Murdha taila/Murdhini taila.pptx by Dr Akshay

This presentation deals with explanation of Murdha taila /Murdhini taila in detail

1. MURDHA TAILA Dr Akshay Shetty Associate Professor Department of Panchakarma SSRAMC & H Inchal l

2. CONTENTS 01/01/2024 MURDHA TAILA(Dr Akshay Shetty) 2

3. Objectives By the end of the presentation the students must be able to State Murdha taila Describe Shiroabhyanga Explain Shiroseka Elucidate Shiropichu Expound shirobasti 01/01/2024 MURDHA TAILA(Dr Akshay Shetty) 3

4. MURDHA TAILA अभ्यङ्गसेकपिचवो बस्तिश्चेति चतुर्विधम्||२३|| मूर्द्धतैलम् बहुगुणं तद्विद्यादुत्तरोत्तरम् |२४| A.H Su.22 अभ्यङ्गादिभेदात्   चतुर्धा   शिरसि   तैलं   स्यात्| तच्चोत्तरोत्तरं   बहुगुणं   विद्यात्|   अभ्यङ्घात्   सेको   बहुगुणाः,   ततोऽपि   पिचुः,   तस्मादपि   बस्तिः,   इति   क्रमेण| 01/01/2024 MURDHA TAILA(Dr Akshay Shetty) 4

5. SHIROABHYANGA The patient, after obeying the natural urges, is to be advised to sit in upright posture. Then the masseur should stand in the upright posture behind the patient. First of all, suitable oil is to be made warm and to be applied over vertex. The oil is to be spread by the fingers of the masseur to the temporal and parietal parts. Again the oil is to be poured in anterior and occipital parts respectively considering the shape and size of the head . 01/01/2024 MURDHA TAILA(Dr Akshay Shetty) 5

6. CONT.. After application of oil over the entire scalp, a gentle massage by the finger pads is to be given. For that purpose the distal inter phalangeal joints are to be flexed and pressure should be applied by the pads of fingers. The pressure should be increased sufficiently to grip the scalp and it is to be moved over cranial bones. Small circular movements; mild hacking, pounding, cupping strokes are to be performed as required. 01/01/2024 MURDHA TAILA(Dr Akshay Shetty) 6

7. CONT.. Duration : If shirobhyanga is to be done for a disease of head or due to diseases related to hair, it should be continued up to 20-30 minutes. For regular use, 5-7 minutes is sufficient for abhyanga. Some important oils for shiro -abhyanga: Chakra Taila : Kalka and kvatha of yashthimadhu , vidari , saral , devdaru , laghu panchamula are to be taken in equal quantity and to be processed with chakra taila . Bhringaraja taila Tila taila 01/01/2024 MURDHA TAILA(Dr Akshay Shetty) 7

8. CONT.. 01/01/2024 MURDHA TAILA(Dr Akshay Shetty) 8

9. INDICATIONS 01/01/2024 MURDHA TAILA(Dr Akshay Shetty) 9

10. SHIROSEKA Shiroseka : Sprinkling of a suitable taila (or any sneha dravya ) on the forehead in a synchronized and rhythmic manner is shiro seka . Upakarna :  Shirodhara table Dhara patra Varti Suitable oil - 5 It. 01/01/2024 MURDHA TAILA(Dr Akshay Shetty) 10

11. CONT.. Soft pillow covered with Rexin or leaf of banana plant Vessels Heater/stove/induction cook-oven Materials for talam ( rasnadi churna - 5 gm., oil - 10ml.) Towels - 2 Gauze - 1 Cotton ear plugs - 2 Attendants - 2 01/01/2024 MURDHA TAILA(Dr Akshay Shetty) 11

12. PURVAKARMA After proper abhyanga all over the body or at least on the face, neck, shoulder and chest, the patient is asked to lye on the shirodhara table. Eye pads are to be tied properly with another gauze piece. Ear plugs are to be applied. 01/01/2024 MURDHA TAILA(Dr Akshay Shetty) 12

