्बितमृदुनवाङ्गुलपिची दृढे ।

आढकप्रमिते युक्तं स्नेहमापूर्य सेचयेत् ॥

पिचुबद्धललाटस्य बहिर्बन्धात् प्रचालयन् ।

पिच्चग्रं शङ्खयोर्मध्ये शिरोदेशे यथा सुखम् ।

ललाटपिच्वन्तरं स्यादेकद्वित्र्यङ्गुलोन्मितम् ॥

वातादिकोपे पात्रञ्च सिक्तेनापूरयेन्मुहुः ।

तक्रक्षीरादिना मूर्धसेकेऽप्येवं क्रियाक्रमः (HRADAYA PRIYA)

WICK OF – 9ANGULA IN LENGTH

DISTANCE BETWEEN WICK AND FOREHEAD- 1,2, OR 3ANGULA (BASED ON DOSHIC )

LOWER END OF PICHU IS MADE TO OSCILLATE BETWEEN EITHER END OF SHANKA

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  • अथ काले निराबाधे वर्षातपुहिमानिलै ।

सज्जीकृतोपकरणे विशाले निलये शुचौ ॥

`द्रोणी शुद्धां सुसंस्थाप्य यथोच्च सुस्थिरं तथा।

प्राक्शीर्ष सुदृढं बद्ध्वा शरावं च यथोचितम् ॥

दक्षपार्श्वे शीर्षभागे दीपं संस्थाप्य मङ्गलम् ।

यथास्थानञ्च पीठाद्यं ज्ञात्वा सर्व समीहितम् ॥

सुदिने सुमुहूर्थेऽथ प्रातरेव भिषग्वरः ।

कृप्रज्वाल्य दीपं ध्यात्वा च स्वेष्टदे॒वमनाविलम्

कृतस्वस्त्ययनं द्रोण्यां प्राङ्मुखं चोपवेशयेत् ॥

तावश्यकमाहूय रोगिणं सुसमाहितम् (RAGHUNATH SHARMA)

HOLY LAMP SHOULD PLACED ON RIGHT SIDE

STOOL OF WOODEN SLAB IS PLACED

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  • मूर्ध्नि दद्यात् ततः स्नेहं त्रिवारं युक्तितो भिषक्

कण्ठादधस्ततोऽभ्यज्य कोष्णेन परिचारकः ।।

स्कन्धे पृष्टे च संवांह्य किञ्चित्कालं यथोचितम

भुवोरुपरि संवेष्ट्य ललाटे वस्त्रखण्डतः ।।

समस्थूलकृतां वर्ति बध्नीयात् पार्श्वमागतः ।

नातिश्लथदृढं कृत्वा केशांश्चापि सुसंयतान्॥

धाराद्रवं च स्नेहं वा नाक्षीणी प्रविशेद् यथा ।

वस्त्रखण्डस्त्रैः क्लिप्तं रम्भापत्रसुवेष्टितम्।

साधूपधानं कृत्वास्मिन् शीर्षं विन्यस्य युक्तितः ।

उत्तानशायिनं कृत्वा क्रियासौकर्ययोगतः (RAGHUNATH SHARMA)

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  • PRADHANA KARMA

रोगिणोदक्षभागेऽथ शीर्षस्थाने सुखोन्नते ।

पीठे साधु निषण्णोथ वैद्यस्सम्यक्शरावकम्

आकृष्य पाणिनाच्छिद्रे स्वाङ्गुष्ठेन सुमुद्रिते।

सज्ज धाराद्रवं भृत्यः सावधानो विनिक्षिपेत् ॥

छिद्रमुद्रां ततो मन्दं विश्लथं क्रमशो भिषक्

वर्तिसूत्रेण सुवहं द्रव साधुनिषेचितम्

ललाटे वाममदक्षेण द्वयङ्गुलावधिमध्यतः ।

गृहीत्वा चालवेद्युक्त्या शरावं च यथास्रुतिः ॥

पञ्चशाखापरामर्शं कुर्यान्मूर्त्यन्तरान्तरा ।

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  • नातिसक्तं न वासक्तं द्रवं स्याच्च यथा क्वचित् ॥

नातिशीघ्रं न विच्छिन्नासावधानमनाः क्रमात् ।

निषिक्तं च द्रवं धर्तुं द्रोण्याश्चापि बहिः सुतम् ।।

युक्तं च भाजनं चैकं सुस्थाप्य च ततः क्रमात् ।

उद्धृत्य चषकेणान्यः सावधानो द्रवं क्रमात्

  • विच्छेदेन विना कुर्यात्सेकं मूर्ध्नि चिकित्सकः

नातिशीघ्रधनस्थूलमविच्छन्नं सवेद् द्रवम् (RAGHUNATH SHARMA )

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NEED OF ABHYNGA-

मूलसेकेण वृक्षाणां शाखादिरिव रोगिणः । मूर्धसेकेण चेत्यस्माद् वातकोपभयेन वा ॥ कायेभ्यङ्गोऽथवा सेकः स्नेहयुक्तैः सुसाधितैः । क्रियते युगपत् प्रायो वृद्धवैद्यैः समादृतः।।

सेके प्रवर्तमानेऽथ पार्श्वयोरुपचारकौ एकैकश्चोक्ततैलेन कोष्णेनाभ्यज्य मर्दयेत् ॥

अधः संवाहनेनैव समस्पर्शेण पाणिना

AS THE LEAVES AND BRANCHES OF THE TREE GETS NOURISHED BY WATERING ROOTS ,SO DOES THE BODY ACQUIRES POTENCY OF MEDICINE BY MURDHA SEKA. IN THE DOUBT OF AGGREVATION OF VATA ABHYNGA OR SEKA OF THE BODY CAN COUPLES WITH MURDHA SEKA

WHILE SEKA IN PROGRESS TWO ATTENDANTS SHOULD MASSAGE LATERAL ASPECT OF THE BODY

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  • शीतस्य चोष्णीकरणे तैलस्यान्योथ सर्वदा ॥

