Shirodhara - Revision history

Agnivesha at 10:05, 24 February 2024

2024-02-24T10:05:49Z

← Older revision		Revision as of 10:05, 24 February 2024
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	\|data1 = Concepts/[[Panchakarma]]/[[Shirodhara]]		\|data1 = Concepts/[[Panchakarma]]/[[Shirodhara]]
	\|label2 = Authors		\|label2 = Authors
	\|data2 = Adarsh P. M. <sup>1</sup>, Deole Y.S. <sup>2</sup>		\|data2 = Adarsh P. M. <sup>1</sup>, [[Yogesh Deole\|Deole Y.S.]]<sup>2</sup>
	\|label3 = Reviewer & Editor		\|label3 = Reviewer & Editor
	\|data3 = Basisht G.<sup>3</sup>		\|data3 = [[Gopal Basisht\|Basisht G.]]<sup>3</sup>
	\|label4 = Affiliations		\|label4 = Affiliations
	\|data4 = <sup>1</sup> [[Charak Samhita Research, Training and Development Centre]], I.T.R.A., Jamnagar, India <br/><sup>2</sup> Department of Kayachikitsa, G. J. Patel Institute of Ayurvedic Studies and Research, New Vallabh Vidyanagar, Gujarat, India <br/><sup>3</sup> Rheumatologist, Orlando, Florida, U.S.A.		\|data4 = <sup>1</sup> [[Charak Samhita Research, Training and Development Centre]], I.T.R.A., Jamnagar, India <br/><sup>2</sup> Department of Kayachikitsa, G. J. Patel Institute of Ayurvedic Studies and Research, New Vallabh Vidyanagar, Gujarat, India <br/><sup>3</sup> Rheumatologist, Orlando, Florida, U.S.A.

