How To Do Nasya? Procedure, Types, Benefits, Precautions, Side Effects

Nasya treatment means putting nasal drops. While you might be already knowing about usage of nasal drops to relieve nasal congestion, Ayurvedic nasya therapy is quite different from this usual practice. While putting the drops into nostrils remains the same, the purpose of this treatment varies in Ayurveda.
While there are many types of Nasya treatments, there is one type which can be done on a daily basis for the overall improvement of health and to prevent diseases.

Introduction

The learned physician should administered nasya karma in disease of head because nose is the gate way of head and as such drug administered by this route pervades the head and thus destroys the diseases of Shirovirechana, Shirovireka and Murdha virechana are the synonyms of Nasya karma.

Nasya treatment - nasal drops

Definition

Ayurvedic texts define nasya as-“Oushadham oushadha siddha sneham va nasikayaam deeyate inti nasyam”
It means, procedure where the medicated drugs or oils are administrated through the nostrils.

Note: There are many types of Nasya using powders, juice extracts, decoctions, herbal fumes etc. But they are used for therapeutic purposes. Here, I am only concentrating on the one that everyone can use on daily basis.

Nasal medication is especially described for the treatment of diseases of the parts above the shoulders;
Nose is considered as the gateway for the head, spreading through this, the nasal medication reaches all the parts of the head and neck and cures the diseases of respective region.

Nasya Procedure for healthy people

This is if anyone is interested to do on a daily basis. Consult your doctor for the right advice.
This is the procedure –
If there is urge to urinate or defecate, finish that first.
It is better to brush the teeth first, if you are doing it in the morning.

Take sesame oil and do gentle massage over the entire face and neck.
For the purpose of massage, you can use
Maha Narayana oil, if you are targeting headache and sinusitis.
Nalpamaradi taila / Kumkumadi Taila – for good facial skin and complexion
Bala Ashwagandhadi Taila / Ksheerabala taila 101 – to improve strength of sense organs.

While massaging, avoid eye lids and eyes.
After this, you need to give some sort of heat treatment.
It can be
– exposing to early morning sunlight,
– gentle exercise to warm up the face,
– washing face with lukewarm water
– gently heating a towel over a Dosa pan and patting over face, avoiding eyes.

Hot fomentation should be given to face and neck, avoiding eyes and eye lids.
Lie on a cot in a room devoid of breeze or excess sunlight.
For convenience, keep a thin pillow below neck.
Lie straight with his face upwards, extending arms and legs.

Take Anu Tailam – the best oil for Nasya procedure, available in any local Ayurveda store. The oil is slightly warmed in hot water bed, just before administration. It should not be too hot. It should just be lukewarm.
Two drops of the oil are instilled into each nostril.
This can be done by another person as self administration may be difficult.

After instilling, soles, neck, palms, ears etc. should be massaged mildly.
For next 10 minutes, sputum along with medicine may come out. You have to spit it all out.
If you feel excess of heat / burning sensation, then wash your face with cold water.
After this procedure, one should lie with the face upwards, for 2 minutes.
Then, ideally, smoke inhalation with medicated herbs and mouth gargling should be done, to cleanse the throat.

This is preferably done on empty stomach, before tea, coffee, at least 30 minutes before bath, in the morning, after bowel evacuation.
If you get any doubts, if you have any underlying disease, please consult your Ayurveda doctor before taking up this nasya procedure.
If you do Jala Neti, then better to maintain a gap of 30 minutes between that and Nasya.

Nasya indications

Indications

This type of Nasya is applicable to all healthy people.
Specifically it is helpful in people suffering from
Stiffness of the head
Stiffness of the teeth
Stiffness of the neck
Obstruction of the throat
Stiffness of the jaw
Rhinitis – running nose
Uvulitis
Tonsillitis
Corneal disorders
Hyper pigmentation, freckles
Migraine, headache
Neck stiffness
Stiffness of shoulder
Diseases of the oral cavity
Nasal disorders
Ear disorders
Eye diseases
Headache
Facial paralysis
Motor neuron disorders
Convulsions
Goitre
Gingivitis
Loose teeth
Hoarse voice
Slurred speech
Neuro muscular disorders
One who practices nasal therapy in time according to the prescribed method, his eyes, nose and ears are not affected by any morbidity.
His hair and head never become white or grey; he never experiences hair fall; those rather grow luxuriously.
Being nourished by inhalation, his veins, joints, ligaments and tendons of head and neck gain greater strength. His face becomes cheerful and plumpy; and his voice becomes sweet, stabilized and stertorous.
All the sense organs become clear and three is considerable strength.
Diseases relating to head and neck do not attack such a person. Even though, he might be growing old, old age does not affect his head (in the form of grey hair etc (reference: Charaka Sutrasthana 5th chapter)

Indications of Nasya karma:
Shira sthambha – stiffness of head
Manya sthambha – stiffness of neck
Pinasa – running nose, upper respiratory tract infection
Danta sthambha – stiffness in teeth
Hanusthambha – stiffness in jaw
Galashaluka – throat disorders with a feeling of constriction / foreign body
Galashundika – tonsillitis
Shukragata Roga – eye disorders of sclera
Timira – vision disorders
Vartma Roga – eye lid disorders
Vyanga –  discolored skin patches on face
Amsashula – pain in the upper back
Ardhawabhedaka – migraine
Karnashula – earache
Greewa Roga  – neck pain
Nasashula – pain in the nasal region
Mukha Roga – oral disorders
Aksi shula – eye pain
Sira shula – headache
Ardita – paralysis
Apatantraka, Apatanaka – seizures
Galaganda – cervical lymphadenitis, thyroid disorders
Dantashula – toothache
Dantaharsha – tingling sensation in teeth
Arbuda- tumours
Vakgraha – voice disturbances
Swarabheda – hoarseness of voice

Nasya contraindications

Persons unsuitable to nasal medication :-
Nasal medication should not be administered to persons who
have just then consumed water, wine, artificial poison (Garavisha – chronic poisoning) and fat (as part of Snehana therapy) or who wish to consume them, soon,
who is suffering from indigestion,
who have taken food just then,
who have just taken bath or who desire to take bath-soon. Ideally there should be a minimum gap of 30 minutes between bath and Nasya treatment.
who has just taken oil or fat
who is suffering from excessive thirst
who is suffering from excessive hunger
who is severely tired,
who  have had blood letting therapy- or severe bleeding due to other causes,
who are having acute rhinitis,
who has consumed alcohol
who is suffering from acute fever,
who is suffering from acute cold,
who are getting natural urges of the body, like urge to urinate, defecate etc.
the woman who has recently delivered,
patients of dyspnoea, COPD, Asthma and cough,
those who have undergone purification (Panchakarma) therapies
who have been given Basti treatment – just then,
at unsuitable seasons and
on cloudy days except in emergency.
Infective Rhinitis,
who has have consumed wine,
People with low ears- low hearing capacity
in  whom, the Doshas are greatly imbalanced and moving from place to place;
Nasya should not be administered to those who are less than seven years and more than 80 years of age;

Contraindications of Nasya karma:
Bhukta Bhakta – soon after food
Ajirna – in a person having indigestion
Pitasneha – soon after intake of ghee or oil
Pitamada – in a person intoxicated with excess alcohol
Pita toya- who has consumed excess water
Ksudharta – who is suffering with excess thirst
Snehadi pitukama – who is desirous of taking oil / ghee
Snata Sira – who has just taken head bath
Sramarta – who is excessively tired
Matta – intoxicated
Snatu kama – who is just about to take bath
Murcchita – unconsciousness
Sastradandhata – who is severely injured by sharp instruments
Vyawaya klanta – tired
Virikta – soon after Virechana treatment
Vyayama Klanta – tired due to excessive exercise
PanaKlanta – tired due to excess alcohol
Garbhini – pregnant
Nawa Jwara – fever – fever of recent onset
Sokaistapta – grieving
Anuwasita – who has just undergone Anuvasana Basti
Nawa pratishyaya – rhinitis of recent onset
Apatarpita – who has just undergone weight loss treatment
Pitadrava – excess consumption of liquids
Trsnarta – with excessive thirst
Gararta – afflicted with Gara Visha – toxic conditions
Kruddha – excess anger
Bala – in children
Sutika – during early lactation period
Vegawarodhita – who has suppressed his natural urges
Rakta Sravita – with excess bleeding
Shwasa – dyspnoea

Right time for Nasya

Nasal medication should be administered in
morning – if Kapha is increased.
Mid day  – if Pitta is increased
Evening – if Vata is increased.
During Sharath (Autumn) and Vasantha (Spring), it should be given in forenoon.
During winter, it should be given in midday.
Evenings in summer,
when there is sunlight during Varsha- rainy season.