सज्जीभवेत्समोष्णं च समोन्मर्दे सुखावहम् ।

सर्वाङ्गव्यापकं सुञ्ज्यात् रोगिणोऽभ्यञ्जनं क्रमात् ॥

धारां समाप्य कालेऽथ बहिराकृष्य शरावकम् ।

उन्नम्य शीर्षमासीनं द्रोण्यां च परिचारकः ॥

वस्त्रखण्डैराशु मृष्ट्वा शीर्षमस्य यथोचितम् (RAGHUNATHA SHARMA)

ATTENDER SHOULD CONSTANTLY KEEP REHEATING

DHARA VESSEL REMOVED CAREFULLY AFTER PROCEDURE

PATIENT HEAD WIPED WITH CLOTH

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MADE TO LIE DOWN ON THE TABLE

BODY BELOW THE NECK IS COVERED WITH CLOTH

A COTTON RIBBON IS TIED AT THE LOWER PART OF FOREHEAD ABOVE EYEBROWS TO PREVENT ESCAPE OF FLUID IN TO EYES .

CLOSE THE EYES WITH COTTON

  • WARMING LIQUID MEDICINE – MADE LUKEWARM IN A WATER BATH

TEMPERATURE JUST ABOVE BODY TEMPERATURE

  • FILLING OF DHARA POT
  • MOVING STREAM - OSCILLATED CONSTANTLY AND STEADILY IN TO AND FRO DIRECTION FROM ONE LATERAL END OF THE FOREHEAD TO THE OTHER. OR ELSE IT MAY BE MOVED IN THE SHAPE OF NUMBER 8.
  • REFILLING – COLLECTED LIQUID IS REHEATED AN D POURED IN TO THE PAATRA WHEN THE LEVEL DECREASES SO THAT ONE CAN ACHIEVE CONTINUOUS FLOW OF THE DHAARA.

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  • DURING THE PROCEDURE,
  • MASSAGING THE HEAD – SMOOTHLY – TO MAKE THAT DRAVYA INTERACT WITH SCALP IN BEST
  • MASSAGING THE BODY – FIRMLY, NO PRESSURE – BODY SHOULD NOT BE DISTURBED – SHOULD NOT FEEL THE MANIPULATION

TO SUPPORT THE BODY CHANGES THAT CAN HAPPEN .

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  • सेचनविधौ धारोच्चतायाः प्रमाणम्  

धारोच्चं चतुरंगुलं तु शिरसः सेके तदन्यत्र तत्

प्रोक्तं तत् त्रिगुणं मन्दपतनात् तद्रोगवृद्धिर्भवेत्॥

DHARA YANTRA IS HANGED OVER THE HEAD WITH WICK POINTING CENTER OF THE FOREHEAD AT A DISTANCE OF 4 ANGULA (3 INCHES,7.6 CM) AND FOR KAYASEKA FROM HEIGHT OF 12 ANGULA(9 INCHES)

METHOD OF POURING DHARA

यथास्वं साधिततैलमभ्यङ्गायात्र योजयेत् । धारायाः पतनाद्रेफः ककारो वा यथा भवेत् ॥

तथा सेचनमिच्छन्ति पुरातनचिकित्सक (SHIRASEKADI VIDHI)

  • THE VRADDA VAIDYA TRADITION OF KERALA ASCRIBES THE FALL OF THE DHARA STREAM TO BE IN THE PATTERN OF LEETER REPHA OR KAKARA OF THE MALAYALAM SCRIPT

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  • सेचन-विधावयोग्यः कालः

अत्युष्णेऽपि मन्दकोपसमये मन्दातपे शीतले।

कुर्यान्न त्वपराह्नकेऽपि भिषग्रात्रौ तथा सेचनम् |

IN PITTAKAALA – PRODUCES VIDAAHITWA

DHARA SHOULD NOT BE DONE WHEN THE PERIOD IS TOO HOT ,IN THE DISESE WHERE THE VITIATION OF DOSHA ARE IN LESSER DEGREE, WHEN THE SUN IS NOT BRIGHT,IN COOL CLIMATE AT NOON AND AT MIDNIGHT (DON’T DO IN BETWEEN 10-3 AM)

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  • SELECTION OF THE DRUGS

तत्तद्व्याधिशमोदितौषधगणैः सिद्धञ्च वा योजयेत्

स्वस्थेऽभ्यञ्जनसेचनादिषु सदा तैलाज्यसम्मिश्रितम्

IN SWASTHA TAILA+GRUTHA

PROCEDURE FREQUENCY DURING COURSE OF TREATMENT

एकाहान्तरमेव वा प्रतिदिनं पूर्णे बले मध्यमे

त्यक्त्वा द्वित्रिदिनं चतुर्दिनमपोह्याल्पेऽत्र षट् पञ्च वा॥

POORNA BALA- DAILY OR ALTERNATE DAYS

MADHYAMA BALA- GAP OF TWO OR THREE DAYS

ALPA BALA- GAP OF FOUR OR FIVE DAYS

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  • TEMPERATURE OF THE DRAVYA

पित्ते कोष्णमथोष्णमेव विहितं शुद्धे समीराम

तत्स्नेहं द्रवमात्रमेव कफयुक्ते रक्तपित्तेऽपि च ।

ऊर्ध्वाङ्गेतु सुशीतमेव विहितं सिञ्चेदविच्छिन्नमे

वात्यर्थोच्चविलंबितद्रुतनतं कुत्रापि नैवाचरेत् ॥ 

PAITTIKA CONDITION- SUKHOSHNA (SLIGHTLY WARM)

KEVALA VATA STATE- BEARABLY HOT

KAPHA ASSOCIATED CONDITION , RAKTAPITTA- DRAVAMATRA (SUBSTANCE JUST MELT)

