Nasapana is a modification of nasya nasya karma. it is the process of administration of medication through nasamarga for ingestion.

1. CONCEPT OF
NASAPANA
Presented by,
Dr. Manasa S Shetty
2nd year PG Scholar
Department of Panchakarma
GAMC Mysore

2. CONTENTS
• Introduction
• Nirukti
• Literary review
• Indications and contraindication
• Procedure
• Dose
• Formulations
• Mode of action
• Advantages of nasapana over nasya
• Jala neti
• Ushapana
• Research work done
• Conclusion

3. INTRODUCTION
• Can be understood as a modification of nasya karma
• Administration of large quantity of medicine through nasa marga.
• Mainly used in vatavyadhi, specifically urdhwajatrugata vyadhi
• References can be found in chakradatta, bhavaprakasha, vangasena
and bhaishajya ratnavali

4. NIRUKTI
• नासेन पीयते इतत नासापान|| (shabda kalpadruma)
Administration of medicine through the nasal route for ingestion
Larger quantity of medicine in the form of sneha or kashaya
• 2 words- nasa+pana
• Nasa- nose; pana-Pibenartha, intake, to drink.
• According to Hemachandra “Piyate yasmaditi; pa+vyapadane lut iti
jataradhara”.
• Pana means that which resides in Jathara (stomach)

5. • Various terms mentioned are;
• Nasanipeeto(bhai.rat)
• Pibennasyam(chakradatta)
• Nasyanipeeto(vangasena)
• Pibennasaarandreshu(vangasena)
• Nasyataha paana

6. REVIEW OF LITERATURE
CHAKRADATTA:
माषबलाशूकतशम्बिकत्तृण रास्ना अश्वगन्धोरुबकाणाम्।
क्वाथो नस्यननपीतो रामटलवणाम्बितः कोष्णः।।
अपहरतत पक्शवातं मन्यास्थम्भं सकणणनाद रुजम्।
दुजणयमतदणतवातं सप्ताहाज्जयतत चावश्यम्॥ (chakradatta vatavyadhi adhyaya 22/24)
गोस्तनेक्षुरस क्षीरयष्टीमधुमधूत्पलः।
ननयतं नस्यत: पानैस्तृष्णा शाम्यतत दारुणा॥ (chakradatta trishna adhyaya #16)

7. VANGASENA:
माषात्मगुप्तमेरण्डशृतं वाट्यालक
ं तथा।
तहंगुसन्धवसंयुक्तं पक्षाघातं तवनाशयेत्॥
आत्मगुप्ताबलामाषतवश्वरण्डशृतं जलम्।
ससन्धवं नपबेन्नासारन्द्रेण आशु व्यपोहतत।
पक्षाघातं तशरोरोगं नेत्ररोगहरं परम्॥
(vangasena vatavyadi adhikara 208-209; pakshaghata chikitsa)
माषबलाशुकशातलतशिीकत्तृण रास्नूरुबकाश्वगन्धानाम्।
क्वाथो नस्याननपीतो रामटलवणाम्बितः कोष्णः॥
अपहरम्बि पक्षवातं मन्यास्थम्भ सकणणनादरुजम्
(vangasena vatavyadi adhikara 208-209; pakshaghata chikitsa)
तशरसो रेचनं कायै द्रवःतपत्तहरस्तथा।
सतीक्ष्णनस्यपानेन पुराणस्यव सतपणषः॥
(vangasena vatavyadi adhikara 556; ardita chikitsa)

8. • BHAISHAJYA RATNAVALI: (Bhai.rat.vatavyaddhi adikara #29)
दशमूल बलामाषक्वाथं तलाज्यतमतितम्।
सायं भुक्त्वा नपबेन्नस्यम् तवश्वाचामपबाहुक
े ॥

9. INDICATION AND CONTRAINDICATION
INDICATIONS CONTRAINDICATIONS
Avabahuka.
Vishwachi.
Bahu Shosha.
Manyastambha.
Shirogata Vata.
Pakshaghata, Kampa
Ardita.
Anidra
Trishna
Sneha peeta
Kshatha
Udara roga
Hikka
Murha
Baala
Garbhini
Shodhitha or planning to undergo shodhana
Mandagni

10. PROCEDURE
POORVA KARMA PRADHANA KARMA PASCHATH KARMA
• Atura pareeksha
• Jatrurdhwa mrudu snehana and
swedana
• patient is made to sit
comfortably on a chair.
• The head of the patient is then
highly elevated and with the
help of left thumb patient‟s
nose raised simultaneously with
the right hand
• the medicine is poured into the
nostril at a stretch with the
constant pressure over the bulb.
• The same procedure should be
repeated for other nostril also.
• During the procedure patients
are asked to swallow the
content*
• Gandoosha
• Kavalagrha
• Dhoomapana
• Sukhoshna jala
• Laghu bhojana