How Nasya Therapy Acts?

It is said that, medicines administered through nasal route, passes via Shrigantaka marma and enters all the sense organs and strengthens them.
As per modern principles, medicines administered nasally can have an impact on eye, facial skin, ears, nose and oral cavity.

Instruction to patient

Instructions for the patients during Nasya:
As described by Charaka, Vagbhata and Sushrtha the following instructions should be observed by a patient while undergoing Nasya karma.
Swedana and Mardana on the Shira, Gatra and Manya
Shira (head) should not be excessive flexed or extended
Patient should lie Supine (Uttana ) for a time interval counting numbers up to 100
Avoid speech (Naprabhaset)
Avoid anger (Nakupyeta)
Avoid laughing (Nahaset)
Avoid swallowing of Nasya Aushadhi
Eliminate Kapha by Gandusha and Stiivana ( Spitting)

Post Nasya Regimen

Dhumapana
Kawalagraha and Gandusha Dharana
Diet – Warm water (Sukhoshna jala)
Light diet (Laghu ahara)

Following should be avoided:
Shitala Jala (cold water)
Dosha prakopaka ahara (abhishyandi)
Rajodhuma (dust and fume)
Sneha (oils and ghee)
atapa (sun and heat)
Madya (alcohol)
Shira Snana (bath by head)
Atiyana (travelling)
Krodha (anger)
Nidra (sleep)

Features of adequate Nasya

Breathing without difficulty
Good sleep
Improved strength of sense organs
Laghawa (lightness in the body)
Nidra (good sleep)
Shira Laghutwa (lightness in the head)
Srotas Shuddhi (cleaning of channels)
Indriya prasanna (sensorial happiness)
Mana prasanna (mental happiness)

Features of inadequate Nasya

Vision problems
Emaciation, dryness of nose and mouth
Feeling of emptiness in head
If you feel these symptoms, then repeat the procedure of Nasya.
Indriya Rukshata (Dryness of senses)
Aprasama Roga (Non relief)
Kandu (Itching)
Anga gourawa (Heaviness in body)
Nasa, Netra, Mukha Srawa (Hyper secretion)

Features of excessive Nasya

Itching
Feeling of heaviness of the head,
Excess salivation,
Anorexia
Rhinitis
are signs of excess of Nasya.
Pratimarsha cleanses, clears the channels, relieves fatigue, improves eye sight, bestows sturdiness to the teeth and mitigates the Vata.
Shirahshula (headache)
Indriya Bibhrama (confusion)
Kapha Srawa (salivation)

Rationality of nasya therapy

It is a well-known factor that the olfactory center is located in the temporal lobe of the brain. The filaments of first cranial nerve, Olfactory nerve arise from the upper parts of the nasal mucosa, from where the minute fibrils pass to meet with the fibres from olfactory bulb. This nerve passes the cribriform plate present over here and joins the olfactory center in the temporal lobe of the brain.
As mentioned earlier, the numerous capillaries embedded in the nasal mucosa absorb the medicinal principles administered through nasya and produce various kinds of local and systemic effects by mechanical and chemical reactions.
The discharge secreted contain the blocking materials and are evacuated through nasal route.
Thus the pathological condition is reversed and the disease is relieved.

Remedy for throat irritation after Nasya

Q: I feel throat irritation after Nasya with Anu taila. Remedies?
A: After nasya treatment, gargle with hot water and spit out for 2 minutes time.
Take half a teaspoon of turmeric powder. Add just a small pinch of black pepper powder, mix it with ghee, burn and inhale fumes. This will dry up the remnant Kapha, leftover after nasya.
If you are okay with spices, taking 1 gram of Trikatu powder with honey should also be useful. Or ginger juice – 1 teapsoon with a little honey is also fine to take.

Excessive sneezing after nasya

This can occur in people with allergy or hyper-sensitivity. For them, before doing Nasya, gentle face massage with a few drops of sesame oil, gentle fomentation with lukewarm water face wash is recommended before taking up Nasya.
If the oil quality is very low, this can also cause sneezing and local irritation.

Choice of liquids for Nasya

I have given below commonly used nasal drops. But you need to consult an Ayurveda doctor to check what suits you. Learn about nasya therapy in detail here 
The common dose is 2 drops to each nostril on an empty stomach. 
It is ideal to massage face and neck with a few drops of sesame oil, leave it for 3 minutes then wash the face with lukewarm water, before putting nasal drops. 
Default nasal drops is
Anu oil or anu tailam
. It is prepared with sesame oil base and contains safe and effective herbs of both hot and cold qualities. 
General benefits:  Radiant skin, strong shoulders, Improvement in voice, strong sense organs, improved hair quality and prevention of early greying of hair. Read more about Anu tailam here 
Second default oil for nasya is Shadbindu taila 
It prevents hair fall, strengthens teeth, vision, voice and neck region. Read more about it

For Vata dosha aggravation, neurological complaints of the head, neuropathy, migraine, vascular headache – Ksheerabala taila 101 

For improving facial skin health, to treat freckle, melasma, acne etc. – Kumkumadi taila

For Vata Dosha aggravation, leading to pain and stiffness, such as locked jaw, headache etc.  – Mahanarayana oil 
For stress, anxiety, depression, psychological disorders – Panchagavya ghrita

For memory, focus, concentration, improving intelligence – Mahakalyanaka ghrita 
Neurological disorders such as Parkinson’s disease, strengthening and revitalizing nerves, after recovering from a head injury Mahamasha taila 
To relieve burning sensation, dizziness, nasal bleeding – Ksheerabala taila or chandanadi taila

For sinusitis, allergic rhinitis – Halin Drops, Cephagraine drops, Sinurex Nasal drops are commonly used. 
For Kapha Dosha – Anu taila, Shad Bindu taila.
For Vata – Pitta Dosha- ghee
To improve skin complexion, Kumkumadi taila
Almond oil for Nasya – good for hair, skin, dandruff, eczema etc. It has nourishing effect on the body and sense organs. Read more about almond benefits

Modern Steam inhalation vs Nasya

In modern steam therapy for nasal congestion, an essential oil mix such as Camphor, Chlorothymol, Eucalyptol, Terpinol, and Menthol are used. The essential oils are sold in capsule form. It is cut open and put into hot water and steam is inhaled. Here the goal is to undo the chest congestion and help in breathing.

But this is not same as nasya therapy. Here, the goal is to not only detoxify and strengthen the respiratory tract. All organs in head and neck region are targeted with Nasya. Even thyroid hormone complications, migraine, neuralgia etc are treated with nasya therapy.
Gentle face and neck massage with oil and sweating treatment is advised ahead of nasya therapy to loosen the toxins. Nasal drops administered after massage and sweating help in easy evacuation of loosened toxins.

Modern steam therapy with essential oils is not recommended on a daily basis for healthy people. Whereas, Nasya therapy with minimal dose, is recommended as a healthy daily routine.

