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Next
topic for discussion: Sneha dravya - Theraputic uses
Vd.
Jignesh Thakkar:
Sneha dravya as said by charaka is "स्नेहनम स्नेह
विश्यन्द मार्दव क्लेद कारकम" Means
drug which provides oleation, liquifies dosha, brings softness and bring kleda
(?mosturisaton or liquification ) is called
snehan drug. So we should use snehana drug for these purpose. Sneha
dravyas has three main indications 1) shaman sneha-pacifys doshas 2)sodhan
sneha-liquify doshas 3) bruhan sneha-- increases dhatus. According to this
three purpose we all are choosing and
using sneha dravyas. Shaman sneha is usually given as per this text" शमनो क्षुधतो
अनअन्नो मध्य मात्र च सश्यते। Shaman
sneh usually given before food and when patient is hungry. It is given in
medium dose.
Shail H.
Bhavsar: Sarpi, Taila,
Vasa, Majja Are 4 main snehas. Among them ghrit is best b'cz of
sanskar-anuvartan guna.
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Vd. Jignesh
Thakkar: सर्पि मज्जा वसा
तैलं स्नेहशु प्रवरम मतं। तत्रापि च उत्तमम सर्पि संस्कारस्यानु वर्तनात पित्तघनास्ते
यथा पूर्वं।अमितर्घ्न यथोतरं। सर्पि is Best as pitta samak as per order Sarpi > majja> vasa> tailam For
pitta saman and for vat samak Sarpi <
majja<vasa< tailam
Ayulink: For past 70 years, US FDA mentioned
Sneha (All kinds od Fat) in restricted items list for health aspect. Fat is
increasing cholesterol. Fat is responsible for cardiac disorders etc....Now the
same FDA has reversed its actions. Now Fat is not in restricted list. They
declared that there is no cholesterol, no good cholesterol, no bad cholesterol.
Now american heart specialists say that Fat or cholesterol is not any more
responsible for heart attacks and other cardiac diseases.
Ayurveda has
clear view about Fats and its role in body maintenance. Ayurveda has classified
sneh in three categories according to actions. Fat can be used for pacification
of symptoms, it can be used for nourishment in the body and also can be used
for detoxification process.
There is a
recent trend in west about LCHF diet (Low Calorie High Fat) diet to loose
weight. This is again very difficult to understand. People who follows this
diet plan, they dont take wheat, rice or grains...they just take vegetables and
fruits and some milk products, (if the person is not vegan). But on the other
hand they consume lot of Fat....ghee, cheese, paneer, peanut, almonds
etc.....and surprisingly they loose weight. I have few patients who follow such
diet prog. I cant understand this. How come high intake of fat can help to
reduce weight?
Vd.
Sachin Kadlag:
During snehapaana also, when patient takes only ghee in morning and meal only
at dinner for 5 to 7 days, follows all rules of snehapaana parihaar, in most
patients 2 to 4 kg weight is lost .
Ayulink: How it is possible, as we have
learner that samanam Guna vardhanam. Means fat will increase fat (meda dhatu)
in the body.
Croatia
Branko Markovic:
Noticed the same thing during sneha pana even 3 days will put of up to 7 kg
from my experience
Vd.
Sachin Kadlag: This
is possible only when snehapaana parihaar is followed. Here we should think
about poshana of saara meda dhatu , and nullification of asaara meda . The ayurvedic logical theory
behind this seems to be koshtha-shaakha gati .
Slovenia
Anoop S. Anand: I
think the logic lies in the fact that body will absorb the required amount of
fat and the rest will line up the lumen of g.i tract and quantity above that
fat will be excreted out as such..Just as we see in samyak snigdh lakshana
during ghritpana..ghrita comes out through stools..Same way pure fat (oil/ghee)
will come out through stools...also when excess fat is consumed the food passes
through g.i tract faster (in fact slides through g.i tract)..Leading to lesser
absorption and excretion of partially digested food..Hence the weight loss
Vd.
Jignesh Thakkar: It
depends on the matra of snehana as I discussed before
Slovenia
Anoop S. Anand: As i
said like samyak snigdha
Dr. R
Prathiban: If we
take carbohydrate ultimately it has to be converted into glucose for absorption
of glucose insulin is needed or if excess glucose is taken it is stored as glycogen
if it is unutilized will be converted into fatty acids, if we take high fat and
low carbohydrate there is no need of insulin for its absorption, body makes
glucose from fatty acids so production of fat is reduced in body. In LCHF diet
also HDL will increase. We select dose for sneha pana but for LCHF diet dose is
not selected, it is there daily food, it is digested and absorbed, they take
only high fat foods, if everything comes out means how they survive. Is there
any standardized method to calculate snehapana dose on the basis of kostha for
shodana procedures? And how dose for shamana sneha is calculated?