Agnivesha at 11:10, 29 November 2023

2023-11-29T11:10:39Z

← Older revision		Revision as of 11:10, 29 November 2023
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	\|title=Shirodhara		\|title=Shirodhara
	\|titlemode=append		\|titlemode=append
	\|keywords=Shirodhara, Shirodhara meaning, Shirodhara in ayurveda, charak samhita, caraka samhita online, Adarsh P. M., Deole Y.S., Basisht G., Shirodhara Classification, shirodhara Types, Indications of shirodhara, Contra indications of shirodhara,		\|keywords=Shirodhara, Shirodhara meaning, Shirodhara in ayurveda, charak samhita, caraka samhita online, Adarsh P. M., Deole Y.S., Basisht G., Shirodhara Classification, shirodhara Types, Indications of shirodhara, Contra indications of shirodhara, treatment of psychosomatic diseases, treatment of psychiatric diseases, anxiety neurosis, anxiety treatment, stress treatment
	\|description=Shirodhara (also known as shiraseka or shiraparisheka) literally means therapeutic streaming overhead.		\|description=Shirodhara (also known as shiraseka or shiraparisheka) literally means therapeutic streaming overhead.
	\|image=http://www.carakasamhitaonline.com/resources/assets/ogimgs.jpg		\|image=http://www.carakasamhitaonline.com/resources/assets/ogimgs.jpg
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	<p style="text-align:justify;">Shirodhara has anxiolytic and ASC-inducing effects, and it promotes a decrease of noradrenaline and exhibits a sympatholytic effect, resulting in the activation of peripheral foot skin circulation and immunopotentiation.<ref name="ref12">Uebaba K, Xu FH, Ogawa H, Tatsuse T et al. Psychoneuroimmunologic effects of Ayurvedic oil-dripping treatment. J Altern Complement Med. 2008 Dec;14(10):1189-98. doi: 10.1089/acm.2008.0273.PMID: 19123874.</ref> <br/><br/>A pilot study involving twenty participants concluded that the shirodhara with sesame oil improved the sleep quality measured by PSQI score and the score was lower as compared to the scores of shirodhara with warm water after 2 weeks and 6 weeks follow up. Whereas the shirodhara with sesame oil showed improvement with more score on quality of life as compared with shirodhara with warm water. <ref name="ref13">Akiko Tokinobu, Takashi Yorifuji, Toshihide Tsuda et al. Effects of Ayurvedic Oil-Dripping Treatment with Sesame Oil vs. with Warm Water on Sleep: A Randomized Single-Blinded Crossover Pilot Study. J Altern Complement Med. 2016 Jan 1; 22(1): 52–58.doi: 10.1089/acm.2015.0018 PMID: 26669255</ref> <br/><br/>In a study conducted among sixteen healthy volunteers on shirodhara using oil containing <i>Centella asiatica (Brahmi), [[Jatamansi\|Nardostachys jatamansi (jatamansi)]], and [[Ashwagandha\|Withania somnifera (Ashwagandha)]]</i> in a proportion of 10 mg of aqueous extract of each/100 mL of sesame oil, EEG showed an increase in the alfa rhythm after shirodhara. A decrease of beta activity was observed in two subjects, while one subject showed an increase in the central theta activity. The EEG changes are like those observed after deep meditation and alert relaxation. The V.A.S. score and M.A.S. score for stress and mood changed significantly.<ref name="ref14">Kalpana D. Dhuri, Prashant V. Bodhe, Ashok B. Vaidya. Shirodhara: A psycho-physiological profile in healthy volunteers. J Ayurveda Integr Med. 2013 Jan-Mar; 4(1): 40–44.doi: 10.4103/0975-9476.109550 PMID: 23741161</ref> <br/><br/>In a comparative clinical study containing two groups involving forty-seven participants, one group has undergone shirodhara and other group had given sarpagandha vati for the management of hypertension. The results in the shirodhara group were better than those in the sarpagandha group. Although both sarpagandha vati and shirodhara helped in reducing systolic and diastolic pressures, the effect of shirodhara was more marked. <ref name="ref15">Chittaranjan Kundu, V. D. Shukla, M. A. Santwani, M.D.et al. The role of psychic factors in pathogenesis of essential hypertension and its management by Shirodhara and Sarpagandha Vati. Ayu. 2010 Oct-Dec; 31(4): 436–441.doi: 10.4103/0974-8520.82035 PMID: 22048535</ref> <br/><br/>The comparative study between jatamansi taila dhara group and jaladhara group among thirty-one participants having insomnia have showed good improvement in both groups whereas a better improvement in jatamansi taila group for the chief complaints.<ref name="ref16">Chinmay P Joshi. Comparative study on the effect of Sneha Dhara & Jala Dhara in Anidra (Insomnia). ijam.co.in</ref> <br/><br/>In a similar comparative clinical trial involving 137 participants the comparison between the tailadhara group and jaladhara group also revealed that symptoms like insomnia, anxiety etc. were completely relieved by shirodhara. In brief psychiatric rating scale statistically results of the dhara group are highly significant. Tailadhara provided better relief in all most all the symptoms of stress and in brief psychiatric rating scale compared to jaladhara.<ref name="ref17">Tank, N. G. (2015). A Comparative Clinical Study of Jaladhara and Taildhara in the Management of Stress. International Journal of Ayurvedic Medicine, 6(1). https://doi.org/10.47552/ijam.v6i1.532</ref></p>		<p style="text-align:justify;">Shirodhara has anxiolytic and ASC-inducing effects, and it promotes a decrease of noradrenaline and exhibits a sympatholytic effect, resulting in the activation of peripheral foot skin circulation and immunopotentiation.<ref name="ref12">Uebaba K, Xu FH, Ogawa H, Tatsuse T et al. Psychoneuroimmunologic effects of Ayurvedic oil-dripping treatment. J Altern Complement Med. 2008 Dec;14(10):1189-98. doi: 10.1089/acm.2008.0273.PMID: 19123874.</ref> <br/><br/>A pilot study involving twenty participants concluded that the shirodhara with sesame oil improved the sleep quality measured by PSQI score and the score was lower as compared to the scores of shirodhara with warm water after 2 weeks and 6 weeks follow up. Whereas the shirodhara with sesame oil showed improvement with more score on quality of life as compared with shirodhara with warm water. <ref name="ref13">Akiko Tokinobu, Takashi Yorifuji, Toshihide Tsuda et al. Effects of Ayurvedic Oil-Dripping Treatment with Sesame Oil vs. with Warm Water on Sleep: A Randomized Single-Blinded Crossover Pilot Study. J Altern Complement Med. 2016 Jan 1; 22(1): 52–58.doi: 10.1089/acm.2015.0018 PMID: 26669255</ref> <br/><br/>In a study conducted among sixteen healthy volunteers on shirodhara using oil containing <i>Centella asiatica (Brahmi), [[Jatamansi\|Nardostachys jatamansi (jatamansi)]], and [[Ashwagandha\|Withania somnifera (Ashwagandha)]]</i> in a proportion of 10 mg of aqueous extract of each/100 mL of sesame oil, EEG showed an increase in the alfa rhythm after shirodhara. A decrease of beta activity was observed in two subjects, while one subject showed an increase in the central theta activity. The EEG changes are like those observed after deep meditation and alert relaxation. The V.A.S. score and M.A.S. score for stress and mood changed significantly.<ref name="ref14">Kalpana D. Dhuri, Prashant V. Bodhe, Ashok B. Vaidya. Shirodhara: A psycho-physiological profile in healthy volunteers. J Ayurveda Integr Med. 2013 Jan-Mar; 4(1): 40–44.doi: 10.4103/0975-9476.109550 PMID: 23741161</ref> <br/><br/>In a comparative clinical study containing two groups involving forty-seven participants, one group has undergone shirodhara and other group had given sarpagandha vati for the management of hypertension. The results in the shirodhara group were better than those in the sarpagandha group. Although both sarpagandha vati and shirodhara helped in reducing systolic and diastolic pressures, the effect of shirodhara was more marked. <ref name="ref15">Chittaranjan Kundu, V. D. Shukla, M. A. Santwani, M.D.et al. The role of psychic factors in pathogenesis of essential hypertension and its management by Shirodhara and Sarpagandha Vati. Ayu. 2010 Oct-Dec; 31(4): 436–441.doi: 10.4103/0974-8520.82035 PMID: 22048535</ref> <br/><br/>The comparative study between jatamansi taila dhara group and jaladhara group among thirty-one participants having insomnia have showed good improvement in both groups whereas a better improvement in jatamansi taila group for the chief complaints.<ref name="ref16">Chinmay P Joshi. Comparative study on the effect of Sneha Dhara & Jala Dhara in Anidra (Insomnia). ijam.co.in</ref> <br/><br/>In a similar comparative clinical trial involving 137 participants the comparison between the tailadhara group and jaladhara group also revealed that symptoms like insomnia, anxiety etc. were completely relieved by shirodhara. In brief psychiatric rating scale statistically results of the dhara group are highly significant. Tailadhara provided better relief in all most all the symptoms of stress and in brief psychiatric rating scale compared to jaladhara.<ref name="ref17">Tank, N. G. (2015). A Comparative Clinical Study of Jaladhara and Taildhara in the Management of Stress. International Journal of Ayurvedic Medicine, 6(1). https://doi.org/10.47552/ijam.v6i1.532</ref></p>

