OP LEVEL PANCHAKARMA

AND PARASURGICAL
PROCEDURES
• SNEHAPANA
• SWEDANA
• VAMANA
• VIRECHANA
• VASTHI
• NASYA
 AROHANAKRAMA
SNEHAPANA
• can be give instructions and
effectively applied
• observe jeeryamana,jeerna
and samyak lekshana
swasa roga kandakarigrutham,indh ushnajala,dhanyakadi
ukantham,vidaryadi jala
gruhtam,pippalyadi,da
dimadi
abdominal dadimadi
grutham,sukumaram,ind
hukantham
hridrogam balathylam,dadimadi
grutham
skin diseases tikthakam ,mahatikthaka
m,gulgulutikthakam,
medovaha tikthakam ,panchatikthak
a gulgulu
asthivaha gandhathylam,mhanaray
ana
thylam,dhanwantaram
thylam
sukra asthivaha phalasarpis,kalyanaka
m,dadiamdi grutham
mootravaha vasthyamayanthakam,va
ranadi
grutham,dhanwantharam
manovaha brahmi,mahabhootarava
m
netra triphala,jeevanthyadi
samana snehapana
• Amruthaprasagrutham-ksheera yoosha-
ksheena-post traumatic disorders,post
covid
• Astanga grutham-ksheeram –budhi
mdedaha,vak visudhi-post stroke
• Ardrakadi grutham-with food –ibs
• Indukantagruthan
• Kalyanakam and ksheerakalyanakam-
pumsavanam
• Kandakari grutham jeera Kashaya,jeera yavagu
• Karaskara gritham-with vidaryadi grutham
• Gulgulutikthakagruham
• Chiruvilvadi grutham
• Tikthakam gruhtam
• Dhanwantaram grutham
• Panchagavya grutham
• Brahmigrutham
• Vasthyamayanthaka grutham
• saraswathaGrutham
• ANUPANAS-
SPECIAL CARE
 snehapana prescription op
• Name
Date Time sneha-
amoun
t
anupana food
instr
uctio
agni rema
rks

n
• Age
• sex
• co morbidities
• symptoms and
signs
 SWEDANA
• RHINITIS-small kizhi with rasnadi choornam, steam inhalation with
rasnadi choorna ,nasya with sudarsanaristam,gargling with
sudarsanaristam,dhoopana with rasnadi choornam
• herbal pillow in children with tulsi leaves

