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| == Etymology and derivation == | | == Etymology and derivation == |
− | <p style="text-align:justify;">The word shirodhara comprises two words viz shiras and dhara. ‘Shiras’ means head and ‘dhara’ means pouring liquids on the [[Sharira|body]] (seka). The word dhara comes from the Sanskrit root ‘dhr’ (dhr +nich+ang) which means falling of liquid.<ref name="ref3">Raja Radhakanthadeva Bahadur, Sabdakalpadruma,edited by Varadaprasadavasu.2nd edition. Delhi. Naga publishers. 2003.Volume 2, p-795.</ref> Thus, shirodhara is pouring liquid on the head.</p> | + | <p style="text-align:justify;">The word shirodhara comprises two words viz shiras and dhara. ‘Shiras’ means head and ‘dhara’ means pouring liquids on the [[Sharira|body]] (seka). The word dhara comes from the Sanskrit root ‘dhr’ (dhr + nich + ang) which means falling of liquid.<ref name="ref3">Raja Radhakanthadeva Bahadur, Sabdakalpadruma,edited by Varadaprasadavasu.2nd edition. Delhi. Naga publishers. 2003.Volume 2, p-795.</ref> Thus, shirodhara is pouring liquid on the head.</p> |
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| == Synonyms == | | == Synonyms == |
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| === Takra dhara (therapeutic streaming of butter milk) === | | === Takra dhara (therapeutic streaming of butter milk) === |
− | <p style="text-align:justify;">Here medicated takra (butter milk) is used for shirodhara. It is indicated in diseases having [[Kapha dosha|kapha]] [[Pitta dosha|pitta]] vitiation. The drugs which are cold in touch/potency are indicated for shirodhara in headache due to vitiated pitta (paittika shirobhitapa)). [A. Hr. Uttara Sthana 24/11]</p> | + | <p style="text-align:justify;">Here medicated takra (butter milk) is used for shirodhara. It is indicated in [[Vyadhi|diseases]] having [[Kapha dosha|kapha]] [[Pitta dosha|pitta]] vitiation. The drugs which are cold in touch/potency are indicated for shirodhara in headache due to vitiated pitta (paittika shirobhitapa)). [A. Hr. Uttara Sthana 24/11]</p> |
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| === Ksheera dhara (therapeutic streaming of milk) === | | === Ksheera dhara (therapeutic streaming of milk) === |
− | <p style="text-align:justify;">As the name suggests, medicated or non-medicated milk is advised for shirodhara in [[Pitta dosha|pitta]] associated diseases of [[Vata dosha|vata]]. The milk processed with dashamula is indicated for therapeutic streaming overhead in headache due to vitiated [[Vata dosha|vata dosha]] (vatika shirobhitapa). [A. Hri. Uttara Sthana 24/3]</p> | + | <p style="text-align:justify;">As the name suggests, medicated or non-medicated milk is advised for shirodhara in [[Pitta dosha|pitta]] associated [[Vyadhi|diseases]] of [[Vata dosha|vata]]. The milk processed with dashamula is indicated for therapeutic streaming overhead in headache due to vitiated [[Vata dosha|vata dosha]] (vatika shirobhitapa). [A. Hri. Uttara Sthana 24/3]</p> |
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| === Kwathadhara (therapeutic streaming of decoction) === | | === Kwathadhara (therapeutic streaming of decoction) === |
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| === Jaladhara (therapeutic streaming of water) === | | === Jaladhara (therapeutic streaming of water) === |