URDHWANGA DISEASE- SUSHEETA

DHARA SHOULD BE POURED IN A CONTINUOUS STREAM WITHOUT INTERRUPTING THE FLOW

SHOULD NOT BE DONE FROM GREAT OR LOWER HEIGHT,NEITHER FAST NOR IN SLOWER MODE

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  • सेचनकाल-प्रमाणम्

रूक्षे पित्तयुतेऽनिले परमः कालो मुहूर्तद्वयं

सार्द्धं तत्र तदर्धमात्र उदितः स्निग्धे कफोन्मिश्रिते।

यावत् स्वेदसमुद्भवो भवति तत्तावन्निवर्त्तेत वा

स्नेहोऽत्र त्रिभिरेति रोमविवरं मात्राशतैश्च क्रमात्

सप्तापि त्वच एति सप्तभिरथो षड्भिस्तथास्रादिकन्

षड्धातूनिषुसिन्धुदिग्ग्रहमिता मात्रा मुहूर्तो भवेत्।

RUKSHA OR PITTA YUKTAVATA DISEASE – TWO MUHURTA

SNIGDHA KAPHAYUKTA VATA - ONE MUHURTA OR TILL PERSPIRATE

SNEHA SUBSTANCE PERVADES – 300 MATRA KALA (2.4 MINUTES)

SNEHA TANSVERSE THROUGH SEVEN LAYER OF SKIN – IN 7 DAYS

IT REACHES RAKTADI SIX DHATUS – IN 6 DAYS

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  • THERE IS ANOTHER TREND OF VRDDHA VAIDYA PRACTICE OF PERFORMING THE DHARA, WHERE IN THE TIME OF DOING THE PROCEDURE IS GRADUALLY INCREASED AND DECREASED DURING THE COURSE OF THE PROCESS

सेके तु परमः कालो यामार्धमिति चोच्यते ॥

प्रथमे दिवसे चाथ होराकालस्ततः क्रमात्।

प्रत्यहं तु विवृद्धः स्याद्धोराया द्वादशांशतः ॥

सार्धहोरा सप्तमे स्यात् तावदेवाष्टमे दिने ।

ह्रासयेद् वृद्धवच्चातो होराकालचतुर्दशे ॥

एकविंशत्यहान्तं चेद् धारा तत्र तु सप्तमात् ।

यावत् पञ्चदशान्तं स्याद् यामार्धं ह्रासयेत् ततः (RAGHUNATH SHARMA)

MAXIMUM DURATION OF THE DHARA- HALF YAMA (11/2HR)

1ST DAY DONE FOR – 1 HORAKALA – 1 HR(TWENTY FOURTH PART OF A DAY –MONNIER WILLIAMS DICTIONARY),EACH DAY PROCEDURE INCRESED FOR 5 MINUTES

ON 7 TH DAY -11/HR,ON 8TH DAY SAME TIME 9 DAY ONWARDS REDUCED BY 5 MINUTES

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  • IN CONDITIONS OF DHARA PERFORMED FOR 21 DAYS SAME RULE
  • 7TH TO 15TH DAY -11/2 HR,5 MINUTES REDUCED TILL 21ST DAY

  • अर्द्धाधिकमुहूर्त यन्मुहूर्तमथवा भवेत् ॥

अर्ध वा स्वेदसद्भावात् स्नेहाधाराविधिः परम् । Y.R.S. 20.75-78

YOGARATNA-SAMUCCAYA THE TIME PERIOD IS MENTIONED WITH RESPECT TO MUHURTA. SNEHA SECANA SHOULD BE PERFORMED FOR A PERIOD OF ONE MUHURTA, OR ONE AND HALF MUHURTA OR EVEN HALF MUHURTA OR TILL THE PERSON PERSPIRES PROFUSELY.

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  • सेचनविधौ क्षीरादि-परिवर्तन कालः

एकाहादपरं सेचनविधौ क्षीरादिकं गृह्यते

धान्याम्लं त्रिदिनात्परं विधिरयं स्नेहस्य तु प्रायशः

एकेन त्रिदिन परेण तथा सिञ्चे त्र्यहं तवयं

मिश्रीकृत्य सप्तमेऽहनि पुनस्त्यक्त्वैनमेवं चरेत्

KSHEERA,OTHER FRESH SUBSTANCE – DISCARDED AFTER USE

DHAYAMLA- FOR 3 DAYS

SNEHA – FOR THREE DAYS

SNEHA FRESH SUBSTANCE PERSUED FOR FIRST NEXT 3 DAYS ON SEVENTH DAY SUBSTANCE USED INITIAL AND LATER THREE DAYS ARE MIXED

शिरस्सेके प्रतिदिन स्नेहाद्यन्त्वन्यदिष्यते॥.SRI RAMAN MENON,

FAVOURS THE PRACTISE OF SIRASSEKE FRESH THERAPEUTIC SUBSTANCES (OIL, MILK ETC.) EACH DAY.

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  • सेचनद्रव्याणां नूनादिभेदेन गुणदोषाः

यन्नूत्नेन निषेचनं प्रतिदिनं तच्चोत्तमं मध्यमं

तेनैव त्रिदिनं ततोऽपि परं मिश्रीकृतं चाधमम्।

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  • PASCHAT KARMA
  • सेचनविधेः पश्चात्कर्म। (DURING THE PROCEDURE)

धारायाश्चावसाने निजगदशमनप्रोक्तसर्पिश्च सेव्यं

तत्काले चावसंस्थः कथमपि वसतु प्रीतिमानेष रोगी।

कायक्लेशानशेषान् मनसिसुखहरान् वक्त्रजिह्वासुखादीं

स्त्यक्त्वापाटीरशुद्धांबरविधृतवपुर्ब्रह्मविज्ञानितुल्यः॥ -

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  • सेकानन्तरमातुरस्तु शिशिराम्बुप्रोक्षणैः ष्ठीवनै