13. PRADHANA KARMA Patient is to be asked to lie on the shirodhara table in supine position with a pillow under the neck. The gap between end part of wok and forehead should remain 4 anguli (1 anguli = 1.93 cm.). Oil is to be poured into the dhara patra and the temperature of this oil (or other medicinal liquids) should be in between 38° C - 40° C. A continuous flow of liquid should be maintained and the entire forehead should be sprinkled by a rhythmical oscillation of dharapatra . A gentle massage following the dhara over the forehead should be done in between the process. The oil collected in the vessel placed beneath the droni should be re-heated and poured again into dhara patra . Duration: It should be continued for 45-60 minutes for 4-7 days. 01/01/2024 MURDHA TAILA(Dr Akshay Shetty) 13

14. PASCHAT KARMA Medicine of the head should be soaked properly with towel. Head should not be washed immediately by other liquid. Rasnadi churna is to be applied over head Sarvanga dhara followed by abhyanga may be done simultaneously if needed After one hour, patient may take bath with lukewarm water after proper taila abhyanga over scalp. 01/01/2024 MURDHA TAILA(Dr Akshay Shetty) 14

15. PRECAUTIONS 1. Uniform flow of dhara is to be maintained. 2. Dhara should not fall outside the head. 3. The distance of 4 anguli is to be maintained between forehead and wick. 4. The thickness of dhara should be as that of little finger. 5. Patient should not sleep during the procedure. 6. Eyes are to be protected from falling of oil. 01/01/2024 MURDHA TAILA(Dr Akshay Shetty) 15

16. SELECTION OF MEDICINE Vata dosha - Tila taila Pitta & rakta-Ghrita Kapha - Tila taila Vata -Pitta- rakta or Vata & rakta condition - Taila and ghee (ghee should be half of the amount of taila ) 01/01/2024 MURDHA TAILA(Dr Akshay Shetty) 16

17. CONT… Takra may be used in Kapha condition. It, by processing with other drugs, may be used in other dosha conditions also Milk may be used in Pitta condition (e.g. in Pittaja shiroroga ). In Vataja shiroroga , milk processed with Vataghna drugs; in Pittaja as well as raktaja shiroroga - ghee, are to be used for parisheka . 01/01/2024 MURDHA TAILA(Dr Akshay Shetty) 17

18. CONT.. Similarly dashamula siddha kshira , etc. may be selected considering the dosha condition of the patient . These substances when used as parisheka , the therapy simultaneously acts as svedana to that person. So it is also included under dravasveda . The patients who cannot bear the expense of taila , ghee, kshira or other medicines for parisheka , simple water may be used for parisheka - which is commonly named as jaladhara . 01/01/2024 MURDHA TAILA(Dr Akshay Shetty) 18

19. TIME OF PROCEDURE The appropriate time for shirodhara is in between 7 a.m. and 10 a.m. Parisheka should not be given at noon or night. The process may be continued upto maximum I ½ hours. First day it is to be given for 1 hour. Then every day the time may be increased by 5 minutes. Thus on seventh day, the duration should be 1 ½ hours. After that, 5 minutes to be gradually decreased every day so that on 14" day it comes to I hour. If parisheka is to be continued upto 21 days, then the duration of dhara should remain constant from 7 to 15 days as 1½ hours. After that, gradual decrease of 5 minutes every day is to be started so that on 21" day it comes to 1 hour. Parisheka therapy should not be extended beyond 21 days. 01/01/2024 MURDHA TAILA(Dr Akshay Shetty) 19

20. CONT Materials used for shirah snana : Kvatha made of amlaki , sugandha bala , ushira , chandana , dashamula , billva , bala , kutuki , etc. (100 gms . collectively) by adding 8 litres of water should be reduced to 6 litres for shirahsnana . Materials for kaya- snana : Leaves of eranda or of panas (jackfruit) are to be processed with water and that may be used for Kaya snana Bengal gram powder is to be applied for the removal of Sneha adhered to the body 01/01/2024 MURDHA TAILA(Dr Akshay Shetty) 20

