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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> ===
{| class="wikitable"
!'''Types'''
!'''Reusage'''
|-
|Uthama
|fresh sneha each day
|-
|Madhyama
|same sneha for 3 days
|-
|Adhama
|beyond 3 days or mixed with already used sneha
|}
'''Indications of shirodhara in general'''
§ Headache (tension headache and migraine)
§ Wounds especially affecting the upper part of the body above the clavicle (urdhva jatru).
§ Suppurations in the scalp
§ Ulcerations of the scalp
§ Burning sensation [A. Hri. Sutra Sthana 22/25]
§ The diseases affecting the upper parts of the body (neurological diseases).
§ stress, psychic and psychosomatic diseases like psychosis, neurosis, epilepsy, irritable bowel syndrome.
§ Insomnia
§ Generalized anxiety disorders.
§ Addition disorders like alcoholism
§ Excess sweating, hypertension.
§ Syncope
§ Exhaustion without exertion.
§ Loss of consciousness
§ Enlargement of glands
§ Diabetes
§ Autoimmune skin diseases like psoriasis, dandruff, and chronic eczema.
'''Contra indications of shirodhara<sup>[1]</sup>'''
§ Shirodhara is not indicated in diseases arising out of dominance of kapha dosha.
§ It is not advised during extreme hot and cold seasons.
§ It is not advised at the time of mild increase of doshas.
§ Contraindicated at noon and midnight.
§ It is also prohibited on poor sunny days.
'''Shirodhara procedure'''
Purva karma (pre therapeutic procedure)
'''Collection of materials'''
{| class="wikitable"
!Materials required
!Quantity
|-
|Dhara patra (pot)
|1
|-
|Dhara stand
|1
|-
|Dhara droni (table)
|1
|-
|Suitable liquids like oil, butter milk or milk
|1.5 liter
|-
|Gauze
|1
|-
|Cotton ear plugs
|2
|-
|Soft pillow covered with rexin
|1
|-
|Hot water for bath
|Q. S
|-
|Vessels
|3
|-
|Rasnadi churna for tala
|5g
|-
|Towels
|2
|-
|Attendants
|2
|}
'''Dhara dravya according to diseases'''
{| class="wikitable"
!'''Diseases'''
!'''Dharadravya'''
|-
|Klama, daha
|Coconut water
|-
|Pittaja vikara
|Cold water/milk
|-
|Vata pittottara
|Ghee
|-
|Vathadhika, arumshika
|Sesame oil
|}
'''Dhara Dravya according to dosha'''
{| class="wikitable"
!'''Dosha'''
!'''Indicated dhara dravya'''
|-
|Kevala vata
|Chatusneha (oil, ghee, muscle fat, bone marrow)
|-
|Pitta or rakta pradhana vyadhi or raktapitta associated with vata or kapha
|oil and ghee in equal proportion
|-
|Kapha associated with vata
|Oil (2 parts) +ghee (1 part)
|-
|Pitta
|Different types of milk
|}
----[i] Dr Vasant C Patil, Principles and Practice of Panchakarma.1<sup>st</sup> ed. Ilkal,Bagalkot.Atreya Ayurveda publications.2010.p.161
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