			== Related chapters ==

			[[Manovaha srotas]], [[Manas]], [[Psychiatric diseases‎‎]], [[Unmada Chikitsa Adhyaya]], [[Apasmara Chikitsa Adhyaya]]

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Agnivesha at 11:06, 29 November 2023

2023-11-29T11:06:18Z

Show changes

Agnivesha at 07:01, 4 September 2023

2023-09-04T07:01:48Z

Show changes

Agnivesha at 06:37, 4 September 2023

2023-09-04T06:37:24Z

← Older revision		Revision as of 06:37, 4 September 2023
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	!Quantity		!Quantity
	\|-		\|-
	\|Dhara patra (pot)		\|Dhara patra (pot)
	\|1		\|1
	\|-		\|-
	\|Dhara stand		\|Dhara stand
	\|1		\|1
	\|-		\|-
	\|Dhara droni (table)		\|Dhara droni (table)
	\|1		\|1
	\|-		\|-
	\|Suitable liquids like oil, butter milk or milk		\|Suitable liquids like oil, butter milk or milk
	\|1.5 liter		\|1.5 liter
	\|-		\|-
	\|Gauze		\|Gauze
	\|1		\|1
	\|-		\|-
	\|Cotton ear plugs		\|Cotton ear plugs
	\|2		\|2
	\|-		\|-
	\|Soft pillow covered with rexin		\|Soft pillow covered with rexin
	\|1		\|1
	\|-		\|-
	\|Hot water for bath		\|Hot water for bath
	\|Q. S		\|Q. S
	\|-		\|-
	\|Vessels		\|Vessels
	\|3		\|3
	\|-		\|-
	\|Rasnadi churna for tala		\|Rasnadi churna for tala
	\|5g		\|5g
	\|-		\|-
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	\|2		\|2
	\|}		\|}

	== Dhara dravya according to diseases<ref name="ref2">Puthiyedath Raman Menon, Sirassekadi vidhi. Edited by Dr M Prasad.1st ed. Thrissur: Vaidyabhooshanam Raghavan Thirumulpad Foundation for Ayurvedic Studies,2009.</ref> ==		== Dhara dravya according to diseases<ref name="ref2">Puthiyedath Raman Menon, Sirassekadi vidhi. Edited by Dr M Prasad.1st ed. Thrissur: Vaidyabhooshanam Raghavan Thirumulpad Foundation for Ayurvedic Studies,2009.</ref> ==
	{\| class="wikitable"		{\| class="wikitable"
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	!'''Dharadravya'''		!'''Dharadravya'''
	\|-		\|-
	\|Klama, daha		\|Klama, daha
	\|Coconut water		\|Coconut water
	\|-		\|-
	\|Pittaja vikara		\|Pittaja vikara
	\|Cold water/milk		\|Cold water/milk
	\|-		\|-
	\|Vata pittottara		\|Vata pittottara
	\|Ghee		\|[[Ghee\|Ghee]]
	\|-		\|-
	\|Vathadhika, arumshika		\|Vathadhika, arumshika
	\|Sesame oil		\|Sesame oil
	\|}		\|}

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	\|-		\|-
	\|Kevala vata		\|Kevala vata
	\|Chatusneha (oil, [[Ghee\|ghee]], muscle fat, bone marrow)		\|Chatusneha (oil, [[Ghee\|ghee]], muscle fat, bone marrow)
	\|-		\|-
	\|[[Pitta dosha\|Pitta]] or rakta pradhana [[Vyadhi\|vyadhi]] or [[Raktapitta\|raktapitta]] associated with [[Vata dosha\|vata]] or [[Kapha dosha\|kapha]]		\|[[Pitta dosha\|Pitta]] or rakta pradhana [[Vyadhi\|vyadhi]] or [[Raktapitta\|raktapitta]] associated with [[Vata dosha\|vata]] or [[Kapha dosha\|kapha]]
	\|oil and [[Ghee\|ghee]] in equal proportion		\|oil and [[Ghee\|ghee]] in equal proportion
	\|-		\|-
	\|[[Kapha dosha\|Kapha]] associated with [[Vata dosha\|vata]]		\|[[Kapha dosha\|Kapha]] associated with [[Vata dosha\|vata]]
	\|Oil (2 parts) + [[Ghee\|ghee]] (1 part)		\|Oil (2 parts) + [[Ghee\|ghee]] (1 part)
	\|-		\|-
	\|[[Pitta dosha\|Pitta]]		\|[[Pitta dosha\|Pitta]]
	\|Different types of milk		\|Different types of milk
	\|}		\|}