Is it a good idea to use essential oil steam therapy, ahead of Nasya treatment?
After oil massage, before nasya treatment, sweating therapy is advised as per Ayurveda. The sweating treatment on face can be given with a towel dipped in hot water. Not only this, even herbal teas are also used for sweating treatment. Hence, it is fine to use essential oil sweating treatment ahead of Nasya therapy, with the following conditions
The essential oil should be very mild.
Only one drop of it can be used.
It should not cause eye irritation.
Do not use it everyday. Use it only once a week.

Ghee As Nasal Drops

Can ghee be used as nasal drops?

Ghee is frequently used as nasal drops – Nasya therapy.
Ghee balances Vata and Pitta Dosha. Hence for many Vata and Pitta related complaints, such as –
migraine
psychiatric disorders
depression
anxiety,
phobia,
lack of sleep etc. issues, ghee nasya is suitable.

For nasya, cow ghee can be used directly or herbal ghees can also be used.
Maha Kalyanaka, brahmi ghrita are useful to improve brain functions, in psychiatric disorders.
Saraswata ghrita is speech improvement.
Read more about cow ghee benefits here

Migraine – Nasal Drops

For Migraine , Which medicine can be used as nasal drops?
The choice of oil for migraine cure depends on the nature and intensity of the migraine.
If there is severe pain in the face, neck, sensitivity to sound, scalp tenderness (pain on touching the head), then Vata Dosha is more dominant. In such a case, Mahanarayana tailam or Shadbindu oil or Anu oil is useful.

If there is aura, blurred or impaired vision, seeing flash of light, burning sensation increased warmth, redness of eyes, nausea and vomiting, then Pitta is more dominant. In such a case, Varanadi Ghritam (herbal ghee), Ksheerabala 101 oil are useful.

Warming the Liquid

Usually, oil or ghee used for Nasya is slightly warmed just above normal room temperature before administration. Lukewarm oil absorbs faster and quickly spreads in the body.
How to warm it?
Nasya oil or ghee is a very heat sensitive product. The blend of oil and herbs is very delicate. Direct heating may cause loss of medicinal principles from the oil. Hence, it is best to warm it in a water bath. take a wide mouthed vessel. Take water in it. Bring it to around 50-60 degree Celsius. Then dip the nasya oil or ghee bottle in the water for 1-2 minutes. Before using the oil, test the oil for its temperature. You can do this putting a drop of the oil on to your hand. It should not be very hot.

With Sesame oil

Sesame oil is sweet, bitter in taste and has astringent sub-taste. It has the capability to enter into minute body pores and bring about soothing action. It is hot, strong and piercing in nature.

Below-mentioned benefits of sesame oil can be expected when it is used as nasal drops.
Lekhana – scraping action – Useful in case of sinusitis
Deepana – improves digestion strength
Sroto Vishodhana – clears and cleanses body channels
Tvachya – good for skin, useful in dry facial skin, dry hairs.
Vayasthapana – anti aging, rejuvenating, improves qualities of hair and face. Avoids early graying of hair, hair fall and wrinkling of skin
Medhakara – Improves intelligence
Smrithikara – improves memory

Time gap for food

In the morning, better to do it on empty stomach, wait for 30 minutes, then have your morning beverage or breakfast.
If you do it in the evening, maintain a gap of at least 30 minutes between nasal drops and food.
It is always good to do nasya before food. Doing it after food can cause vomiting and increased chances of weak digestion strength due to Kapha accumulation.

Synonyms, meaning

Snuff, Errhine , Sternutatory

Synonyms of nasya –

  • Shiro virechana, murdha virechana and shiro vireka – term virechana means purgation, thus nasya is a treatment of purging head of its impurities. Shira means head.
  • Nasta prachardana – here prachardana means to cause emesis. Nasya is to expel doshas accumulated in head by a similar procedure as that of emesis, it is like causing head to vomit and expel its doshas. Since kapha is main dosha located in head, term prachardana could have been used synonymous for nasal medication. This treatment is equally useful in combating vata and pitta aggravation in head.
  • Navana – also means sternutatory
Nasika Kalpana

Navana nasya

It is an important type of Nasya, which can be used always.
It can be mainly classified into Snehana and Sodhana.
Scholar sushrutha called it as Snehana nasya.
Navana is administered by instilling the drops of a medicated oil in the nose. Anutaila is used for this type of nasya.

In this type of nasya the pichu of karpasa is made and dipped into Sneha, the drops, formed after taking the pichu out of the Sneha, are dropped into the nostrils. Navana is gererally a sneha nasya and is known as nasya in general.

The naavana nasya is indicated in following conditions:

Classification

Types of Nasya:
Charaka has classified nasya as follows:
Charaka Siddhi Sthana

Navana: Snehana and Shodhana
Avapida: Shodhana and Stambhana
Dhumapana – herbal smoking
Dhumra nasya:
Prayogika; Virechaniya; Snehaniya
Pratimarsha: Snehana and Virechana

The above mentioned 5 types of nasyas are grouped according to their actions in the following three classes.
Rechana (Purification)
Tarpana (Nourishing)
Shamana (Retraining)

Charaka also described 7 types of nasyas on the basis of the usable parts of the nasya drugs:
Phala nasya – using fruits
Patra nasya – leaves
Moola nasya – roots
Kaanda nasya – stem
Pushpa nasya – flowers
Twak nasya – bark
Niryaasa nasya – extract / exudate

All the above mentioned drugs can be used for nasya in the form of Churna, kalka, swarasa, ksira. Kwatha, sara, udaka, dhuma, mamsarasa, siddha taila, Ghrita, Madya etc.

Acharya Sushrutha classified nasya as:
Sushruta Samhita, Chikitsa Sthana 40/21)

1. Shiro virechana
2. Snehana

Each type is further classified into
Nasya
Siro virechana
Pratimarsha
Avapida
Pradhamana

Vaagbhata has classified nasya having in views their actions into the following 3 types:
Virechana nasya
Brmhana nasya
Shamana nasya

According to scholar Sharangadhara:
Nasyabhedo dvidha proktho rechana : snehanastatha|
Rechanam karshanam proktham snehanam brahmanam matam| (sha.sam.u.k 8/2)
Rechana nasya (karshana) – 2 sub types – Avapeeda and Pradhamana
Snehana (Brmhana) -2 sub types – Marsha and Pratimarsha

Vataja Shiroroga – headache, disorders pertaining to head and brain due to Vata Dosha imbalance
Danta patha – loss of teeth
Kesha patha – hair loss
Smasr patha – moustache loss
Tivrakarna Shula – excess earache
Karnachweda – ear disorder
Timira – night blindness, eye disorder involving blindness
Swedopaghata – side effects of Swedana
Nasa roga – nasal disorders
Mukha Shosha –dry mouth
Avabahuka – Frozen shoulder
Akalaja Valee – premature skin wrinkles
Akalaja palita – premature greying of hairs
Daruna prabodha
Vata pittaja Mukharoga – oral disorders of Vata and Pitta Dosha.

Navana Kala, Matra

Navana kala – Su. Ch. 40/241 and Dalhana: Time for administration of Navana Nasya:
In Kaphaja roga – Forenoon
In Pittaja roga – Noon
In Vataja roga – Afternoon

Seasonal administration of Nasya to a healthy person:
Sheeta kala – Noon
Sharad and Vasanta – Morning
Grishma rutu – Evening
Varsha rutu – When the sun is Visible

Navana matra – Su. Ci. 40/36: Dose of Navana Nasya:
Best dose – Uttama – 8 drops
Medium dose – Madhyama – 6 drops
Low Dose – Hina – 4 drops

Example:- Shad Bindu Taila
Read related: Shadbindu Tail – Benefits, How To Use, Ingredients, Side Effects

Avapeeda nasya

Avapeeda nasya is the nasya consisting of the extract (juice) of a drug, administered through nasal passage.
Four, six, eight drops of the Swarasa are recommended to be put in each nostril. Depending upon the pharmacological action of drugs used for Avapida nasya.

It is of two types.
Stambhana nasya.
Sodhana nasya.