Dr.
Madhuri Patil Chaudhari: Jaaranshakti anuman for deciding the dose of snehpaan, more Jaaranshakti
means more Agni , more Sneh but upto maximum dose or Uttam Matra of Sneh,
otherwise more Sneh will increase Agni..leading to Bhasmak avastha.
Dr. R
Prathiban:
Standardized protocols needed nowadays, how to quantify agni and dose in
milliliters
Dr. Madhuri
Patil Chaudhari:
Sneh here is assumed Cows Ghee. For other Sneha's, only on the basis of Jaaranshakti. or rate and
quality of digestiive power. I think Vd. Vasant Patil has done for Koshtha on
the basis of Agni. The same method can b used to objectify the aagni n dose of
Sneh.
Dr. R
Prathiban: Before
starting snehapana usually subject is prior administer with deepana and pachana
so agni is corrected. Then why we have to consider agni as a dose deciding
criteria
Dr. Madhuri
Patil Chaudhari:
https://googleweblight.com/i?u=https://www.researchgate.net/project/Standardization-of-Panchakarma-Procedures&hl=en-IN&tg=955&tk=4806922636401895738
Dr. R
Prathiban: Consider
mridu, madhyama and krura kostha what will be the dose of cows ghee in these
kosthas?
Dr.
Madhuri Patil Chaudhari: No if Aamavastha, pramathi dravyas like Mari sunthi are used for
snehpaan. The existence of diseases itself
means Agni is not Samyak.
Dr. R
Prathiban: If agni
is not proper we can't give sneha
Dr. Madhuri
Patil Chaudhari:
Krur koshthi will need more than mrudu as Samyak Sneh lakshanas will need to be
seen and dose of Sneh will have to be adjusted as per that. Still Cows Ghee can
be given as it is Agnivardhak. siddha ghrut.
Dr. R
Prathiban: Charaka mentioned
about "hrisiyasi matra" how to decide hrisiyasi matra what is this in
milliliters. Practically in all diseases we are not doing shodana and not in
all avastha of disease shodana is advised, if we plan shodana with shenana as
purva karma we have to correct agni
Dr.
Madhuri Patil Chaudhari: 30ml is accepted popularly as Hrusiyaasi maatra. On the basis of How much measure of Sneh, a
person on an average, can easily digest.
Not exactly correct Agni. But Protect Agni. Because Shodhana Karma too cause
Agnimaandya
Dr. R
Prathiban: Who
decided it as 30ml is it arbitrary value or any evidence based selection. For
that we do paschat karma
Dr.
Madhuri Patil Chaudhari: Please see this. Ongoing project Standardization. Everyone does as per
his or her understanding of Agni.and Maatra.
Dr. R
Prathiban: I agree
we assume ourselfs and we do what we like to do. But things has to approached
scientifically
Dr.
Supratim Bir: Agni
is d decider of snehamatra, there is no alternative that's for sure. Actually
we are addicted to modern protocols, which count on formula considering a
constant. But I do believe every individual is unique with their biological
parameters. Modern protocols, particularly in case of medicine are loosing
efficacy nowadays. Ayurveda is highest level of personalized medical science,
can't be generalized.
Dr. R
Prathiban: Let me
elaborate my question on the basis of agni and kostha 1. Let as assume three 3
individuals with manda agni with Madhya kostha theekshna agni with mridu
kostha, vishama agni with krura kostha. How you are going to decide sneha matra
for samana sneha and shodana sneha. 2.
Whether hrisiyasi matra sneha should be same or different for above condition. 3. How to measure effect of hrisiyasi matra in
above conditions
Dr. Supratim
Bir: Now I will ask
what is the condition u considered for snehapaan
Dr. R
Prathiban: Condition
is pakshagata and shodana planned is virechanam
Dr.
Supratim Bir: So in
this case why to go for snehapaan, we can plan snigdha virechan with castor oil
itself. We can start over 10, 15 & 20ml of Gandharba hastadi castor oil
initially for nitya virechan. As per above mentioned kostha Or we can plan any
of the asthapan vasti, so that we can
plan better as per kostha. My request to forum to consider my words as
tadvidyasambhasha, u r welcomes to correct me. I will feel privileged
Dr. Siva
Kumar: Can Fruits
taken during snehapana?
