19 12-16 cme-tpt sneha in disease

Ayurmitra Dr.KSR Prasad
Ayurmitra Dr.KSR PrasadProfessor, Ayurveda Panchakarma em LN Ayurveda College Bhopal MP
Accha Snehapana and PracticesAccha Snehapana and Practices 
Technoayurveda Dr KSR Prasad
9290566566/technoayurveda@yahoo.com
LN Ayurved College Bhopal MPLN Ayurved College, Bhopal, MP
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Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
Introduction
Accha Snehapana and Practices
Introduction 
• Why do we need Oils & Fats in our Food?Why do we need Oils & Fats in our Food?
–They provide essential nutrients for our 
bodybody
–They are a key vector for vitamin 
b i h i b i i I iabsorption their by raising Immunity 
–They help maintaining or reducing 
/lowering blood cholesterol levels
–They provide energy that our body needsy p gy y
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
Recommendations
Accha Snehapana and Practices
Recommendations 
• Fat intake should not exceed 30% of the totalFat intake should not exceed 30% of the total 
energy intake (WHO, 2015).
• EFSA and WHO specifically recommend that• EFSA and WHO specifically recommend that 
saturated fatty acids should be replaced by 
unsaturated fats contained in vegetable oilsunsaturated fats contained in vegetable oils 
(PUFA, MUFA). Vegetable oils should be 
preferred over animal fat based productspreferred over animal fat based products 
(WHO, 2015).
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
What are lipids
Accha Snehapana and Practices
What are lipids
• Sneha vis‐à‐vis Lipids are a broad 
group of naturally occurringgroup of naturally‐occurring 
molecules which includes ‐
– fats, waxes, sterols, fat‐soluble vitamins 
( h it i A D E d K)(such as vitamins A, D, E and K), 
monoglycerides, diglycerides, 
phospholipids, and others. 
Th i bi l i l f ti f• The main biological functions of 
lipids include energy storage, as 
structural components of cell 
b dmembranes, and as –
• important signaling molecules. 
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
Sneha in Normal
Accha Snehapana and Practices
Sneha in Normal
• Sneha makes the Vishyanda i.e. 
vilayana – which means the 
di l ti li f tidissolution, liquefaction, 
destruction, death, etc. 
– The all above are referral to the Dosha 
d h hand the Dhatu
• The Death is inevitable with the lack of 
sneha in the body 
– a cellular death or– a cellular death or
– organ function cessation
• Excess Unctuousness cause thinning of the 
cell membrane & intiate the cytokins
• Apart from it induces the softness 
and generate Kleda (Glucose?? – as 
in lipid metabolism)
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in lipid metabolism)
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
What Ayurveda said?
Accha Snehapana and Practices
What Ayurveda said?
• Sneha – indicates / includes 
–Oiliness, Unctuousness, Viscidity, Lubricity, 
etc. 
–“Sneha” is the essence of Human 
–“Life” it self is dependent on “Sneha”Life  it self is dependent on  Sneha
–The entire strength of an individual is 
dependent on “Sneha”dependent on  Sneha
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
• Ayurveda states that – disease causative 
Accha Snehapana and Practices
The route of 
y
factors are – 5 Samprapti Ghataka – viz. 
– Dosha (Vata, Pitta, Kapha)
– Dhatu (Rasa, Rakta, Mamsa, Meda, Asthi,
Disease 
Dhatu (Rasa, Rakta, Mamsa, Meda, Asthi, 
Majja, Sukra)
– Agni (Teekshna, Manda, Vishama)
– Ama (Leena Aleena)Ama (Leena, Aleena)
– Srotas – (13 srotas along with sanjna, 
Chesta, Sthanya, & Artava)
• The manifested Disease is predominantly in• The manifested Disease is predominantly in 
Shakha (peripheral [tissue] – not in the Kosta
i.e. Central lumen / GIT)
• As the Disease manifestation starts from• As the Disease manifestation starts from 
Kosta (GIT) and spreads to the (Shakha
(Tissues), the pathogen particles are brought 
back to kosta for elimination of disease.
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
Brin in the Dosha to Kosta
Accha Snehapana and Practices
Bringing the Dosha to Kosta
• The methods of Shakha precipitated 
D h b i b k KDosha to bring back to Kosta are –
– Vruddhi (increasing dosha)
– Vishyanda (dissolution) – is done by y ( ) y
“Sneha”
– Paka (ripening the Dosha)
– Srotomukha Vishodhana (opening theSrotomukha Vishodhana (opening the 
srotas outlets)
– Vata Nigrahana (blocking the neural 
reflexes))
k Íp å å Ì åk Ç å Ç Î å Ì
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
uÉëÑSèkrÉÍpÉwrÉlSlÉiÉç mÉÉMüÉiÉç xÉëÉåiÉÉåqÉÑZÉÌuÉzÉÉåkÉlÉÉiÉç zÉÉZÉÉÇ irÉYiuÉÉ qÉsÉÉ: MüÉå¸Ç rÉÉÎliÉ uÉÉrÉÉå¶É ÌlÉaÉëWûÉiÉç - cÉUMü
Sneha T polo
Accha Snehapana and Practices
Sneha Typology 
• The lipids vivid in use are – Taila, Ghrita, Vasa and Majja (these sneha
are used either one or in combination & permutations according to theare used either one or in combination & permutations, according to the 
severity and Dosha predominance) 
• Abhyantara (Internal)
– Pana (oral administration – Shodhananga – to eliminate the Dosha)( g )
– Bhojana (oral – Shamananga – to pacify the Dosha)
• Bahya (External)
– Anuvasana (per‐rectal), Uttara (per‐urethral), Nasya (per‐nasal), (p ) (p ) y (p )
Karna Poorana (per‐ear canal), Gandusha (per‐oral gargling), Akshi
Tarpana (per‐ophthalmic)
– Moordhnitaila Chikitsa (Shirovasti [Residual oil], Pichu [oil patch], 
dhara [oil pouring] mastishkya [oil cover] lepa [oily paste])dhara [oil pouring], mastishkya [oil cover], lepa [oily paste])
– Gatrabhyanga (body massage), Padabhyanaga (pedal massage), 
Mardana (centrifugal massage), Udwartana (centripetal massage), 
Padaghata (Foot Massage), Samhanana (smooth massage), 
– Parisheka (pouring), Avagaha (submerging), 
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
S h Q li i
Accha Snehapana and Practices
Sneha Qualities  • Drava – Liquidity
• Sukshma – Minuteness 
(capable of penetrating 
deep)
• Sara Flow slide• Sara – Flow, slide
• Snigdha – Unctous
• Pichchila – Sticky, Slimy Pichchila Sticky, Slimy
• Guru – Heavy
• Sheetala – Cold
• Manda – Slow
• Mrudu – Smooth
( h S 22/15)(cha.Su.22/15)
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
Sneha Dravya
Accha Snehapana and Practices
Sneha Dravya
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
Disease mana ement ith Sneha
Accha Snehapana and Practices
Disease management with Sneha
• Even though the Shodhananga Sneha pana isEven though the Shodhananga Sneha pana is 
practiced in Vata vyadhi & twak (Skin) diseases 
– many other areas are also indicated – vizmany other areas are also indicated  viz.
–Jwara, Gulma, Rajayakshma, Apasmara, 
Unmada Shotha Udara Kasa swasaUnmada, Shotha, Udara, Kasa swasa, 
Grahani, Pandu, Shiroroga, Yonivyapat, 
Vandhya etcVandhya, etc. 
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
Utilit of Sneha
Accha Snehapana and Practices
Utility of Sneha
• Sneha is used as Vicharana or directly as Sneha pana
ith t if (Sh ) th di t leither to pacify (Shamana) the disease or to expel 
(Shodhana)
• The regulated use of the sneha will make the person to g p
expel the deposited sneha (fats) and restructure the 
“fatty contents” in the body
• The excess usage of Sneha cause the “Santarpanotha• The excess usage of Sneha cause the “Santarpanotha
Vikara” (Over Nutritive Disorders) such as Medomaya
Yakrut, Ama, Kusta, pandu, Jwara, Sthoulya, Vandhya, 
Klaibya, etc. 