− | <p style="text-align:justify;">Even the use of mere cold water can give benefits of the shirodhara procedure in the case of paithika rogas (diseases having origin from [[Pitta dosha|pitta dosha]]). Therapeutic streaming of cold water (shita jala) is indicated for bleeding hemorrhoids. [Cha. Sa. [[Chikitsa Sthana|Chikitsa Sthana]] 14/218]</p> | + | <p style="text-align:justify;">Even the use of mere cold water can give benefits of the shirodhara procedure in the case of paithika rogas ([[Vyadhi|diseases]] having origin from [[Pitta dosha|pitta dosha]]). Therapeutic streaming of cold water (shita jala) is indicated for bleeding hemorrhoids. [Cha. Sa. [[Chikitsa Sthana|Chikitsa Sthana]] 14/218]</p> |
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| == Types of shirodhara based on reusage.<ref name="ref1">Pavana Jayaram, Manoj Sankaranarayana, Dharakalpa, Karaliya cikitsa padhati. Kanyakumari.Ayurvedic Educational &Charitable trust.</ref> == | | == Types of shirodhara based on reusage.<ref name="ref1">Pavana Jayaram, Manoj Sankaranarayana, Dharakalpa, Karaliya cikitsa padhati. Kanyakumari.Ayurvedic Educational &Charitable trust.</ref> == |
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| <li>Ulcerations of the scalp</li> | | <li>Ulcerations of the scalp</li> |
| <li>Burning sensation [A. Hri. [[Sutra Sthana|Sutra Sthana]] 22/25] </li> | | <li>Burning sensation [A. Hri. [[Sutra Sthana|Sutra Sthana]] 22/25] </li> |
− | <li>The diseases affecting the upper parts of the [[Sharira|body]] (neurological diseases).</li> | + | <li>The [[Vyadhi|diseases]] affecting the upper parts of the [[Sharira|body]] (neurological diseases).</li> |
| <li>stress, psychic and psychosomatic diseases like psychosis, neurosis, epilepsy, irritable bowel syndrome.</li> | | <li>stress, psychic and psychosomatic diseases like psychosis, neurosis, epilepsy, irritable bowel syndrome.</li> |
| <li>Insomnia </li> | | <li>Insomnia </li> |
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| == Contra indications of shirodhara<ref name="ref1" /> == | | == Contra indications of shirodhara<ref name="ref1" /> == |
− | <ul style="text-align:justify;"><li>Shirodhara is not indicated in diseases arising out of dominance of [[Kapha dosha|kapha dosha]].</li> | + | <ul style="text-align:justify;"><li>Shirodhara is not indicated in [[Vyadhi|diseases]] arising out of dominance of [[Kapha dosha|kapha dosha]].</li> |
| <li>It is not advised during extreme hot and cold seasons.</li> | | <li>It is not advised during extreme hot and cold seasons.</li> |
| <li>It is not advised at the time of mild increase of [[Dosha|doshas]].</li> | | <li>It is not advised at the time of mild increase of [[Dosha|doshas]].</li> |
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| |Chatusneha (oil, [[Ghee|ghee]], muscle fat, bone marrow) | | |Chatusneha (oil, [[Ghee|ghee]], muscle fat, bone marrow) |
| |- | | |- |
− | |[[Pitta dosha|Pitta]] or rakta pradhana vyadhi or [[Raktapitta|raktapitta]] associated with [[Vata dosha|vata]] or [[Kapha dosha|kapha]] | + | |[[Pitta dosha|Pitta]] or rakta pradhana [[Vyadhi|vyadhi]] or [[Raktapitta|raktapitta]] associated with [[Vata dosha|vata]] or [[Kapha dosha|kapha]] |
| |oil and [[Ghee|ghee]] in equal proportion | | |oil and [[Ghee|ghee]] in equal proportion |
| |- | | |- |
− | |[[Kapha dosha|Kapha]] associated with [[Vata dosha|vata]] | + | |[[Kapha dosha|Kapha]] associated with [[Vata dosha|vata]] |
| |Oil (2 parts) + [[Ghee|ghee]] (1 part) | | |Oil (2 parts) + [[Ghee|ghee]] (1 part) |
| |- | | |- |
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| !'''Duration''' | | !'''Duration''' |
| |- | | |- |
− | |Ruksha/[[Pitta dosha|Pitta]] associated [[Vata dosha|vata]] diseases | + | |Ruksha/[[Pitta dosha|Pitta]] associated [[Vata dosha|vata]] [[Vyadhi|diseases]] |
| |96 minutes | | |96 minutes |
| |- | | |- |
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| == Importance in management of diseases == | | == Importance in management of diseases == |
