Changes

This includes following procedures:

This includes following procedures:

*Oral administration of unctuous substance (snehapana)

*Oral administration of unctuous substance (snehapana)

*Per rectal administration (snehabasti)

*Per rectal administration (sneha basti)

*Intra nasal administration ([[nasya]])

*Intra nasal administration ([[nasya]])

==General indications of unction therapy==

==General indications of unction therapy==

Based on age of person: Unction therapy can be administered from age of one year to old age.[A.H.Sutra Sthana 16/5] <ref name=Hridaya>Vagbhata. Ashtanga Hridayam. Edited by Harishastri Paradkar Vaidya. 1st ed. Varanasi: Krishnadas Academy;2000.</ref> The growth and development is more during the early stages of life. Unction therapy supports this process in childhood. In the old age, there is degeneration of body tissues. Unction therapy prevents this degeneration and helps to maintain quality of body tissues.  

Different criteria are applied for deciding indications of unction therapy.

Based on the body constitution:Unction therapy is indicated for individuals with [[vata]] dominant body constitution and those who are weak, possess lean body frame, dry skin etc. [A.H. Sutra Sthana 16/5]<ref name=Hridaya/> Unction therapy increases strength of body, removes dryness and nourishes the body tissues.  

Unction therapy can be administered from age of one year to old age.[A.H.Sutra Sthana 16/5] <ref name=Hridaya>Vagbhata. Ashtanga Hridayam. Edited by Harishastri Paradkar Vaidya. 1st ed. Varanasi: Krishnadas Academy;2000.</ref> The growth and development is more during the early stages of life. Unction therapy supports this process in childhood. In the old age, there is degeneration of body tissues. Unction therapy prevents this degeneration and helps to maintain quality of body tissues.  

As the principle treatment:In diseases caused by [[vata]][[dosha]], unction therapy itself acts as principle treatment.

Unction therapy is indicated for those who indulge in daily physical and mental activities like exercises, sexual intercourse, intellectual activities etc. It is also indicated in alcoholics to prevent its adverse effects. [Cha.Sa.[[Sutra Sthana]] 13/52] Unction therapy helps to reduce [[vata]][[dosha]] aggravated due to these activities.

==Contraindication of unction therapy==

 

 

 

 

 

 

== Contraindication of unction therapy ==

Unction therapy is contraindicated in following conditions.  

Unction therapy is contraindicated in following conditions.  

The dosage forms are categorized as below: [Cha.Sa.[[Sutra Sthana]] 13/29]

The dosage forms are categorized as below: [Cha.Sa.[[Sutra Sthana]] 13/29]

#Maximum dose (pradhanamatra)

 

#Medium dose (madhyamamatra)

#Maximum dose (pradhana matra)

#Minimum/Low dose (hrasvamatra)

#Medium dose (madhyama matra)

#Lowest dose or test dose (hrasiyasimatra)

#Minimum/Low dose (hrasva matra)

#Lowest dose or test dose (hrasiyasi matra)

=== Maximum dose===

=== Maximum dose===

The quantity of unctuous substance that can be digested in 24 hours is the maximum dosage for that individual.

The quantity of unctuous substance that can be digested in 24 hours is the maximum dosage for that individual.

Indications:The individuals who are accustomed with taking large quantity of unctuous substances daily, who can tolerate hunger and thirst, who have strong digestive and physical strength.

'''Indications:''' The individuals who are accustomed with taking large quantity of unctuous substances daily, who can tolerate hunger and thirst, who have strong digestive and physical strength.

This dosage form is used in the treatment of inflammation in digestive tract, snakebite, erysipelas, insanity, dysuria and constipation.

This dosage form is used in the treatment of inflammation in digestive tract, snakebite, erysipelas, insanity, dysuria and constipation.

Benefits: It can cure the diseases quickly, removes the vitiated [[dosha]] from body, spreads all over body, improves strength and rejuvenates body, mind and sense organs.[Cha.Sa.[[Sutra Sthana]] 13/31-34]

'''Benefits:''' It can cure the diseases quickly, removes the vitiated [[dosha]] from body, spreads all over body, improves strength and rejuvenates body, mind and sense organs.[Cha.Sa.[[Sutra Sthana]] 13/31-34]

=== Medium dose===

=== Medium dose===

The quantity of unctuous substance that can be digested in 12 hours is considered as the medium dosage.  