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
ASAMYAK SNIGDHA LAKSHANAS
Accha Snehapana and Practices
ASAMYAK SNIGDHA LAKSHANAS
• Asnigdha Lakshanas – Ruksha Purisha/ Grathita g /
Purisha/ Apravaguna Vata/ Mrdu Pakta/ Kharatva/ 
Raukshyata.
dh k h d / / d /• Ati Snigdha Lakshana – Panduta/ Gaurava/ Jadya/ 
Tandra/ Aruchi/ Utklesha/ Purishasya Avipakvata.
• SNEHAPANA VYAPAT Tandra/ Utklesha/ Anaha/• SNEHAPANA VYAPAT ‐ Tandra/ Utklesha/ Anaha/ 
Jvara/ Stambha/ Visanmyatha/ Kushta/ Pandu/ 
Kandu/ Shopha/ Arsha/ Aruchi/ Trishna/ 
GrahaniDosha/ Staimitya/ Vakyanigraha/ Shula/ Ama 
Pradosha.
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
A t f h
Accha Snehapana and Practices
Assessment of sneha
• Assessment of the Samyak Snehana is done by the Symptoms
• Here we observe the 3 sets as – Jeeryamana, Jeerna & Samyak lakshana 
(symptoms)
• Why not a parametric evaluation is introduced to check the same? 
•Jeeryamana 
lakshana
•samyak 
lakshana
•Jeerna 
lakshana
AHSu 16/30,
SuChi 31/ 43
Ch S 13/38
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
ChaSu13/38AH Su 25/, Su chi 31/ 33
Objective parameter for Sneha Assessment
Accha Snehapana and Practices
Objective parameter for Sneha Assessment
• As the observation offer an area of setting theAs the observation offer an area of setting the 
objective assessment apart from “Lipid 
Profile”Profile
• The sneha (Fat) quantity in the fecal matter is 
the best method asthe best method as –
– The samyak sneha symptom is oiliness in fecal 
matter andmatter ‐ and
– the excess is also seen in the same
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
M d f ti
Accha Snehapana and Practices
Mode of action 
• The understanding the mode of action of either external or 
internal Sneha is based upon the physiology of lipidinternal Sneha is based upon the physiology of lipid 
metabolism.
• Initially the internally used medicated unction  ‐
Evacuates the bile (malarupa Pitta)– Evacuates the bile (malarupa Pitta)
– Makes the rapid absorption of the lipids in to circulation
– Triggering mechanism makes rapid destruction of the RBC 
P d ti f Bil ( l Pitt )– Production of more Bile (malarupa Pitta)
– Increased productivity of RBC at bone marrow 
• The entire mechanism of snehakarma is analyzed through 
S h j t i li ht i th b dSneha jeerna symptoms viz. lightness in the body, 
appearing normal hunger and thirst, and the ultimate 
symptom to stop is Klama (fatigue). 
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
S h D
Accha Snehapana and Practices
Sneha Dose 
• The dose quantity differentiates the Shamana and Shodhana
sneha. 
• For Shodhana high quantity is applied either in progression or 
standard dose for 3 to 5 days.standard dose for 3 to 5 days. 
• The minimal quantity is called Hrasiyasi matra (test dose) is 
started with 25 ml increased to an optimum dose of 250ml in a 
d (V dh S h K )day (Vardhamana Sneha Karma). 
• Most of the time the snehapana is done with plain Ghee or oil 
(Achhapana) for the purpose of shodhana and medicated are ( p ) p p
used for Shamana in smaller doses. 
• In some of the occasions like chronic diseases like skin problems, 
etc are used with the medicated Ghee or oils for Snehapanaetc are used with the medicated Ghee or oils for Snehapana. 
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
Kulkarni SP, Joshi PS.. An observational study on Standard Operating Procedure (S. O. 
Accha Snehapana and Practices
, y p g (
P.) of Vicharana Snehapana for Samshodhana. J Ayu Herb Med 2019;5(1):07‐09. 
• 24 different Vicharana described by Charaka24 different Vicharana described by Charaka. 
• 64 types of Vicharana are mentioned as per Rasa. 
• Sadya Snehana brings Snehana and Dosha• Sadya‐Snehana brings Snehana and Dosha‐
Utklesha at a time. 
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
Vi h S h
Accha Snehapana and Practices
Vicharana Sneha
• The Vairechanika sneha have two fold classifications. 
• The former is Kaya Virechana Sneha and the later is ShirovirechanaThe former is Kaya Virechana Sneha and the later is Shirovirechana
Sneha. 
• For the Kaya Virechana sneha Tilvaka, Ernda, Koshamra, Danti, 
D ti S t l Sh khi i P l h Vi h k hi G k hiDravanti, Saptala, Shankhini, Palasha, Vishakshi, Gavakshi, 
Kampillaka, Shampaka and Neelini are used. 
– Out of the Eranda taila is the best. 
• For Shirovirechana sneha Vidanga, Apamarga, Rakta shigru, 
Suryavalli, Peelu, Sarshapa, and Jyitishmati are used. 
– Out of these the best is Vidanga taila and Sarshapa tailaOut of these the best is Vidanga taila and Sarshapa taila. 
• These sneha are used along with the medicines required for the 
diseases pacification are said to be the best for Kaya and shiro
i hvirechana.  
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
Accha Snehapana and Practices
Vicharana Sneha
Snehha Vicharana =24
External = 5 Abhyanga, Gandusha, Karnapoorana, Nasa
tarpana, Akshitarpana
Internal =2 Vasti UttaravastiInternal =2  Vasti, Uttaravasti
Food Items =17 Odana, Yavagu, Vilepi, Supa, Rasa, Shaka, Mamsa, 
Yusha, Ksheera, Kambalika, Dadhi, Khada, Saktu, 
Tilapista, Madya, Bhakshyanna, Lehya
Other external 
Sneha Karma
Lepa, Udvartana, Mrdana, Padaghata, Parisheka, 
Savahana Murdhnitaila MastishkyaSneha Karma 
=9+5
Savahana, Murdhnitaila, Mastishkya, 
Snehaavagaha + Abhyanga, Gandusha, 
Karnapoorana, Nasa tarpana, Akshitarpana
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
Accha Snehapana and Practices
Acchapana or Acchapeya
• It means – administering pure oil / ghee / muscleIt means  administering pure oil / ghee / muscle 
fat / marrow, without mixing or processing it.
• It is the best way to administer fats –It is the best way to administer fats 
– As it is edible in nature and commonly consumed even 
in higher doses g
– As it serves the function of “fats”
– It spreads faster without disturbing the Disease state p g
– It evacuates only Dosha like Mlarupa Pitta evacuation
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
A h
Accha Snehapana and Practices
Acchapanamatra
• Acchapanamatra – dose of fats for drinking :‐
• The dose of fats depends on the digestion 
strength of the patient.
Th h t (l t d ) i th hi h• The heena matra (least dose) is the one, which 
digests in 2 yaama (1 yaama = 3 hours), so total 6 
hours.
• The medium dose (Madhyama matra) is the one, 
which undergoes digestion in 3 yama (9 hours)
Th hi h d (U ) i h hi h• The high dose (Uttama matra) is the one, which 
undergoes digestion in 4 yama (12 hours).
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
d di i f h h
Accha Snehapana and Practices
Standardization of Accha Snehapana
• To start with any snehapana we do require 
Hrasiyasi Matra i.e. a test dose (25ml).
– If in 3 hours 25 ml sneha is digested ‐ How much 
h i i d t di t i 24 hsneha is required to digest in 24 hours
• 24 /3 x 25 = 200 ml on second day 
– On next day if 200ml is not digested in 24 hours and y g
took 32 hours make the calculation again 
– If in 32 hours 200 ml sneha is digested ‐ How much 
sneha is req ired to di est in 24 ho rssneha is required to digest in 24 hours
• 24 /32 x 200 = 150 ml on third day
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
Accha Snehapana and Practices
Progression (Vrdhamana) method
• This calculation sometimes seems to be 
problematic thus the progression method is used. 