• Baby herbal pillow

• Tavidu, muringa leaves,kurumulaku thiri,aval,drie herbes-tulasi
leaves
• Can be heated in dosha pan..baby can slept over in prone position
 Scorpion bite
• Gruthasaindhavadhara-
• Erukku
• 3minutes
 concept of baby kizhi
• Used daily in home…
• Snigda agnikrma
• Headache,lateral epicondylitis
• Hingu,ajamoda,medhika,pudina,vettila,cap
sicum,chilli,jyotismathi
thylam,vacha,yasti,karuthavattu,jadamanji
 PHARYNGITIS
• gargling with tankana
• Triphala, Trikatu, Yava kshara, Daruharidra, Chitraka ra-sanjana, Nimba,
and Saptachadadi Gan-dusha Kashaya
• swedana with basma lavana kizhi
• Pitaka Choorna with Pravala Bhasma,
Tankana with Madhu, Sphatika with
Madhu, Yavakshara with Kshoudram,
Gruhadhooma with Shunti Choorna, Apa-
marga Kshara and Tankana Kshara.
 wax
• Only 400 rs
• Wax 100/-for seven days
• Can be reuse
• Stiffness,contractures
• Long term swedana
 Instant dhanyamlam
• 6l water
• Arikkadi
• Kanjivellam
• Half teaspoon yeast/vinagiri
• Kept oneday
• Dhanyamla drugs can be kept as kizhi and
can be used as kinva
• Water-jaladhara
• Seetakashaya-ramacham-jaladhara
• Dhanyamla
• Vinagiri
• Kallin mattu
• Other beverages
 Swedana in arsas
• Dhoopana-fistula,arsas,yonisrava
• Antimicrobial,anti viral
• Devadaram most
• Antilarval properties-karinochi
• Bashpa sweda
• Erukku –stick-gudakandu
 HIKKA
• Hikka is a disease of serious nature and can
cause death if not treated properly. In
Bruhatatrayee Hikka vyadhi (hiccup) is
mentioned under pranavaha srotasa (respiratory
system). As compared to the other vyadhi's
Hikka (hiccup) and Swasa vyadhi (asthma) are
shighrapranaharaka vyadhi
• balajeerakadi kashayam
• plain gheen in hot yavagu
 Utsadana in skin
•First day-tikthakam,tikthakam ks,triphalachoorna
•Third day-choorna,kashaya,grutha,honey
•Fifth day-choorna,kashaya,more sneha,honey
•Seventh day-gulguluthikthaka thyalam,honey
Honey abhyangaisgood
 Pinyaka utsadana
• Exfoliating skin
• Pinnakku-ellin-
kashaya,dravya,sneha
• Honey abhyanga/utsadana
• Oil cake
 Utsadanan headache
• Hair spa
• Kmlepam/karutta vattu,rasnadi
choorna,bhasma….instant
dhanyamala,or spirit ,,massage
and wrap with hot towel…..dhara
with instant dhanyamlam
 nadisweda
• Hand contactures
• Veluthulli,muringa ela,vacha….
• Daily after ip treatment …
• Swedana and pendulam exercise daily
Heating equipments
tens
NECK AND HEAD RELATED
Elastic adhesive bandages
 Wrist and elbow
• Upanaha with
asthisrungala,eggwhite,godho
oma,and mamasa….
• Ammikallu
• writing
 Sastika
upalepa..pressurecookermethod
• Sastika,kashayachoorna,wa
ter,,,pressure
cooker,,,,,lepana
• Skin----eladichoorna
Ice therapy
 thalam
• Site of application-
moordha
• Thylam alone-ksheerabala,mahanarayana