The quantity of unctuous substance that can be digested in 12 hours is considered as the medium dosage.  

Indications: Skin disorders, vesicles, itching, eruptions in scalp, obstinate urinary disorders, gout etc.are treated with moderate dose. It is indicated for persons having medium strength, who are used to consume food in medium quantity and who have soft bowel habits.

'''Indications:''' Skin disorders, vesicles, itching, eruptions in scalp, obstinate urinary disorders, gout etc.are treated with moderate dose. It is indicated for persons having medium strength, who are used to consume food in medium quantity and who have soft bowel habits.

Benefits: Administration of unction therapy in medium dosage helps to attain unctuousness easily and helps in purification procedures.  [Cha.Sa.[[Sutra Sthana]] 13/35-37]

'''Benefits:''' Administration of unction therapy in medium dosage helps to attain unctuousness easily and helps in purification procedures.  [Cha.Sa.[[Sutra Sthana]] 13/35-37]

=== Low dose ===

=== Low dose ===

The quantity of unctuous substance that can be digested in 6 hours is considered as the minimum dosage.  

The quantity of unctuous substance that can be digested in 6 hours is considered as the minimum dosage.  

Indications: This dosage is indicated for individuals with less strength, old age, children, and those with tender constitution, who can’t tolerate hunger, who have less digestive capacity. In chronic conditions of diseases like fever, diarrhea and cough, unctuousness in less dosage is indicated.  

'''Indications:''' This dosage is indicated for individuals with less strength, old age, children, and those with tender constitution, who can’t tolerate hunger, who have less digestive capacity. In chronic conditions of diseases like fever, diarrhea and cough, unctuousness in less dosage is indicated.  

Benefits: Unction therapy in this dose produces oleation and stoutness of the body. It acts as aphrodisiac and increases strength of the body. This can be continued for longer duration as it won’t cause any complications.[Cha.Sa.[[Sutra Sthana]] 13/38-40] It can be administered in case of moderate vitiation of [[dosha]]. [Su.Sa.Chikitsa Sthana 31/26]<ref name=Susruta>Sushruta. Sushruta Samhita. Edited by Jadavaji Trikamji Aacharya. 8th ed. Varanasi: Chaukhambha Orientalia;2005</ref>

'''Benefits:''' Unction therapy in this dose produces oleation and stoutness of the body. It acts as aphrodisiac and increases strength of the body. This can be continued for longer duration as it won’t cause any complications.[Cha.Sa.[[Sutra Sthana]] 13/38-40] It can be administered in case of moderate vitiation of [[dosha]]. [Su.Sa.Chikitsa Sthana 31/26]<ref name=Susruta>Sushruta. Sushruta Samhita. Edited by Jadavaji Trikamji Aacharya. 8th ed. Varanasi: Chaukhambha Orientalia;2005</ref>

=== Lowest dose or test dose (hrasiyasimatra)===

=== Lowest dose or test dose (hrasiyasimatra)===

This includes administration of unctuous substances prior to the purification procedures like therapeutic emesis, purgation etc. The main objective is to enhance the movement of [[dosha]] towards gut from affected site for easing purification (doshautkleshana).  

This includes administration of unctuous substances prior to the purification procedures like therapeutic emesis, purgation etc. The main objective is to enhance the movement of [[dosha]] towards gut from affected site for easing purification (doshautkleshana).  

Time of administration: The unctuous substance is administered at early morning in empty stomach after complete digestion of the previous meals and when the person is not feeling hungry.

'''Time of administration:''' The unctuous substance is administered at early morning in empty stomach after complete digestion of the previous meals and when the person is not feeling hungry.

   

   

Dose:Maximum dose of unctuous substance should be given in order to achieve the desired effect. [A.H. Sutra Sthana 16/18]<ref name=Hridaya/> Dosage depends on digestive capacity of the person. According to increase in digestive capacity, the dosage also can be increased day by day. [Vangasena]

'''Dose:'''Maximum dose of unctuous substance should be given in order to achieve the desired effect. [A.H. Sutra Sthana 16/18]<ref name=Hridaya/> Dosage depends on digestive capacity of the person. According to increase in digestive capacity, the dosage also can be increased day by day. [Vangasena]

Duration:This can be given for three days to a maximum of seven days. [Cha.Sa.[[Sutra Sthana]] 13/51] After seven days, the body of individual gets accustomed with unctuous substance and may lead to poor response to purification therapy and complications.  