11. TO SPIT OR TO SWALLOW
स्नेहनस्यं नोपतगलेत्कथंतचदतप बुम्बिमान् ॥
शृङ्गाटकमतभप्लाव्य तनरेतत वदनाद्यथा ॥
कफोत्क्लेशभयाच्चनं तनष्ठीवेद तवधारयन् ॥ (su.chi.40/29-30)
(commentary: नोपतगलेन तपबेत् । तथा तह तवदेहः, तनष्ठीवेन्न तपबेनस्यं व्यापदः तपबतम्बिमाः । भवम्बि
कासश्छतदणश्च क
ु त्साऽन्ने वमधुस्तथा — ” इतत क्वतचन्नस्यपानमप्युक्तं तवदेहेनव — "क्षीणं मांसं बलं यस्य
वाताततणश्चोर्ध्णजत्रुजा सुदीप्तातनः स्नेह- सात्म्यः स नस्यं नासया तपबेत् ॥ धातूंश्च तपणये्ेहे पीतं नस्यं तु नस्ततः " –
इतत
Current practise:
• North India- swallow
• Karnataka- spit
• Kerala-swallow

12. DOSE
• Acc to chakradatta,
• Same as kashaya maatra for pana-i.e, 1 pala-48ml
(can be taken in divided dosage of 24ml in each nostril)
• Bhavaprakasha,
• Nasa jala pan- 3 prasriti(240 ml)
• Sharangadhara,
• Kashaya siddha nasya maatra as 3 karsha

13. FORMULATIONS
Formulation Ingredients indication
Mashabaladi kwatha Masha, Bala, Kapikachhu, Kattruna,
Rasna, Ashwagandha, Eranda added with
Hingu and Saindhava
Pakshaghata, kampa,Manyasthamba,
Karnanada, Ardita
Dashamuladi kwatha Decoction of Dashamoola, Bala, Masha,
added with Taila and Ghritam
Avabahuka and Viswachi
Mashadi kashyaAtmagupta, Balamoola, Vatari,
added with Hingu and Saindhava
Pakshaghata
Baladi kwatha Bala Moola Kashaya and Saindhava Bahusheershagata vata, Manyastamba.
Balamula kwatha
Paribadhra kwath
Atmagupta swarasa
Mamsa rasa
taken for 1 month makes the affected arm very
strong resembling in power of vajra
Jalapaana Rasayana, promotes vision and alleviates
shades, wrinkles and greying, Pinasa, Kasa,
Swarabheda, Shotha
Vatakapha shamaka or vatashamaka; teekshna dravys yukta

14. • Most of the drugs used in the Nasapana are either Kaphavata Shamaka or Vata Shamaka
some of the drugs are Teekshana such as Hingu, Saindhava and Eranda Moola.
• They produce irritation of the nasal mucosa which increases the nasal secretions as a
result of increased circulation
• Probably generates a chemical impulse which is further transformed into electrical
impulse which is finally converted into a neuronal impulse.
• This neuronal impulse influences on cerebral cortical areas thereby producing a
stimulatory effect leading to evacuation of Dosha.
• Also the irritant effect of Nasapana Dravya increases blood circulation to the brain. So
the accumulated morbid Doshas are expelled out through small blood vessels.
• Ultimately the morbid Dosha are thrown out along the nasal discharge, tears and saliva.
• Also the Vatashamaka drugs and Brumahaniya drugs alleviate Vata .
• Hence probably these preparations can be applied in both Dhatuksayajanya and
Margavaranjanya Vata Vyadhis.

15. MODE OF ACTION (HYPOTHETICAL)
• It can be understood by following concepts:
• Absorption via nasal mucosa
• Absorption via gut.
• Absorption via nasal mucosa
• Many nerve endings which are arranged in the peripheral surface of
mucous membrane that is, olfactory, trigeminal etc. will be stimulated
by Nasapana Dravya and impulses are transferred through central
nervous system.
• This results in better circulation and nourishment of the organs.
• Many drugs absorbed through the rich blood supply of the nasal
mucosa enter the systemic circulation more rapidly than administered
orally.