	== Preparation of butter milk for takra dhara ==		== Preparation of butter milk for takra dhara ==
	<p style="text-align:justify;">Two pala(96g) of Musta (Cyperus rotundus) or Yashtimadhu (Glycyrrhiza glabra) boiled in two prastha (1536ml) of milk and eight prastha(6144ml) of water and reduced up to two prastha(1536ml) by suspending them into liquid in a bag of thin cloth. The bag is also squeezed well at the end of boiling. The medicated milk thus obtained is cooled and fermented overnight. Decoction of four pala(192g) of amalaka (Emblicus officinalis) is prepared by boiling it with four prastha (3072ml) of water and reduced to one prastha(768ml). This decoction is mixed with the curd formed and churned to obtain the butter milk. This takra is used for dhara.</p>		<p style="text-align:justify;">Two pala(96g) of [[Musta\|Musta (Cyperus rotundus)]] or [[Yashtimadhu\|Yashtimadhu (Glycyrrhiza glabra)]] boiled in two prastha (1536ml) of milk and eight prastha(6144ml) of water and reduced up to two prastha(1536ml) by suspending them into liquid in a bag of thin cloth. The bag is also squeezed well at the end of boiling. The medicated milk thus obtained is cooled and fermented overnight. Decoction of four pala(192g) of [[Amalaki\|amalaka (Emblicus officinalis)]] is prepared by boiling it with four prastha (3072ml) of water and reduced to one prastha(768ml). This decoction is mixed with the curd formed and churned to obtain the butter milk. This takra is used for dhara.</p>

	== Preparation of medicated milk ==		== Preparation of medicated milk ==
	<p style="text-align:justify;">2 prastha(1536ml) of cow’s milk along with 8 prastha(6144ml) of water and add 1 pala(48g) each of the roots of bala (Sida cordifolia) and shatavari (Asparagus racemosus) which is tied up in a muslin bag into the mixture and boiled over gentle fire till the total quantity reduced to that of milk. It is then diluted with an equal quantity of fresh tender coconut water after it is completely cooled.</p>		<p style="text-align:justify;">2 prastha(1536ml) of cow’s milk along with 8 prastha(6144ml) of water and add 1 pala(48g) each of the roots of bala (Sida cordifolia) and [[Shatavari\|shatavari (Asparagus racemosus)]] which is tied up in a muslin bag into the mixture and boiled over gentle fire till the total quantity reduced to that of milk. It is then diluted with an equal quantity of fresh tender coconut water after it is completely cooled.</p>

	== Preparation of instrument of shirodhara yantra ==		== Preparation of instrument of shirodhara yantra ==

Agnivesha at 06:21, 4 September 2023

2023-09-04T06:21:45Z

← Older revision		Revision as of 06:21, 4 September 2023
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	=== Takra dhara (therapeutic streaming of butter milk) ===		=== Takra dhara (therapeutic streaming of butter milk) ===
	<p style="text-align:justify;">Here medicated takra (butter milk) is used for shirodhara. It is indicated in [[Vyadhi\|diseases]] having [[Kapha dosha\|kapha]] [[Pitta dosha\|pitta]] vitiation. The drugs which are cold in touch/potency are indicated for shirodhara in headache due to vitiated pitta (paittika shirobhitapa)). [A. Hr. Uttara Sthana 24/11]</p>		<p style="text-align:justify;">Here medicated takra (butter milk) is used for shirodhara. It is indicated in [[Vyadhi\|diseases]] having [[Kapha dosha\|kapha]] [[Pitta dosha\|pitta]] vitiation. The drugs which are cold in touch/potency are indicated for shirodhara in headache due to vitiated [[Pitta dosha\|pitta]] (paittika shirobhitapa)). [A. Hr. Uttara Sthana 24/11]</p>

	=== Ksheera dhara (therapeutic streaming of milk) ===		=== Ksheera dhara (therapeutic streaming of milk) ===
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	=== Kwathadhara (therapeutic streaming of decoction) ===		=== Kwathadhara (therapeutic streaming of decoction) ===
	<p style="text-align:justify;">Here, the liquid used is decoction (kwatha) which pacifies both [[Vata dosha\|vata]] and [[Kapha dosha\|kapha]] ([[Vata dosha\|vata]] [[Kapha dosha\|kapha]] shamana). In vatarakta associated with burning sensation, boiled and cooled decoction of jivaniya group of drugs is advised for therapeutic streaming. [Cha.Sa. [[Chikitsa Sthana\|Chikitsa Sthana]] 29/126]</p>		<p style="text-align:justify;">Here, the liquid used is decoction (kwatha) which pacifies both [[Vata dosha\|vata]] and [[Kapha dosha\|kapha]] ([[Vata dosha\|vata]] [[Kapha dosha\|kapha]] shamana). In [[Vatarakta Chikitsa\|vatarakta]] associated with burning sensation, boiled and cooled decoction of jivaniya group of drugs is advised for therapeutic streaming. [Cha.Sa. [[Chikitsa Sthana\|Chikitsa Sthana]] 29/126]</p>