21. INDICATIONS Anidra (insomnia) Shirashula (headache) Mental agony and irritability Neurological disorders. 01/01/2024 MURDHA TAILA(Dr Akshay Shetty) 21

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23. KSHIRADHARA Kshiradhara or dugdhadhara : In this process kshira (milk) is used as dhara material. Milk alone or by processing with other suitable drugs may be used for dhara purpose. Upakarana : Kshira - 2.5 litres - 3 litres (if only shirah seka is intended) 4 - 5 litres (for sarvanga dhara ) Other ingredients are as mentioned in shirodhara . 01/01/2024 MURDHA TAILA(Dr Akshay Shetty) 23

24. PREPARATION OF MEDICINE Yavakut (half dust) of the drugs like dashamula , yashthimadhu , ushira , hribera , mustaka , chandana , masha , mudga or other suitable drugs as per the concerned disease is to be taken in a cloth to make a pottali and this pottali is to be kept in eight times of milk and 64 times of water in an earthen pot. Kvatha is to be made by Ksirapaka vidhi . Now it may be used for dhara purpose.  Procedure : It is same as shirodhiara . 01/01/2024 MURDHA TAILA(Dr Akshay Shetty) 24

25. INDICATIONS 1. Vataja shiroroga 2. Pittaja shiroroga 3. Sarvanga daha 4. Santata jvara ( stri-dugdha is used for this purpose in Kerala) Precaution: The milk once used should not be preserved for the next day. Milk should be replaced every day. Note: It may be used either in lukewarm condition (e.g. in Vataja diseases) or in cold condition (e.g. in Pittaja disease). 01/01/2024 MURDHA TAILA(Dr Akshay Shetty) 25

26. TAKRADHARA Takradhara : It is another variety of shirodhara where takra is used as dhara material. Preperation of medicine: Upakarana : Mustaka churna Amlaki churna Godugdha Water 01/01/2024 MURDHA TAILA(Dr Akshay Shetty) 26

27. CONT Yavakuta is to be prepared from properly cleansed mustaka (100 gm.) and should be taken in pottali . It is to be processed with 1½ litre of milk and 6 litre of water as kshirapaka vidhi . When the total amount will be reduced to 1½ litre, it should be kept to prepare curd from it. On the day of procedure, amlaki kvatha is to be prepared. For this, 400gm. of amlaki is to be boiled in 6.5 litre of water and to be reduced to 1½ litre. Half of this amount (i.e. 800 ml.) is to be kept for shirah snana after therapy and the rest is to be added with curd. The mixture is to be stirred well to prepare takra . 01/01/2024 MURDHA TAILA(Dr Akshay Shetty) 27

28. CONT.. Second procedure: Kvatha is to be prepared from dried amlaki (one year old). 1 kg. of amlaki is to be boiled with 3 litres of water and 500 ml. is to be left. It should be added with 500ml. of takra for dhara purpose Procedure : Same as shirodhara 01/01/2024 MURDHA TAILA(Dr Akshay Shetty) 28

29. NOTE The amount of different ingredients mentioned above may differ from text to text. The basic matter is that the physician should decide the amount of various drugs in a suitable proportion according to the amount used in the therapy or according to the concerned dosha . In Kaphaja diseases, mustaka should be used to prepare takra . In Pittaja diseases, yashthimadhu or similar drugs like sugandha bala , ushira , chandana , billva , bala , etc. may be used instead of mustaka . Argvadha is effective in psoriasis if used for preparation of takra . For anidra , panchagandha powder is effective. In psychiatric diseases, ushira , hribera , yashthimadhu , chandana may be used. 01/01/2024 MURDHA TAILA(Dr Akshay Shetty) 29

30. INDICATIONS Palitya (premature graying of hair) Shranti (fatigue) Shirahshula (headache) Oja-kshaya (immunity related diseases) Hastapada sphutana (psoriatic foot/fissure foot) Mutra roga (diseases of urinary system) Sandhishaithilya (looseness of joints) Hridroga (cardiac disease) 01/01/2024 MURDHA TAILA(Dr Akshay Shetty) 30