'''Duration:'''This can be given for three days to a maximum of seven days. [Cha.Sa.[[Sutra Sthana]] 13/51] After seven days, the body of individual gets accustomed with unctuous substance and may lead to poor response to purification therapy and complications.  

=== Unction therapy for pacification ([[shamana]]sneha)===

=== Unction therapy for pacification ([[shamana]]sneha)===

It includes internal oleation therapy performed to pacify a particular disease or symptom.

It includes internal oleation therapy performed to pacify a particular disease or symptom.

Time of administration: It should be administered at meal time, when the person is hungry.

'''Time of administration:''' It should be administered at meal time, when the person is hungry.

Dose:Medium dose is indicated for pacification. [A.H Sutra Sthana 16/19]<ref name=Hridaya/>

'''Dose:'''Medium dose is indicated for pacification. [A.H Sutra Sthana 16/19]<ref name=Hridaya/>

Duration: This therapy can be continued till the subsidence of disease or symptom.

'''Duration:''' This therapy can be continued till the subsidence of disease or symptom.

=== Nourishing unction therapy ([[brimhana]]sneha)===

=== Nourishing unction therapy ([[brimhana]]sneha)===

#Bone marrow (majja)

#Bone marrow (majja)

1. Ghee: It is generally indicated for individuals of [[vata]]-[[pitta]] dominant constitution and diseases, old age, children, who have less strength. It is beneficial for promoting good eyesight, healthy progeny, nourishment, good memory and intelligence etc.  [Cha.Sa.[[Sutra Sthana]] 13/41-43] Cow ghee and buffalo ghee are used widely for regular consumption and therapeutic purpose.  

=== Ghee ===

 

It is generally indicated for individuals of [[vata]]-[[pitta]] dominant constitution and diseases, old age, children, who have less strength. It is beneficial for promoting good eyesight, healthy progeny, nourishment, good memory and intelligence etc.  [Cha.Sa.[[Sutra Sthana]] 13/41-43] Cow ghee and buffalo ghee are used widely for regular consumption and therapeutic purpose.

 

 

It is generally indicated in [[vata]] dominant diseases and constitution, aggravated conditions onf [[kapha]] and adipose tissue ([[meda]]) and obese individuals. It is beneficial to promote strength, slim and lean physique, lightness, stability, unctuous, soft and smooth skin. It is used to treat worm infestation, hard bowels and sinus disorders.[Cha.Sa.[[Sutra Sthana]] 13/44-46] Sesame oil is used for therapeutic purpose. Groundnut oil, coconut oil, sunflower oil, cottonseed oil, olive oil, safflower oil are generally used for dietary purpose. Castor oil is used for purgation purpose.  

3. Muscle fat: This is generally indicated for those who are exposed to wind and sunlight such as open field workers, frequent travelers etc.; those emaciated due to excessive weightlifting and walking. It is used in the conditions with depleted kapha and adipose tissue, pain in bones, joints, vital points. It is useful in treating excessively aggravated [[vata]][[dosha]] causing obstruction in channels. Muscle fat is generally administered in individuals with strong digestive power and habituated to its consumption (non-vegetarians).  [Cha.Sa.[[Sutra Sthana]] 13/47-49]

This is generally indicated for those who are exposed to wind and sunlight such as open field workers, frequent travelers etc.; those emaciated due to excessive weightlifting and walking. It is used in the conditions with depleted kapha and adipose tissue, pain in bones, joints, vital points. It is useful in treating excessively aggravated [[vata]][[dosha]] causing obstruction in channels. Muscle fat is generally administered in individuals with strong digestive power and habituated to its consumption (non-vegetarians).  [Cha.Sa.[[Sutra Sthana]] 13/47-49]

4.Bone marrow: It is generally indicated in individuals with strong digestive power, who are habituated to excessive physical exertion and consume food in large quantity. It is used to treat [[vata]][[dosha]] disorders and hard bowels. [Cha.Sa.[[Sutra Sthana]] 13/50-51]