• It is simple addition of Hrasiyasi matra on every 
day (25ml). 
• With this the seven days subsequently the patient 
receives – 25, 50, 75, 100, 125, 150, and 175 ml 
of unction i.e. either Ghruta or Taila. 
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
P d
Accha Snehapana and Practices
Procedure 
• Ghruta or Taila murchna is a common practice. The murchana
means heating of the taila or Ghruta for de‐moistening (Patrapaka). 
– There by the Ama dosha in Ghruta is nullified and the action is 
facilitated.
• Most of the times the Sahapana is milk and Anupana is hot water. 
– It makes initially rapid bile evacuation and when absorbed in 
circulation the lipids conjugate with the Bio waste and dragcirculation the lipids conjugate with the Bio‐waste and drag 
them in to body waste mechanism to let out of the body. 
– The residual are brought in to koshta for elimination. 
– Most of the time we misunderstand the Koshta as Gut but as 
per Ayurveda, many organs are told as 15 Koshtanga are 
considered for drastic elimination of the accumulated.  
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
Accha Snehapana and Practices
Pathya and Apathya in Snehapana
• Before Snehapana use of Drava Ushna AnabhisyandiBefore Snehapana, use of Drava, Ushna, Anabhisyandi, 
not Atisnigdha, Asankeerna (not Veerya Virudda), 
Agnivardhaka Ahara is advised
• The utility of such type of pathya is that it prepares the 
Agni for proper digestion and assimilation of Sneha
DDravyas.
• After administering Snehapana Ushna Udaka Upachara is 
advised as it helps in the digestion of Snehaadvised as it helps in the digestion of Sneha
– The fat molecules are large in size and hence are hard to digest. 
But it should be considered that lipids are hydrophilic in nature 
d h i ill h ffi i f hand hence, it will have affinity for hot water.
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
• After the Sneha is digested Ushna Yavagu
Accha Snehapana and Practices
• After the Sneha is digested Ushna Yavagu, 
Sugandhi Sneharahita Yusha, Mamsarasa or 
Alpa Ghrutayukta Vilepi should be taken asAlpa Ghrutayukta Vilepi should be taken as 
pathya as it helps to avoid the various 
complications that might arise in Snehapanap g p
such as Bhrama, Trushna, Alasya etc
– The fat molecules will easily dissolve with water 
molecules and thus gets easily digested without 
causing any Snehana Vyapat
F th Y h i K h b d di d i• Further, Yusha in Kapha based disorders is 
Pathya. Mamsa Rasa is Vatahara, Ksheera is 
Pittaghna and Mudga Yusa is KaphaghnaPittaghna and Mudga Yusa is Kaphaghna.
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
Accha Snehapana and Practices
• Brahmacharya, Kshapashaya Shayanasana in 
Apravata Sthana are the pathya viharas to be 
followed in Snehapana
• Vegadharana and Vegodeerana, Vyayama, g g , y y ,
Uchchairvachana, Hima, Atapa Krodha, Shoka
should be avoided as it is the premonitory p y
cause of complications of Snehapana
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
Accha Snehapana and Practices
Snehana Karma facilitates ..
• Snehano anilam hanti – removes Vata
• Mrudukaroti deham – softens body
• Malanam Vihanti Sangam i.e. converts vitiated 
dosha from their latent state to an explicit sate.p
– Emphasizing the role of Snehana as a preparative 
procedure, Charaka mentions as in a vessel smeared 
with oil, water slips down without efforts, similarly 
Doshas, slip out easily in a body, which has undergone 
Snehana therapySnehana therapy
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
Rajkala Ramteke CRITICAL REVIEW ON VISHRAMKALA (GAP DAYS) IN PANCHAKARMA
Accha Snehapana and Practices
Vishramkala is the time period between purificatory
l ti th d ifi t d
Rajkala Ramteke, CRITICAL REVIEW ON VISHRAMKALA (GAP DAYS) IN PANCHAKARMA 
, Ayurpharm Int J Ayur Alli Sci., Vol. 5, No. 3 (2016) Pages 34 – 39 
oleation therapy and purificatory procedure. 
• After Snehapana or getting proper oleation characters 
(Samyak Snigdha Lakshana ‐ SSL) there is a variation in ( y g )
duration of Abhyanga and Swedana theoretically and 
practically. 
• After getting proper oleation (SSL) charactersAfter getting proper oleation (SSL) characters 
irrespective of Koshtha, patient should be undergo for 
Abhyanga and Swedana for one day, 
• 6 days Samsarjana Karma (special diet pattern after• 6 days Samsarjana Karma (special diet pattern after 
Purification) will be given followed by next 6 days of 
Snehapana as a preliminary preparation 
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
COMPARATIVE STUDY OF ACCHA SNEHAPAN AND
Accha Snehapana and Practices
COMPARATIVE STUDY OF ACCHA SNEHAPAN AND 
KSHIR‐VICHARANA SNEHAPAN‐ A SINGLE CASE STUDY
More Manjusha et.al, IAMJ, (March, 2017) 5 (3), 1031‐1034
Accha – Snehapana’’ (Ch.Su.13/26) Mahatiktakghruta (Vamanarth) and p ( / ) g ( )
‘’Ksheer‐vicharana Snehapana” (Ch.Su.13/23‐25) (Virechanarth)
K h Vi h S hKsheer‐Vicharana SnehapanaAccha –SnehapanaMahatiktak
ghruta
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
Avapeedaka Snehapana
Accha Snehapana and Practices
Avapeedaka Snehapana
• Avapeedaka Snehapana given in bladder, thighs, and p p g , g ,
low back problems. It is also Vrishya. It is preferred in 
management of diseases due to the suppression of 
micturition reflex obstruction UTI neurologicalmicturition reflex, obstruction UTI, neurological 
conditions below the umbilicus & hemorrhoids.
• Avapeedaka snehapana is a special pattern of oral p p p p
administration of sneha twice at a stretch, i.e. 
pragbhakta (before food) and in Uttarabhakta (after 
food) in desired quantityfood) in desired quantity. 
• Ghee induces ketogenesis in the body by breaking 
down of the fatty acid by forcing the body to burn fats.
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
Murchita Ghruta
Accha Snehapana and Practices
Murchita Ghruta
• Murchhana is an important intermediately process in the 
preparation of ghrita kalpana adopted for enhancing the p p g p p g
potency and removal of Ama dosha / Visha.
– Cow’s Ghrita 1 Prastha (64 tola) = 788grams
– Jala (Water) 4 Prastha (256 tola) = 3.072litersJa a ( ate ) ast a ( 56 to a) 3 0 te s
– Pathya ,Dhatri, Vibhitaki, Musta (Jaladha) ,Rajani, 
Matulungaswarasa each I Pala = 48gram
– Panchatikta Ghruta was prepared without (1) and with (2) p p ( ) ( )
Murchana
• Murchana enhances degree of unsaturation of Ghruta
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
Pankaj Rai, ROLE OF MURCHHANA SAMSKARA IN THE PREPARATION OF MEDICATED GHRITA W.S.R. TO PANCHTIKTA GHRITA, IAMJ: Volume 3; Issue 8; August‐ 2015
Murchita Taila
Accha Snehapana and Practices
Murchita Taila
Pankaj Rai UJAHM 2015, 03 (03): Page 79‐81
• 3200 ml part of Tila taila + 4 times water 
added with Triphala, Musta, Rajani, Hrivera, 
Lodra, Suchipuspa (Ketaki), Vatankura and 
Nalika each 100gms for Taila Murchana.
