Principles and Practice of Snehana

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Principles and Practice of Snehana

  • Trishna-parita(Patients experiencing excessive thirst)
  • Murchcha-parita (Patients frequently suffering from loss of consciousness)
  • Garbhini (Pregnancy)
  • Talushoshinah (Patients having dryness of palate)
  • Annadvishah (Patients who have aversion towards food)
  • Chardi (Patients suffering from vomiting)
  • Garardita (Patients suffering from garavisha)
  • Ama (Patients suffering from ama)
  • Durbala (debilitated persons)
  • Snehaglanayah(who develop discomfort on intake of sneha)
  • Madatura(who are intoxicated)
  • Ajirna (persons suffering from indigestion)
  • Taruna jwara (patients suffering from fever of recent onset)
  • Basti karma (Patients who are undergoing basti karma)
  • Aruchi (persons suffering from lack of taste of mouth)
  • Sramita (who are tired after heavy physical work)
  • Virikta (after virechana karma)
  • Vamita (after vamana)
  • Akala-prasuta (woman who delivered a premature child)
  • Galarogi (Person suffering from disease of throat)
  • Udara rogi (Patients suffering from ascites)
  • Urustambha (individuals suffering from urusthambha)
  • Atisai (patients suffering from diarrhoea)
  • Tikshnagni (Persons having strong digestive fire)
  • Administration of Snehana in these persons will lead to complications

    Snehana Common Contra-indications of snehana are
  • Excess association of Kaphadosha in the pathology
  • Medo anubandha

  • Varieties of Sneha
    Sarpi, Majja, Vasa and Taila are the four sources of sneha. Their respective indications according to the dosha involved is as shown below
  • Sarpis - Vatapita
  • Maija - Vata
  • Thaila - VataKapha
  • The specific indications of all these our souices are as follows :
  • Mainly in Vatavyadhis, Manasika vyadhis and Agni related diseases
  • Sheetha veerya and Deepana
  • Samskaranauvarthana is the property
  • Thaila
  • Vata associated with Kapha
  • Kapha-Medo pathology
  • Provides dridhatha
  • Kroora koshta
  • Vasa and Majja
  • Marmabhighatha
  • Balya and Brimhana
  • Sramsa and Prolapsed conditions
  • Clinical Utility
    Snehana is contra-indicated when there is Aarana of ata by Sounya dosha Dooshyadis
    Importance of Yamaka and Mahasneha
    It is useful in different degrees of Vata vitiation.
    Eg: Jeevanthyadi Yamaka in Vipadika. Malasneha in Asti-Maljagatha vata
    Snehana in Clinical Practice
    In clinical practice Snehana is either Abhyanthara Snehana (Internal usage) or Bahya Snehana (External usage). The important factors to be assessed before internal Snehana is
  • Assessment of status of Koshta
  • Assessment of status of Agni
  • The physician should ty to eicit the status when the patient was not having any symptoms. Charaka has said that people of mrudukoshta have virechana even with ikshu rasa, draksha rasa, warm water etc. This can be kept in mind while assessing koshta. Assessment of Koshta can be done by the following parameters :
  • Nature of stool
  • Consistency of Stool
  • Frequency of Stool
  • Bowel movements
  • States of Malabsorption
  • Any associated GIT pathologies
  • Assessment of Agni

