Monday, May 14, 2018

Sneha dravya - Theraputic uses

Views shared by several Ayurveda professionals and non-Ayurveda people in discussion group:
All views shared here are only for knowledge. This information doesn’t have any scientific validation. Various doctors and non-medicos have shared their views and experiences in this discussion. Please do not try any of the suggestions described here, without prior consult from your regular, qualified doctor. Dr. Prerak Shah and no other person is responsible for any unwanted effects, side effects or contra-indications in your health. Thank you.
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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:
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 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: is very 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

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