Dr. R
Prathiban: Im trying
to discuss about poorva karma with sneha pana followed by shodana.
Vd. Pritam Bharat Veer: Sneha Kalpana is a special mixture of ghee and other
medicinal drugs. Ghee has several medical properties which can help increase
the element of Agni without causing imbalance in Pitta. It increase the Ojas or
the essence of energy. Especially suitable for Vata related ailments, Sneha
Kalpana is sucessfully used for treating various disorders of the nerves and
the mind, skin conditions etc.
Achapana
Snehapana- Vicharana Snehapana is the consumption of Sneha (ghee),
non-medicated or medicated form. This is not mixed with any other medical
preparation or food items. It is used for lubricating and softening the tissues
of the human body before carrying out the Sodhana therapy of Panchakarma. Vicharana
Snehapana is the consumption of oil with other Ayurvedic medicines and other
food products. It is also used for the lubrication purposes of the various
parts of the human body. This can move through the rectal pathway, known as the
Vasthi or the nasal pathway, known as the Nasya. External Oleation This process
is also known as the Bahya Sneha. Externally, the treatment is carried out in
the form of Siro Abyangam or Head massage, oil pulling or gargles, Abhyangam or
Oil Massage and Lepa. I use Siddha ghrut in my daily practice. As I found a
very good results.I use panchatikta
ghrut, Mahatiktak ghrut, Guggultiktak ghrut, Mahaklyanak, Kalyanak, Sukumarak
ghrut etc. Ghrut kalpna prepared by Kerala company give nice results. I rarely
use only Sneha ,I use Siddha Sneha , also sidhha teil for external use also nasya..
Dr.
Piyush Dodiwadiya: In
case of trauma The orthopedic surgeon says one should not do any massage over
injured part, but ayurveda says do snehan (external) Practically i have seen if we do massage over
injured area then swelling markedly increased But the result due to massage
with ayurvedic tail or ghee is i don't know
Vd.
Pritam Bharat Veer: Yes I also have seen very good results
of bahya Sneha , murivenna tail dhara. HV seen re- union of two ends.
Ayulink: Gandh tail in fractures gives faster
healing
Dr.
Sushant Patil: Aabha
and Lakshadi Guggul also have faster healing results. Use Of Sandhaniya Gana is
also beneficial
Ayulink: Basically Sneha is used for
building all dhatu. What I believe.
Gary Yuen: Fat helps deliver nutrients to
various tissues, per formulas, and included with food, so in itself it is not
harmful. But certain fats such as in the form of regular use of oil instead of
whole fats (sesame seed, olive, shredded coconut, nuts, etc.) has been shown to
be harmful. The FDA, as well as the whole of medical studies, is influenced by
industry, and it is difficult to trust general guidelines. As recently
mentioned, many general testing procedures have been shown to be unbeneficial
or harmful, for the same reasons.
Ayulink: What abt yamak Sneh? Mixture of two
diff kind of sneha, e.g oil + ghee, or ghee + majja.
Gary Yuen: Of the handful of Western doctors
that can be trusted, it's generally said that total cholesterol below 150 makes
one free from risk of heart attack. I do not know about ghee or oil for
therapeutic use. For vata, perhaps. Ghee is mentioned in earlier pre-ayurvedic
texts such as the Upanishads though that could be a later interpolation.
Ancient use of oil or ghee is unknown. According to early archaeological
evidence, I think atasi (linseed oil) has been found. Ghee, it may have been
according to season, considering the condition of the cow, breed, place,
moment, etc. According to the Mahabharata, consumption of milk and ghee as it
is done today, mass produced, would be adharm. It would also go against strict
Jain rules for preparation. Ancient diet included many much healthier wild
plants that few now eat (mustard leaves, amaranthus, chenopodium, flowers,
etc.) that may have somewhat counteracted possible harmful effects of oil/ghee.
Mass produced ghee is also quite different than made according to strict
classical rules.I think amalaki has been shown to have powerful anti-diabetic
and cholesterol lowering effects. Wild plants, fruits or vegetables, that we no
longer eat, likely had higher anti-oxidant effects compared to modern foods or
varieties of radish, eggplant, okra, etc. Dried amalaki has hundreds of times
the antioxidants compared to blueberres and other common fruits. Between that
and common foods, there's a wide range of nutrients and antioxidants that those
living in cities no longer use. Highest known Vitamin C levels I've found are
5000 mg per 100 g, in a few fruits such as an australian variety of
phyllanthus, relative of amalaki. 100x that of oranges. Between the highest and
lowest, there's a wide range throughout nature. Various other foods such as
raktasali are also no longer commonly eaten.Few people live past 100 w/o need
for a doctor. Because of that, I think much needs to be questioned if one wants
to attain what should be easily possible. I'm not sure if many well known
ancient doctors or brahmins achieved as such. It's said Ramanuja might have
lived to 120. As North India faced more invasion and other factors that changed
dietary habits, perhaps more traditional habits can be found in Tamil Siddha
texts.