श्चोत्क्षेपैर्मृदुमारुतैरनुगुणं विश्राम्य तत्रोत्थितः

मन्दं किञ्चन मर्दितोऽनु रसैः स्नेहं कषायैस्त्यजेत्

स्नात्वा कोष्णजलैः सुगन्धसुभगो धान्यौषधाम्भः पिबेत्॥

पेयं वा लघु सोषणाज्यकटु तक्रं यूषयुक्तं मितं भुक्तं

कोष्णमथाऽचरेद् विधिमतः स्नेहोक्तमात्राखिलं।

ALL THE MEASURES FOLLOWED IN SNEHAVIDHI SHOULD BE FOLLOWED

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  • यामार्द्धमेवं धारायास्समयः कथ्यते बुधैः।

ततः प्रमार्जनापश्चात् तैलाभ्यङ्गं विधाय च ॥

स्नात्वांतुरः स्नेहविधिं भजेतानुजितेन्द्रियः। (SHIRASEKADI VIDHI)

WIPED OUT THE ALL THE TAILA

KSHALANA WITH AMALAKI KWATHA,HARITAKI KWATHA

AS THEY ARE ROOKSHA ,KAPHOTKLESHANA NOT OCCURS

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  • ATIYOGA OF DHAARA

अविधि-धाराकरण-दोषाः तच्चिकित्सा  

अत्युच्चद्भुतभूरिकालपरिषेकाद्दावीस

मूर्च्छाङ्गस्वरसादसन्धिदलनच्छदुर्घस्रपित्तज्वराः।

कोठाद्याश्च भवन्त्यतः परदिने गण्डूषनस्यादिकं

कृत्वा शुद्धमौषधेन सुधृतं तोयं पुनः पाययेत्॥

  • CHIKITSA
  • भोजनादिनियमाः॥ 

सायाह्ने लघु भोजयेत् कटुतरं यूषान्वितं वाप्यथो

वस्तिं स्नेहकृतञ्च सैन्धवकृतं कुर्यात् तृतीयेऽहनि।

स्नेहव्यापदि चोक्तकर्म निखिलं कुर्याच्चतुर्थेऽह्न्यतः

प्राग्वत् स्नेहनिषेवणञ्च विधिवत् कुर्याद्दिने पञ्चमे॥

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PATHYA NIYAMAS

यावन्त्यौषधयोजितानि दिवसान्येतानि तावन्त्यहान्यन्यान्यप्यथ

सर्वकर्मसु बुधो नित्यं जितात्मा नयेत् ।

स्त्रीणां स्पर्शनदर्शनस्मृतिवशाचुक्रे स्रुते सन्ति

सम्पर्केण विनापि तद्भवगदास्तस्मात् त्यजेत् सर्वदा

CONTROL OVER THE SENSE ORGANS

PREVENT SIGHT,,E,ORY OF STREE

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  • INDICATIONS

STRESS

HYPERTENSION

HEADACHE

ANXIETY

INSOMNIA

MENTAL EXHAUSTION

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  • DHARA IN CLINICAL PRACTICE
  • 1)KSHEERABALA TAILA- ESSENTIAL HYPERTENSION
  • 2)DASHAMOOLA TAILA INSOMNIA
  • 3)ASWAGANDHA TAILA- IN DEPRESSION
  • 4)VATIKA SHIRASHOOLA (TENSION HEADACHE- JATAMAMSI
  • 5)BRHMI TAILA- PSYCHIATRIC ,SLEEP DISORDER
  • 6)DASHMOOLA KSHEERA- VATAVYADHI
  • 7)SHIRODHARA IN CHITTODVEGA- SHNAKPUSHPI,MANDOOKAPARNI,GUDUCI
  • SHIRODHARA WITH KSHEERA

IN PITTAJA CONDITION- GUDUCHI ,MANJISTA,DASHAMOOLA KSHEERAPAKA CAN BE USED

RESEARCH STUDY-

PITTAVATA DOMINANT CONDITION – SLEEPLESSNESS,PSYCHOSIS,VIOLENT ,SCHIZOPHRENIC NABHIBASTI WITH BALAGUDUCHYADI TAILA ALONG WITH KSHEERADHARA ,AS NABHI IS PITTA STHANA.

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  • CLASSICAL INDICATIONS DHARA
  • KSHEERA DHAARA – JWARA WITH BHRAMA DAAHA, YAKSHMA, AROCHAKA, SWARASAADAA, ASRIGDHARA, CHARDI
  • TAKRADHAARA – JWARA WITH ANTAVRANA, PRAMEHA WITH DAAHA
  • BALATAILA – ARDITA, PITTAVRUTAVAATA
  • NAARIKELA JALA – KAMALA WITH BHRAMA
  • BHRINGARAAJA SWARSA – KAMALA
  • SHEETAJALA – UNMAADA
  • TAKRA, PRIAYALA TAILA WITH MADHU – AGNIDAAHA
  • IKSHURASA,DHAATRIRASA,GHRITA AND LAVANA – VIDYUTH ANALADAHA

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  • SHIRODHARA COMMON COMPLICATION

CHILLS AND RIGORS

BURNING SENSATION

ANGASADHA –BODYPAIN

HEADACHE

FAINTING

RHINITIS

FEVER

HYPOTENSION

GIDDINESS

BURNS

NAUSEA

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TAKRA DHARA

PROPERTIES

RASA- KASHAYA,AMLA,MADHURA

GUNA- LAGHU,VIKASI,ROOKSHA

VEERYA-USHNA

VIPAKA-MADHURA

DOSHAGNATA- TRIDOSHA SHAMAKA MAINLY KAPAHVATHARA

TAKRA BHEDA- (BHAVAPRAKSHA)