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
Sahara Shrestha, Prashant Bedarkar, Chaudhari Swapnil, Galib R, B.J. Patgiri. Facets of Sneha Murchhana
Sanskara A Review J of Ayurveda and Hol Med (JAHM) 2017;5(1):52 59
Accha Snehapana and Practices
Sanskara– A Review, J of Ayurveda and Hol Med (JAHM).2017;5(1):52‐59
• Sneha Siddha (fat soluble) drugs have better 
pharmacokinetic action (ADME) in comparison to other 
dosage forms because of the lipoid nature of thedosage forms because of the lipoid nature of the 
biomembranes, as lipid soluble substances readily 
permeate into the cells.
h hh f d h• Sneha Murchhana term was first coined in Bhaisajya
Ratnavali.
• Murchhana remove Ama Dosha and make the Sneha 
more acceptable in terms of various attributes like 
palatability, usage and therapeutics.
• Murchhana helps in maintaining the necessary ratio of• Murchhana helps in maintaining the necessary ratio of 
unsaturated and saturated fats suitable for human 
physiology
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
• Sneha & Its Anupana
Accha Snehapana and Practices
• Sneha & Its Anupana
– Ghruta – Hot water 
T il Y h– Taila – Yusha
– Vasa & Majja – Manda
• SNEHA KALPANA
– Yamaka‐ Combination of 2 sneha (Ghritha and 
Taila)
– Trivrt‐ Combination of 3 (Ghritha, Taila and vasa) 
– Mahasneha‐ Combination of all the four Snehas
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
S h ti b diff t th
Accha Snehapana and Practices
• Sneha preparations by different authors
• Sneha Kashayam acc. to different authors
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
• Liquid media and duration of Sneha Paka
Accha Snehapana and Practices
• Liquid media and duration of Sneha Paka
• In Sneha Paka occurrence of phenodgama• In Sneha Paka occurrence of phenodgama
(presence of foam) in taila and Phenashanti
(Absence of foam) in Ghrita is normal(Absence of foam) in Ghrita is normal.
Rajeshvara Rao, A CRITICAL REVIEW ON SNEHA KALPANA, World Journal of 
Pharmacy and Pharmaceutical Sciences,Vol 8, Issue 8, 2019.
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
y , , ,
S ifi i ti i h k l
Accha Snehapana and Practices
• . Specific variations in sneha kalpana
– Without Kalka it is difficult to attain Sneha Siddhi
l k h d K lk ill l t ti t blakshana and Kalka will also potentiate by  
releasing active principle into it.
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
Babu Saran, Kadibagil RVinay, Ganti Y Basavaraj. Sneha kalpana: A pharmaceutical review. J Biol Sci Opin 2013;1(3):271‐272
Achasnehapana in disease
Accha Snehapana and Practices
Achasnehapana in disease 
• Ayurveda suggested many Sneha i.e. Ghruta or y gg y
Taila usage in diseases for pacification of the 
disease. 
• As a Shodhananga sneha particular Sneha is not• As a Shodhananga sneha particular Sneha is not 
indicated by any means
• Common practice is to use the Sneha indicatedCommon practice is to use the Sneha indicated 
for the disease
• Instead – it is necessary to use one out of 4 sneha
bi i f hor combination of them 
• When any body gets aversion the rest of 
Vicharana are to be implimentedVicharana are to be implimented
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
Snehapana instant complications
Accha Snehapana and Practices
Snehapana instant complications
• Ajeerna, Aruchi, Anaha, Utklesha, Trushna, jee a, uc , a a, Ut es a, us a,
Tandra are first appearing symptoms of irrational 
Snehapana
– These conditions are regulated by Hot Water sippings
• If Snehapana is continued will get – Jwara, 
Sh l Sth bh d A D hShoola, Sthambha and Ama Dosha 
– These conditions are regulated through Vamana 
• Sanjnanasha is a rare condition appear only when• Sanjnanasha is a rare condition appear only when 
Kevala Asamskarita Ghruta is given in Pittadhika
RogaRoga
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
Snehapana Chronic Impacts
Accha Snehapana and Practices
Snehapana Chronic Impacts 
• Pandu – ShothaPandu Shotha
• Kandu ‐ Kushta
G h i d• Grahani ‐ Udara
• Sthimitya ‐ Arshas
– At first the Vamana is done
– Later these conditions are treated accordingly 
with medicines
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
Accha Snehapana and Practices
• Most common first hand treatment is to 
suppliment Takrarista or Amla Takra alongsuppliment Takrarista or Amla Takra along 
with Rooksha Ahara / Vihara
G M t i d f L kh V ti• Go Mootra is used for Lekhana Vasti or even 
as internal medication
• Triphala in many forms can be adopted to 
reduce the Unction adverse effect 
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
Commonly used Snehapana
Accha Snehapana and Practices
Commonly used Snehapana
• Brahmi Ghrita @ memory loss (Medhya)Brahmi Ghrita @ memory loss (Medhya) 
• Dadimadi Ghrita @ GIT Disorders ‐
Vatanulonana, ulcers, folic acid & B12Vatanulonana, ulcers, folic acid & B12
deficiency 
• Dhanwantaram Taila @ VataraktaDhanwantaram Taila @ Vatarakta 
• Gandha Taila @ Osteoporosis, Recovery stage 
of pathological fractures, ligament injuryof pathological fractures, ligament injury
• Guggulutiktakam Ghrita @ Asthi Majja Gata
VataVata 
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
Commonly used Snehapana
Accha Snehapana and Practices
Commonly used Snehapana
• Indukanta ghrita @ Immuno‐pathology ‐ Agni g @ p gy g
Deepana, Sroto Shodhana, Jwarahara, acid peptic 
disorders 
• Kalyanaka Ghrita @ Psychiatric Disorders• Kalyanaka Ghrita @ Psychiatric Disorders ‐
Tridoshahara, Apasmara, Vaksanga
• Ksheerabala Taila @ Pittanubandha Vataroga,Ksheerabala Taila @ Pittanubandha Vataroga, 
Brumhana
• Madhuyashtyadi Taila @ Vata Pitta Shamana, 
V kVatarakta 
• Narayana Taila @ Vata Pitta Shamana & 
BrumhanaBrumhana
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
Commonly used Snehapana
Accha Snehapana and Practices
Commonly used Snehapana
• Panchagavya Ghrita @ Psychiatric Disorders ‐a c aga ya G ta @ syc at c so de s
Vatapradhana Manovikara
• Patoladi Ghrita @ Infectious Skin Diseases
• Phala Ghrita @ Vandhyatva
• Pitta Gulgulutiktakam Ghrita @ Psoriatic origin g @ g
• Sahacharadi Taila @ Cerebellar Ataxia, wasting 
disorder, tremors, rigidity, spasticity 
• Shatpala Ghrita @ Immuno‐pathology ‐ Vatahara, 
Agnideepana, bronchial ailments 
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
Commonly used Snehapana
Accha Snehapana and Practices
Commonly used Snehapana
• Sukumara Ghrita @ GIT Disorders ‐ ChronicSukumara Ghrita @ GIT Disorders  Chronic 
constipation, Arsha, Kostha Shodhana even @ 
Genito‐Urinary Disorders
• Tiktaka Ghrita @ Skin Disorders 
• Vastyamayantaka Ghrita @ Cystitis &Vastyamayantaka Ghrita @ Cystitis & 
Prostatitis, neurological bladder, 
Vatanubandha Mutraroga
• Vidaryadi Ghritha @ Vata Pitta Shamana & 
Brumhana
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
Accha Snehapana and Practices
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
Conclusion
Accha Snehapana and Practices
Conclusion 
• Selection of Sneha is very important forSelection of Sneha is very important for 
desired therapeutic effect. 
• Rukshana should be done in Sneha Satmya,Rukshana should be done in Sneha Satmya, 
Strong, Obese, and Kapha personalities before 
to  Snehapana.
