Shirodhara and its Application in Shiroroga ByDr. Vikram Kumar, 2nd year P.G. Scholar, Dept. of Panchakarma, Govt. Ayurveda College, Thiruvananthapuram. E.Mai :
[email protected] Guided ByDr.G.Vinod Kumar, H.O.D. ,Dept. of Panchakarma, Govt. Ayurveda College, Thiruvananthapuram.
Contents 1. 2. 3. 4. 5. 6. 7. 8.
Introduction Relevance of the topic Shirordhara - synonyms and types Materials required Procedure Probable mode of action Different dharas in different Shiroroga Conclusion
Introduction
Shirodhara is a treatment modality which is benificial in treating various diseases including Shirorogas. More than Shodhana, produce Shamana & Rejuvenating effect. Sirodhara is one of the excellent therapies for the treatment of several diseases related with head, neck, eyes, ears, and nose and as well as nervous system.
Relevance
Due to present lifestyle Tensions, lack of sleep etc Nidanas of shiroroga Shirodhara is one procedure with multi actions. It has -Local action -Systemic action It has -Preventive action -Curative action
Importance of Shiras
It is considerd as Uttamanga One among Trimarma Seat of Prana vata and all the Indriyas Root of the body (Urdwa moola)
Shirodhara Shirodhara is a procedure in which various decoctions, oils, medicated buttermilk, milk or other liquids are continuously poured over forehead and then allowing to flow over the scalp from a specific height for specified period of time.
Synonyms
Shirahseka Murdhaseka Shirah Parisheka
Different Types of Shiodhara Named according to liquid used 1. Taila dhara 2. Kwatha dhara 3. Takra dhara 4. Ksheera dhara 5. Jala dhara 6. Ghrita dhara etc.
Materials required 1. 2. 3. 4. 5. 6.
Shirodhara device-1 Varti- 1 Dravadravya -1.5litres Gauze piece- 1 Cotton earplugs-2 Soft pillow covered with rexin-1
1. 2. 3. 4. 5. 6. 1.
Hotwaterbath-1 Vessels -3 Rasnadi choorna- Q.S Soft towels-2 Dhara patra-1 Attendents-2 Oil for Abhyanga-Q.S
Dhara patra
Dhara patra should be 5-6 inch deep with wide open mouth, round at the bottom with a capacity of approximately 2 litres. There should be a hole to the size of little finger at its centre of the bottom. There should be three holes with equal distance to the ridges of the patra, to tie up three strings for the purpose of hanging over the stand.
Pre operative procedure
Abhyanga can be done over the face, neck, shoulder and chest. (Whole body abhyanga can also be done) Gauze is tied around the head above the eyebrows of the patient. The eyes should be covered with eye pads. The ear should be plugged with two cotton pieces.
Procedure
The patient should lie in supine position on the droni. A small pillow should be placed under the neck. The dhara pot should be kept in such a way as to allow steady flowing of the liquid poured into it, over the forehead of the patient. The tip of dharavarti should be 4-5 inches above the forehead of the patient and liquid should fall in a continuous stream. The vessel should always be kept oscillating so that the liquid will fall into the patient’s entire forehead without interruption. The liquid falling should be poured again into the vessel after collecting it from the droni.
Post operative procedure
Gauze and earplugs should be removed and head must be wiped off with the towel. Rasnadi choorna should be applied over the head. Hot water bath can be done if prescribed, after 1 hour. Head bath should be done with lukewarm water.
Duration
Generally the treatment is done in the morning hours, between 7-10 am. If necessary, it can be done between 4-6 pm. The process can be done daily for a period of 7 to 14 days. The duration of treatment as well as the time period is according to the nature of the disease and the physical condition of the patient. It is done usually for a fixed time (45minutes to 1 hour).
Probable Mode of Action
From Ayurvedic point of View: Paka prakriya by Brajakapitta situated at Twak Veerya of drugs are absorbed directly without alteration in properties Act directly on the site of Pathology i.e Shiras. Scalp is richly supplied by blood vessels. Easy absorption of active principles.
Different Dharas in Different Shiroroga
Vataja shiroroga Dashamoola kashaya dhara Taila dhara with -Bala taila -Ksheerabalataila -Dhanwantarataila -Bala gudoochyadi taila -Karpasasthyadi taila
In Pittaja & Raktaja Shirorogas Chandana, Usheera Kwatha dhara Ksheera dhara Narikela jala dhara Ghritadhara Sheetala jala dhara Taila dhara with -Chandanadi taila -Bringamalakadi taila
In kaphaja shiroroga Nagara, mustha, madhuyashti kwathadhara Taila dhara with -Madhuyashtyadi taila -Triphaladi taila -Asana Vilwadi taila -Tungadrumadi taila
In Arumshika Nimba Toya Seka In Vrana Triphala kwatha Dhara In Psoriasis of Scalp Takradhara
In premature graying of hair (Palithya) Takradhara Dhara with -Bringamalaka taila -Brahmi taila -Neelibringadi taila -Triphaladi taila -Yashtimadhu taila In hair fall (Khalithya) Dhara with -Triphaladi taila -Bringamalaka taila - Neelibringadi taila
Conclusion Shirodhara is a user friendly procedure with both preventive and curative action and can be used for treating various Shirorogas.