16. • Absorption via gut
1. Administation of the drug.
• Absorption from the site of administration into the bloodstream.
2. Distribution to other parts of the body, including the target site.
• An important step in all these processes is the movement of drug
molecules through cellular barriers (eg intestinal walls).
• Phagocytosis is one more process where the absorptive cells engulf the
material and exerts its action.
• After the Dravya is administered into the gut, absorption is accomplished
with the help of enterocytes.
• The end products are absorbed mainly in the intestines through the villi.
Each villus is connected to the circulatory and lymphatic systems.
• The Dravyas are absorbed with the help of energy by an enzyme and the
sodium ion cofactor.
• Absorbed drug enter directly into the circulatory system and fat soluble
into lymphatic system by the absorptive cells of villi, which then go to the
liver via portal vein for metabolism.

17. ADVANTAGES OF NASAPANA OVER NASYA
• Larger dosage, more contact time
• Nasal and GI absorption
• Shodhana and shamana action

18. JALA NETI
• Neti is one among the shatkriyas of hata yoga
• Technique to cleanse the nasal passage
• 2 types: jala neti; sutra neti
• Jala neti: using neti pot filled with luke warm saline water.(2-3.5%
concentration)
• The neti pot is held at one nostril, contents are instilled into one
nostril and flows out through the other nostrils.

19. BENEFITS OF JALA NETI
• Neti removes all the dirt and bacteria filled mucusfrom the nasal cavity
• Helps to drain sinus cavity which helps to reprogramme the body's natural
mechanism against nasal infections
• Thinning remaining mucus so that sinuses and Ostia don't clog
• Decreasing swelling of the nasal mucosa
• Removing histamine, leukotrienes, and other inflammatory substances
• Promotes removal of muccus, crusts and debris
• It has cooling and soothing effect on the brain by drawing out excessive heat and
therefore beneficial for headaches and mental tension
• Has a positive influence on all sense organs in thehead.
• Strengthens vision and relieves tired eyes (eg. after working long hours at the
computer).
• Neti can also cure or at least case hay fever and pol- len allergies.

20. POSSIBLE MODE OF ACTION
• The saline in jalaneti has laghu teekshna guna, sukshma and vyavayi
making it possible for the drug to reach anu srotas and expel the
doshas
• Presence of salts acts as vasodilator, local cleanser and immunity
booster
• Warm water has antiinflamatory action in the nasal mucosa

21. USHAPANA
• Dinacharya procedure explained in Bhavaprakasha-
• drinking 8 prasruta of jala, enhances longevity.
सतवतुः समुदयकाले प्रसृततः सतललस्य तपबेदष्टौ।
रोगराजापररमुक्तो जीवेत्वत्सरशतंसाग्रम्॥ (bha.pra.pu.5/303-305
• Explains nasajalapana in same context
• Quantity- 3 prasruta
तवगतघनतनशीथे प्राथरुत्थाय तनत्यं तपबतत खलु नरो यो घ्राणेम्बरियेण वारर।
स भवतत मततपूणणश्चक्षुषा तार्क्ष्णतुल्यो म्बिपतलततवहीनः सवणरोगतवणमुक्तः॥
(bha.pra.pu.5/305)

22. RESEARCH WORKS DONE
Intervention Condition Sample size results
Nasapana v/s nasya
(prasarini ksheera kashaya
v/s laghu masha thaila
Apabahuka 30(15+15) Nasapana-93% marked relief in 14
patients
Nasya: 13% marked results in 2
patients, 73% modeqrate reliev in
11 %
Naaapana with
mashabaladi kashya
+himgu + saindava
Pakshaghata Single case Marked improvement in ROM, mild
improvemnt in gait
Brinfaraja thaila nasya v/s
nasapana with
mashabaladi kashaya
Manyasthambha 40 Nasya beneficial in dhatu kshaya
Nasapana beneficial in acute
stagea nd cases of kapha avarana

23. Intervention Condition Sample size results
Observational study on
nasapana with
mashabaladi kwatha
Ardita 7; manyasthamba 4, pakshaghata 11,
insomnia 4, apabahuka 13, kampavata 5,
vishwachi 5, slurred speech 3
Sop
16-62 years age
Dose 50-300ml
Duration 7-14 days
Naapana with
mashaadi kashaya
kampavata 30 40-70 percent relief in
various symptoms
Comparison of neti v/s
syrimge menthod; and
comparison of
swallowing and
expulsion through
other nostril
avabahuka 40 In process

24. CONCLUSION
• Extended version of nasya
• Large quantity of medicine ingested through nasa marga
• Specifically practised in urdwajatrugata vikara; vataja and vatakaphaja
• Both shodhana and shaman action can be achieved

25. THANK YOU