• Achapana is always better in terms of its huge 
quantity and also normal unction 
• Sadhita Sneha is desired only when Shamana 
and Sodhana is done simultaniously
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
Accha Snehapana and Practices
Technoayurveda Dr KSR Prasad
LN Ayurved College, Bhopal, MP
9290566566/technoayurveda@yahoo com9290566566/technoayurveda@yahoo.com
THANK YOU
Visit for Audio@telegram https://t.me/joinchat/AAAAAE8rz4PN7jBjlfB6Wg
Visit for PPt: http://slideshare.net/technoayurveda
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
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19 12-16 cme-tpt sneha in disease

  • 1. Accha Snehapana and PracticesAccha Snehapana and Practices  Technoayurveda Dr KSR Prasad 9290566566/technoayurveda@yahoo.com LN Ayurved College Bhopal MPLN Ayurved College, Bhopal, MP Visit for Audio @ telegram https://t.me/joinchat/AAAAAE8rz4PN7jBjlfB6Wg Visit for PPt: http://slideshare.net/technoayurveda Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
  • 2. Introduction Accha Snehapana and Practices Introduction  • Why do we need Oils & Fats in our Food?Why do we need Oils & Fats in our Food? –They provide essential nutrients for our  bodybody –They are a key vector for vitamin  b i h i b i i I iabsorption their by raising Immunity  –They help maintaining or reducing  /lowering blood cholesterol levels –They provide energy that our body needsy p gy y Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
  • 3. Recommendations Accha Snehapana and Practices Recommendations  • Fat intake should not exceed 30% of the totalFat intake should not exceed 30% of the total  energy intake (WHO, 2015). • EFSA and WHO specifically recommend that• EFSA and WHO specifically recommend that  saturated fatty acids should be replaced by  unsaturated fats contained in vegetable oilsunsaturated fats contained in vegetable oils  (PUFA, MUFA). Vegetable oils should be  preferred over animal fat based productspreferred over animal fat based products  (WHO, 2015). Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
  • 4. What are lipids Accha Snehapana and Practices What are lipids • Sneha vis‐à‐vis Lipids are a broad  group of naturally occurringgroup of naturally‐occurring  molecules which includes ‐ – fats, waxes, sterols, fat‐soluble vitamins  ( h it i A D E d K)(such as vitamins A, D, E and K),  monoglycerides, diglycerides,  phospholipids, and others.  Th i bi l i l f ti f• The main biological functions of  lipids include energy storage, as  structural components of cell  b dmembranes, and as – • important signaling molecules.  Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
  • 5. Sneha in Normal Accha Snehapana and Practices Sneha in Normal • Sneha makes the Vishyanda i.e.  vilayana – which means the  di l ti li f tidissolution, liquefaction,  destruction, death, etc.  – The all above are referral to the Dosha  d h hand the Dhatu • The Death is inevitable with the lack of  sneha in the body  – a cellular death or– a cellular death or – organ function cessation • Excess Unctuousness cause thinning of the  cell membrane & intiate the cytokins • Apart from it induces the softness  and generate Kleda (Glucose?? – as  in lipid metabolism) xlÉåWûlÉÇ xlÉåWû ÌuÉwrÉlS qÉÉSïuÉqÉç YsÉåSMüÉUMüqÉç – cÉUMü xÉ賈 22/10 – ÌuÉwrÉÇSå - ÌuÉsÉrÉlÉqÉç in lipid metabolism) Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
  • 6. What Ayurveda said? Accha Snehapana and Practices What Ayurveda said? • Sneha – indicates / includes  –Oiliness, Unctuousness, Viscidity, Lubricity,  etc.  –“Sneha” is the essence of Human  –“Life” it self is dependent on “Sneha”Life  it self is dependent on  Sneha –The entire strength of an individual is  dependent on “Sneha”dependent on  Sneha Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
  • 7. • Ayurveda states that – disease causative  Accha Snehapana and Practices The route of  y factors are – 5 Samprapti Ghataka – viz.  – Dosha (Vata, Pitta, Kapha) – Dhatu (Rasa, Rakta, Mamsa, Meda, Asthi, Disease  Dhatu (Rasa, Rakta, Mamsa, Meda, Asthi,  Majja, Sukra) – Agni (Teekshna, Manda, Vishama) – Ama (Leena Aleena)Ama (Leena, Aleena) – Srotas – (13 srotas along with sanjna,  Chesta, Sthanya, & Artava) • The manifested Disease is predominantly in• The manifested Disease is predominantly in  Shakha (peripheral [tissue] – not in the Kosta i.e. Central lumen / GIT) • As the Disease manifestation starts from• As the Disease manifestation starts from  Kosta (GIT) and spreads to the (Shakha (Tissues), the pathogen particles are brought  back to kosta for elimination of disease. Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
  • 8. Brin in the Dosha to Kosta Accha Snehapana and Practices Bringing the Dosha to Kosta • The methods of Shakha precipitated  D h b i b k KDosha to bring back to Kosta are – – Vruddhi (increasing dosha) – Vishyanda (dissolution) – is done by y ( ) y “Sneha” – Paka (ripening the Dosha) – Srotomukha Vishodhana (opening theSrotomukha Vishodhana (opening the  srotas outlets) – Vata Nigrahana (blocking the neural  reflexes)) k Íp å å Ì åk Ç å Ç Î å Ì Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/ uÉëÑSèkrÉÍpÉwrÉlSlÉiÉç mÉÉMüÉiÉç xÉëÉåiÉÉåqÉÑZÉÌuÉzÉÉåkÉlÉÉiÉç zÉÉZÉÉÇ irÉYiuÉÉ qÉsÉÉ: MüÉå¸Ç rÉÉÎliÉ uÉÉrÉÉå¶É ÌlÉaÉëWûÉiÉç - cÉUMü
  • 9. Sneha T polo Accha Snehapana and Practices Sneha Typology  • The lipids vivid in use are – Taila, Ghrita, Vasa and Majja (these sneha are used either one or in combination & permutations according to theare used either one or in combination & permutations, according to the  severity and Dosha predominance)  • Abhyantara (Internal) – Pana (oral administration – Shodhananga – to eliminate the Dosha)( g ) – Bhojana (oral – Shamananga – to pacify the Dosha) • Bahya (External) – Anuvasana (per‐rectal), Uttara (per‐urethral), Nasya (per‐nasal), (p ) (p ) y (p ) Karna Poorana (per‐ear canal), Gandusha (per‐oral gargling), Akshi Tarpana (per‐ophthalmic) – Moordhnitaila Chikitsa (Shirovasti [Residual oil], Pichu [oil patch],  dhara [oil pouring] mastishkya [oil cover] lepa [oily paste])dhara [oil pouring], mastishkya [oil cover], lepa [oily paste]) – Gatrabhyanga (body massage), Padabhyanaga (pedal massage),  Mardana (centrifugal massage), Udwartana (centripetal massage),  Padaghata (Foot Massage), Samhanana (smooth massage),  – Parisheka (pouring), Avagaha (submerging),  Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
  • 10. S h Q li i Accha Snehapana and Practices Sneha Qualities  • Drava – Liquidity • Sukshma – Minuteness  (capable of penetrating  deep) • Sara Flow slide• Sara – Flow, slide • Snigdha – Unctous • Pichchila – Sticky, Slimy Pichchila Sticky, Slimy • Guru – Heavy • Sheetala – Cold • Manda – Slow • Mrudu – Smooth ( h S 22/15)(cha.Su.22/15) Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
  • 11. Sneha Dravya Accha Snehapana and Practices Sneha Dravya Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
  • 12. Disease mana ement ith Sneha Accha Snehapana and Practices Disease management with Sneha • Even though the Shodhananga Sneha pana isEven though the Shodhananga Sneha pana is  practiced in Vata vyadhi & twak (Skin) diseases  – many other areas are also indicated – vizmany other areas are also indicated  viz. –Jwara, Gulma, Rajayakshma, Apasmara,  Unmada Shotha Udara Kasa swasaUnmada, Shotha, Udara, Kasa swasa,  Grahani, Pandu, Shiroroga, Yonivyapat,  Vandhya etcVandhya, etc.  Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