Avapida nasya is indicated in the following conditions:

Vishabhighata – toxicity, poisoning
Sanyasa – syncope
Muurcha – unconsciousness
Moha- delusion
Apatantraka – neurological disorders
Mada – intoxication
Apasmara – epilepsy
Shirobhedana – headache
Krodha – anger
Bhaya – fear
Manasa roga – mental disorders
Chittha Vyakulawastha – anxiety
Krusha Roga – weak patient
Bhiiru – fearful
Sukamara persons – soft people
Stri – women
Raktapitta – bleeding disorders like nasal bleeding, Ulcerative colitis and menorrhagia etc.

Pradhamana Nasya

Dhmapana or pradhamana nasya:
Pradhamana is a specific sodhana nasya.
In pradhamana nasya, churna (powder of drugs) is administered ( inhaled ) by nasal passage with the help of nadi yantra. Its dose is described by scholar Videha as one mucyuti (a pinch).

The drugs generally used for Pradhamana Nasya –
Saindhava lavana – rock salt
Lashuna – garlic
Guggulu – Commiphora mukul
Katphala,
Maricha – Black pepper
Vacha – sweet flag etc.
These are mixed in equal parts and powdered along with the gall stones of a fish and kept dry. The powder may be used as pradhamana nasya.

Pradhamana nasya is indicated in following conditions:
Mental diseases
Poisoning
Krimija Siroroga

Example :- Katphala nasya – Su.u. 26/22.
Fine powder of katphala twak (Myrica nagi Thumb) should be blown into the nostril through a pipe 6” long. Katphala nasya is indicated for kaphaja Shirorogas.

Dhuma Nasya

Dhuma nasya is defined as medicated fume taken by nasal route and eliminated by the oral route. If dhuma is taken by oral route is eliminated by the nasal route, is harmful for the eyes.

Dhuma nasya is of 3 types
Prayogika
Snehana
Vairechanika

Its indications are as follows:
Shiroroga
Nasa roga
Akshiroga

Length of Dhumra netra:
For Vairechanika nasya – 24”
Snaihika nasya – 32”
Prayogika nasya – 36”

Marsha, Pratimarsha Nasya

Both consist of introduction of Sneha (taila) through the nostrils. It is well tolerated and is a very much convenient procedure. Pratamarsha and marsha are in principles the same but they have the following distinctions:

Pratimarsha, marsha Nasya differences

Pratimarsha Nasya

Marsha Nasya

Preventive in nature

Curative

Never produces complications

May produce complications

Dose: 2 drops morning and evening

Dose: 10 drops, 8 drops, 4 drops as Uttama, Madhyama and Hina matras respectively

Can be performed on people of all ages and in all seasons

Needs consideration of Rutus and Vayas

Slow acting and less potent

Quick acting and highly potent

Consists of less sneha dravyas

Consists of more sneha dravyas

Pratimarsha nasya

Pratimarsha nasya is application of just two drops of nasal oil, multiple times in a day. It is a form of mini detoxification done throughout the day.
The below mentioned type of Nasya is called Pratimarsha Nasya.
It can be applied
After head massage
After Gandusha (gargling)
After Anjana – collyrium,
After defecation,
After brushing teeth,
After bouts of laughing ;

Pratimarsha indications, Timings

Pratimarsha nasya Kala – Reference: Sushruta Samhita, Chikitsa Sthana 40/51
Talpothita kala – after getting up
Praksalita danta kala – after brushing teeth
Gruhat niragachata kala – just before going out of home, as a protective nasal layer against dust, smoke and pollution
Vyayamottara kala – after exercise, to bring back the breathing to normalcy
Vyavayottara kala – after sex, to bring back the breathing to normalcy, as a way to clean oral and nasal cavities,
Adhva parisranta kala – after walking a long distance – to counter Vata aggravation
Mala Mutra Visarjanottara kala – after defecation and urination – to counter Vata aggravation
Kavalottara kala – After mouth gargle / oil pulling – to eliminate any remnant mucous / sputum that might be sticking to oral / nasal cavities.
Anjanottara kala – After anjana treatment (collyrium) – to counter any Vata Dosha aggravation
Bhojanottara kala – after food – to clean oral and nasal cavities
Vamanottara kala – after Vamana (emetic) therapy – – to eliminate any remnant mucous / sputum that might be sticking to oral / nasal cavities.
Divaswapnottara kala – after getting up from day sleep – to counter aggravated Kapha dosha in the nasal / oral cavities
Sayankala – Evening – to counter Vata dosha, which naturally aggravates in the evening time
Sirobhyangottara kala – after head massage
Hasyottara kala – after excess laughter – to counter aggravated Vata Dosha.

Nasal drops just before going to bed?

Is it a good idea to put Ayurvedic nasal drops just ahead of sleep, to improve sleep? 

Dr JV Hebbar 
There are two types of Nasal drops in Ayurveda.
Marsha Nasya – higher dose done only once a day, for healthy people and done maximum twice a day, for certain patients. 
Pratimarsha nasya – 2 drops to each nostrils, done  many times in a day, to protect the inner layers of the nostrils and to detoxify organs of head, neck and respiratory tract. 

Usually anu taila or sesame oil is used, but based on the need, cow ghee, milk, certain herbal juices, decoctions etc. are also used as nasal drops. 
The idea of nasal drops is, the medicinal drops enter into the nasal cavity, and reach a marma point between the eyebrows, called Shringataka marma, which is connected with all sense organs and brain. So, the medicinal principles spread from this marma, reach the target organ and do healing action. 

As you can above, about the timing of nasal drops, there is no mention of just ahead of bed time. 
So, it is not a good idea to put the nasal drops just before going to sleep. 

You might argue, it may improve the quality of sleep and in some cases decongest the nasal cavity. 
It is true that Brahmi taila / Kalyanaka ghrita as nasal drops are administered during evening or night time to improve the quality of sleep. But it is not like applying a couple of drops of it makes the person sleep instantly. The way it works is by gradually relaxing the mind, soothing the nerves, decreasing     unnecessary thoughts, calms down Vata Dosha and then improves the quality of sleep. It may take at least 10-30 minutes to show this action.

Saline water is used as nasal drops as a decongestant at night. But these are not to be used just ahead of bed time. 
If some drops remain in the nasal cavity, it can lead to congestion, difficulty in breathing etc. 
It is best to maintain at least a gap of 30 minutes between bed time and the nasal drops. 

Commonly used nasal medicines

Nasya Ausadhi kalpana – commonly used:
Churna – kalpana
Katphala Churna
Trikatu Churna
Katu tumbi Churna
Pippali Churna
Maricha Churna
Vidanga Churna

Herbal oils
Anu taila
Sadbindu taila
Jatyadi taila
Padmakadi taila
Panchaguna taila
Kumkumadi taila
Vacha
Ghrta
Ghanasara yoga

Some of the Nasya Kalpas indicated by Sharangadhara —
Gudadi nasya: – It is indicated in diseases of eyes, ears, nose, head, neck, lower jaw, throat, shoulders and back.
Madhuka saradi nasya: It is indicated in apasmara (epilepsy), unmade (insanity) sannipatha (severe fevers) and apatantraka (tetanus)

Saindavadi nasya: It relieves excessive drowsiness, tandra.
Marichadi nasya: It forms a good pradhamana nasya.

Brahmana nasya kalpana: It is indicated in diseases of head, nose, eyes, suryavarta, ardhavabheda, dantarogas, for debilitated persons. In those suffering from diseases of neck, shoulders and arms, Mukhashosha, Karnanada, disorders of vata and pitta, Premature greying and falling of hairs and moustaches.