− | <ul style="text-align:justify;"><li>Medicated streaming with unctuous substances (snehadhara) can pacify the diseases arising out of tridosha.</li> | + | <ul style="text-align:justify;"><li>Medicated streaming with unctuous substances (snehadhara) can pacify the [[Vyadhi|diseases]] arising out of tridosha.</li> |
| <li>Streaming with milk (ksheeradhara) can cure insanity, epilepsy, sleeplessness, burning sensation of head and tension headache.</li> | | <li>Streaming with milk (ksheeradhara) can cure insanity, epilepsy, sleeplessness, burning sensation of head and tension headache.</li> |
− | <li>Takradhara can pacify headache, reverse the ojakshaya, pacify pricking pain over palms and feet, urinary tract diseases, diseases involving head, eyes, and ears.<ref name="ref1" /> </li></ul> | + | <li>Takradhara can pacify headache, reverse the ojakshaya, pacify pricking pain over palms and feet, urinary tract diseases, [[Vyadhi|diseases]] involving head, eyes, and ears.<ref name="ref1" /> </li></ul> |
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| == Mode of action of shirodhara == | | == Mode of action of shirodhara == |
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| == Effect on shukravrita vata == | | == Effect on shukravrita vata == |
− | <p style="text-align:justify;">There were 48 patients who completed the course of trial with 16 patients in each of the 3 groups. Subjects in Group A were treated with placebo, subjects in Group B were treated with Rasayana Yoga (6 gm/day) and subjects in Group C were treated with shirodhara(7 days) and Rasayana yoga. Psychological counseling was given to subjects in all the 3 groups that underwent treatment for a duration of 4 weeks. From the overall effect of therapy, it was gauged that though all the 3. groups showed improvement the maximum improvement was in group C which has combined shirodhara where 10.5% were cured and 79% markedly improved whereas in the other 2 groups. Nobody was cured and only 56.2% markedly improved in group B and none in group A. Thus, it was concluded that Ŝirodhārawith Rasayana Yoga is most effective in the treatment of shukra avrita vata and could even cure the disease.<ref name="ref11">Basil Cardozo (2006), A Clinical Study On Psycho-Somatic Management Of Shukravrita Vata (Premature Ejaculation) With Rasayana Yoga And Shirodhara.Department of Kayachikitsa, ITRA,Jamnagar</ref></p> | + | <p style="text-align:justify;">There were 48 patients who completed the course of trial with 16 patients in each of the 3 groups. Subjects in Group A were treated with placebo, subjects in Group B were treated with Rasayana Yoga (6 gm/day) and subjects in Group C were treated with shirodhara(7 days) and Rasayana yoga. Psychological counseling was given to subjects in all the 3 groups that underwent treatment for a duration of 4 weeks. From the overall effect of therapy, it was gauged that though all the 3. groups showed improvement the maximum improvement was in group C which has combined shirodhara where 10.5% were cured and 79% markedly improved whereas in the other 2 groups. Nobody was cured and only 56.2% markedly improved in group B and none in group A. Thus, it was concluded that Ŝirodhārawith Rasayana Yoga is most effective in the treatment of shukra avrita vata and could even cure the [[Vyadhi|disease]].<ref name="ref11">Basil Cardozo (2006), A Clinical Study On Psycho-Somatic Management Of Shukravrita Vata (Premature Ejaculation) With Rasayana Yoga And Shirodhara.Department of Kayachikitsa, ITRA,Jamnagar</ref></p> |
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| == Current research == | | == Current research == |