Monday 2 November 2015

Snehana-Procedure-Steps

Snehana (Oleation) – Part 5

For  2 November  15

Snehana-Procedure-Steps

      Observed the indications.Firstly decide whether patient is indicated for Snehana or not.Decide the Quantity, duration and the type of oily substance used in the treatment. Examine the digestive power of the patient.The quantity of the oily substance depends on digestive power of the patient.Proper quantity of oily substance is of great importance, improper quantity may produce many adverse effects like drowsiness, stiffness, itching, fever, pain, vertigo, flatulence etc.

      Examination of digestive power can be done by giving the testing dose of oily substances to the patient. This testing dose is termed as ‘Rhasiyasi matra’ of Snehana. Time taken by the patient to digest this dose decides the proper dose. This testing dose is generally of 25gm.

      So mathematical Equation will be as follows

      If Patient is takes 3 hours for Digestion of 25 Grams ,then How much will be quantity to Digest in 6 hours ? Answer will be 50  Grams ! This will be Rhaswa or Small dose.
      100 Gm will be digested in 12 hours .This is Madyam or Moderate dose .
      200 Gm will be digested in 24 hours .This will be Uttam or High Dose.

Dose Determination

      Small quantity (rhaswa matra):-- This quantity of oily substance is digested in 6 hours. It is given to the patient who has low digestive power i.e. patient has no feeling of hunger until 6 hours.

      Moderate quantity (madhyam matra):-- This quantity of oily substance is digested in 12 hours. It is given to the patient who has moderate digestive power.

      High / large quantity (uttam matra): -- This quantity of oily substance is digested in 24 hours. It is given to the patient with very high digestive power.

Duration of the Therapy -- It depends on Agni (digestive function) and Koshtha (bowel movement)

Approximate time:- i) Mrudu koshtha- Even with milk can cause soft & watery stool.These kind of people required approximate 3 days for complete oleation. ii) Madhyam koshtha- Mild laxative is enough for the bowel movement.These kind of people required approximate 4 or 5 or 6 days for complete oleation. iii) Krur koshtha- Need strong purgation and have a tendency of Constipation.These kind of people required approximate 7 days for complete oleation.

How to take sneha? --- i) Oily substances should be taken on empty stomach, early in the morning. It should be taken with lukewarm water with added salt. Fasting should be done until the oily substance is fully digested. ii) Symptoms during digestion of oily substance – headache, vertigo, increased salvation, increased thirst, burning sensation in the body etc.iii) Symptoms indicating full digestion of oily substance – relief from above symptom to great extent, feeling of lightness in the body. Feeling of hunger, easy passage of gases. iv) If one is doubtful about the digestion of oily substance, then have some lukewarm water. If fresh belching occurs, digestion is complete. If oleated belching occurs, then it is the indication of incomplete digestion

      After digestion -- Take bath with lukewarm water. Have easily digestible, light, liquid diet.Next day again have oily substance till symptoms of fully oleation appear on the body.

 Symptoms suggesting proper oleation :

      Easy passing of gases
      Nausea / intolerance for oily substances (lack of desire for them).It is called as Sneha Vidwesha in Ayurveda .Kindly note the difference for Nausea on First day & Nausea on Last Day .First day Nausea in patient may be due to  he or she  is not accustom to take Ghee or Oil ,in such stomach on Empty stomach .But Last day Nausea indication saturation stage of oil or Ghee in the body.
      Soft and oily stools( In Sanskrit – Adhastat Sneha Darshanam)
      Lightness of the body
      Oily skin
      Feeling of tiredness

Symptoms suggesting excessive oleation:

      It appears due to more oleation even after symptoms of proper oleation appear. They are as follow- Drowsiness, Nausea, Increased salivation, Increased nasal secretions, Anorexia

      Prof.Dr.R.R.Deshpande --- 9226810630
      Dr.Sachin Sarpotdar -------- 9822795363
      Dr,Mayura Shinde ---------- 7276866831


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