  • 13. Utilit of Sneha Accha Snehapana and Practices Utility of Sneha • Sneha is used as Vicharana or directly as Sneha pana ith t if (Sh ) th di t leither to pacify (Shamana) the disease or to expel  (Shodhana) • The regulated use of the sneha will make the person to g p expel the deposited sneha (fats) and restructure the  “fatty contents” in the body • The excess usage of Sneha cause the “Santarpanotha• The excess usage of Sneha cause the “Santarpanotha Vikara” (Over Nutritive Disorders) such as Medomaya Yakrut, Ama, Kusta, pandu, Jwara, Sthoulya, Vandhya,  Klaibya, etc.  Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
  • 14. ASAMYAK SNIGDHA LAKSHANAS Accha Snehapana and Practices ASAMYAK SNIGDHA LAKSHANAS • Asnigdha Lakshanas – Ruksha Purisha/ Grathita g / Purisha/ Apravaguna Vata/ Mrdu Pakta/ Kharatva/  Raukshyata. dh k h d / / d /• Ati Snigdha Lakshana – Panduta/ Gaurava/ Jadya/  Tandra/ Aruchi/ Utklesha/ Purishasya Avipakvata. • SNEHAPANA VYAPAT Tandra/ Utklesha/ Anaha/• SNEHAPANA VYAPAT ‐ Tandra/ Utklesha/ Anaha/  Jvara/ Stambha/ Visanmyatha/ Kushta/ Pandu/  Kandu/ Shopha/ Arsha/ Aruchi/ Trishna/  GrahaniDosha/ Staimitya/ Vakyanigraha/ Shula/ Ama  Pradosha. Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
  • 15. A t f h Accha Snehapana and Practices Assessment of sneha • Assessment of the Samyak Snehana is done by the Symptoms • Here we observe the 3 sets as – Jeeryamana, Jeerna & Samyak lakshana  (symptoms) • Why not a parametric evaluation is introduced to check the same?  •Jeeryamana  lakshana •samyak  lakshana •Jeerna  lakshana AHSu 16/30, SuChi 31/ 43 Ch S 13/38 Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/ ChaSu13/38AH Su 25/, Su chi 31/ 33
  • 16. Objective parameter for Sneha Assessment Accha Snehapana and Practices Objective parameter for Sneha Assessment • As the observation offer an area of setting theAs the observation offer an area of setting the  objective assessment apart from “Lipid  Profile”Profile • The sneha (Fat) quantity in the fecal matter is  the best method asthe best method as – – The samyak sneha symptom is oiliness in fecal  matter andmatter ‐ and – the excess is also seen in the same Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
  • 17. M d f ti Accha Snehapana and Practices Mode of action  • The understanding the mode of action of either external or  internal Sneha is based upon the physiology of lipidinternal Sneha is based upon the physiology of lipid  metabolism. • Initially the internally used medicated unction  ‐ Evacuates the bile (malarupa Pitta)– Evacuates the bile (malarupa Pitta) – Makes the rapid absorption of the lipids in to circulation – Triggering mechanism makes rapid destruction of the RBC  P d ti f Bil ( l Pitt )– Production of more Bile (malarupa Pitta) – Increased productivity of RBC at bone marrow  • The entire mechanism of snehakarma is analyzed through  S h j t i li ht i th b dSneha jeerna symptoms viz. lightness in the body,  appearing normal hunger and thirst, and the ultimate  symptom to stop is Klama (fatigue).  Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
  • 18. S h D Accha Snehapana and Practices Sneha Dose  • The dose quantity differentiates the Shamana and Shodhana sneha.  • For Shodhana high quantity is applied either in progression or  standard dose for 3 to 5 days.standard dose for 3 to 5 days.  • The minimal quantity is called Hrasiyasi matra (test dose) is  started with 25 ml increased to an optimum dose of 250ml in a  d (V dh S h K )day (Vardhamana Sneha Karma).  • Most of the time the snehapana is done with plain Ghee or oil  (Achhapana) for the purpose of shodhana and medicated are ( p ) p p used for Shamana in smaller doses.  • In some of the occasions like chronic diseases like skin problems,  etc are used with the medicated Ghee or oils for Snehapanaetc are used with the medicated Ghee or oils for Snehapana.  Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
  • 19. Kulkarni SP, Joshi PS.. An observational study on Standard Operating Procedure (S. O.  Accha Snehapana and Practices , y p g ( P.) of Vicharana Snehapana for Samshodhana. J Ayu Herb Med 2019;5(1):07‐09.  • 24 different Vicharana described by Charaka24 different Vicharana described by Charaka.  • 64 types of Vicharana are mentioned as per Rasa.  • Sadya Snehana brings Snehana and Dosha• Sadya‐Snehana brings Snehana and Dosha‐ Utklesha at a time.  Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
  • 20. Vi h S h Accha Snehapana and Practices Vicharana Sneha • The Vairechanika sneha have two fold classifications.  • The former is Kaya Virechana Sneha and the later is ShirovirechanaThe former is Kaya Virechana Sneha and the later is Shirovirechana Sneha.  • For the Kaya Virechana sneha Tilvaka, Ernda, Koshamra, Danti,  D ti S t l Sh khi i P l h Vi h k hi G k hiDravanti, Saptala, Shankhini, Palasha, Vishakshi, Gavakshi,  Kampillaka, Shampaka and Neelini are used.  – Out of the Eranda taila is the best.  • For Shirovirechana sneha Vidanga, Apamarga, Rakta shigru,  Suryavalli, Peelu, Sarshapa, and Jyitishmati are used.  – Out of these the best is Vidanga taila and Sarshapa tailaOut of these the best is Vidanga taila and Sarshapa taila.  • These sneha are used along with the medicines required for the  diseases pacification are said to be the best for Kaya and shiro i hvirechana.   Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
  • 21. Accha Snehapana and Practices Vicharana Sneha Snehha Vicharana =24 External = 5 Abhyanga, Gandusha, Karnapoorana, Nasa tarpana, Akshitarpana Internal =2 Vasti UttaravastiInternal =2  Vasti, Uttaravasti Food Items =17 Odana, Yavagu, Vilepi, Supa, Rasa, Shaka, Mamsa,  Yusha, Ksheera, Kambalika, Dadhi, Khada, Saktu,  Tilapista, Madya, Bhakshyanna, Lehya Other external  Sneha Karma Lepa, Udvartana, Mrdana, Padaghata, Parisheka,  Savahana Murdhnitaila MastishkyaSneha Karma  =9+5 Savahana, Murdhnitaila, Mastishkya,  Snehaavagaha + Abhyanga, Gandusha,  Karnapoorana, Nasa tarpana, Akshitarpana Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
  • 22. Accha Snehapana and Practices Acchapana or Acchapeya • It means – administering pure oil / ghee / muscleIt means  administering pure oil / ghee / muscle  fat / marrow, without mixing or processing it. • It is the best way to administer fats –It is the best way to administer fats  – As it is edible in nature and commonly consumed even  in higher doses g – As it serves the function of “fats” – It spreads faster without disturbing the Disease state p g – It evacuates only Dosha like Mlarupa Pitta evacuation Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
  • 23. A h Accha Snehapana and Practices Acchapanamatra • Acchapanamatra – dose of fats for drinking :‐ • The dose of fats depends on the digestion  strength of the patient. Th h t (l t d ) i th hi h• The heena matra (least dose) is the one, which  digests in 2 yaama (1 yaama = 3 hours), so total 6  hours. • The medium dose (Madhyama matra) is the one,  which undergoes digestion in 3 yama (9 hours) Th hi h d (U ) i h hi h• The high dose (Uttama matra) is the one, which  undergoes digestion in 4 yama (12 hours). Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
  • 24. d di i f h h Accha Snehapana and Practices Standardization of Accha Snehapana • To start with any snehapana we do require  Hrasiyasi Matra i.e. a test dose (25ml). – If in 3 hours 25 ml sneha is digested ‐ How much  h i i d t di t i 24 hsneha is required to digest in 24 hours • 24 /3 x 25 = 200 ml on second day  – On next day if 200ml is not digested in 24 hours and y g took 32 hours make the calculation again  – If in 32 hours 200 ml sneha is digested ‐ How much  sneha is req ired to di est in 24 ho rssneha is required to digest in 24 hours • 24 /32 x 200 = 150 ml on third day Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