31. CONT.. Agnimandya (low power of digestion) Aruchi (anorexia) Karna roga (ear diseases) Netra roga (eye diseases) Manasika vyadhi (psychiatric illness) Anidra (insomnia) Prameha (diabetes) Prameha pidaka (skin infections in diabetic patients) 01/01/2024 MURDHA TAILA(Dr Akshay Shetty) 31

32. CONT.. Note: Takradhara is highly effective in Psoriasis. Procedure: 100 gm. of drugs is to be boiled in 4 litres of water and I litre of milk. it should be reduced to 1 litre. When it will cool down, curd is to be made from it. Next day, butter is to be taken out from this curd without mixing any water. The takra (butter milk) thus obtained should be divided into two parts. One part is to be kept for next day. The residual part is to be used for dhara purpose on that day. 01/01/2024 MURDHA TAILA(Dr Akshay Shetty) 32

33. Time & Duration: From 7 a.m. to 8 a.m. & 5 p.m. to 6 p.m. Takradhara : It may be followed for 7 to 21 days as per shirodhara method 01/01/2024 MURDHA TAILA(Dr Akshay Shetty) 33

34. CONT… Taila dhara & ghrita dhara : Ghrita or oil may be used for dhara in the same manner according to the diseases. Indications: 1. Aruchi (loss of appetite) 2. To increase vocal clarity 3. Anidra (insomnia) 4. Daha (burning sensation over the body) 5. Nourishment of shukra , rakta dhatu 6. To increase life span 7. To increase mental stability 8. To increase strength 9. To increase lustre and smoothness of the skin 01/01/2024 MURDHA TAILA(Dr Akshay Shetty) 34

35. CONT.. In Vata and Kapha Dosha , dhara should be given by tila taila , where as in Vata -Pitta- Rakta or Vata-Rakta association, taila and ghee are to be given in equal quantity. If Kapha is associated, ghee should be added half of the amount of taila . Jaladhara : In the cases, where the patients can not afford Taila / Grita / Takra , Jaladhara may be applied. Water added with some ingredients may be used as dhara according to disease. Water is said as ' ashvasa kara ' and so, it may be applied (better if it is cold) in mental restlessness, insomnia, fatigue, etc.and it produces good result. Though warm water is not good for eyes, it may be used as dhara in aggravated Vata-Shleshma or considering the strength of disease 01/01/2024 MURDHA TAILA(Dr Akshay Shetty) 35

36. SHIRO PICHU Shiro Pichu: Cotton gauze soaked with oil/ghee placed over head is termed as Shiro Pichu. This Pichu is to be applied on vertex. Upakarna : Suitable taila /ghee 50-100 ml Gauze or cotton Vessel 1 Rasnadi churna 5 gm Soft towel 1 Attendant 1 Armed chair 1 01/01/2024 MURDHA TAILA(Dr Akshay Shetty) 36

37. CONT Purva karma: It will be better if the hair of the head is completely shaved. Pradhana karma: First of all, abhyanga is to be done over head, shoulder and neck of the patient. Then he/she is to be seated on a chair with arm. A cloth is to be tied like a band upon the forehead and ears to prevent oozing of oil into the face. Then, few gauge pieces of 6.5' X 6.5' size are to be placed one after another to make a thickness about 2 cm. Slightly warm oil/ghee (around 40° C is to be poured into it unless the gauze pieces becomes completely wet. This is to be kept for 30 to 90 minutes. Paschat karma: The head is to be dried after this Pichu. Rasnadi churna is to be applied. Patient may take bath after 45minutes to 1 hour. Duration: It should be continued up to 7-14 days . 01/01/2024 MURDHA TAILA(Dr Akshay Shetty) 37