	=== Jaladhara (therapeutic streaming of water) ===		=== Jaladhara (therapeutic streaming of water) ===
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	\|-		\|-
	\|Uthama		\|Uthama
	\|fresh sneha each day		\|fresh sneha each day
	\|-		\|-
	\|Madhyama		\|Madhyama
	\|same sneha for 3 days		\|same sneha for 3 days
	\|-		\|-
	\|Adhama		\|Adhama
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	<li>Ulcerations of the scalp</li>		<li>Ulcerations of the scalp</li>
	<li>Burning sensation [A. Hri. [[Sutra Sthana\|Sutra Sthana]] 22/25] </li>		<li>Burning sensation [A. Hri. [[Sutra Sthana\|Sutra Sthana]] 22/25] </li>
	<li>The [[Vyadhi\|diseases]] affecting the upper parts of the [[Sharira\|body]] (neurological diseases).</li>		<li>The [[Vyadhi\|diseases]] affecting the upper parts of the [[Sharira\|body]] ([[Neurological diseases\|neurological diseases]]).</li>
	<li>stress, psychic and psychosomatic diseases like psychosis, neurosis, epilepsy, irritable bowel syndrome.</li>		<li>stress, psychic and psychosomatic diseases like psychosis, neurosis, epilepsy, irritable bowel syndrome.</li>
	<li>Insomnia </li>		<li>Insomnia </li>
	<li>Generalized anxiety disorders.</li>		<li>Generalized anxiety disorders.</li>
	<li>Addition disorders like alcoholism</li>		<li>Addition disorders like [[Madatyaya Chikitsa\|alcoholism]]</li>
	<li>Excess sweating, hypertension.</li>		<li>Excess sweating, hypertension.</li>
	<li>Syncope</li>		<li>Syncope</li>
	<li>Exhaustion without exertion.</li>		<li>Exhaustion without exertion.</li>
	<li>Loss of consciousness</li>		<li>Loss of [[Chetana\|consciousness]]</li>
	<li>Enlargement of glands</li>		<li>Enlargement of glands</li>
	<li>Diabetes</li>		<li>Diabetes</li>

Agnivesha at 13:53, 1 September 2023

2023-09-01T13:53:04Z

Agnivesha at 13:52, 31 August 2023

2023-08-31T13:52:32Z

Show changes

Agnivesha at 13:41, 31 August 2023

2023-08-31T13:41:28Z

← Older revision		Revision as of 13:41, 31 August 2023
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	== Etymology and derivation ==		== Etymology and derivation ==
	<p style="text-align:justify;">The word shirodhara comprises two words viz shiras and dhara. ‘Shiras’ means head and ‘dhara’ means pouring liquids on the body (seka). The word dhara comes from the Sanskrit root ‘dhr’ (dhr +nich+ang) which means falling of liquid. ~~[ ]~~ Thus, shirodhara is pouring liquid on the head.</p>		<p style="text-align:justify;">The word shirodhara comprises two words viz shiras and dhara. ‘Shiras’ means head and ‘dhara’ means pouring liquids on the body (seka). The word dhara comes from the Sanskrit root ‘dhr’ (dhr +nich+ang) which means falling of liquid.<ref name="ref3">Raja Radhakanthadeva Bahadur, Sabdakalpadruma,edited by Varadaprasadavasu.2nd edition. Delhi. Naga publishers. 2003.Volume 2, p-795.</ref> Thus, shirodhara is pouring liquid on the head.</p>

	== Synonyms ==		== Synonyms ==

Agnivesha at 12:55, 31 August 2023

2023-08-31T12:55:47Z

← Older revision		Revision as of 13:53, 1 September 2023
Line 31:		Line 31:

	== Etymology and derivation ==		== Etymology and derivation ==
	<p style="text-align:justify;">The word shirodhara comprises two words viz shiras and dhara. ‘Shiras’ means head and ‘dhara’ means pouring liquids on the [[Sharira\|body]] (seka). The word dhara comes from the Sanskrit root ‘dhr’ (dhr +nich+ang) which means falling of liquid.<ref name="ref3">Raja Radhakanthadeva Bahadur, Sabdakalpadruma,edited by Varadaprasadavasu.2nd edition. Delhi. Naga publishers. 2003.Volume 2, p-795.</ref> Thus, shirodhara is pouring liquid on the head.</p>		<p style="text-align:justify;">The word shirodhara comprises two words viz shiras and dhara. ‘Shiras’ means head and ‘dhara’ means pouring liquids on the [[Sharira\|body]] (seka). The word dhara comes from the Sanskrit root ‘dhr’ (dhr + nich + ang) which means falling of liquid.<ref name="ref3">Raja Radhakanthadeva Bahadur, Sabdakalpadruma,edited by Varadaprasadavasu.2nd edition. Delhi. Naga publishers. 2003.Volume 2, p-795.</ref> Thus, shirodhara is pouring liquid on the head.</p>