  • 25. Accha Snehapana and Practices Progression (Vrdhamana) method • This calculation sometimes seems to be  problematic thus the progression method is used.  • It is simple addition of Hrasiyasi matra on every  day (25ml).  • With this the seven days subsequently the patient  receives – 25, 50, 75, 100, 125, 150, and 175 ml  of unction i.e. either Ghruta or Taila.  Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
  • 26. P d Accha Snehapana and Practices Procedure  • Ghruta or Taila murchna is a common practice. The murchana means heating of the taila or Ghruta for de‐moistening (Patrapaka).  – There by the Ama dosha in Ghruta is nullified and the action is  facilitated. • Most of the times the Sahapana is milk and Anupana is hot water.  – It makes initially rapid bile evacuation and when absorbed in  circulation the lipids conjugate with the Bio waste and dragcirculation the lipids conjugate with the Bio‐waste and drag  them in to body waste mechanism to let out of the body.  – The residual are brought in to koshta for elimination.  – Most of the time we misunderstand the Koshta as Gut but as  per Ayurveda, many organs are told as 15 Koshtanga are  considered for drastic elimination of the accumulated.   Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
  • 27. Accha Snehapana and Practices Pathya and Apathya in Snehapana • Before Snehapana use of Drava Ushna AnabhisyandiBefore Snehapana, use of Drava, Ushna, Anabhisyandi,  not Atisnigdha, Asankeerna (not Veerya Virudda),  Agnivardhaka Ahara is advised • The utility of such type of pathya is that it prepares the  Agni for proper digestion and assimilation of Sneha DDravyas. • After administering Snehapana Ushna Udaka Upachara is  advised as it helps in the digestion of Snehaadvised as it helps in the digestion of Sneha – The fat molecules are large in size and hence are hard to digest.  But it should be considered that lipids are hydrophilic in nature  d h i ill h ffi i f hand hence, it will have affinity for hot water. Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
  • 28. • After the Sneha is digested Ushna Yavagu Accha Snehapana and Practices • After the Sneha is digested Ushna Yavagu,  Sugandhi Sneharahita Yusha, Mamsarasa or  Alpa Ghrutayukta Vilepi should be taken asAlpa Ghrutayukta Vilepi should be taken as  pathya as it helps to avoid the various  complications that might arise in Snehapanap g p such as Bhrama, Trushna, Alasya etc – The fat molecules will easily dissolve with water  molecules and thus gets easily digested without  causing any Snehana Vyapat F th Y h i K h b d di d i• Further, Yusha in Kapha based disorders is  Pathya. Mamsa Rasa is Vatahara, Ksheera is  Pittaghna and Mudga Yusa is KaphaghnaPittaghna and Mudga Yusa is Kaphaghna. Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
  • 29. Accha Snehapana and Practices • Brahmacharya, Kshapashaya Shayanasana in  Apravata Sthana are the pathya viharas to be  followed in Snehapana • Vegadharana and Vegodeerana, Vyayama, g g , y y , Uchchairvachana, Hima, Atapa Krodha, Shoka should be avoided as it is the premonitory p y cause of complications of Snehapana Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
  • 30. Accha Snehapana and Practices Snehana Karma facilitates .. • Snehano anilam hanti – removes Vata • Mrudukaroti deham – softens body • Malanam Vihanti Sangam i.e. converts vitiated  dosha from their latent state to an explicit sate.p – Emphasizing the role of Snehana as a preparative  procedure, Charaka mentions as in a vessel smeared  with oil, water slips down without efforts, similarly  Doshas, slip out easily in a body, which has undergone  Snehana therapySnehana therapy Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
  • 31. Rajkala Ramteke CRITICAL REVIEW ON VISHRAMKALA (GAP DAYS) IN PANCHAKARMA Accha Snehapana and Practices Vishramkala is the time period between purificatory l ti th d ifi t d Rajkala Ramteke, CRITICAL REVIEW ON VISHRAMKALA (GAP DAYS) IN PANCHAKARMA  , Ayurpharm Int J Ayur Alli Sci., Vol. 5, No. 3 (2016) Pages 34 – 39  oleation therapy and purificatory procedure.  • After Snehapana or getting proper oleation characters  (Samyak Snigdha Lakshana ‐ SSL) there is a variation in ( y g ) duration of Abhyanga and Swedana theoretically and  practically.  • After getting proper oleation (SSL) charactersAfter getting proper oleation (SSL) characters  irrespective of Koshtha, patient should be undergo for  Abhyanga and Swedana for one day,  • 6 days Samsarjana Karma (special diet pattern after• 6 days Samsarjana Karma (special diet pattern after  Purification) will be given followed by next 6 days of  Snehapana as a preliminary preparation  Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
  • 32. COMPARATIVE STUDY OF ACCHA SNEHAPAN AND Accha Snehapana and Practices COMPARATIVE STUDY OF ACCHA SNEHAPAN AND  KSHIR‐VICHARANA SNEHAPAN‐ A SINGLE CASE STUDY More Manjusha et.al, IAMJ, (March, 2017) 5 (3), 1031‐1034 Accha – Snehapana’’ (Ch.Su.13/26) Mahatiktakghruta (Vamanarth) and p ( / ) g ( ) ‘’Ksheer‐vicharana Snehapana” (Ch.Su.13/23‐25) (Virechanarth) K h Vi h S hKsheer‐Vicharana SnehapanaAccha –SnehapanaMahatiktak ghruta Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
  • 33. Avapeedaka Snehapana Accha Snehapana and Practices Avapeedaka Snehapana • Avapeedaka Snehapana given in bladder, thighs, and p p g , g , low back problems. It is also Vrishya. It is preferred in  management of diseases due to the suppression of  micturition reflex obstruction UTI neurologicalmicturition reflex, obstruction UTI, neurological  conditions below the umbilicus & hemorrhoids. • Avapeedaka snehapana is a special pattern of oral p p p p administration of sneha twice at a stretch, i.e.  pragbhakta (before food) and in Uttarabhakta (after  food) in desired quantityfood) in desired quantity.  • Ghee induces ketogenesis in the body by breaking  down of the fatty acid by forcing the body to burn fats. Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
  • 34. Murchita Ghruta Accha Snehapana and Practices Murchita Ghruta • Murchhana is an important intermediately process in the  preparation of ghrita kalpana adopted for enhancing the p p g p p g potency and removal of Ama dosha / Visha. – Cow’s Ghrita 1 Prastha (64 tola) = 788grams – Jala (Water) 4 Prastha (256 tola) = 3.072litersJa a ( ate ) ast a ( 56 to a) 3 0 te s – Pathya ,Dhatri, Vibhitaki, Musta (Jaladha) ,Rajani,  Matulungaswarasa each I Pala = 48gram – Panchatikta Ghruta was prepared without (1) and with (2) p p ( ) ( ) Murchana • Murchana enhances degree of unsaturation of Ghruta Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/ Pankaj Rai, ROLE OF MURCHHANA SAMSKARA IN THE PREPARATION OF MEDICATED GHRITA W.S.R. TO PANCHTIKTA GHRITA, IAMJ: Volume 3; Issue 8; August‐ 2015
  • 35. Murchita Taila Accha Snehapana and Practices Murchita Taila Pankaj Rai UJAHM 2015, 03 (03): Page 79‐81 • 3200 ml part of Tila taila + 4 times water  added with Triphala, Musta, Rajani, Hrivera,  Lodra, Suchipuspa (Ketaki), Vatankura and  Nalika each 100gms for Taila Murchana. Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