38. INDICATIONS 1. Keshapata (falling of hair) 2. Keshabhumi sphutana (psoriasis or such other diseases of scalp) 3. Palitya (premature greying of hair) 4. Vrana (wound) 5. Netrastambha (paralysis of eyelid) 6. Pakshaghata (hemiplegia) 7. Ardita (facial palsy) 8. Cerebellar dysfunction 9. Anidra (insomnia) 10. Various shiroroga . 01/01/2024 MURDHA TAILA(Dr Akshay Shetty) 38

39. SHIROBASTI विधिस्तस्य निषण्णस्य पीठे जानुसमे मृदौ| शुद्धाक्तस्विन्नदेहस्य दिनान्ते गव्यमाहिषम्||२७|| द्वादशाङ्गुलविस्तीर्णं चर्मपट्टं शिरःसमम्| आकर्णबन्धनस्थानं ललाटे वस्त्रवेष्टिते||२८|| चैलवेणिकया बद्ध्वा माषकल्केन लेपयेत्| ततो यथाव्याधि श्रुतं स्नेहं कोष्णं निषेचयेत्||२९|| ऊर्ध्वं केशभुवो यावदङ्गुलम्-धारयेच्च तम्| आवक्त्रनासिकोत्क्लेदाद्दशाष्टौ षट् चलादिषु||३०|| मात्रासहस्राण्यरुजे त्वेकं स्कन्धादि मर्दयेत्| मुक्तस्नेहस्य परमं सप्ताहं तस्य सेवनम्||३१|| A.H Su 22 01/01/2024 MURDHA TAILA(Dr Akshay Shetty) 39

40. SHIRO BASTI Shiro basti : It is the most useful method for oil retention on the head and it is the best among murdhva taila procedure. Upakarana : 1. Cap of Rexene or vinyl cap (different sizes of cap are now available in the market for the purpose of Shirobasti ). 2. Oil - 2 litres 3. Masha churna (black gram flour) - 250 gm 4. Piece of cloth/gauze piece 5. Shirobasti chair ordinary armed chair. 6. Vessel (2 litre) 1, large vessel 1 01/01/2024 MURDHA TAILA(Dr Akshay Shetty) 40

41. CONT.. 7. Oven for heating. 8. Hot water. 9. Dry towel or soak paper. 10. Spoons, sponges. 11. Spittoon 12. Soft towel 2 13. Attendant 2 01/01/2024 MURDHA TAILA(Dr Akshay Shetty) 41

42. PURVA KARMA First of all a cap is to be prepared for oil retention. For this, a Rexene sheet (2 X 2 f) is to be taken. The paste of masha is to be prepared by mixing it with hot water to be anointed on one side of a gauze piece of 1 metre X 6 cm size. For Rexene caps, this paste is to be applied in the interior edge of the cap to give it a cylindrical shape. 01/01/2024 MURDHA TAILA(Dr Akshay Shetty) 42

43. CONT… If venyl cap is used, it may be used directly. The patient should be advised to shave the hairs of his head. The patient is then asked to be seated on the chair in straight posture. The oil is to be heated by placing it on hot water. 01/01/2024 MURDHA TAILA(Dr Akshay Shetty) 43

44. Method: The cloth/gauze anointed with masha should be rounded over the forehead like a band. The masha layer should be on the upper side so that these layers would be pasted closely as gum. Now the Rexene cap is to be worn tightly on the head. Both ends are to be joined by the help of this paste so that no leakage of oil is possible. Then the pasted piece of cloth is moved round the cap once or twice so that the oil may not drop out and the cap is tightly fixed. Same procedure is to be followed for vinyl caps. This cap is also to be fixed over the piece of cloth/gauze anointed with masha . The gaps, if any, shall be filled in with the masha paste .. 01/01/2024 MURDHA TAILA(Dr Akshay Shetty) 44