Kukuma nasya: It is indicated in disorders arising from vata and rakta, pain in the forehead, temples, head, ears, suryavarta and ardhavabheda.
Mashadi nasyam: It relieves pakshaghata associated with kampa, ardita,
Manyasthambha and apabahuka.
Vibhitakadi nasya: It cures palita (greying of hairs)

Nasya medicine pathway

Drug pathway
Nasal cavity -> Olfactory epithelium -> Olfactory nerve -> Cibriform plate of ethmoid bone -> Anterior cranial fossa -> Medial and lateral olfactory area of cerebral cortex.

Fate of drug:
Chemical impulse
Electrical impulse
Neuronal impulse

Sanskrit verse

Nasta : karma cha kurvita shirorogeshu shaastravidha|
Dvaram hi shiraso nasa tena tad vyapya hanti taan || (Cha. Si.)
Aushadhamoushadasiddho va sneho nasikaabyam diiyate iti nasyam| (Su. Chi)
Nasyam tatkathyate dhiirairnasagrahyam yadoushadham
Navanam nasyakarmeti tasya namadvyam matam|| (Sha. U)

Nasya Yantra


A suitable Nasya Yantra may be devised according to the need depending upon the following outlines described in the text for Dhuma Nasya.

Tikshna or Virechana Nasya 24 angula
Snaihika Nasya 32 angula
Prayogika or Shamana Nasya 36 angula

Observation of atura – Vaya and Kala:
Rutu:- Nasya should be given in pravrt, Sharad and Vasanta Rutus. Time schedules in different seasons should be as follows
Grishma Rutu Before noon
Sheeta Rutu Noon
Varsha Rutu Day should be clear.

Age:- Nasya should not be given in persons below 7 years and after 80 years. Thus Nasya is indicated between 8 and 80 years of age.
However the following exceptions have also been admitted.
Pratimarsha may be administered at any age between birth to death while
Dhuma is indicated after 12 years of age. Sneha pana should not be given immediately before Nasya karma

Nasya Karma procedure

Procedure of Nasya karma:
atura, Mala – Mutradi Vega Nivrtta
Diet should be given
After sometime tooth brush
Adequate Dhumapana
Patient should lie down on Nasya Saiya
Put oil on scalp for massage
Mrudu snehana on head. According to Ayurveda texts swedana should not be given on the head. But it is only done for elimination of Dosha and liquification of Doshas
Tapa sweda should be given in following regions i.e. Shira, Mukha, Nasa, Manya, Griwa, Kanta
After Swedana smooth massage should be applied on following regions eg. Gala, Kapola and LalataPradesha
During Nasya the patient should close his one nostril and should inhale the drug through the other.

Nasya Dosage

Determination of Dosage in Nasya karma:
Scholar Sharangadhara describes the following dosage schedule for Nasya karma:
Tiksna aushadhi Matra
Churna – herbal powders – 1 Shana (24 Rattis) – 1 – 2 grams
Drava (liquids) – 8 Bindu (8 drops)
Hingu – Asafoetida – 1 Yava (1/2 Ratti)
Saindhava – Rock salt – 1 Masha (6 Ratti)
Dugdha (milk) – 8 Shana (64 drops)
Jala (Ausadhi Siddha) 3 Tolas
Sharkara and other Madhura guna dravyas – sweet substances including unrefined sugar – 1 Tola (12 grams)

According to Sushruta nasya should be given for 21 days or till the appearance of adequate effects on the other hand according to Vagbhata, Nasya should be given for 7 days.

Nasya complications

Nasya Vyapada (complications):
The complications Nasya karma are many and they occur due to administration of Nasya when it is contraindicated due to technical failure

These complications occur through following two modes:
Doshotklesa — which can be managed by Shodhana and Shamana Chikitsa
Dosha kshaya — which has to be managed by Bramhana Chikitsa

Conclusion

When nasya karma is done adequately the following benefits can be gained
Prevention of eye disease
Prevention of ear disease
Prevention of nasal disease
Healthy hair
Prevention of pinasa, Ardhawabhedaka, Shirahshula, Ardita, Hanugraha.
Provides strength to scalp
Provides happiness
Improves voice
Improves senses
Prevention of urdhwajatrugala Roga
Delayed aging
Pleasant oral smell
Give strength to head, danta, shira, trika, bahu and uras
Prevention of vali, palita, khalitya and vyanga etc.

Can oil nasya and neti done together?
Oiliness + coldness is not useful in many conditions.
With anu taila nasya, we are making the nasal passage oily.  Along with it, if jalaneti is done, it will make the area cold. This can lead to worsening of cold, cough, sinusitis etc.
Hence, I would not recommend doing anuthailam nasya and jala neti together.
At least there should be half an hour gap between these two.

Nose, throat irritation side effect

What should be the exact posture of the head when putting shadbindu oil in nose? Also what is the exact procedure? Please clarify, since I have noticed that as soon as I use this, my nose and throat gets irritated.

Today, we will discuss Nasya procedure and popular Ayurvedic formulation ‘Shadbindu taila’ which is used for Nasya treatment.

Let us discuss Nasya first. Nasya is nasal administration of medicine. According to Ashtaanga Hrudaya, the definition of nasya is –

नासायां भवं नस्यं ।
nāsāyāṃ bhavaṃ nasyaṃ |

 Naasayaam Bhavam nasyam

The treatment which is performed through the nose is known as “Nasya”.

ऊर्ध्व जत्रुविकारेषु विषेशान्नस्यमिष्यते ।
नासाहि शिरसो द्वारं तेन तद्व्याप्य हन्ति तान् ॥

ūrdhva jatruvikāreṣu viṣeśānnasyamiṣyate |
nāsāhi śiraso dvāraṃ tena tadvyāpya hanti tān ||
Ashtanga Hrudayam Sutrasthana 10/1

The shloka means, for the disorders affecting oordhva jatru, that means, for organs of head and neck, such as eyes, ears, nose, throat, brain etc., nasal drops therapy is suitable.

Nasa hi shiraso dvaaram – means, nose is the door or entry point for the head. Hence, medicines administered through the nasal route help to target the diseases of head and neck.  

 Generally, nasal drops are administered to relieve nasal congestion. But Ayurvedic nasya procedure is quite different from the usual practice and the purpose of the treatment is just not limited to relieving nasal congestion.

 Nasya… is one among the Panchakarma procedures, which is done by nasal administration of medicated oil, ghee, powder, fresh juice of herbs etc.

The person who wishes to undergo nasya, should undergo gentle facial massage with a suitable Ayurvedic oil and then mild fomentation is given to forehead, face and neck.

Then,  he should lie down in a supine (sUpine) position on a nasya table. His head should be slightly down and legs raised.

 His Head should be slightly hanging, without excessive extension.

 A small pillow or folded towel can be kept under the neck for support.

This helps in easy passage of the oil/medicine in the downward direction (derection ) inside the nose. Eyes should be covered with a clean cloth or a cotton pad. Then the nasya medicine is instilled into the nostrils, drop by drop.

Maintaining a proper posture is very important while performing nasya, especially the position of the head. If proper head posture is not maintained, there is a chance of nasya medicine entering in different directions, causing complications.

‘Shadbindu taila’ is an herbal (erbal) nasya oil.

It is mainly used in complaints related to teeth, hair, vision and

cervical spondylitis etc.

The word Shad… bindu means 6 …drops, which suggests that the common dosage of this oil is six drops.

But,  the dosage can be increased or decreased according to the patient’s strength or disease condition. It can be used for a few days to several weeks.

Sesame (sesame)oil and the goat milk are the two familiar ingredients used in preparation of this oil. Castor, ginger, rock salt, cinnamon etc. are the other main ingredients.

Coming to the question of nose and throat irritation after nasya,
Usually in this treatment, the patient feels the irritation. This is normal because of some of the ingredients used in the nasya medicine. But, if the irritation is severe or persists for a longer period, it is advisable to contact your doctor immediately.
So. It is always advised to undergo nasya treatment under the supervision of a qualified Ayurveda practitioner.

