6. Sneha therapy can be administered only
when:-
There is good Agnideepti
There is Srotoshodhana
For this purpose Deepana, Pachana, Rooksha
aushadhis are given before Snehana.
10. Note: If necessary mild Anulomana Dravyas can be advised
during Deepana Pachana like Abhayarishta, Avipattikara
Churna etc..
If Rukshana is necessary Takrarishta, Udvartana can be
adviced.
18. Ghee- Points to remember
Samskara Anuvartanam
Madhura
Avidahitvat
Janmadyeva Cha Sheelanat
Administered in Sharad Ritu
Those who desire for longevity, Bala, Varna, Svara,
Pushti, Smriti, Medha, Dhee, Agni etc..
19. Taila- Points to remember
Madhura Rasa Ushna Guna
Administered in Pravrut & Sheeta Kala
Pravriddha Shleshma & Medas
In Krimi Kostha
In Krura Kostha
Those who desire for Bala, Laghuta etc..
20. Vasa- Points to remember
Having best Agni Bala
Ruksha
Emaciated from weight lifting, coitus & excessive
walking
Sandhi, Asthi, Marma, Koshţha Ruja
Vata Avarana
Vasa Satmya
21. Majja- Points to remember
Diptagni
Klesha Saha
Krura Koshţha
Sneha Sevi
Those who desire of Bala-Shukra-Majja-Asthi Vardhana
22. Yamaka & Maha Sneha
To use in different degrees of Vata vitiation
Eg. Jeevantyadi Yamak in Vipadika, Mahasneha in
Asthimajjagata Vata
23. Karmukta Bheda of Sneha
Criteria Shodhana Shamana Brimhana
Purpose Doshutklesha Vyadhi
Shamana
Brimhana
Form Accha,
Vicharana
Accha Vicharana
Dose Uttama Madhayam Alpa
Time & Method
of
administration
Morning
Akshudhita
Morning
Kshudhita
Any time with
food
Duration Maximum 7
days
Till Vyadhi
Shamana
Till samyak
Brimhana
24. Types of Abhyantara Snehapana in Practice
Accha Sneha
Pravicharana Sneha
Sadhya Sneha
26. Intake of large quantity of Sneha, without mixing with any other
materials.
Taking large quantity of Sneha after the digestion of previous
night meal.
If Accha Sneha is taken during Kshudha Kala it does not serve
the purpose of Shodhana because of Deeptagni.
28. Duration of administration
Krura Koshta - 7 days
Madhyama Koshta - 4 to 5 days
Mrudu Koshta - 3 days
Or
Upto Samyak Snigdha Lakshana, whichever is earlier.
If administered for long time it will lead to Satmyata.
32. Assessment of Kostha
Frequency of stool
Consistency of stool
Time for defecation
Level of satisfaction
Effect of food items & medicines
Any GIT pathology
33. Assessment of Agni
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
34. Investigations required prior to Accha
Snehapana
Blood - RE, LFT, Sugar levels , Lipid profiles.
Urine - RE
Stool - RE
35. Procedure
Dosage of the sneha must be decided according to
Vayas, Prakriti, Vikriti, Dosha and Agnibala.
It must be in between 30-50 ml
The dose for the next day should be fixed after assessing
the time taken for digestion.
36. Within half an hour of sunrise, patient should be seated in a
comfortable position and Sneha should be given in empty
stomach.
After giving the Sneha warm water should be given as
Anupana
37. Specific Anupana
Ushnodaka for most of the sneha except those
processed with Tuvarak & Bhallatak
Yusha- for Taila
Manda- Vasa & Majja
38. Then the patient should wash the face and mouth with
hot water to remove the taste of Sneha.
When thirst occurs, hot water can be given.