Vd.
Sureshbhai Chavda:
Also given asthi shrunkhala ghrut in internal sneha
Shail H.
Bhavsar: What is
avpeedak sneha? What are the indications?
Vd. Pritam Bharat Veer: Can you tell the dose and also of Gandh teil ?
Dr
Piyushbhai Prajapati:
10 Drops in one cup of milk..acc.to me.. Sometimes in dry coughing; i used to
give any mixture formulation by mixing cow ghee and til oil..
Vd. Pritam Bharat Veer: I am also using Gandha teil in mouth ulcers. Good results.
Also used for my kid in Acute Tonsillitis. Can you tell abt Asthi
shrunkhala teil ??
Vd.
Sachin Kadlag: I
give 6 drops of Gandha taila in milk twice a day in adult and specially empty
stomach in morning around 7 am and in
evening around 5 to 6 pm
Shri
Minoo parabia: Sold
under the name, Spondygo is useful in Spondylitis and bone fracture healing.
Ayulink: Anybody has any comment or input
for the use of majja?
Vd.
Sureshbhai Chavda:
Aja majja sidhh oil use in muscular distropy.
Gary Yuen: any opinions about atasi? Among
some modern doctors, tila and atasi, as well as walnuts, are ranked among the
best seeds and nuts, though with atasi being better. Other names of atasi
include haimavati and uma, perhaps relating to Parvati?
Vd. Pritam Bharat Veer: Ajay majja for basti , for
degenerative changes in joints
Vd
Rameshwar Dhanaji:
how to prepare majja sidha oil and its dosage?
Dr. Vivek
D. Shah: Yes.it is
very helpful.one of my friend was doing thesis work on majja basti & got
excellant result in parkinsion and in शुक्रक्षय
Dr. Piyush
Dodiwadiya: Most of
the time Snehpan is very difficult to pt Before panchkarm we used it in very
large dose Can we use ryles tube for that?
Dr.
Mrugeshkumar:
Acharya says direct senhpan , recent we
use any practical method for snehpan..? please guide..
Vd. Pritam Bharat Veer: Sir it's very funny question but no we can't do
Dr.
Piyush Dodiwadiya:Sir
Practically I am asking With RT its very easy Why we can't do any specific
reason?
Vd. Pritam Bharat Veer: No specific reason but RT will become very painful for
patients rather than having 30-60-90 ml ghrut in seconds. Instead we can advise
to drink at once directly in throat.
Dr
Piyushbhai Prajapati:
What is role of achhapey ?
Dr.
Mrugeshkumar Patel:
can we use cap for sneh pan?!
Dr
Piyushbhai Prajapati:
No.. its waste idea.. for snehpaan of 50ml;pt has to take 20 caps
Gary Yuen: If it's not generally known, as our
world is polluted, bone and majja has been found to have high levels of lead.
It accumulates in bone, including ours, and other pollutants accumulate in fat.
Perhaps majja should be limited to cases where there is no other option, or one
perhaps should follow if possible using majja from wild forest animals such as
those listed among those to keep in hospitals per classical texts. As we are
carriers of hundreds of environmental pollutants, it may be advised to
regularly fast and strictly follow diet to minimize such accumulation. Keeping
body fat levels at only what is necessary may be best. We no longer go through
periods of being without food so it is not needed to store energy for winter or
other times.
Ayulink: It is not a good idea. It will be
more painful and inconvenient for patient to insert RT every morning.
Sir, this is
also not practical approach. Usually the dose of ghee reaches up to 120-150
gram in last days. If one cap contains 500 mg ghee, patient will need to take
240-300 capsules.
Achchapey is
plain sneha. Without any other herbs or other ingredients. Achchapey is also similar effective. But when
u apply yr knowledge and add some more herbs according to patient's health
condition (it is known as vicharana), it is more beneficial. I have used
achchapey - plain ghee in many patients for snehpan for the purpose of Purva
karma.