Precautions for nasya during pregnancy
Watch youtube video here

References

BOOKS AUTHORS
Charaka Samhita Dr. Ramkaran Sharma and Vaidya Bhagwan Das
Sushrutha Samhita Kaviraj Kunjalal, Bhishagratna
Sharangadhara Samhita Prof. K.R. Srikantamurthy
Bhaishajya kalpana Vijnanam Dr. Ramachandra Reddy
Text book of Bhaishaja kalpana Dr. Shobha G. Hiremath
Bhaishajya kalpana Dr. Siddhinandan Mishra
Bhaishajya Ratnavali Govinda Das Sen

Position of head during Nasya procedure:
Watch youtube video here

120 thoughts on “How To Do Nasya? Procedure, Types, Benefits, Precautions, Side Effects”

    • Hello doctor actually i’ve been prescribed prabhanjana nashya(6 drops daily) for nerve inflammation.Can u pls shed some light on the benefits of prabhanjana nashya?Thanks in advance.

      Reply
      • Hello sir, Nasya has only these types:
        1. Pradhamana (virechan) Nasya (cleansing nasya)
        2. Bruhana Nasya (nutrition nasya)
        3. Shaman Nasya (Sedative Nasya)
        4. Navana Nasya (Decoction Nasya)
        5. Marshya Nasya (Ghee Or Oil Nasya)
        6. Pratimarshya (Daily Oil Nasya)

        Prabhanjana is the name of the oil which you have been asked to do the nasya.
        Prabhanjana taila nasya helps in reducing the inflammation. It is used in the neuro-muscular conditions due to Vata imbalance.

        You can read more about Prabhanjana thaila here: http://ayurmedinfo.com/2012/06/09/prabhanjana-vimardanam-thailam-benefits-how-to-use-ingredients/

        Reply
  1. Dear TK Sharma, Thanks for kind aprreciation.
    1. If the sputum does not come into mouth, then there is nothing to worry.
    2. Just keeping a thin pillow below the neck to raise the position of nose to some extent.
    3. It is not just wishful feeling of being relaxed. Nasya has its own good effect.
    4. You can eat after half an hour after the procedure.

    Reply
  2. Wasn’t able to understand properly – after instilling the nasya oil and doing light massage of soles, palms, etc…should one lie on the bed for 2 minutes or 30 minutes?

    Also (if it is being done for Vata balancing), is it okay to do in the evenings even on cool days when there has been no sun at all, as long as the room is warm/heated? Or is it better not to do it?

    Reply
    • Hi,
      As I have stated under heading of timing for Nasya, if it is for Vata balancing, it can be done in evening.
      After instilling the nasal drops (for daily basis usage, only couple of drops to each nostrils), lie down for two minutes, after which you can wake up. expulsion of sputum etc may take anywhere between few to 30 minutes.

      Reply
  3. Hi,
    1. Nasya for mucus problems in throat works. Ksheerabala taila, anu taila and Shad bindu taila are the other usual oils used for nasya. More about nasya treatment here – https://www.easyayurveda.com/2013/08/12/how-to-do-ayurvedic-nasya-treatment-at-home-nasal-drops-for-long-life/

    2. It even is useful in pollen allergy. But try these turmeric remedies – they are specific – https://www.easyayurveda.com/2013/11/13/use-turmeric-allergic-rhinitis-4-traditional-methods/

    Reply
    • Hi, for general use, Mustard oil is a bit hot to use for Nasya. But if you are already accustomed to it, or if the doctor has prescribed, then you can use it.

      Reply
  4. can you please explain about heating the oil in water bed, should we heat the two drops or the whole oil in the bottle?

    Reply
    • Take the bottle containing the oil, with tightly closed cap.
      Take a wide mouthed vessel. Fill water upto half level.
      Carefully place the oil bottle in the water. You may hold it straight with a holder.
      Heat the vessel till the water in the vessel is around – 50 degree celsius – just above room temperature.
      You can heat this way, everytime you use the oil.
      Hope it helps

      Reply
  5. Dear Dr Hebbar,

    I regularly read your articles. Thank you very much for sharing Ayurveda with so many persons in the world! Wish you a great life and a very bright future.

    Reply
  6. Dr Hebbar

    I am a interested follower of ayurveda and your site in particular.

    I have chronic cough with a itchy throat in winter and suffer from frequent headaches and sinusitis attacks. I have found that jal neti helps keep my nasal passage clear, but I end up with a heavy head afterwards.

    I have tried anu tailam, but i cannot bear the bad taste in my mouth later. So I prefer jal neti except for the headache later. Would appreciate your inputs on this

    Thanks

    Reply
    • Jala neti is also a very effective remedy for sinusitis and related complaints. If nasya is not working out, if you can consult an Ayurvedic doctor, alternative treatments or simple oral medicines can be tried out.

      Reply
  7. Doctor,

    After instilling soles,neck, palms, ear should be massaged, you means the seasame oil? Also I like to know, can we use combination with different options as you suggested.

    Presently, I am (from gulf region)used to massage with Kottamchukkadi taila for spine joints and head massage with Ramthirth- Brahmi oil, just 20-30 min before taking bath at evening. Please advice, is Nasya treatment possible continue at the same time.

    Thank you in advance.

    Reply
    • Hi, After instilling the nasya oil – (It can be sesame oil or preferably Anu taila), the soles, neck palm etc should be given plain massage, without any oil. Just to improve blood circulation.

      In your case, in the morning, after morning bowel evacuation, just two drops of anu taila instillation to both nostrils should be useful.

      Reply
    • It depends on conditions. There are many criteria. One is – if the disease is of pure Vata, til oil or taila made of til oil like anu taila is used. If it is vata pitta combination then ghee. It also depends largely on your doctor’s choice.

      Reply
  8. Thank you Doctor for the reply on heating the anuthailam, I tried nasaya treatment with Anuthailam Its great! I am person who suffers from sinusitis.After I started nasaya treatment 1 month back, I have not got any attacks of sinusitis till now, previously I used to get cold,headache running nose toothache at least once in a month.Thank you so much doctor for teaching us Ayurveda and apply its principles in daily life! I really appreciate you work!

    Reply
  9. excellent and educative article. I have been following your mails of late. Thanks for your yeomen service.I have just taken nyasa karma and finished today only for 7 days.This is suggested by a doctor for my nose block especially night times and if I consume cold items. I under went septoplasty operation also but things not improved, Can you suggest any thing Doctor garu.

    Reply
    • Hi, Thanks for kind appreciation.
      Since you already are following your doctor’s advice, I suggest you to continue treatment with him only.
      It takes a few weeks time to show result.

      Reply
  10. You can use Kumkumadi Tailam for Nasya, assuming that the product is from a very good company. It can be done twice a week, if not daily.

    Reply
  11. Hi Dr hebbar,Love your articles!
    You suggest using anu oil daily(as per treatment in this post),but I read that anu oil treatment should only be used for 7 days, 3 times a year?is it true?
    Kindly clarify sir.

    Reply
    • Hi, thanks.
      There are two types of Nasya procedure – Marsha nasya and pratimarsha nasya.
      Marsha nasya – many drops of oil is used. This is for only a particular period of time, for particular patients.
      But pratimarsha nasya is – instilling two drops to each nostril, this is advised to be done everyday.

      Reply
  12. Hi, I’m 17 weeks pregnant and I’m having such awful sinus problems that it is affecting every area of my life including waking me up during the night because I can’t breathe. This has been going on for over six weeks and it feels like a combination of allergies and swollen irritated sinuses. I’ve been using my neti pot but it is not helping. I described nasya to my OB and he just made a funny face and said “I wouldn’t do that”. Is this safe for pregnant women? There is an ayurvedic practitioner nearby who does nasya. Would you recommend I try this and have a professional do it? Thank you so much for your time!

    Reply
    • Hi, there are two types of Nasya. Marsha Nasya – higher doses.
      Pratimarsha nasya – 2 drops to each nostril. I believe you can undergo just pratimarsha nasya for a short period of 5 – 7 days.
      Include a bit of turmeric and ginger in your diet.
      Mix a teaspoon of turmeric powder with an ounce of ghee. Apply a very thin layer of this ghee into inside part of nostrils in the morning.