GHOLA- SASARAM NIRJALAM GHOLAM

MATITA- TU SARODKAKAM

UDASWITH-PROTA MUDADVI TWARDHAWARIKAM

CHACHIKA-SARA HEENASYA SWACCHA PRACHURA

RUKSHA- TAKRA IN WHICH SNEHA IS COMPLETELY REMOVED

ARDHAGHRUTHA SNEHA- HALF OF THE SNEHA IS REMOVED

CHANYUGHRITHA- NOT AT ALL REMOVED

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MUSTA PROPERTIES

RASA- TIKTA,KASHAYA,KATU

GUNA- LAGHU,ROOKSHA

VIPAKA- KATU

VEERYA- SHEETA

KAPHA PITTAHARA

AMALAKI PROPERTIES

RASA- PANCHARASA LAVANAVARJITA

GUNA- GURU, SHEETA

VIPAKA- MADHURA

VEERYA-SHEETA

TRIDOSHAHARA

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तक्रधारा विधानम्

धारायास्त्वेकवर्षातपहिमपरिशोषातिशुद्धप्रकीर्णं

धात्रीप्रस्थं सपादं भिषगथ पटुधीः संत्यजेद्वीजमस्याः।

उत्क्वाथ्याष्टादशाख्यामितकुडवजले षष्टभागावशिष्टं

तत्तुल्यं चाम्लतक्रं विधिरितिमुनिभिः प्रोक्त आत्रेयमुख्यैः॥

80 KARSHA (96 P0GM) OF SHUDDHA PRAKERNA AMALAKI + 18 KUDAVA (288KARSHA OR 3456ML) JALA – REDUCED TO 1/6 TH I.E, 48 KARSHA KASHAYA

WHEN KASHAYA IS COOLED ADD EQUAL QUANTITY OF TAKRA.

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  • ॥धारायोग्य पात्रणि॥

धारायाः स्फटिकप्रवर्णरजतप्पुक्षादिपूर्वोक्त

वृक्षायस्ताम्रवराटिकाप्रथितमृत् पात्रं त्वतीवोत्तमम्।

केचिद्रोगिकनिष्ठिकान्तविवरं शंसन्ति केचित्तु वा

तत्पर्वोपमविस्तृतं तु सुषिरं पात्रस्य मध्ये कृतम्॥

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MEDICOMENT WHICH CAN BE USED – MUSTA, YASHTIMADHU, JATAMAMSI

TAKRA – KAPHAHARA BUT DOES NOT VITIATE VAATA

SHOULD NOT HEAT – ROOKSHA SHOULD NOT BE MANIPULATED

IF ANY –VE TO RETAIN USHNATA, TO PREVENT UTHKLESHA CAN HEAT.

ANAMLA TAKRA

VATA VITIATION LESS

AMLA TAKRA

VATA VITIATION TO GREAT EXTENT

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  • REGIMEN FOLLOWED DURING PROCEDURE

धारायाश्यावसाने निजगदशमनप्रोक्तमर्पिश्च सेव्य

तत्काले चावसंस्थः कथमपि वस्तु प्रीतिमानेष रोगी।

कायक्लेशानशेषान् मनसि सुखहरान वक्त्रजिह्वादिसुखादी

स्त्यवत्वा पाटीरशुद्धांबरविधृतवपुर्ब्रह्मविज्ञानितुल्य

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  • तक्रधारा-सेचनगुणाः

 केशादीनां शौक्ल्यं क्लममपि तनुतां दोषकोपं शिरोरु

ग्बाधामोजः क्षयं तत्करचरणपारिस्तोदनं मूत्रदोषम्

सन्धीनां विश्लथत्वं हृदयरुगरुची जाठराग्नेश्च मान्द्यं

धात्री तक्रोत्थधारा हरति शिरसिजान् कर्णनेत्रामयौघम्

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कॢमापचीशिरोदाहरूजोन्मादप्रमेहिणाम् ।

कफपित्तामयार्तानामितरेषाञ्च शस्यते ॥

शीर्षतस्तक्रयुक्तेन धात्रीकाथेन सेचनम् ।

अतः परं विधिन्तस्य कथयामि सविस्तरम्

कफपित्तामयेष्वेवं शिनेदाहरुगादिषु ।

निद्रानाशेप्यतिस्वेदे मूर्च्छन्मादलमादिषु ।।

अपस्मारापचीमोहमेहादिषु विशेषतः ।

धात्रीक्वाथसमं तक्रं मूर्धसेकं प्रशस्यते (SHIRASEKADI VIDHI)

  • SHIRO DAHA

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  • THE METHOD GENERALLY PRACTICED IN KERALA IS VAYASKARA N.S. MOOSS:
  • PREPARATION OF TAKRA:TWO PRASTHA (1,536ML) OF COW'S MILK IS MIXED WITH EIGHT PRASTHA (6,144ML) OF WATER, AND BOILED WITH TWO PALAS. (96G), OF CLEANED
  • CRUSHED MUSTA (CYPERUS ROTUNDUS) SUSPENDED INTO THE LIQUID IN A BAG OF THIN CLOTH. IT IS REDUCED TO THE QUANTITY OF MILK. THE BAG OF MEDICAMENTS IS SQUEEZED WELL.
  • AFTER COOLING, THIS PROCESSED MILK IS FERMENTED OVER NIGHT. DECOCTION OF FOUR PALAS (192G) OF AMALAKI IS PREPARED BY BOILING IT WITH FOUR PRASTHA (3,072ML) OF WATER AND REDUCED TO ONE PRASTHA.
  • THIS DECOCTION IS MIXED WITH THE PREPARED CURD, AND IS CHURNED TO DERIVE THE BUTTERMILK. THIS BUTTER-MILK IS USED FOR DHARA.

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  • कफप्रधाने मुस्तां च पित्ते यष्ट्याह्वयं तथा ।

दोषानुरोधाद युक्तं वा बालकोशरिचन्दनम् ।

।बिल्वमूलबलाद्यं वा द्विपलं तु जलाढके

दत्त्वा प्रस्थं च गोक्षीरं पक्त्वा क्षीरावशेषितम् ॥

केवलेन तु तक्रेण मूर्ध्नि मेकः सुदुर्लभः ।

तक्रधाराद्रवस्यातो निर्माणक्रम उच्यते॥(RAGHUNATH SHARMA)

  • BEFORE CURDLING, THE MILK SHOULD BE PROCESSED WITH MUSTA IN KAPHA PREDOMINANT CONDITIONS;
  • IN PITTA PREDOMINANT STATES IT SHOULD BE PROCESSED IN YASTIMADHU.
  • IN ACCORDANCE TO THE DOŞIC STATES DRUGS LIKE BALAKA, USHIRA, BILVA-MULA, CHANDANA CAN BE UTILISED.

