Shirodhara and its Shirodhara and its Application in ShirorogaApplication in Shiroroga

By-By- Dr. Vikram Kumar,Dr. Vikram Kumar, 22ndnd year P.G. Scholar, year P.G. Scholar, Dept. of Panchakarma, Dept. of Panchakarma, Govt. Ayurveda College,Govt. Ayurveda College, Thiruvananthapuram.Thiruvananthapuram. E.Mai :vikramkumar83@gmail.comE.Mai :vikramkumar83@gmail.comGuided By-Guided By- Dr.G.Vinod Kumar,Dr.G.Vinod Kumar, H.O.D. ,Dept. of Panchakarma, H.O.D. ,Dept. of Panchakarma, Govt. Ayurveda College, Govt. Ayurveda College, Thiruvananthapuram.Thiruvananthapuram.

ContentsContents

1.1. IntroductionIntroduction2.2. Relevance of the topicRelevance of the topic3.3. Shirordhara - synonyms and typesShirordhara - synonyms and types4.4. Materials requiredMaterials required5.5. ProcedureProcedure6.6. Probable mode of actionProbable mode of action7.7. Different dharas in different ShirorogaDifferent dharas in different Shiroroga8.8. ConclusionConclusion

IntroductionIntroduction

Shirodhara is a treatment modality which is benificial Shirodhara is a treatment modality which is benificial in treating various diseases including Shirorogas. in treating various diseases including Shirorogas.

More than Shodhana, produce Shamana & More than Shodhana, produce Shamana & Rejuvenating effect. Rejuvenating effect.

Sirodhara is one of the excellent therapies for the Sirodhara is one of the excellent therapies for the treatment of several diseases related with head, neck, treatment of several diseases related with head, neck, eyes, ears, and nose and as well as nervous system.eyes, ears, and nose and as well as nervous system.

RelevanceRelevance

Due to present lifestyle Tensions, lack of sleep Due to present lifestyle Tensions, lack of sleep etc Nidanas of shirorogaetc Nidanas of shiroroga

Shirodhara is one procedure with multi actions.Shirodhara is one procedure with multi actions. It hasIt has -Local action-Local action -Systemic action-Systemic action It hasIt has -Preventive action-Preventive action -Curative action-Curative action

Importance of ShirasImportance of Shiras

It is considerd as UttamangaIt is considerd as Uttamanga One among TrimarmaOne among Trimarma Seat of Prana vata and all the IndriyasSeat of Prana vata and all the Indriyas Root of the body (Urdwa moola)Root of the body (Urdwa moola)

ShirodharaShirodhara

Shirodhara is a procedure in which various Shirodhara is a procedure in which various decoctions, oils, medicated buttermilk, milk or decoctions, oils, medicated buttermilk, milk or other liquids are continuously poured over other liquids are continuously poured over forehead and then allowing to flow over the forehead and then allowing to flow over the scalp from a specific height for specified scalp from a specific height for specified period of time. period of time.

SynonymsSynonyms

ShirahsekaShirahseka MurdhasekaMurdhaseka Shirah ParishekaShirah Parisheka

Different Types of ShiodharaDifferent Types of Shiodhara

Named according to liquid usedNamed according to liquid used

1.1. Taila dhara Taila dhara

2.2. Kwatha dharaKwatha dhara

3.3. Takra dharaTakra dhara

4.4. Ksheera dharaKsheera dhara

5.5. Jala dharaJala dhara

6.6. Ghrita dhara etc.Ghrita dhara etc.

Materials required Materials required

1.1. Shirodhara device-1Shirodhara device-1

2.2. Varti- 1Varti- 1

3.3. Dravadravya -1.5litresDravadravya -1.5litres

4.4. Gauze piece- 1Gauze piece- 1

5.5. Cotton earplugs-2Cotton earplugs-2

6.6. Soft pillow covered Soft pillow covered with rexin-1with rexin-1

1.1. Hotwaterbath-1Hotwaterbath-1

2.2. Vessels -3Vessels -3

3.3. Rasnadi choorna- Q.SRasnadi choorna- Q.S

4.4. Soft towels-2Soft towels-2

5.5. Dhara patra-1 Dhara patra-1

6.6. Attendents-2Attendents-2

1.1. Oil for Abhyanga-Q.SOil for Abhyanga-Q.S

Dhara patraDhara patra

Dhara patraDhara patra should beshould be 5-6 inch deep with wide 5-6 inch deep with wide open mouth, round at the bottom with a open mouth, round at the bottom with a capacity of approximately 2 litres. capacity of approximately 2 litres.

There should be a hole to the size of little There should be a hole to the size of little finger at its centre of the bottom. finger at its centre of the bottom.

There should be three holes with equal There should be three holes with equal distance to the ridges of the patra, to tie up distance to the ridges of the patra, to tie up three strings for the purpose of hanging over three strings for the purpose of hanging over the stand.the stand.

Pre operative procedure Pre operative procedure

Abhyanga can be done over the face, neck, Abhyanga can be done over the face, neck, shoulder and chest. (Whole body abhyanga shoulder and chest. (Whole body abhyanga can also be done)can also be done)

Gauze is tied around the head above the Gauze is tied around the head above the eyebrows of the patient.eyebrows of the patient.