      Reply
      • Dear Doc,
        Im little bit confused. You have gave two wonderful instructions and I wonder which one is the right one for allergic rhinitis/sinusitis caused by dust and pollen allergy.
        1) Mix a teaspoon of turmeric powder with an ounce (30ml) of ghee. Ratio is 1:6 or
        2) Add two pinches of turmeric to 4 teaspoons of ghee. Ratio in this is 1:32.

        Second question is; if the the Ghee lipid is replaced with a Sesame or Anu thailam, does the benefit will be the same for the one?

        Reply
        • Hi, more the concentration of turmeri powder, better will be the efficacy.
          ghee can be replaced with anu tailam (first preference) or sesame oil. This would yield similar result.

          Reply
  13. FOR CHRONIC SINUSITIS ANU TAIL AM NASAL THERAPY IS EXCELLENT. SUGGEST ME FOR AYURVEDA MEDICINES FOR INTAKE

    Reply
  14. Hi, because of your age, it is very difficult to give an online advice. Please go ahead with the judgement and treatment plan of your local Ayurvedic doctor.

    Reply
  15. Dr.Hebbar,
    Thank you for all your help to all of us.!!!
    I live in Canada and I am very interested in Ayurveda.

    Reply
  16. I think i hit the wrong button.
    I have a question,I would love to clean the mucus that i have in my sinuses and throat with nasya.To make it more effective would you recommend to infuse sesame oil with herbs.I can get herbs here but it is not easy to find a good nasya oil in my town.My constitution is Vata Pitta and i think my pitta is out of balance,as i feel hot flashes and have redness around my sinuses.Also probably Vata needs to be pacified too.Thank you for your help,Doctor,
    Alannah

    Reply
    • Hi, it is very difficult for a new Ayurvedic person to make perfect Ayurvedic nasya oil.
      In stead, you can do Nasya with sesame oil itself.

      Reply
      • Thank you Dr Hebbar,
        Is this will be as effective to clear the sinuses from all the ama and also emotions,that are lodged in that mucus?
        Thank you for all your assistance,Alannah

        Reply
        • Hi, it is effective in clearing the sinuses and to relieve Ama.
          It is also useful to bring about mental stability.

          Reply
  17. Very nice article. . I find very useful. . Thanks to Dr.Hebbar.I tried this nasyam. . For 2 hours I feel very free..after tat nose is getting blocked and unable to breathe. . Wat shall I do? Can u suggest any remedy?

    Reply
  18. thanks for your shares.:) im suffereing from sinusitis and i find very useful.. I used anu thailam and feeling great relief.. but wen i bent down for any work my nose is getting blocked.. will it become alright if i keep on continuing the treatment?? please reply me..

    Reply
  19. Dear Sir,
    1. I read that one can use either Ksheerabala thaila or Ksheerabala 101 for daily nasya?
    2. What is the difference between Ksheerabala and Ksheerabala 101.
    3. One website says that Ksheerabala is good for cervical spondylosis while another says that it Ksheerabala oil is not good for cervical spondylosis.

    Reply
  20. Dear Dr Hebbar,

    Can one do nasya at home with Ksheerabala Thaila? I understand there is regular Ksheerabala oil and Ksheerabala 101. What is the difference in benefits of these 2 thaila and which one can be used regularly at home (if it can be used) for nasya.

    Reply
  21. Thank you Dr. Hebbar for all your advice. I have been using Brahmi Ghee nasya but only rubbing it in the insides of my nostrils before bed. I am hoping it will help with depression and emotions. I am of pitta vata dosha. Do you think this will help me?

    Reply
  22. Hi doctor
    I do jal neti for getting relief from my sinus and allergy.However i am confused about which oil or ghee to be used after jal neti to lubricate my sinus?Which oil is better?pure sesame oil or shadabindu oil or badam oil or cow ghee or simple mustard oil?

    Reply
  23. Sir, I have taken asana bilwadi taila as face massage, followed by fomentation and then the y put 7/8 drops bindu taila in nostril and gargle with salt water. I have sinusitus and polyps based on ct scan. I have done this for 7 days in ayur hospital. But can continue this daily with 2 drops? My problem blocked nose very high in night and for head pain when driving in bike with air falling on my face

    Reply
    • Hi, higher dose of Nasya is only done at hospital for limited period of time. For you to continue it at home, for a long run, 2 drops on both nostrils is the correct dose.

      Reply
  24. Hello,
    As per the doctor i have sinus and taking shadbindu oil(Jiva Product) from last 1 week as per the doctor guidance. But mucus is not coming out from my nose nor i feel sneezing. I am unable to understand If this oil is working for me or not.
    Please guide

    Reply
  25. Hi,
    Kumkumadi taila – This is an herbal oil – Take 5 drops in to your finger tips gently rub it on to your face for 5 minutes, wash off with warm water. Do this everyday. This is good for acne scars and also skin roughness.

    Reply
  26. Hi Doctor. Thanks for sharing such a useful article.

    I read Patanjali magazine and there I found one article about graying hair. After this I came to know about nasya. It looked useful for me as my 70% hair are grey. I have already taken so many homeopathy/allopathy but it didn’t work even a single percent.I am very not confident about this nasys vidhi so I looked it in Internet and found your article. It seems useful for me.

    I have some question regarding Nasya Vidhi for only graying hair.

    1. If I do it on regular basis, would it be helpful for me?
    2. Which oil I should prefer for graying hair Nasya vidhi, I read in Ptanajali about Neem Oil/Harad Oil/Baheda oil etc.which one is best effective for greying hair.
    3. How long I should do this?

    seeking for your advice.

    Thanks.

    Reply
  27. In the article you say Nasya can be used for hyper-pigmentation, what is the thinking on that?
    Also if one is susceptible to nosebleeds would Naysa be recommended?

    Reply
    • Hi,
      Nasya is useful for balancing Pitta dosha in face and neck. Hyper-pigmentation is usually due to Pitta imbalance.
      If one is susceptible to nose bleeds, he can still take Nasya treatment, but for initial few trials, better to do it under an Ayurveda expert.
      Regular nasya with leaf juice of Durva (Cynodon dactylon) – 2 – 4 drops to each nostril is said to be remedy for nasal bleeding.

      Reply
  28. Hi Dr.
    I regularly read your articles. Thank you very much for sharing Ayurveda Knowledge.
    I would like to know, whether i can do ksheerabala nasya in noon time for running nose/blocked nose ? My Dr. told me to do it in the morning (between 9-10 am ) as a 3 day course.
    Thanks in advance

    Reply
    • Dear sir, It will be useful if you use the oil in the morning and not in the noon as specified by the doctor.

      Reply
  29. 1. The season-wise explanation is for Marsha nasya. Day-wise classification can also hold good to Pratimarsha Nasya. For example, If you have Kapha imbalance, Do pratimarsha nasya in the morning, Pitta – afternoon.. etc.

    2. Pratimarsha can be practiced life long.
    3. You can do that.
    4. The guideline holds good even for Pratimarsha.
    5. If the person already has a very oily face, then just palm massage is sufficient. Oil massage is not necessary in such a case.

    Reply
  30. Sir, it is feasible to take the medication as mentioned in the texts to avoid the side effects and worsen the symptoms more.

    Reply
  31. Very Informative article Sir,
    I want to know that can we use cow’s ghee in Pratimarsha nasya on daily basis and as there are no complications and contraindications are described for Pratimarsha nasya in our Classical Text. So According to you what things should be taken care of while doing Pratimarsha Nasya with Cow’s ghee?

    Another Thing is can we use Triphala ghrita in Pratimarsha Nasya? Any reference in our classical text or experience regarding that you can share with me whether to do or not.