thylam,Dhanwantaram thylam
• Choornam alone –rasnadi choorna,kachooradi choorna
• Choorna and sarasa-rasnadi choorna and jambeera
swarasa(froth)
• Choorna and thylam(rasnadi choornam,and ksheerabala
thylam,unmadanasini choorna
• Grambu thalam ,(clove)
• Sandal wood
• cinnamon
• Time limit-diseases/dosha • The choornam and thylam is mixed
predeominence when the thylam is warm choornam
• and swarasam
45-1 hour
• Mixed and heating is not good
• Standardization –impossible • Sthyanyam-not warmed
• 7 days if it can done • Choornam andkwatham-same that of
• form only a part of long schedule swarasa,m
of treatment 3-4 days fever • Choornam and nvaneetham-
• unmada-long standing treatment, dehumidification is must
• • Navaneetham anderanda thylam-both
time –evening hours
dehumidified
(astavaidyan),
• Navaneetham and lkalkam-
• further exposure to sunlight after
treatment
• noon hours not advisable.
• Kalkam mildly heated to reduce water • Ardhitam-navaneetham,eranda thylam
content then mixed with navaneetham • Navaneethan,milk ,erandathylam
• Grutham—after patrapakam
• Chenninayakam,eranda thyalam
• Kalkam alone-slightly warming
• • Vathasonitham-
Nellikka talam-not warming
• Coconut milk-boil ingredients in milk grind navaneetham,yastimadhu(vataha
them with some milk drugs are mixed with pradhanyam)
coconut milk and warmed or the drug is • Nidranasam-takram and milk
added to warm milk
• Jwaram-Ksheerabala thylam,lohitanda • Eranda thylam
thylam
• Rakthapitta-Cowdung talam in moordha
• Sthanyam
• Navaneeetha talam • Navaneetham
• Ksheerakashayam,trinapanchamolam,dasa • Grutham
moolam,balachoornam,aswagandha • Ksheeeram
choornam,sahasravedhi
• Kukkudanda dravam
• keraksheeram
Rasnadi choornam
Takra dhara is a variety
of shirodhara, in which
medicated buttermilk is
poured onto the
forehead in a
continuous stream in
rhythmic and
oscillatory manner.
1. Takra Shiro Dhara
2. Takra Kaya Dhara
3. Takra Ekanga Dhara
Preparation of the
medicine
A) Takra
1.5 litres of milk diluted with 4 times water is boiled
with 100 g of skinned and crushed Musta tied in a
muslin bag,and is reduced to the original quantity
of milk.The bag of medicament is taken out and
squeezed well.When cooled,this prepared milk is
fermented by the addition of a little sour buttermilk
over night.Next morning the fermented medicated
curd is churned by adding 500 ml of amalaki
kwatha.The butter is removed completelyabd this
mixture is used for dhara after filtering.
B)Amalaki
Kwatha
200g of dried Amalaki fruit boiled with 8 litres
of water and reduced to 2 litres.1.5 litres of
amalaki Kwatha is used to mix with buttermilk
and 500ml of that is used to wash the head
after the procedure
 COLIKY PAIN