The eyes should be covered with eye pads. The eyes should be covered with eye pads. The ear should be plugged with two cotton The ear should be plugged with two cotton

pieces.pieces.

ProcedureProcedure The patient should lie in supine position on the droni. The patient should lie in supine position on the droni. A small pillow should be placed under the neck. A small pillow should be placed under the neck. The dhara pot should be kept in such a way as to allow steady 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 flowing of the liquid poured into it, over the forehead of the patient. patient.

The tip of dharavarti should be 4-5 inches above the forehead of The tip of dharavarti should be 4-5 inches above the forehead of the patient and liquid should fall in a continuous stream. the patient and liquid should fall in a continuous stream.

The vessel should always be kept oscillating so that the liquid The vessel should always be kept oscillating so that the liquid will fall into the patient’s entire forehead without interruption. will fall into the patient’s entire forehead without interruption.

The liquid falling should be poured again into the vessel after The liquid falling should be poured again into the vessel after collecting it from the droni. collecting it from the droni.

Post operative procedurePost operative procedure

Gauze and earplugs should be removed and Gauze and earplugs should be removed and head must be wiped off with the towel. head must be wiped off with the towel.

Rasnadi choorna Rasnadi choorna should beshould be applied over the applied over the head. head.

Hot water bath can be done if prescribed, after Hot water bath can be done if prescribed, after 1 hour. Head bath should be done with 1 hour. Head bath should be done with lukewarm water.lukewarm water.

Duration Duration

Generally the treatment is done in the morning hours, Generally the treatment is done in the morning hours, between 7-10 am. If necessary, it can be done between 7-10 am. If necessary, it can be done between 4-6 pm.between 4-6 pm.

The process can be done daily for a period of 7 to 14 The process can be done daily for a period of 7 to 14 days. days.

The duration of treatment as well as the time period is The duration of treatment as well as the time period is according to the nature of the disease and the physical according to the nature of the disease and the physical condition of the patient. condition of the patient.

It is done usually for a fixed time (45minutes to It is done usually for a fixed time (45minutes to 1 hour).1 hour).

Probable Mode of ActionProbable Mode of Action

From Ayurvedic point of View:From Ayurvedic point of View: Paka prakriya by Brajakapitta situated at TwakPaka prakriya by Brajakapitta situated at Twak Veerya of drugs are absorbed directly without Veerya of drugs are absorbed directly without

alteration in propertiesalteration in properties Act directly on the site of Pathology i.e Shiras.Act directly on the site of Pathology i.e Shiras.

Scalp is richly supplied by blood vessels.Scalp is richly supplied by blood vessels. Easy absorption of active principles.Easy absorption of active principles.

Different Dharas in Different Different Dharas in Different ShirorogaShiroroga

Vataja shirorogaVataja shiroroga Dashamoola kashaya dharaDashamoola kashaya dhara Taila dhara withTaila dhara with

-Bala taila-Bala taila

-Ksheerabalataila-Ksheerabalataila

-Dhanwantarataila-Dhanwantarataila

-Bala gudoochyadi taila-Bala gudoochyadi taila

-Karpasasthyadi taila-Karpasasthyadi taila

In Pittaja & Raktaja ShirorogasIn Pittaja & Raktaja Shirorogas Chandana, Usheera Kwatha dharaChandana, Usheera Kwatha dhara Ksheera dharaKsheera dhara Narikela jala dharaNarikela jala dhara GhritadharaGhritadhara Sheetala jala dharaSheetala jala dhara Taila dhara withTaila dhara with

-Chandanadi taila-Chandanadi taila

-Bringamalakadi taila-Bringamalakadi taila

In kaphaja shirorogaIn kaphaja shiroroga Nagara, mustha, madhuyashti kwathadharaNagara, mustha, madhuyashti kwathadhara Taila dhara withTaila dhara with

-Madhuyashtyadi taila-Madhuyashtyadi taila

-Triphaladi taila-Triphaladi taila

-Asana Vilwadi taila -Asana Vilwadi taila

-Tungadrumadi taila-Tungadrumadi taila

In ArumshikaIn Arumshika

Nimba Toya SekaNimba Toya Seka In VranaIn Vrana

Triphala kwatha DharaTriphala kwatha Dhara In Psoriasis of ScalpIn Psoriasis of Scalp

TakradharaTakradhara

In premature graying of hair (Palithya)In premature graying of hair (Palithya) TakradharaTakradhara Dhara withDhara with -Bringamalaka taila-Bringamalaka taila -Brahmi taila-Brahmi taila -Neelibringadi taila-Neelibringadi taila -Triphaladi taila-Triphaladi taila -Yashtimadhu taila-Yashtimadhu taila In hair fall (Khalithya)In hair fall (Khalithya) Dhara withDhara with -Triphaladi taila-Triphaladi taila -Bringamalaka taila-Bringamalaka taila - Neelibringadi taila - Neelibringadi taila

Conclusion

Shirodhara is a user friendly procedure with both preventive and curative action and can be used for treating various Shirorogas.