	== Synonyms ==		== Synonyms ==
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	=== Takra dhara (therapeutic streaming of butter milk) ===		=== Takra dhara (therapeutic streaming of butter milk) ===
	<p style="text-align:justify;">Here medicated takra (butter milk) is used for shirodhara. It is indicated in diseases having [[Kapha dosha\|kapha]] [[Pitta dosha\|pitta]] vitiation. The drugs which are cold in touch/potency are indicated for shirodhara in headache due to vitiated pitta (paittika shirobhitapa)). [A. Hr. Uttara Sthana 24/11]</p>		<p style="text-align:justify;">Here medicated takra (butter milk) is used for shirodhara. It is indicated in [[Vyadhi\|diseases]] having [[Kapha dosha\|kapha]] [[Pitta dosha\|pitta]] vitiation. The drugs which are cold in touch/potency are indicated for shirodhara in headache due to vitiated pitta (paittika shirobhitapa)). [A. Hr. Uttara Sthana 24/11]</p>

	=== Ksheera dhara (therapeutic streaming of milk) ===		=== Ksheera dhara (therapeutic streaming of milk) ===
	<p style="text-align:justify;">As the name suggests, medicated or non-medicated milk is advised for shirodhara in [[Pitta dosha\|pitta]] associated diseases of [[Vata dosha\|vata]]. The milk processed with dashamula is indicated for therapeutic streaming overhead in headache due to vitiated [[Vata dosha\|vata dosha]] (vatika shirobhitapa). [A. Hri. Uttara Sthana 24/3]</p>		<p style="text-align:justify;">As the name suggests, medicated or non-medicated milk is advised for shirodhara in [[Pitta dosha\|pitta]] associated [[Vyadhi\|diseases]] of [[Vata dosha\|vata]]. The milk processed with dashamula is indicated for therapeutic streaming overhead in headache due to vitiated [[Vata dosha\|vata dosha]] (vatika shirobhitapa). [A. Hri. Uttara Sthana 24/3]</p>

	=== Kwathadhara (therapeutic streaming of decoction) ===		=== Kwathadhara (therapeutic streaming of decoction) ===
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	=== Jaladhara (therapeutic streaming of water) ===		=== Jaladhara (therapeutic streaming of water) ===
	<p style="text-align:justify;">Even the use of mere cold water can give benefits of the shirodhara procedure in the case of paithika rogas (diseases having origin from [[Pitta dosha\|pitta dosha]]). Therapeutic streaming of cold water (shita jala) is indicated for bleeding hemorrhoids. [Cha. Sa. [[Chikitsa Sthana\|Chikitsa Sthana]] 14/218]</p>		<p style="text-align:justify;">Even the use of mere cold water can give benefits of the shirodhara procedure in the case of paithika rogas ([[Vyadhi\|diseases]] having origin from [[Pitta dosha\|pitta dosha]]). Therapeutic streaming of cold water (shita jala) is indicated for bleeding hemorrhoids. [Cha. Sa. [[Chikitsa Sthana\|Chikitsa Sthana]] 14/218]</p>

	== Types of shirodhara based on reusage.<ref name="ref1">Pavana Jayaram, Manoj Sankaranarayana, Dharakalpa, Karaliya cikitsa padhati. Kanyakumari.Ayurvedic Educational &Charitable trust.</ref> ==		== Types of shirodhara based on reusage.<ref name="ref1">Pavana Jayaram, Manoj Sankaranarayana, Dharakalpa, Karaliya cikitsa padhati. Kanyakumari.Ayurvedic Educational &Charitable trust.</ref> ==
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	<li>Ulcerations of the scalp</li>		<li>Ulcerations of the scalp</li>
	<li>Burning sensation [A. Hri. [[Sutra Sthana\|Sutra Sthana]] 22/25] </li>		<li>Burning sensation [A. Hri. [[Sutra Sthana\|Sutra Sthana]] 22/25] </li>
	<li>The diseases affecting the upper parts of the [[Sharira\|body]] (neurological diseases).</li>		<li>The [[Vyadhi\|diseases]] affecting the upper parts of the [[Sharira\|body]] (neurological diseases).</li>
	<li>stress, psychic and psychosomatic diseases like psychosis, neurosis, epilepsy, irritable bowel syndrome.</li>		<li>stress, psychic and psychosomatic diseases like psychosis, neurosis, epilepsy, irritable bowel syndrome.</li>
	<li>Insomnia </li>		<li>Insomnia </li>
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	== Contra indications of shirodhara<ref name="ref1" /> ==		== Contra indications of shirodhara<ref name="ref1" /> ==
	<ul style="text-align:justify;"><li>Shirodhara is not indicated in diseases arising out of dominance of [[Kapha dosha\|kapha dosha]].</li>		<ul style="text-align:justify;"><li>Shirodhara is not indicated in [[Vyadhi\|diseases]] arising out of dominance of [[Kapha dosha\|kapha dosha]].</li>
	<li>It is not advised during extreme hot and cold seasons.</li>		<li>It is not advised during extreme hot and cold seasons.</li>
	<li>It is not advised at the time of mild increase of [[Dosha\|doshas]].</li>		<li>It is not advised at the time of mild increase of [[Dosha\|doshas]].</li>
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	\|Chatusneha (oil, [[Ghee\|ghee]], muscle fat, bone marrow)		\|Chatusneha (oil, [[Ghee\|ghee]], muscle fat, bone marrow)
	\|-		\|-
	\|[[Pitta dosha\|Pitta]] or rakta pradhana vyadhi or [[Raktapitta\|raktapitta]] associated with [[Vata dosha\|vata]] or [[Kapha dosha\|kapha]]		\|[[Pitta dosha\|Pitta]] or rakta pradhana [[Vyadhi\|vyadhi]] or [[Raktapitta\|raktapitta]] associated with [[Vata dosha\|vata]] or [[Kapha dosha\|kapha]]
	\|oil and [[Ghee\|ghee]] in equal proportion		\|oil and [[Ghee\|ghee]] in equal proportion
	\|-		\|-
	\|[[Kapha dosha\|Kapha]] associated with [[Vata dosha\|vata]]		\|[[Kapha dosha\|Kapha]] associated with [[Vata dosha\|vata]]
	\|Oil (2 parts) + [[Ghee\|ghee]] (1 part)		\|Oil (2 parts) + [[Ghee\|ghee]] (1 part)
	\|-		\|-
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	!'''Duration'''		!'''Duration'''
	\|-		\|-
	\|Ruksha/[[Pitta dosha\|Pitta]] associated [[Vata dosha\|vata]] diseases		\|Ruksha/[[Pitta dosha\|Pitta]] associated [[Vata dosha\|vata]] [[Vyadhi\|diseases]]
	\|96 minutes		\|96 minutes
	\|-		\|-
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	== Importance in management of diseases ==		== Importance in management of diseases ==
	<ul style="text-align:justify;"><li>Medicated streaming with unctuous substances (snehadhara) can pacify the diseases arising out of tridosha.</li>		<ul style="text-align:justify;"><li>Medicated streaming with unctuous substances (snehadhara) can pacify the [[Vyadhi\|diseases]] arising out of tridosha.</li>
	<li>Streaming with milk (ksheeradhara) can cure insanity, epilepsy, sleeplessness, burning sensation of head and tension headache.</li>		<li>Streaming with milk (ksheeradhara) can cure insanity, epilepsy, sleeplessness, burning sensation of head and tension headache.</li>
	<li>Takradhara can pacify headache, reverse the ojakshaya, pacify pricking pain over palms and feet, urinary tract diseases, diseases involving head, eyes, and ears.<ref name="ref1" /> </li></ul>		<li>Takradhara can pacify headache, reverse the ojakshaya, pacify pricking pain over palms and feet, urinary tract diseases, [[Vyadhi\|diseases]] involving head, eyes, and ears.<ref name="ref1" /> </li></ul>