• Thyalam with saindhava lavana,ho water

bag(after vasthi)
 COLD
• Steam inhalation,dhanyamla rka,tulasi
arka,dathoora arka,haridra arka –
nebulization,varthi
• STIFFNESS OF NECK-Nali swedam with
sindoovara leaf(karinochi leaf swarasam
and rasnadichoornam) and go fro nali
swedam
 FACIAL PARALYSIS
• Ksheeradhoonam and nasyam-This therapy begins with the
application of suitable medicated oil on the face, neck and chest.
The face and neck are then subjected to exude profusely through
steam generated from a combination of cow’s milk and herbal
decoctions. This therapy is effective for facial paralysis, trigeminal
neuralgia, pimples and other skin problems.panasa patra
swedam,taping ,tens
• DYSURIA-avagaha swedam,ooshmaswedam with karpooradi
thylam ,and go for medicines and vrikshadanyadi choornam panam
• INFLAMMATIONLayer bandage with km
lepam and spirit
• Cough-Kashayam,lehyam,gulika,choorna
mix and gave as muhu muhu
 vamana
• Kapha and Pitta Dosha brought
to Amashaya (stomach and duodenum) from all
over the body by the specific pre-operative
(poorvakarma) procedures and then eliminated
out by inducing the emesis. It is the detoxifying
procedure that should be performed only after
doing snehan (both internally and externally)
and swedan.
 Poorvakarma
•
Examination of patient,Selection of drug for Vamana,Preparation of patient and
preparation of drug .Poorvakarma procedure of Vamana include
AbhyantaraSnehapana (Internal oleation) forthree, five or seven days as per Agni
and
Koshta of patient till the appearance of Sa-myak Snigdha Lakshana before
Abhyantar
Snehapana Deepan Pachana is done.After Apperance of Samyak Snigdha Lakshana
patient should be asked to take Kaphotklesha-ka Aahar on the day before Vamana.
SarvangSnehana and Swedana is done on 2 days priorto Vaman Karma and on the
day of VamanKarma.Vaigiki Pariksha–Pravarvega 8 VegaMadhyamvega 6 Vega
Avara Vega 4 Vega. Maniki Pariksha –Pravar 2 prastha,Madhyam 1.5 prastha
Avara 1 prasthaLaingiki Pariksha – Lightness of body, In-driyaprasannata , Feeling
Happy etc. These arethe Vamana samyak siddhi lakshna observed
• Dhumpana is done after Vamana.-haridra
dhoopaAfter Samyak Vamana patient is
advised totake complete rest.
Loud speaking, over eating, too much
walking, sitting, anger etc. should be
avoided
• Table 1: Average quantity of drugs used in
Vaman Karma 9 -
Drugs Quantity
Milk 1 lit.
Yashtimadhu Kwath 1 lit.
Madanphala + Pippalikwath 50 ml
Salt water 1 lit
Luke warm water 2- 3 lit.
In the procedure of Vamana Akanth Dugdhpa-na or decoction is given to patient and
then
Vamak Yoga is given.Observations during the procedure Vamana – Record the
output and input of Vaman
dravya taken by the patient Observation of patient Swedpradurbhava
(Perspiration) – Indi-cates that doshas have started melting inbody due to Ushna
guna. Lomaharsha (Horrification) – Indicatesthat doshas have been detached from
thecells and tissues.
• Vamana therapy is effective in Kapha predominant diseases like
rheumatism, IBD, bronchial asthma, allergic bronchitis, rhinitis, sinusitis,
migraine, fever, indigestion, anorexia, obesity, dyslipidemia, diabetes
mellitus, acne vulgaris, severe skin diseases (psoriasis, eczema, Lichen
Plannus, vitiligo etc.), urticaria, edema, filariasis, various psychological
disorders, epilepsy, PCOD, infertility, thyroid disorders etc.
• Vamana in is done in Vasanta ritu ~ spring season, approximately in the
month of March and April for the elimination of vitiated Kapha
Dosha which in turn helps to prevent the forth coming Kapha disorders
and associated Pitta disorders.
• AMADOSHA-lavambu vamanam
• Udardam-nimbapatra kalaka vnmanam
• FEELING OF HEAVINESS-yasti
vamanam
• Sciatica-classical Vamana-vathakapha
gridrasi
• Depression-dhamargava vamanam
 NUMBNESS
• Pinyaka snehapanam
• Anuvasana vashti
 TREMOR
• Tremor-mahaswneham anuvasana vasthi
 DYSARTHRIA
• Rudraksha prastisaranam
• Talapotichil
• ksheeradhooma
 SOORYAPAKA THYLAM
• Gulgulumarichadi thylam
• Dinesavalyadi thylam
• Vitpala thylam
 SPECIAL VASA
PREPARATIONS
• Vasa,visceral fat,gandhaka,tutha
 VIRECHANA YOGAS
• Avipathy choornam
• Eranda-gandarvahastadi
erandam,nimbamrutadi
erandam,hinguvachadi
erandam,sukumara erandam
• Gomootrasavam
• Ichabhedi rasam
• Misraka sneham
 VASTHI
• KITS AVAILABLE-you can make kit
• Rookshavasthi
• Disposible vasthi netra,cover
• Ksheeravasthi –
makshikam,lavanam,sneham,kalakam,kwatham
 Chances favours for prepared
mind
• Guloochyadi Kashaya choornam
• Amruthotharam kashayam
• Manjistadi kasahyam
• Erandamooladi vasthi yogam
• Mustha
• Dasamoola Kashaya yogam
• Salmali
• Balamoolam
 ksheeravasthi
Prasrutha-100 ml
Ksheera-2 prasruta-200
Madhu-1 prasrutha-100
Taila-1 prasrutha-100
Grutha-1 prasrutha-100-500 ml
saindhava-
 Musthadi yapanavasthi
• Musthadiksheerapaka-400ml
• Honey-200ml
• Grutha and thyla-200 ml
• Kalka-30 gram
• Saindhava-10
• Mamasarasa-100
 Vaitharana vasthi
• Saindhav-1 karsha
• Amlika(tamarind)-1 pala
• Guda-half pala
• Gomootra/dhanyamala/milk-1 kudavam
• Ekanga roga
• Bhagandara
• Unmada
• Jwara
• Vridhi
• Shirasoola
• Kampa
• Parikarthika
 Time of administration

• Usually between 1-2pm. (Just after lunch)