    The functional status of agni can be assessed by the following parameters

  • Understand the level and degree of Appetite
  • Details of Food habit
  • Any history of Ajeerna
  • Quantity and Quality of food
  • Timing and interval of Food
  • Types of Internal Snehana in Clinical Practice
  • Acchapana
  • Vicharana
  • Sadyasnehana
  • Accha snechapana Acchapana is the oral intake of medicated or non medicated sneha in required quantities for a limited time period without mixing food articles other than prakshepa dravyas.
    Duration of Administration Kroora koshta -7 days
    Madhyama koshta 4 to 5 days
    Mrudu koshta 3 days
    Snehapana can be stopped if Samyak snigdha lakshana are observed before the above mentioned period.
    Standard Operative Procedure of Accha snehapana :
  • Proper Patient examination
  • Assessment of digestion and bowel
  • Investigations required prion to Accha sachapana:
  • Blood CBC LE Blood Sugar,RFT Lipid profiles
  • Stool: Routine Bxamination
  • Urine: Routine Bxamination
  • Procedure: Dosage of the sneha must be decided according to age, health, prakrit Vikriti, dosha and agnibala. Test dose
  • It must be in between 50-75 ml for ghritha and 30-60 ml for taila on the first day
  • The dose for the next day should be fixed after assessing the time taken for digestion
  • For vasa and maija the maximum dose is 50 ml
  • Within half an hour of sunrise, patient should be seated in comfortable position and sneha should be given in empty stomach
  • After giving the sneha, eye bandage if used, should be removed Warm water should be given as anupana
  • The patient should wash the face and mouth with hot water to remove the taste of sneha.
  • Hot water can be given if the patient feels thirsty Note Saindhava lavana should be given with sneha as it helps the person to attain snigdhata because of its snigdha, sookshma, ushna and vyavayi guna
  • Precautions to be taken during snehapana
  • Patient should take rest during the snehapana period but he/she should not sleep during the day time
  • Usage of hot water for all purposes
  • Non-suppression of urges
  • Abstinence
  • Non-exposure to cold, dust & sun
  • Stable mentality
  • Pathya is to be followed.
  • Warm vilepi should be given when the sneha is completely digested and good appetite is observed
  • Samyak Snigdha Lakshanas as listed below should be carefully observed.
    1.   Agnideepti (increase in appetite)
    2.   Sneha- dvesha (intolerance to fat)
    3.   Asamhata Varcha (loose stools)
    4.   Angalaghava (lightness in the body)
    5.   Gatra Mardawa (soft feeling of body parts)
    6.   Snigdha Gatrata (smoothness in the body)
    7.   Snigdha Pureesha (oily stools)
    8.   Snigdha Twacha (oily skin)
    9.   Vatanulomana (Proper passage of flatus)
    10.   Klama (tiredness without doing physical work)
    12.   Shaithilya (lethargy)
    Key Points
  • Vatanulomatha -Normal GIT movements
  • Agnideepthi - Normal Appetite
  • Varcha snigdhatha and Asamhatha - Oily stool
  • Snehodwega - Aversion to Sneha
  • Klama - Lassitude
  • Biochemical Assessment criterias after Snehapana
  • Lipid Profile
  • - HDL
    - LDL
    - VLDL
    - Triglycerides
    Snehana - Possible Complications
  • Complications may be due to improper Dose, Drug, Kala, Pathya etc.
  • Ayoga/Heenayoga
  • Athiyoga
  • Mithyayoga
  • Asnigdha lakshana 1. Grathita purisha (passing of hard stool)
    2. Ruksha purisha (passing of dry stool)
    3. Agnimandya (weak digestive power)
    4. Vayu pratilomata (unregulated vata)
    5. Gatra kharata (roughness of body)
    6. Gatra rukshata (dryness of body)
    7. Uro vidaha (burning sensation in chest)
    8. Dourbalya (weakness)
    9. Kricchra annapachana (late digestion)
    10.Susnigdha viparyaya (features opposite to those of samyak sneha)
    Ati snigdha lakshana
    1. Panduta (pallor)
    2. Sharira gourava (heaviness of body)
    3. Jadyata (sluggishness)
    4. Apakva purisha (undigested foods in stools)
    5. Tandra (drowsiness)
    6. Aruchi (lack of taste in the mouth)
    7. Utklesha (nausea)
    8. Bhakta dvesha (aversion to take food)
    9. Mukha srava (Excessive salivation)
    10. Ghrana srava (discharge from the nose)
    11. Guda srava (secretions in the anus)
    12. Guda daha (burning sensation in the anal region)
    13. Pravahika (dysentery)
    14. Purisha-atipravritti (excessive passing of stools)
    Sneha Vyapad The complications of snehapana can be two fold, Acute and chronic. They should be managed accordingly.
    Acute complications 1. Ajirna
    2. Trishna
    3. Samjnanasha
    4. Tandra
    5. Utklesha
    6. Anaha
    7. Jwara
    8. Stambha
    9. Aruchi
    10. Shula
    11. Amapradosha
    Chronic complications 1. Kushta
    2. Kandu
    3. Pandu
    4. Shotha
    5. Udara
    6. Grahani
    7. Arsha
    8. Sthaimithya
    9. Vak graha
    Treatment For Acute Complications
  • Ushnodaka pana
  • Amapachana, Vatanulomana
  • Vamana, Thakra prayoga,Arishta prayoga
  • Rukshaanna pana
  • Triphala, Gomuthra, Guggulu prayoga.
  • Chronic complications should be treated according to the condition
    Common Complications in practice
  • Indigestion, vomiting, nausea,anorexia
  • Agnimandya, headache, Constipation, fever, diarrhea,bhrama etc. may be seen.
  • In such conditions, stop snehapana immediately. Upavasa, vamana, arista's etc. Pachana dravya can be given according to the condition
    Medicines for Snehapana in clinical practice Obesity
    Tila taila
    Skin Diseases
  • Thikthaka Ghritham
  • Aragwadha mahathikthakam Ghritham
  • Guggulu thikthakam Ghritham
  • Patoladi Ghritham

