Shirodhara: Difference between revisions

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== 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> ===
{| class="wikitable"
!'''Types'''
!'''Reusage'''
|-
|Uthama
|fresh  sneha each day
|-
|Madhyama
|same  sneha for 3 days
|-
|Adhama
|beyond  3 days or mixed with already used sneha
|}
'''Indications of shirodhara in general'''


§  Headache (tension headache and migraine)


§  Wounds especially affecting the upper part of the body above the clavicle (urdhva jatru).
§  Suppurations in the scalp
§  Ulcerations of the scalp
§  Burning sensation [A. Hri. Sutra Sthana 22/25]
§  The diseases affecting the upper parts of the body (neurological diseases).
§  stress, psychic and psychosomatic diseases like psychosis, neurosis, epilepsy, irritable bowel syndrome.
§  Insomnia
§  Generalized anxiety disorders.
§  Addition disorders like alcoholism
§  Excess sweating, hypertension.
§  Syncope
§  Exhaustion without exertion.
§  Loss of consciousness
§  Enlargement of glands
§  Diabetes
§  Autoimmune skin diseases like psoriasis, dandruff, and chronic eczema.
'''Contra indications of shirodhara<sup>[1]</sup>'''
§  Shirodhara is not indicated in diseases arising out of dominance of kapha dosha.
§  It is not advised during extreme hot and cold seasons.
§  It is not advised at the time of mild increase of doshas.
§  Contraindicated at noon and midnight.
§  It is also prohibited on poor sunny days.
'''Shirodhara procedure'''
Purva karma (pre therapeutic procedure)
'''Collection of materials'''
{| class="wikitable"
!Materials  required
!Quantity
|-
|Dhara  patra (pot)
|1
|-
|Dhara  stand
|1
|-
|Dhara  droni (table)
|1
|-
|Suitable  liquids like oil, butter milk or milk
|1.5  liter
|-
|Gauze
|1
|-
|Cotton  ear plugs
|2
|-
|Soft  pillow covered with rexin
|1
|-
|Hot  water for bath
|Q.  S
|-
|Vessels
|3
|-
|Rasnadi  churna for tala
|5g
|-
|Towels
|2
|-
|Attendants
|2
|}
'''Dhara dravya according to diseases'''
{| class="wikitable"
!'''Diseases'''
!'''Dharadravya'''
|-
|Klama,  daha
|Coconut  water
|-
|Pittaja  vikara
|Cold  water/milk
|-
|Vata  pittottara
|Ghee
|-
|Vathadhika,  arumshika
|Sesame  oil
|}
'''Dhara Dravya according to dosha'''
{| class="wikitable"
!'''Dosha'''
!'''Indicated  dhara dravya'''
|-
|Kevala  vata
|Chatusneha  (oil, ghee, muscle fat, bone marrow)
|-
|Pitta  or rakta pradhana vyadhi or raktapitta associated with vata or kapha
|oil  and ghee in equal proportion
|-
|Kapha  associated with vata
|Oil  (2 parts) +ghee (1 part)
|-
|Pitta
|Different  types of milk
|}
----[i] Dr Vasant C Patil, Principles and Practice of Panchakarma.1<sup>st</sup> ed. Ilkal,Bagalkot.Atreya Ayurveda publications.2010.p.161
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