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  • माधुशीतं सुतक्रेण विधिनाथ दधीकृतम् निरंबुमथित प्रातरुधृत्य नवनीतकम् ॥ततः प्रस्थं समादाय किचिच्छेषं सुरक्षितम् ।

पुनश्च दधिनिर्माण युञ्ज्याच्च मतिमान्भिषक ॥

तक्रप्रस्थेन चानेन प्ररथं तु विधिना कृतम् ।

धात्री कार्य तु संयोज्य तक्रधाराद्रवं यथा ॥

नात्यच्छे वा नातिसान्द्रं सद्यः सिद्ध प्रयोजयेत् ।

नोनं सार्द्ध द्रवप्रस्थाद् द्विप्रस्थान्नाधिकं कचित् (RAGHUNATH SHARMA )

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  • PREPARATION OF TAKRA DHARA ACC TO SHIRASEKADI VIDHI

चतुः तुःप्रस्थोन्मिते तोये धात्र्याः प्रस्था विपाचयेत् ॥

पादस्थमृदितां पूतानिरम्लेन तु संयुतम् ।

मथितेन समांशेन तं कृत्वा सेकमाचरेत् ॥

कृतस्वस्त्ययनस्यादौ शुभेऽहन्यातुरस्य वै।

अभ्यक्तसर्वगात्रस्य फालेन संवेष्ट्य वाससा ॥

शरावमध्यच्छिद्रस्थतनुना शीर्षतो भिषक्

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  • ONE PRASTHA (16 PALA. 4 NĂZHI. 768G) OF INDIAN GOOSEBERRY (DRIED DESEEDED FRUIT) IS BOILED IN FOUR PRASTHA (3072ML) OF WATER, AND REDUCED TO THE QUANTITY OF ITS QUARTER (I.E. ONE PRASTHA).
  • THIS DECOCTION OF DHATRI IS THEN SMASHED WELL AND FILTERED. THEN EQUAL QUANTITY OF FRESHLY PREPARED BUTTERMILK WHICH IS DEVOID OF SOURNESS, AND FROM WHICH THE BUTTER BEEN SEPARATED, SHOULD BE ADDED TO THE DECOCTION.
  • THIS COMPOUND LIQUID, OF THE QUANTITY OF TWO PRASTHA, IS UTILISED FOR TAKRA-DHĀRĀ. ON AN AUSPICIOUS DAY, AFTER OFFERING THE AUSPICIOUS BENEDICTIONS, THE PATIENT IS ANOINTED WITH THE SUITABLE OIL. A STRAP OF CLOTH IS TIED ACROSS THE FOREHEAD, IN ORDER TO PREVENT THE FLOW OF THE BUTTERMILK

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  • 6 LITRE OF JALA +100 GM OF CRUSHED AMALAKI --- REDUCED TO 3 LITRE

  • 11/2 LITRE OF KSHEERA+100 GM OF MUSTA IN MUSLIN BAG(POTTALI) +3 LITRE OF JALA

  • KSEERAVASHESHA.MUSTA BAG SQUEEZED

11/2 LITRE KSHEERA +ADD DADHI, NEXT DAY CURDLING,IT BECOME TAKRA,NAVANEETHA REMOVED

11/2 LITRE TAKRA+11/2 LITRE AMALAKI KWATHA ----- 3LITRE USED FOR DHARA,OTHER REMAINING 11/2 LITRE AMALAKI KWATHA USED FOR CLEANING HEAD

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  • NOTE- MUSTA BOILED IN KSHEERA,AMALAKI KWATHA PREPARED SEPERATELY

AMALAKI KWATHA WHICH IS AMLA DRAVYA IF BOILED WITH KSHEERA IT WILL AGAIN LEADS TO COAGULATION,MUSTA WHICH IS MADHURA VIPAKA ,ANAMLA PROPEETY NOT MANIPULATED

KSHEERA(SNIGHDA,BRIHMANA)-----TAKRA (RUKSHA,LANGHANA) GURU GUNA OF KSHEERA TURNS TO LAGHU BY SAMSKARA. TAKRA WHICH IS KAPAHARA NOT DOES VATAKOPA

TAKRA CAUSES RUKSHATA TO BODY BUT DUE TO ITS SNIGDHA YONI IT WILL NOT CAUSE HARM TO THE BODY, BY APPLYING ROOKSHA DRAVYA TO MOORDHA IT MAY AFFECT WHOLE BODY SO INTELLECUALLY ACHARYA SELECTED TAKRA FOR THIS PROCEDURE

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  • PASCHATH KARMA-
  • HEAD SHOULD BE WIPED WITH CLOTH AND RASNADI CHOORNA (SHEETAAPANAYANA SRESTA)IS APPLIED
  • PATIENT ADVISED TO TAKE REST FOR A PERIOD OF TIME ,THEN TAKE BATH

COMPLICATION-

SHIVERING IS OBSERVED IN SOME PATIENTS DUE TO EXCESS SHEETA. SUCH CASE THE PROCEDURE IS STOPPED IMMEDIATELY AND PATIENT MANAGED WITH USHNOPACHARA

INDICATION

IRRITABLE BOWEL DISEASE, ANXIETY NEUROSIS, SLEEPLESSNESS,HYPERTENSION,PREMATURE GRAYING OF HAIR,STRESS,DIABETES MELLITUS,PSORIASIS,NEUROPATHY

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TAKRADHARA KALA

एवं होराकाल स्यादेकविंशति वासरे।

प्रायेण तक्रधारेष्टा नैकविंशत्यहात् परम् ॥ RAGUNATHA

THE TAKRA-DHARA SHOULD NEVER BE ADVOCATED BEYOND TWENTY ONE DAYS.