	== Mode of action of shirodhara ==		== Mode of action of shirodhara ==
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	== Effect on shukravrita vata ==		== Effect on shukravrita vata ==
	<p style="text-align:justify;">There were 48 patients who completed the course of trial with 16 patients in each of the 3 groups. Subjects in Group A were treated with placebo, subjects in Group B were treated with Rasayana Yoga (6 gm/day) and subjects in Group C were treated with shirodhara(7 days) and Rasayana yoga. Psychological counseling was given to subjects in all the 3 groups that underwent treatment for a duration of 4 weeks. From the overall effect of therapy, it was gauged that though all the 3. groups showed improvement the maximum improvement was in group C which has combined shirodhara where 10.5% were cured and 79% markedly improved whereas in the other 2 groups. Nobody was cured and only 56.2% markedly improved in group B and none in group A. Thus, it was concluded that Ŝirodhārawith Rasayana Yoga is most effective in the treatment of shukra avrita vata and could even cure the disease.<ref name="ref11">Basil Cardozo (2006), A Clinical Study On Psycho-Somatic Management Of Shukravrita Vata (Premature Ejaculation) With Rasayana Yoga And Shirodhara.Department of Kayachikitsa, ITRA,Jamnagar</ref></p>		<p style="text-align:justify;">There were 48 patients who completed the course of trial with 16 patients in each of the 3 groups. Subjects in Group A were treated with placebo, subjects in Group B were treated with Rasayana Yoga (6 gm/day) and subjects in Group C were treated with shirodhara(7 days) and Rasayana yoga. Psychological counseling was given to subjects in all the 3 groups that underwent treatment for a duration of 4 weeks. From the overall effect of therapy, it was gauged that though all the 3. groups showed improvement the maximum improvement was in group C which has combined shirodhara where 10.5% were cured and 79% markedly improved whereas in the other 2 groups. Nobody was cured and only 56.2% markedly improved in group B and none in group A. Thus, it was concluded that Ŝirodhārawith Rasayana Yoga is most effective in the treatment of shukra avrita vata and could even cure the [[Vyadhi\|disease]].<ref name="ref11">Basil Cardozo (2006), A Clinical Study On Psycho-Somatic Management Of Shukravrita Vata (Premature Ejaculation) With Rasayana Yoga And Shirodhara.Department of Kayachikitsa, ITRA,Jamnagar</ref></p>

	== Current research ==		== Current research ==

← Older revision		Revision as of 12:55, 31 August 2023
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	== Synonyms ==		== Synonyms ==
	<p style="text-align:justify;">Shiraseka, Parisheka [A. Hr. [[Sutra Sthana\|Sutra Sthana]] 22/23-26], Murdhaseka, Anusechana [Su. Sa. Sarira Sthana 10/21], Parishechana [Cha.Sa. Chikitsa Sthana 6/105], Avaseka [Cha.Sa.Chikitsa Sthana 5/181].</p>		<p style="text-align:justify;">Shiraseka, Parisheka [A. Hr. [[Sutra Sthana\|Sutra Sthana]] 22/23-26], Murdhaseka, Anusechana [Su. Sa. [[Sharira Sthana\|Sarira Sthana]] 10/21], Parishechana [Cha.Sa. [[Chikitsa Sthana\|Chikitsa Sthana]] 6/105], Avaseka [Cha.Sa. [[Chikitsa Sthana\|Chikitsa Sthana]] 5/181].</p>