40. Samyak Snigdha Lakshana
1. Agnideepti (increase in appetite)
2. Sneha- Dvesha (intolerance to fat)
3. Asamhata Varcha (loose stools)
4. Anga Laghava (lightness in the body)
5. Gatra Mardawa (soft feeling of body parts)
6. Snigdha Gatrata (smoothness in the body)
41. 7. Snigdha Pureesha (oily stools)
8. Snigdha Twcha (oily skin)
9. Vatanulomana (passage of flatus)
10. Adastad Sneha Darsanam (passing of fat in stools)
11. Klama (tiredness without doing physical work)
12. Shaithilya (lethargy)
42. Key Points
Vatanulomana – Normal GIT movements
Agnideepti – Normal Appetite
Varcha Snigdhata and Asamhata – Oily stool
Snehodwega – Aversion to Sneha
Klama - Lassitude
43. Asnigdha Lakshana
1. Grathita Purisha (passing of hard stools)
2. Ruksha Purisha (passing of dry stools)
3. Agnimandya (weak digestive power)
4. Vayu Pratilomata (unregulated vata)
5. Gatra Kharata (roughness of body)
6. Gatra Rukshata (dryness of body)
7. Urovidaha (burning sensation in chest)
8. Dourbalya (weakness)
9. Kricchra Annapachana (late digestion)
10.Susnigdha Viparyaya (features opposite to those of Samyak
Sneha)
44. Atisnigdha Lakshana
1. Panduta (pallor)
2. Sharira Gaurava (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)
45. 8. Bhaktadvesha (aversion to take food)
9. Mukhasrava (Excessive salivation)
10. Ghranasrava (discharge from the nose)
11. Gudasrava (secretions in the anus)
12. Gudadaha (burning sensation in the anal region)
13. Pravahika (dysentery)
14. Purisha - Atipravritti (excessive passing of stools)
48. Post Operative Procedure
Patient should take rest during the Snehapana period
but he/she should not sleep during the day time.
Lemon can be given to smell to avoid nausea.
Warm Vilepi should be given when the Sneha is
completely digested and good appetite occurs.
49. Pathya - Diet and Regimen
Usage of hot water for all purposes
Abstinence
Non-suppression of urges
Non-exposure to cold, dust & sun
Stable mentality
51. When Sneha is particularly used in the form of Bhaksha, Pana,
Leha, Abhyanjana etc. it is called as‘Pravicharana’.
While describing the ‘Brimhana Snehapana’ Hemadri says that
Rasa, Madya etc. when mixed according to taste, palatability
and Satmya of the individual in the Sneha is called as
‘Vicharana’.
52. As per the mode of application these preparations can be divided
in to two groups as –
a) Internal Pravicharana.
b) External Pravicharana.
The preparations like Odana, Vilepi, Mamsarasa, Paya (milk),
Dadhi, Yavagu, Supa, Shaka, Yush, Kambalika, Khada, Saktu, Tila
pishta, Madya, Lehya etc. comes under internal use category.
Whereas, Abhyanga, Basti, Uttarbasti, Gandusha, Karnatail, Nasya,
Akshitarpana, Karnatarpana are the external types of
Pravicharana.
53. Karma Bheda of Pravicharana Sneha
Criteria Vamana Virechana Basti Nasya Rakta
Mokshana
Purpose Kaphotklesha Kapha-
Avriddhikara
Angamardava,
Vatanulomana
Dosha
Vilayana
Doshotkleshana
Type Int & Ext Int & Ext Ext Ext Int
Example Dugdha,
Dadhi,
Mamsa,
Tilapishta
Yusha, Supa,
Kambalika,
Khada,
Madya
Abhyanga,
Anuvasana
Basti
Abhyanga,
Gandusha
Yavagu,
Madya
55. Yavagu: 1 part cereal + 6 parts
water
Supa: 1 part pulses + 18 parts
water reduced to 1/4th
Yusha: 1 part pulses + 18 parts
water reduced to 1/2
Saktu: Flour of cereals & pulses
mixed with Ghee
63. Sneho Anilam Hanti…
Vata Shamak property of Sneha
Sneha have opposite Gunas of Vata
Vatanulomana 1st Samyak Snigdha Lakshana
Helps in proper Gati of Vata
75. In Paittika disorders, Kevala Ghrita should be given.
In Vatika cases mixed with Lavana
In Bahu Kapha Ghrita should be combined with Trikatu and
Yavakshara
In Mandagni to enhance Agni Ghrita should to be administered
along with Kshara and Lavana
76. In Kushta, Shopha, and Prameha one should not use Gramya-
Anupa- Audaka Mamsa, Guda, Dadhi, Kshira, and Tila for
Sadyo-Snehana.
Snehas processed with Pippali, Haritaki and Triphala.
Agni & Kostha should be considered before Snehapana.
Onset of Samyak Snigdha occur in sequential manner which is
helpful in predicting duration of snehapana.
77. Selection of Sneha is very important for desired
therapeutic effect.
Rukshana should be done in Mamsala, Medura, Bahu
Kapha, Vishamagni & Sneha Satmya before Snehapana.