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  • PROBABLE MODE OF ACTION OF TAKRADHARA ON PSORIASIS
  • TAKRA- TAKRA HAS PANCHARASA,AMLA VIPAKA,USHNA VIRYA, VATAKAPHAHARA PROPERTY AS EKAKUSTA IS VATA KAPAHA DOMINANT DISEASE .TAKRA CONTAIN LARGE AMOUNT OF LACTIC ACID ,LACTIC ACID IS USED TO MOISTEN AND LESSEN THE PLAQUES. LACTIC ACID IS A GOOD VEHICLE FOR TRANSDERMAL ABSORPTION.AS TAKARADHARA CONTAIN MUSTA AND AMALAKI WHICH HAS ANTI-INFLAMMATORY AND ANTIOXIDANT PROPERTY
  • MUSTA- MUSTA HAS TIKTA,KATU,KASHYA RASA ,RUKSHYA ,LAGHU GUNA,AND SHEETA VIRYA,IT ALSO HAS KUSTAGNA PROPRETY.MUSTA HAS PROTEIN GLYCATION INHIBITORY, ANTIINFLAMMTORY,AND ANTIOXIDANT ACTIVITY.GLYCATION HAS ROLE IN THE PRODUCTION OF INFLAMMATORY CYTOKINES
  • AMALAKI- PANCHA RASA,MADHURA VIPAKA,SHEETA VEERYA.AMALAKI FRUIT CONTAIN ASCORBIC ACID WHICH HAS ANTIOXIDANT ACTIVITY AND IMMUNOMODULATORY EFFECT.SCIENTIFIC RESEARCH ON AMALAKI EXTRACT SHOWS INHIBITED CELL PROLIFERATION,INDUCED APOOPTOSIS AND INCRESED REACTIVE OXYGEN SPECIES PRODUCTION AND CONTROL SCALING

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TAILA DHARA

USHNA SNIGDHA

VATA KAPHA

KSHEERA DHARA

SHEETA SNIGDHA

PITTA VATA

TAKRA DHARA

SHEETA ROOKSHA

PITTA KAPHA

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  • MODE OF ACTION
  • THERAPEUTIC EFFECT OF MEDICAMENT
  • DURATION OF CONTACT
  • SOLUBILITY OF MEDICATION
  • PART OF BODY EXPOSED

A)DURATION OF CONTACT- TAILA WHICH IS DENSER IN CONCENTRATION WITH LONGER DURATION IN CONTACT

B)SOLUBILITY- SKIN IS RELATIVELY PERMEABLE TO FAT SOLUBLE SUBSTANCES THAN WATER SOLUBLE SUBSTANCE. OIL MOLECULES PASS THROUGH DERMIS INTO CAPILLARIES, ABSORPTION OCCURS THROUGH HAIR FOLLICLE AND SWEAT DUCT

C)ABSORPTION IS FASTER IN SCALP ,AS PER PRICPLE OF DRUG ABSORPTION IS MAXIMUM IN SCALP

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  • MECHANISM OF ACTION OF SHIRODHARA
  • A) HEIGHT FROM WHICH DHARA PERFORMED-

ANY SUBSTANCE SITUATED AT CERTAIN HEIGHT POSSESS POTENTIAL ENERGY (PE-MGH) AND THIS ENERGY CONVERTED INTO KINETIC ENERGY. WHEN THE SUBSTANCE FALL FROM THAT CERTAIN HEIGHT ACCORDING TO LAW OF CONSERVATION OF ENERGY.SO DHARA DONE FROM FIXED HEIGHT 4 ANGULA ,LEADS TO ENERGY CONVERSION OF TAILA

  • B)TEMPERATURE IN WHICH DHARA PERFORMED- CONTINUOUS FLOW OF WARM LIQUID ON FOREHEAD FOR LONG PERIOD WILL CAUSE VASODIALATION,IT IMPROVES CIRCULATION IN THESE AREAS .VIBRATION ALONG WITH TEMPERATURE MAY ACTIVATE FUNCTION OF THALAMUS ,WHICH THEN BRINGS THE AMOUNT OF SEROTONIN AND CATECHOLAMINE TO NORMAL STATE
  • C) OSCILLATORY MOVEMENTS –SPEED BY WHICH DHARA PERFORMED .WHEN ANYTHING POUR UPON FOREHEAD FROM A CERTAIN HEIGHT DUE TO CHANGE IN THE FORM OF ENERGY IT GENERATE MOMENTUM AND THAT MOMENTUM CAUSE CHANGE IN VOLATAGE,STIMULATE THE NERVE IMPULSE GENERATION OR NERVE IMPULSE CONDUCTION

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  • SHIRODHARA PRODUCES CONSTANT PRESSURE AND VIBRATION, VIBRATION TRANSMITTED INWARD THROUGH FLUID MEDIUM.
  • EFFECT OF CONSTANT PRESSURE – PROLONGED AND CONTINUOUS PRESSURE CUASE TRANQUILITY OF MIND WHEN NERVE ENDING OF AUTONOMIC NERVOUS SYSTEM ,STIMULATED IT PRODUCE CHEMICAL SUBSTANCE LIKE ACETYLCHOLINE ,WHICH EXIST IN TISSUES IN INACTIVE FORM AND IT IS ACTIVATED BY NERVE IMPULSE VIBRATION.
  • ACETYLCHOLINE IS ACTIVATED BY NERVE IMPULSE VIBRATION PRODUCE DUE TO CONSTANT POURING OF DHARA OVER FOREHEAD CAUSE OF FALL OF BLOOD PRESSURE LEADING TO DECRESED ACTIVITY OF CNS RESULT IN TRANQUILITY OF MIND DECREASES THE BRAIN CORTISONE LEVEL.THIS FACTOR ALSO CONTRIBUTORY IN ANTISTRESS EFFECT OF SHIRODHARA
  • ACTION LOCAL SITE- SKIN AND OTHER APPENDAGES HAVING NERVE ENDING. THEY ARE RICH IN PAIN RECPTORS SUCH AS BRADYKININ,HISTAMINE,ACETYLCHOLINE.THEY ARE STIMULATED BY MECHANICAL,THERMAL STIMULI