    Reply
    • Ghee can be used for Pratimarsha Nasya on daily basis, on empty stomach. Same rules / guidelines as explained in the above articles hold good.

      Triphala ghrita can also be used as Pratimarsha Nasya, although, I have not used it in my patients.

      Reply
  32. Very Informative article Hebbar Sir,
    I’m a currently 3rd year BAMS student (UG), we want to carry out one Research project kind of clinical-case study.The prime objective of this study is to (1). To Justify the use of Pratimarsha Nasya in Dincharya as described in our classical text for the prevention of some specific diseases as well as the promotion of health. (2) To develop the confidence and belief in the students for the Ayurvedic procedures.

    Here we have selected the Students only as a volunteers on which we are going to perform this Pratimarsha Nasya with cow’s ghee for One-month and once in a morning time on daily basis.

    I want to know that can we use Cow’s ghee for Pratimarsha Nasya on daily basis as there are no complications and contraindication described for Pratimarsha Nasya in our classical text.
    So According to you what things should be taken care of while doing Pratimarsha Nasya with Cow’s ghee?

    And Can we use Triphala Ghrita in Pratimarsha Nasya? Any Reference in our classical text or experience regarding that you can share with me whether to do that or not.

    Sir May I ask you any questions or queries regarding any Ayurvedic topic in future directly communicating through you mail or skype?

    Reply
  33. Hi, usually after 2 months, the medicine should not be stopped abruptly. The dose should be reduced gradually. You can get the medicines from Indiaabundance.com or madanapalas.com

    Reply
  34. Hi, Nasya treatment with Shadbindu oil will be useful in your condition.
    Thanks for finding time to read my article.

    Reply
  35. 2 drops of Nasya per day can be done everyday, except on those days when it is raining or cloudy.

    Reply
  36. My doctor has advised 5 day nasya treatment for skin problems using anu tailam and yashti madhu tailam for massage….. I have been advised not to wash my hair during these 5 day treatment which is making me feel quite uncomfortable.
    Q1 why should I not wash my hair?
    Q2 what will happen if I take head bath?

    Reply
    • Hi, this is my best guess.
      You might have Kapha dosha increase. So, washing hair while doing Nasya might cause or worsen cough and cold.

      Reply
  37. Hello dr.
    I have a hair loss prob.
    I used cow ghee for it.
    And nasya do at sleeping time after i sleep
    I was doing this treatment last 5 day whenever i do nasya my cold will increase and i cant breath..
    What shoul i do?

    Reply
  38. after reading about anuthalam i used the one which had bought and not used.i felt relaxed. cd expell mucous more! thankyou. i have been using inhaler for three or four yrs to have soothing effect

    Reply
  39. Namaste Sir,
    I had suffered hair loss from last 2 years and also observed thinning of hair from front to top side so what i will use this therapy for this metter??? And its increase hair density ???

    Reply
  40. Sir I have bronchitis asthma + rhinitis .My age is 24. . Which medicine combinations are useful for me . What are the doses and duration. Dietary restrictions .

    Reply
  41. Dear Sir, I am having conductive hearing loss – 40 Decibals in both my ears. Also have Tinnitus in my right ear. Can this be cured with Nasya routine?

    Reply
  42. I have lower back pain with constant pain at L5-S1(lowest vertebra). I have slip disc issue on left side of the vertebra and also my spine muscles are tight which increase the pain. Can you please suggest which oil massage is good to release muscle tension?

    Reply
  43. Ideally, what should be the duration for administering Nasya for hair loss including male pattern baldness? like, for a week, a month? or more?

    Reply
  44. Hi, Dr! I`am Austrian, 67 y. old. My constitution is Vata-Pitta with all typical ilnesses (psychical, physical like artrose, steafnes etc). I had in february 2017 21 day panchakarma in one hospital /Karnataka. I`ve among other things long years gras&mites&moulds allergie, dry nose, even after sinusitis-sergery and take 2xday sold water-douche and special ointment against dryness (with aluminium & oils-content). Also in high allergie-season here (june-august) I take kortikoid spray. Ayurveda-Dr. prohibited this ointment and started with Nasya & Anu-Thailam. But after every nasya befornoon after massage and 2 drops befor sleeping I received sneeze, rinitis, itching in nose and lips-corner, berning in throath. Ca. after 1-2 h. symptomes where away until next therapy. Dr sayd, will be away after 3 days. But it didnot . Then I received Anu-Thailam for home treatment. Now since 1 month I am in Austria (cold, less sun, changeble weather). Duering using of Anu-Thailam (2 drops in every nostial befor sleeping, after teeth-brushing, face-washing) 3 weeks long my allergy-symptoms became worser. So I stopped it. After 1 week braiking all allergical symptomes finished. But bec. of dryness in nose I started again with my from Ayur. Dr. prohibited austrian ointment, Question to you: What I did fals with anu-thailam? What can you recomend me instead that? Sesam oil I tryed. No allergie, but doesn`t help against drynes in nose.
    With sesam-oil I do massage of my body 1-3 time week.
    Thank your for your attention.

    Reply
  45. Thanks for the excellent article Dr. Hebbar, which educates people like me on various aspects of Ayurveda. I am a regular visitor to your website. I have one doubt. Can the ghee (which we use for eating) be regularly administered in each nostril of 2 drops early morning?

    Reply
  46. Sir after doing nasya i feel my nose is fully open and i can breathe more but i m feeling cough is formed in my throat after nasya i m not able to removed what to do ?? I m doing nasya with anu taila

    Reply
    • Hi, after nasya treatment, gargle with hot water and spit out for 2 minutes time.
      Take half a teaspoon of turmeric powder. Add just a small pinch of black pepper powder, mix it with ghee, burn and inhale fumes. This will dry up the remnant Kapha, leftover after nasya.

      If you are okay with spices, taking 1 gram of Trikatu powder with honey should also be useful.

      Reply
      • In the initial few days, cough reflex is common. After 4 – 5 days of Nasya treatment it should go. If not consult an Ayurveda doctor to learn the right Nasya technique.

        Reply
  47. Hi, try with ghee nasya – 2 drops to each nostril for 1 week. After that, try with Anu oil – 2 drops to each nostril. If you start feeling comfortable, continue with this dose for 2 months time.

    Reply
  48. Hello Dr

    A month ago I made the big mistake of getting a turbinate reduction surgery with septoplasty. My septum was deviated due to an injury and breathing was diminished on the left side. I believe nothing was wrong with my turbinates but the dr convinced me to get it trimmed. Now, the left side is still blocked and the right side is even more open than before which feels very uncomfortable especially when the air is cold. Can nasya oil or some ayurvedic treatment help to regenerate the turbinate tissue? I feel desperate. Please help. Thank you.

    Reply
  49. Hello Sir,

    I have symptoms like Tinnitus, Gray hairs,dehydration of Skin.

    Which Oil should I use for Nasya. Anu Tel or Shadbindu Tel?

    Reply
  50. Hello sir, i am facing cronical sinusitis ! Some time I can feel bad smell in my right nostril n sometime brownish coloured mucus appears ..that’s it there is no other problem …anyway took a doc visit, and he did endoscopy n said my sinusitis holes are blocked n infected mucus dripping through other sides etc. He advised me take surgery ! But except these i don’t have any problems with it , then why should I ? After few week medicine i fell better ! But not fully … So is there in ayurveda any suggestions for me? To open those holes n etc … Like inhalation or something ????????????

    Reply
  51. Hi, Anu taila nasal drop – 2 drops to each nostril is very useful. Rather than karna Purana,
    Oil pulling with Irimedadi taila is very useful.

    Reply
    • The mentioned research paper is just a small study on bindu and it cannot be standardized just with one single study with small number of patients.
      Like drops were non existent in ancient India, metric system was also non existent. Also, volume of the bindu changes with each liquid with different densities – ghee, castor oil, decoction water etc.
      Considering all these, it is safe to explain concepts in terms of drops.

      Reply

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