===Bone marrow ===

 

It is generally indicated in individuals with strong digestive power, who are habituated to excessive physical exertion and consume food in large quantity. It is used to treat [[vata]][[dosha]] disorders and hard bowels. [Cha.Sa.[[Sutra Sthana]] 13/50-51]

==Dietary articles used in unction therapy==

==Dietary articles used in unction therapy==

==Importance of unction in preservation and promotion of health==

==Importance of unction in preservation and promotion of health==

Human body is made from essence of unctuous substances (sneha).[Su.Sa.Chikitsa Sthana 31/03]<ref name=Susruta/> A person habitual to consume unctuous substance daily is benefitted with good digestion, proper evacuation of bowels, optimum quality of body constituents, good strength and complexion, proper functioning of sense organs and longevity. [Su.Sa.Chikitsa Sthana 31/56]<ref name=Susruta/> Unctuous therapy subside vata dosha, makes the body soft and disintegrates morbid materials. [Cha.Sa.[[Siddhi Sthana]] 1/8]  

Human body is made from essence of unctuous substances (sneha).[Su.Sa.Chikitsa Sthana 31/03]<ref name=Susruta/> A person habitual to consume unctuous substance daily is benefitted with good digestion, proper evacuation of bowels, optimum quality of body constituents, good strength and complexion, proper functioning of sense organs and longevity. [Su.Sa.Chikitsa Sthana 31/56]<ref name=Susruta/> Unctuous therapy subside [[vata]] [[dosha]], makes the body soft and disintegrates morbid materials. [Cha.Sa.[[Siddhi Sthana]] 1/8]  

Unctuous therapies are utilized as part of daily regimens to preserve and protect health. The herbal cigar prepared out of animal fat, ghee.etc [Cha.Sa.[[Sutra Sthana]] 5/25] helps to increase strength of scalp hair roots, sense organs and voice. [Cha.Sa.[[Sutra Sthana]] 5/32)

Unctuous therapies are utilized as part of daily regimens to preserve and protect health. The herbal cigar prepared out of animal fat, ghee.etc [Cha.Sa.[[Sutra Sthana]] 5/25] helps to increase strength of scalp hair roots, sense organs and voice. [Cha.Sa.[[Sutra Sthana]] 5/32)

Nasal administration of Anutaila (a medicated oil) provides nourishment and prevents many diseases related to head and supraclavicular region. [Cha.Sa.[[Sutra Sthana]] 5/56-63] A person accustomed with therapeutic massage is not afflicted by injury due to external trauma or strenuous physical exertion. [Cha.Sa.[[Sutra Sthana]] 5/86-89]

 

Nasal administration of Anu taila (a medicated oil) provides nourishment and prevents many diseases related to head and supraclavicular region. [Cha.Sa.[[Sutra Sthana]] 5/56-63] A person accustomed with therapeutic massage is not afflicted by injury due to external trauma or strenuous physical exertion. [Cha.Sa.[[Sutra Sthana]] 5/86-89]

==Importance in management of disease==

==Importance in management of disease==

Unction therapy is extensively used for moving deep seated dormant [[dosha]] towards gut. After the vitiated doshas are in a state of getting expelled out, the purification therapies are applied. [Su.Sa.Chikitsa Sthana 33/47]<ref name=Susruta/> Therefore unction therapy is an important prerequisite before applying purification therapies in the management of diseases. Not following this protocol results in iatrogenic complications. [Su.Sa.Chikitsa Sthana 33/46]<ref name=Susruta/>

Unction therapy is extensively used for moving deep seated dormant [[dosha]] towards gut. After the vitiated doshas are in a state of getting expelled out, the purification therapies are applied. [Su.Sa.Chikitsa Sthana 33/47]<ref name=Susruta/> Therefore unction therapy is an important prerequisite before applying purification therapies in the management of diseases. Not following this protocol results in iatrogenic complications. [Su.Sa. Chikitsa Sthana 33/46]<ref name=Susruta/>

Unction therapy is the first principle for treatment of disorders caused exclusively by [[vata]] [[dosha]]. [Cha.Sa.[[Chikitsa Sthana]] 28/75]