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  • HYPOTHALAMIC-PITUITARY-ADRENAL AXIS (HPA AXIS) IS A COMPLEX SET OF DIRECT INFLUENCES AND FEEDBACK INTERACTIONS AMONG THE HYPOTHALAMUS, THE PITUITARY GLAND, AND THE ADRENAL GLANDS.
  • FUNCTIONS OF HYPOTHALAMUS
  • THE HYPOTHALAMUS CONTROLS MANY BODY ACTIVITIES AND IS ONE OF THE MAJOR REGULATORS OF HOMEOSTASIS.
  • CONTROL OF AUTONOMIC NERVOUS SYSTEM: MOST REGULATION OF INVOLUNTARY ACTIVITIES OF SMOOTH MUSCLES, CARDIAC MUSCLES AND GLANDS BY THE AUTONOMIC NERVOUS SYSTEM
  • REGULATION OF EMOTIONAL AND BEHAVIOURAL PATTERNS: TOGETHER WITH THE LIMBIC SYSTEM WITH THE HYPOTHALAMUS REGULATES FEELINGS OF RAGE,AGGRESSION, PAIN, AND PLEASURE AND BEHAVIOURAL PATTERNS OF SEXUAL AROUSAL.
  • CONTROL OF BODY TEMPERATURE.
  • SIGNALS FROM THE CONTROL OF CORTICOTROPHIN RELEASING HORMONE (CRH) WHICH (CORTISOL- STRESS HARMONE)

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  • THE INTERACTIONS AMONG THESE ORGANS CONSTITUTE THE HPA AXIS A MAJOR PART OF THE NEURO-ENDOCRINE SYSTEM THAT CONTROLS REACTIONS TO STRESS AND REGULATES MANY BODY PROCESSES, INCLUDING MOOD AND EMOTIONS, SEXUALITY AND ENERGY STORAGE AND EXPENDITURE. IT IS INVOLVED IN THE NEUROBIOLOGY OF MOOD DISORDERS AND FUNCTIONAL ILLNESSES, INCLUDING ANXIETY DISORDER, BIPOLAR DISORDER, INSOMNIA, STRESS DISORDER, MAJOR DEPRESSIVE DISORDER

  • BY SOOTHING THE HYPOTHALAMUS SHIRODHARA REGULATES THE ACTIVITY OF HPA AXIS

  • REGULATES THE LEVEL OF CORTISOL (STRESS HORMONE)

  • TREATS CONDITIONS LIKE MOOD SWINGS, INSOMNIA, ANXIETY, DEPRESSION AND OTHER PSYCHOLOGICAL DISORDERS.

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  • ACTION TRIDOSHAS
  • VAYU NIGRAHA
  • EFFECT ON ALOCHAKA PITTA – ALOCHAKA PITTA (PITTA SUB TYPE) IS OF 2 TYPES. CHAKSHU VAISHESHIKA (LOCATED WITHIN THE EYE AND MAINTAINS ITS WELL BEING) AND THE OTHER IS BUDDHI VAISHESHIKA (THE PART OF ALOCKHAKA PITTA WHICH HAS ITS CONNECTIVITY WITH HIGHER CENTRES OF THE BRAIN AND THUS MONITORS THE HIGHER FUNCTIONS LIKE INTELLIGENCE, MEMORY ETC).
  • CONTROL OF GOVERNING DOSHA’S PRANA VAYU, SADHAKA PITTA AND TARPAKA KAPHA. THE INTEGRITY OF THE FUNCTIONING OF THESE 3 SUB-DOSHA’S IS THE KEY FOR A PERFECT BODY-MIND HEALTH.

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  • ACTION ON MARMA-

SOME VITAL MARMA ARE LOCATED IN FOREHEAD AND HEAD REGION.MAINLY STAPANI,UTHKSHEPA,AAVARTA,SHANKA,AND APANGA

ACCORDING TO BHELA,BHRUMADHYA IS A SITE OF MANA ALSO PLACE OF STHAPANI MARMA

SITE OF STHAPANI MARMA ,SITE OF PITUTORY GLAND AND PINEAL GLAND EXIST AT SAME LEVEL.DUE TO STIMULATION OF STAPANI MARMA ,INDIRECT STIMULATION OF PITUTORY GLAND BRINGS IN PSYCHOSOMATIC LEVEL.

ACTION ON MARMA- MARMAS- APANGA AND AVARTA MARMA’S ARE RELATED TO THE EYE DHARA MIGHT MAKE A SOOTHING IMPACT ON BUDDHI VAISHESHIKA ALOCHAKA PITTA THROUGH THESE MARMA’S

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  • EFFECT ON CHAKRA

SHIRODHARA MAY STIMULATE CHAKRA,IMPROVES FUNCTION OF MIND . ACCORDING TO SEVERAL SPIRITUAL TEXTS, THE CENTRE OF THE FOREHEAD IS SAID TO BE THE ‘THIRD EYE’, WHICH IS CONNECTED TO THE PINEAL GLAND VIA SEVERAL BLOOD VESSELS AND CAPILLARIES. PINEAL GLAND SITUATED IN THE ROOT OF THIRD VENTRICLE,UNDER POSTERIOR PART OF CORPUS CALLOSUM ,RESPONSIBLE FOR RHYTHMIC CHANGES IN BODY,MOOD CHANGES,SLEEP PROMOTION.YOGIC TRADITION REFERS TO THIS THIRD EYE AS THE ‘AGNYA CHAKRA’. FOCUSSING ON THE AGNYA CHAKRA DURING MEDITATION WITH CLOSED EYES LEADS TO PSYCHOSOMATIC HARMONY.

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