	== Classification ==		== Classification ==
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	=== Taila dhara (therapeutic streaming of oil) ===		=== Taila dhara (therapeutic streaming of oil) ===
	<p style="text-align:justify;">Here medicated taila (oil) is used for shirodhara which is either vatashamana (pacifying [[Vata dosha\|vatadosha]]) or vatakapha shamana (pacifying both [[Vata dosha\|vata]] and kapha dosha) in nature. Taila(oil) is the best medicine for [[Vata dosha\|vata]]. [Cha.Sa. Siddhi Sthana 1/29]. Udumbaradi siddha taila is mentioned for therapeutic streaming in the management of bleeding disorders (raktapitta) [Cha.Sa.Chikitsa Sthana 6/105]</p>		<p style="text-align:justify;">Here medicated taila (oil) is used for shirodhara which is either vatashamana (pacifying [[Vata dosha\|vatadosha]]) or vatakapha shamana (pacifying both [[Vata dosha\|vata]] and kapha dosha) in nature. Taila(oil) is the best medicine for [[Vata dosha\|vata]]. [Cha.Sa. Siddhi Sthana 1/29]. Udumbaradi siddha taila is mentioned for therapeutic streaming in the management of bleeding disorders (raktapitta) [Cha.Sa. [[Chikitsa Sthana\|Chikitsa Sthana]] 6/105]</p>

	=== Sarpi dhara (therapeutic streaming of ghee) ===		=== Sarpi dhara (therapeutic streaming of ghee) ===
	<p style="text-align:justify;">Medicated or non-medicated [[Ghee\|ghee]] can be used for shirodhara in [[Vata dosha\|vata]], [[Pitta dosha\|pitta]] and rakta vitiated conditions. Sarpi is mentioned for therapeutic streaming in pain produced by vitiation of [[Vata dosha\|vata]]. [Cha.Sa.Chikitsa Sthana 5/181].</p>		<p style="text-align:justify;">Medicated or non-medicated [[Ghee\|ghee]] can be used for shirodhara in [[Vata dosha\|vata]], [[Pitta dosha\|pitta]] and rakta vitiated conditions. Sarpi is mentioned for therapeutic streaming in pain produced by vitiation of [[Vata dosha\|vata]]. [Cha.Sa. [[Chikitsa Sthana\|Chikitsa Sthana]] 5/181].</p>

	=== Takra dhara (therapeutic streaming of butter milk) ===		=== Takra dhara (therapeutic streaming of butter milk) ===
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	=== Kwathadhara (therapeutic streaming of decoction) ===		=== Kwathadhara (therapeutic streaming of decoction) ===
	<p style="text-align:justify;">Here, the liquid used is decoction (kwatha) which pacifies both [[Vata dosha\|vata]] and kapha ([[Vata dosha\|vata]] kapha shamana). In vatarakta associated with burning sensation, boiled and cooled decoction of jivaniya group of drugs is advised for therapeutic streaming. [Cha.Sa. Chikitsa Sthana 29/126]</p>		<p style="text-align:justify;">Here, the liquid used is decoction (kwatha) which pacifies both [[Vata dosha\|vata]] and kapha ([[Vata dosha\|vata]] kapha shamana). In vatarakta associated with burning sensation, boiled and cooled decoction of jivaniya group of drugs is advised for therapeutic streaming. [Cha.Sa. [[Chikitsa Sthana\|Chikitsa Sthana]] 29/126]</p>

	=== Jaladhara (therapeutic streaming of water) ===		=== Jaladhara (therapeutic streaming of water) ===
	<p style="text-align:justify;">Even the use of mere cold water can give benefits of the shirodhara procedure in the case of paithika rogas (diseases having origin from [[Pitta dosha\|pitta dosha]]). Therapeutic streaming of cold water (shita jala) is indicated for bleeding hemorrhoids. [Cha. Sa. Chikitsa Sthana 14/218]</p>		<p style="text-align:justify;">Even the use of mere cold water can give benefits of the shirodhara procedure in the case of paithika rogas (diseases having origin from [[Pitta dosha\|pitta dosha]]). Therapeutic streaming of cold water (shita jala) is indicated for bleeding hemorrhoids. [Cha. Sa. [[Chikitsa Sthana\|Chikitsa Sthana]] 14/218]</p>

	== Types of shirodhara based on reusage.<ref name="ref1">Pavana Jayaram, Manoj Sankaranarayana, Dharakalpa, Karaliya cikitsa padhati. Kanyakumari.Ayurvedic Educational &Charitable trust.</ref> ==		== Types of shirodhara based on reusage.<ref name="ref1">Pavana Jayaram, Manoj Sankaranarayana, Dharakalpa, Karaliya cikitsa padhati. Kanyakumari.Ayurvedic Educational &Charitable trust.</ref> ==