Unction therapy is the first principle for treatment of disorders caused exclusively by [[vata]] [[dosha]]. [Cha.Sa.[[Chikitsa Sthana]] 28/75]

The Ayurvedic treatments including shirobasti, shirodhara etc. are found to be safe and effective, and showed improvement in balance in patients with progressive degenerative cerebellar ataxia.<ref>Sriranjini S J, Pal PK, Devidas K V, Ganpathy S. Improvement of balance in progressive degenerative cerebellar ataxias after Ayurvedic therapy: A preliminary report.Neurol India 2009;57:166-171</ref>  Oil massage results in increase of weight, length and head circumference in infants.<ref>Li X, Zhong Q, Tang L, A Meta-Analysis of the Efficacy and Safety of Using Oil Massage to Promote Infant Growth.J Pediatr Nurs. 2016 Sep-Oct;31(5):e313-22. doi: 10.1016/j.pedn.2016.04.003. Epub 2016 Apr 29.</ref>  Therapeutic massage is found to be effective in reducing the subjective stress experience.<ref>Annetrin Jytte Basler. Pilot study investigating the effects of Ayurvedic Abhyanga massage on subjective stress experience.  J Altern Complement Med. 2011 May;17(5):435-40. doi: 10.1089/acm.2010.0281. Epub 2011 May 13.</ref>  Oil pulling (kavalagraha) with coconut oil seems to have supragingival plaque inhibition activity.<ref>Sezgin Y, Memis Ozgul B, Alptekin NO, Efficacy of oil pulling therapy with coconut oil on four day supragingival plague growth: A randomized cross over clinical trial. Complement Ther Med. 2019 Dec;47:102193. doi: 10.1016/j.ctim.2019.102193. Epub 2019 Sep 4.</ref>

The Ayurvedic treatments including shirobasti, shirodhara etc. are found to be safe and effective, and showed improvement in balance in patients with progressive degenerative cerebellar ataxia.<ref>Sriranjini S J, Pal PK, Devidas K V, Ganpathy S. Improvement of balance in progressive degenerative cerebellar ataxias after Ayurvedic therapy: A preliminary report.Neurol India 2009;57:166-171</ref>  Oil massage results in increase of weight, length and head circumference in infants.<ref>Li X, Zhong Q, Tang L, A Meta-Analysis of the Efficacy and Safety of Using Oil Massage to Promote Infant Growth.J Pediatr Nurs. 2016 Sep-Oct;31(5):e313-22. doi: 10.1016/j.pedn.2016.04.003. Epub 2016 Apr 29.</ref>  Therapeutic massage is found to be effective in reducing the subjective stress experience.<ref>Annetrin Jytte Basler. Pilot study investigating the effects of Ayurvedic Abhyanga massage on subjective stress experience.  J Altern Complement Med. 2011 May;17(5):435-40. doi: 10.1089/acm.2010.0281. Epub 2011 May 13.</ref>  Oil pulling (kavalagraha) with coconut oil seems to have supragingival plaque inhibition activity.<ref>Sezgin Y, Memis Ozgul B, Alptekin NO, Efficacy of oil pulling therapy with coconut oil on four day supragingival plague growth: A randomized cross over clinical trial. Complement Ther Med. 2019 Dec;47:102193. doi: 10.1016/j.ctim.2019.102193. Epub 2019 Sep 4.</ref>

==List of theses done==

== List of theses done ==

#Patel Kalapi B (2001): A clinical study on the development of subtype of abhyanga with reference to its role in the management of Grivahundana (cervical spondylosis),Department of Kayachikitsa, IPGT&RA  Jamnagar

#Patel Kalapi B (2001): A clinical study on the development of subtype of abhyanga with reference to its role in the management of Grivahundana (cervical spondylosis),Department of Kayachikitsa, IPGT&RA  Jamnagar

==More information==

==More information==

[[Snehadhyaya]]

[[Sneha Adhyaya]]

[[Langhanabrimhaniya Adhyaya]]

[[Langhanabrimhaniya Adhyaya]]

[[Kalpana Siddhi]]

[[Kalpana Siddhi Adhyaya]], [[Snehavyapat Siddhi Adhyaya]]

==List of References==

==List of References==