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== Shirodhara procedure ==
== Shirodhara procedure ==
Purva karma (pre therapeutic procedure)
Purva karma (pre therapeutic procedure)
'''Collection of materials'''
'''Collection of materials'''
|2
|2
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|}
'''Dhara dravya according to diseases'''
'''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"
!'''Diseases'''
!'''Diseases'''
|Sesame oil
|Sesame oil
|}
|}
'''Dhara Dravya according to dosha'''
'''Dhara Dravya according to dosha<ref name="ref1" />'''
{| class="wikitable"
{| class="wikitable"
!'''Dosha'''
!'''Dosha'''
|-
|-
|Kapha associated with vata
|Kapha associated with vata
|Oil (2 parts) +ghee (1 part)
|Oil (2 parts) + ghee (1 part)
|-
|-
|Pitta
|Pitta
|Different types of milk
|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
== 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>
== 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>
== Preparation of instrument of shirodhara yantra ==
<ul style="text-align:justify;"><li>A table is placed with the head part facing the east in a room with all the necessary equipment.</li>
<li>The pot has an aperture of the size of the circumference of little finger of the patient.</li>
<li>The pot is tied to the dhara stand over the head.</li>
<li>A wick having nine angula (finger’s breadth) length is suspended through this aperture.</li>
<li>Distance between the tip of the wick and the forehead of the patient should be maintained four angula (finger’s breadth)
</li></ul>
== Preparation of the patient ==
<ul style="text-align:justify;"><li>The patient should be advised to pass stool and urine.</li>
<li>Patients’ blood pressure, temperature and pulse rate should be recorded before commencement.</li>
<li>The posture of the patient must be in a supine position with the head slightly bent backwards.</li>
<li>A thick strap of cloth is tied over the eyebrows, along the forehead, to prevent getting of liquid into the eyes. The tied strap is neither too tight nor too loose.</li>
<li>The eyes and ears of the patient should be covered with cotton to prevent the entry of liquid into them.</li></ul>
== Pradhana karma (therapeutic procedure) ==
<ul style="text-align:justify;"><li>The physician/therapist should stand on the right side of the patient.</li>
<li>The liquid used for streaming at the desired temperature should be filled into the pot.</li>
<li>The hole of pot should be blocked with the thumb of physician while filling the pot.</li>
<li>The block is released gradually once the pot is positioned.</li>
<li>The lower end of the wick is made to oscillate gently between the either ends of the temples across the forehead.</li>
<li>The vessel is refilled with liquid when the pot is emptied, by collecting it from the table (droni) and heating it if desired.</li>
<li>Massage of the four limbs can be prescribed during the procedure according to the need.</li></ul>
== Duration of the procedure<ref name="ref1" /> ==
Dhara has to be continued until the person gets sweating.
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