Dr
Piyushbhai Prajapati:
Sometimes i uses Achhapey as snehpaan.. and advise patient some medicine after
snehpan with warm water.. For this patient can take easily sneh.. and then
after because of medicine tab with
decoction etc as anupaan gives also good result to me.. so i use it.. Please
comment on it sir.. For ex. Patient
needed Mahatikta ghruta as sneh paan.. Then
i use achhapey then after i advise patient to take 1 gm Aarogyavardhini tab
with Tikt or mahatikt kasaay.. as anupaan.. Daily tab will be increased day by
day.. 0.5 gm or as convenient..
Ayulink: For me this is ok. Achchapey can be
used for shaman and bruhan also.
Dr. Jyoti
Ashok: Certain
kashaya is v. difficult for the pt. to swallow. What i do is add milk &
little sugar & give like milk shake. They will easily drink that.
Croatia
Branko Markovic:
Very good trick is to give a patient after big dose (immediately after
swallowing it) of sneha slice of lemon or orange to take a “bite”. Juice from
this will clear taste of ghee and next day there will not be a problem for
taking bigger doses.
Dr. Jaya
Sambhus: In Ayurveda
pachan starts from mouth so if u skip
primary pachan , sneh will not reach in ras dhatu So no use of snehpan . If pt
refused by mouth use sneh basti It works
Ayulink: My practical approach: I usually
give few nice tasty amalaki candies to patient to chew at a time...and then
immediately I asked them to drink ghee or sneha in whatever dose. It is very
good for patient to pass through mouth and throat..because by chewing few
candies of amalaki, patient is having a coating of that taste on his tongue,
throat and the original taste of ghee etc is much lesser felt. :)
Croatia
Branko Markovic:
This one is good can people take lemon
to chew a bit before what do you think? When taking after it clear completely
taste of ghee.
Dr. Jaya
Sambhus: Will try
this. I used havaman harde tab n ginger pachak. It help to give good mouth test
n smell with sneh pachan.
Dr. V B.
Maheshwari: Approach
is very good sir, with amalaki it will good for pachan of ghruta also. Harad is
also very good option. In my opd its very difficult to conveyance the patients
for sneha pana. But it will definitely work.
Croatia
Branko Markovic:
Here people don’t have a problem with taking ghee for sneha pana. even they
come back all the time..only last dose when they are full is a bit problem..
Dr. Piyush
Dodiwadiya: Some
people used chocolate also
Dr. Samir
Suneri: I using
girta as a sneh dravya And using in case of constipation of old age patient. Started
from 20ml per day in morning and daily I increase 10 ml for 5 to 6 days and I
achieved good results
Canada
Nitin Shah: Sneha
dravya should be used externally and internally both and not just through the
upper end of the GI Tract but also lower end of the GI tract too and from the
other orifices too. See skin is the largest organ of the body and in Ayurveda
it has been explained as seven layers and we can consider these 7 layers in
relationship with 7 vital tissues
Mona
Patel Naturopath:
Four types of Snehapana dosage schedules are indicated- Pravara
Matra-Sneha digest in 24 hrs.Madhyama Matra- Sneha digest in 12 hours.Avara
Matra - digest in 6hrs.Hrasiyasi Matra with arohana krama-digest in
minutesThese to be fixed,keeping in view the various factors like state of
agni, clinical condition,Prakruti of patient,etc.and aim of snehapana. Minimum
dosage for snehapana is approximately 50ml,this can be increased gradually by
25 or 30ml every day for 3,5,and 7 days desired by the physician. Materials
Required: Before initiating the snehapana always check the all emergency and
routine things.because in an emergency situation some times it may not poosible
to get the required drugs,etc.Further all anupana dravya like ushna jala/hot
water,yusha etc.should be kept ready. since snehapana in certain individual may
cause some complaints,especially such drugs which control these effects should
be kept ready.(if required). materials required some of the complaints are: Agnimandya
(indigetion)-Hinguvachadi vati,chitrakadi vati. Arochaka (anorexia)
-Ashtachurna,etc Sula (pain)- Shanka basma,etc Bhrama (giddiness)-Pravala
pishti,etc Murcha -Kamadugdha ras,etc. and medicines required for vamana and
virechana. Medicated Ghee or oil according to the requirement.Measuring
glass.Hot water drinking.(boiled with Shundi+ Dhanyaka). Medicines commonly
used: indukantham ghrithamGulgulu thikthakam ghritham.Mahatikthakam
ghritham.Sukumara ghritham.Ksheera bala tailam.Dhanwantaram tailam,etc. Man
Power: Ayurvedic Physician: 1Attendant/ Nurse: 1
-------------------------------.
Compiled by - Dr. Dhruti Kagrana
