Charak Samhita

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Shirodhara (view source)

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