  • 36. Sahara Shrestha, Prashant Bedarkar, Chaudhari Swapnil, Galib R, B.J. Patgiri. Facets of Sneha Murchhana Sanskara A Review J of Ayurveda and Hol Med (JAHM) 2017;5(1):52 59 Accha Snehapana and Practices Sanskara– A Review, J of Ayurveda and Hol Med (JAHM).2017;5(1):52‐59 • Sneha Siddha (fat soluble) drugs have better  pharmacokinetic action (ADME) in comparison to other  dosage forms because of the lipoid nature of thedosage forms because of the lipoid nature of the  biomembranes, as lipid soluble substances readily  permeate into the cells. h hh f d h• Sneha Murchhana term was first coined in Bhaisajya Ratnavali. • Murchhana remove Ama Dosha and make the Sneha  more acceptable in terms of various attributes like  palatability, usage and therapeutics. • Murchhana helps in maintaining the necessary ratio of• Murchhana helps in maintaining the necessary ratio of  unsaturated and saturated fats suitable for human  physiology Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
  • 37. • Sneha & Its Anupana Accha Snehapana and Practices • Sneha & Its Anupana – Ghruta – Hot water  T il Y h– Taila – Yusha – Vasa & Majja – Manda • SNEHA KALPANA – Yamaka‐ Combination of 2 sneha (Ghritha and  Taila) – Trivrt‐ Combination of 3 (Ghritha, Taila and vasa)  – Mahasneha‐ Combination of all the four Snehas Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
  • 38. S h ti b diff t th Accha Snehapana and Practices • Sneha preparations by different authors • Sneha Kashayam acc. to different authors Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
  • 39. • Liquid media and duration of Sneha Paka Accha Snehapana and Practices • Liquid media and duration of Sneha Paka • In Sneha Paka occurrence of phenodgama• In Sneha Paka occurrence of phenodgama (presence of foam) in taila and Phenashanti (Absence of foam) in Ghrita is normal(Absence of foam) in Ghrita is normal. Rajeshvara Rao, A CRITICAL REVIEW ON SNEHA KALPANA, World Journal of  Pharmacy and Pharmaceutical Sciences,Vol 8, Issue 8, 2019. Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/ y , , ,
  • 40. S ifi i ti i h k l Accha Snehapana and Practices • . Specific variations in sneha kalpana – Without Kalka it is difficult to attain Sneha Siddhi l k h d K lk ill l t ti t blakshana and Kalka will also potentiate by   releasing active principle into it. Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/ Babu Saran, Kadibagil RVinay, Ganti Y Basavaraj. Sneha kalpana: A pharmaceutical review. J Biol Sci Opin 2013;1(3):271‐272
  • 41. Achasnehapana in disease Accha Snehapana and Practices Achasnehapana in disease  • Ayurveda suggested many Sneha i.e. Ghruta or y gg y Taila usage in diseases for pacification of the  disease.  • As a Shodhananga sneha particular Sneha is not• As a Shodhananga sneha particular Sneha is not  indicated by any means • Common practice is to use the Sneha indicatedCommon practice is to use the Sneha indicated  for the disease • Instead – it is necessary to use one out of 4 sneha bi i f hor combination of them  • When any body gets aversion the rest of  Vicharana are to be implimentedVicharana are to be implimented Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
  • 42. Snehapana instant complications Accha Snehapana and Practices Snehapana instant complications • Ajeerna, Aruchi, Anaha, Utklesha, Trushna, jee a, uc , a a, Ut es a, us a, Tandra are first appearing symptoms of irrational  Snehapana – These conditions are regulated by Hot Water sippings • If Snehapana is continued will get – Jwara,  Sh l Sth bh d A D hShoola, Sthambha and Ama Dosha  – These conditions are regulated through Vamana  • Sanjnanasha is a rare condition appear only when• Sanjnanasha is a rare condition appear only when  Kevala Asamskarita Ghruta is given in Pittadhika RogaRoga Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
  • 43. Snehapana Chronic Impacts Accha Snehapana and Practices Snehapana Chronic Impacts  • Pandu – ShothaPandu Shotha • Kandu ‐ Kushta G h i d• Grahani ‐ Udara • Sthimitya ‐ Arshas – At first the Vamana is done – Later these conditions are treated accordingly  with medicines Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
  • 44. Accha Snehapana and Practices • Most common first hand treatment is to  suppliment Takrarista or Amla Takra alongsuppliment Takrarista or Amla Takra along  with Rooksha Ahara / Vihara G M t i d f L kh V ti• Go Mootra is used for Lekhana Vasti or even  as internal medication • Triphala in many forms can be adopted to  reduce the Unction adverse effect  Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
  • 45. Commonly used Snehapana Accha Snehapana and Practices Commonly used Snehapana • Brahmi Ghrita @ memory loss (Medhya)Brahmi Ghrita @ memory loss (Medhya)  • Dadimadi Ghrita @ GIT Disorders ‐ Vatanulonana, ulcers, folic acid & B12Vatanulonana, ulcers, folic acid & B12 deficiency  • Dhanwantaram Taila @ VataraktaDhanwantaram Taila @ Vatarakta  • Gandha Taila @ Osteoporosis, Recovery stage  of pathological fractures, ligament injuryof pathological fractures, ligament injury • Guggulutiktakam Ghrita @ Asthi Majja Gata VataVata  Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
  • 46. Commonly used Snehapana Accha Snehapana and Practices Commonly used Snehapana • Indukanta ghrita @ Immuno‐pathology ‐ Agni g @ p gy g Deepana, Sroto Shodhana, Jwarahara, acid peptic  disorders  • Kalyanaka Ghrita @ Psychiatric Disorders• Kalyanaka Ghrita @ Psychiatric Disorders ‐ Tridoshahara, Apasmara, Vaksanga • Ksheerabala Taila @ Pittanubandha Vataroga,Ksheerabala Taila @ Pittanubandha Vataroga,  Brumhana • Madhuyashtyadi Taila @ Vata Pitta Shamana,  V kVatarakta  • Narayana Taila @ Vata Pitta Shamana &  BrumhanaBrumhana Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
  • 47. Commonly used Snehapana Accha Snehapana and Practices Commonly used Snehapana • Panchagavya Ghrita @ Psychiatric Disorders ‐a c aga ya G ta @ syc at c so de s Vatapradhana Manovikara • Patoladi Ghrita @ Infectious Skin Diseases • Phala Ghrita @ Vandhyatva • Pitta Gulgulutiktakam Ghrita @ Psoriatic origin g @ g • Sahacharadi Taila @ Cerebellar Ataxia, wasting  disorder, tremors, rigidity, spasticity  • Shatpala Ghrita @ Immuno‐pathology ‐ Vatahara,  Agnideepana, bronchial ailments  Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
  • 48. Commonly used Snehapana Accha Snehapana and Practices Commonly used Snehapana • Sukumara Ghrita @ GIT Disorders ‐ ChronicSukumara Ghrita @ GIT Disorders  Chronic  constipation, Arsha, Kostha Shodhana even @  Genito‐Urinary Disorders • Tiktaka Ghrita @ Skin Disorders  • Vastyamayantaka Ghrita @ Cystitis &Vastyamayantaka Ghrita @ Cystitis &  Prostatitis, neurological bladder,  Vatanubandha Mutraroga • Vidaryadi Ghritha @ Vata Pitta Shamana &  Brumhana Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
  • 49. Accha Snehapana and Practices Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
  • 50. Conclusion Accha Snehapana and Practices Conclusion  • Selection of Sneha is very important forSelection of Sneha is very important for  desired therapeutic effect.  • Rukshana should be done in Sneha Satmya,Rukshana should be done in Sneha Satmya,  Strong, Obese, and Kapha personalities before  to  Snehapana. • Achapana is always better in terms of its huge  quantity and also normal unction  • Sadhita Sneha is desired only when Shamana  and Sodhana is done simultaniously Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
  • 51. Accha Snehapana and Practices Technoayurveda Dr KSR Prasad LN Ayurved College, Bhopal, MP 9290566566/technoayurveda@yahoo com9290566566/technoayurveda@yahoo.com THANK YOU Visit for Audio@telegram https://t.me/joinchat/AAAAAE8rz4PN7jBjlfB6Wg Visit for PPt: http://slideshare.net/technoayurveda Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/