  • GIT Diseases
  • Dadimadi Ghritham
  • Indukantha Ghritham
  • Sukumara Ghritham
  • Neurological Diseases
  • Rasnadasamoola Ghritham
  • Gugguluthikthakam Ghritham
  • Vidaryadi Ghritham
  • Ksheerabala 101 Avarthi
  • Maharajaprasaranyadi Thailam
  • Sahacharadi Thaila
  • Narayana Thaila
  • Genito Urinary Diseases
  • Sukumara Ghritham
  • Vasthyamayanthakam Ghritham
  • Phala Ghritham
  • Psychiatry
  • Panchagavya Ghritha
  • Kalyanaka Ghritha
  • Brahmi Ghritha
  • Immunopathologies - Allergic states
  • Indukantha Ghritha
  • Shatphala Ghritha
  • Diabetic Neuropathy
  • Dhanwantharam Ghritha
  • Varanadi Ghritha
  • Guggulu thikthakam Ghritha
  • Locomotor system
  • Madhuyashtyadi Thaila
  • Dhanwantharam Thaila
  • Guggulutiktakam Ghritha
  • Gandha Thaila
  • Avapeedaka Snehapana The meaning of the word Avapeedaka' is to press down. Avapeedaka sneha is the treatment procedure administered for 'mootra Vegarodhajanya vikaras,adhonabhigata vata vikaras.
    Methodology 1. The procedure involves two steps of administration of Sneha, one dose before food intake and second dose after the digestion of food.
    2. On the day of snehapana, initially half portion of Sneha is given, followed by little quantity of hot water.
    3. The patient should be advised to take breakfast immediately.
    4. After the digestion of the food (when the patient feels hungry) the remaining portion of Sneha should be given.
    5. The patient should be made to stay in a place devoid of breeze and by covering himself, awaiting the digestion of Sneha.
    Avapeedaka Sneha can also be given in infertility, BPH, IBS, Spastic colon etc. Sneha is selected according to physician's yukthi.

    Sadya Sneha Key Points
    The procedure of administering sneha in short duration or single day and getting the desired effect of snehana instantaneously is known as sadya sneha. It is a type of abhyantara sneha where in sneha dravya is used in combination with dietary preparations. Medicated and non-medicated sneha dravyas can be used Rice ganji (Vilepi) can be prepared Ghritha or sneha in the desired quantity (30 to 50 ml) is added to this vilepi. Saindhava lavana should be added. The patient is made to drink this in the morning when he is hungry A very good usage of Sadhya snehapana can be seen in cases of jaundice and Hepatitis cases. After deepana-pachana, Sadhy snehapana can be given with Indu kanta ghritha(Hepatitis with already manifested Jaundice) Sukumara ghritha can be used in Hepatitis with constipation. Vidaryadi ghritha is useful in jaundice with spleenic enlargement and haemolytic jaundice and kalyanaka ghritha in hepatitis due to bacterial infections Virechana can be given the next day The late Dr. Eswar Reddy, a distinguished panchakarma physician from Karnataka has treated hundreds of Hepatitis B and jaundice cases adopting sadhya sneha with the above ghrithas There is a strong belief among modern doctors that administration of ghee, oil or any saturated fats increase the lipid levels.

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