Thanks
 ROOKSHAVASTHI
• Fever-amruthotharam vaisawanaram
NASYAM-MOST IMPORTANT
OPD PROCEDURES
 Poorva karma
 Patient is advised to wash face and mouth with luke warm water.
 Abyanga is done over shiras, lalata, kapala, greeva & skanda.
 Shiroabhyanga is enough. Nadisweda or tapasweda can be
done.Abhyanga over palm and sole can be done.Dhoomapana can
be done for srotosodha (in case of nasal congestion).
 Eyes are bandaged with a clean gauze piece after placing lotus
petals and cotton pad over closed eyelids
 Then Nadi sweda is done (urdhwajathru).
 Dhoomapana can be done for srotoshodana, if necessary.
 Patient is made to lie in supine position with slightly elevated legs
and head extended backwards.
 Pradhana karma
• The medicine mildly warmed over a water bath.
• The prescribed dose of medicine is taken in the gokarna
and poured into either nostril closing the other in a
continuous single stream.
• Immediately after instillation of medicine mild massage is
done over pani, pada,greeva,skanda.
• Mridu swedana can be done in the above mentioned
areas with suitable method (Hasthasweda or
vasanasweda).
• Patient is asked to inhale the medicine with moderate
force and to spit it through mouth turning head to either
side alternatively without rising from the cot.
• Patient is made to lie in the same position for 100 matra
kala (3-5 minutes)
• After administration, mardana (massage) is to be done
over the region of the karna, lalata, kesabhoomi,
ganda, manya, skandha, pani and padatala.
Ucchingana should be done mildly. Nishteevana
should be done to both parsva alternatively, till the
entire medicine come out. According to vridha
vagbhata, by parsva nisteevana the medicine
spreads properly to the targeted site. Also opines that
if nisteevana done to one side only, medicine wont
spreads properly into whole sira . As per
Sarangadhara nishteevana can be done in sitting
posture also.
• Avichinna dhara
• Vilvadi gulika nasyam
• Arka nasyam
• Arista nasyam
• RASNADI CHOORNAM
• VILVADI GULIKA
• NIMBADYARSTAM
• SREEKHANDASAVAM
• ARKAM
• KASHAYANASYAM
• VIDANGADYARISTAM AND
TRIKATUCHOORNAM
 HOW TO INCREASE
PORTENCY
• ARISTA
• NASYA
 DHOOMAPANA
• Haridra dhoomavarthai
• Gulgulupanchapalam and kanjanara
gugulu
 MEDICAGTED YAVAGU
• Nayopayam jeeeraka
• Kosataki peya
• Depression-aswagandh
• Dhoopanawith
darvi,hingu,kunduruska,jadamanji-50 gram
• Vilavdigulika nasyam
• Anxiety-vacha,gokshura and aswaganda
¼ each
• OCD-aswaganda,swetasankhupuspi
 anuvasana vasthi
• Snehavasthi-6
• Anuvasana vasthi-3
• Matra vasthi -1 1/2
 Bindu

“Pradeshinyangulee parva dwayan

magna
samuddhruthat yavat patatyasou bindu”

(A.Hr.Soo. 20/9)

1 Bindu = 0.5 ml
 Nasa pana
• Chakradatta has advocated the dosage of
drava dravya used for Nasapana should
be similar to the kashaya which is given
orally, 1 pala. (48ml) approximately
40ml, it has to be considered as the total
dose of administration. So the total dose
has to be divided equally for both the
nostrils i.e, 20 ml in each nostril.
• Yogas like Baladi kwatha, Masha Baladi
Kwatha, Dashamoola Bala Masha Kwatha.
• Apabahuka, Viswaci, Pakshagata, Ardita
and Manyastamba
• UROVASTHI
• KATEEVASTHI
• SIROVASTHI
• GALAVSTHI
• MEERUDANDA VASTHI
• JANUVASHTI
 gandoosha dravya
• saptachadadi
gandoosham Kavala and Gandoosha are simple and
cost-effective method to improve and
• sudarsanaristam
maintain good
oral health and maybe compared to modern
• arimedadi thyalam
day oil pooling. M
• Kapha Purnasyata – filling of mouth by
Kapha.
•  Grahana Akshisrava – watery discharge
from Netra and Nasa
thanks