45. CONT.. Again the piece of cloth/gauze shall be rounded over the cap twice. Then, slightly warm oil taken in a pot is poured down with the right hand on the dorsum of the left palm slowly from 8 cm above. The oil should remain two fingers high from the hair base. To maintain the temperature, some oil is to be extracted with a spoon or sponge in regular intervals with the replacement of the same but of higher temperature. The patient should not be allowed to bend his head; otherwise the oil may fall down 01/01/2024 MURDHA TAILA(Dr Akshay Shetty) 45

46. PRECAUTIONS 1. The temperature of oil should properly be checked. Oil is not to be poured directly but on the dorsum of the palm. Very hot oil is prohibited. 2. The patient is to be advised not to nod his head. During the therapy, he should not talk, laugh or open his mouth. If the patient sneezes, the assistant will hold the cap very carefully. 3. Leakage should be checked. otherwise, leakage of oil may occur. 4. In case of readymade caps, proper size should be preferred; otherwise leakage of oil may occur. 01/01/2024 MURDHA TAILA(Dr Akshay Shetty) 46

47. Time & Duration: Shirobasti is to be performed during the afternoon or evening. Vagbhatta ( Astanga Sangraha ) has recommended Shirobasti even at night. The duration is as follows: Vataja diseases: 10,000 matra or 53 matra (1 matra = 19/30 seconds) Pittaja diseases: 8,000 matra or 43 minutes Kaphaja diseases: 6,000 matra or 31 minutes Svastha : 1,000 matra or 5 - 6 minutes Ordinarily, Shirobasti is advised for 5 - 7 days, but Sushruta has recommended it for upto 21 days 01/01/2024 MURDHA TAILA(Dr Akshay Shetty) 47

48. PASCHAT KARMA Sneha in the cap is to be removed with the spoon or sponge when secretion starts from face and nose. The head should be soaked properly with the help of a towel. The shoulder, etc. is to be massaged again. The cap should be cleaned and preserved for the next use. Rasnadi Churna should be applied on the head of the patient. The dietetic and behavioural regimens are to be followed as mentioned in sneha vidhi . 01/01/2024 MURDHA TAILA(Dr Akshay Shetty) 48

49. CONT.. Change of medicine: Those patients who can afford may change the oil daily, otherwise the same oil may be used for maximum three days. Every day, some oil is lost, so some fresh oil is to be added, if necessary. After three days, this oil is to be preserved New oil is to be used for the 4th to the 6 day. Now, the preserved former oil may be mixed with this for the use of 7th day 01/01/2024 MURDHA TAILA(Dr Akshay Shetty) 49

50. INDICATIONS 1. Ardita (facial palsy) 2. Prasupti (loss of touch sensation) 3. Anidra (insomnia) 4. Nasa shosha (dryness in nose) 5. Mukha shosha (dryness in mouth) 6. Timira (cataract) 01/01/2024 MURDHA TAILA(Dr Akshay Shetty) 50

51. CONT.. 7. Shiroroga (diseases of the brain) 8. Darunaka (psoriasis of scalp) 9. Ardhavabhedaka (migraine) 10. Pakshaghata (hemiplegia) 11. Griva graha (cervical spondylosis) 12. Carpel tunnel syndrome 13. Cervical rediculopathy 01/01/2024 MURDHA TAILA(Dr Akshay Shetty) 51

52. OIL COMMONLY USED 1. Mashabaladi taila 2. Bala taila 3. Maha narayana taila 4. Madhyam narayana taila 5. Mahamasha taila 6. Nisinda taila 01/01/2024 MURDHA TAILA(Dr Akshay Shetty) 52

53. CONT.. 7. Rasna taila 8. Ashvagandha taila 9. Nagabala taila 10. Prasarani taila 11. Mulakadya taila 12. Lashuna taila 01/01/2024 MURDHA TAILA(Dr Akshay Shetty) 53

54. SUMMARY 01/01/2024 MURDHA TAILA(Dr Akshay Shetty) 54

55. REFERENCES Astanga Hridaya Principles and Practice of Panchakarma ,Dr Pulak kanti Kar 01/01/2024 MURDHA TAILA(Dr Akshay Shetty) 55

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