Internal administration of the fat substances is referred by the name abhyantarasneha. The word abhyantara refers to the internal route, and the snehana refers to administration of the fat substances. Different methods of the abhyantarasneha are listed below:
- Snehapana :- Oral administration of medicated or plain snehana.
- Snaihikadhuma :- Inhalation of the smoke through the Nostrils for the snehana effect.
- Anuvasanabasti :- Medicated sneha is administered in the form of an enema.
Among these different methods of administering the fat substances, snehapana is carried out through the oral route. The snaihikadhuma is administered through the nasal route. Snehana is carried out by rectal route in anuvasana basti.
Pathogenesis of the diseases, physical and mental make up of the clients, climatic characters are the different variable factors. Accordingly, in some, snehana is indicated as the remedy of the illness, or as a preliminary procedure of shodhana karma.
Following is the list of Clinical condition where snehapana is indicated:
- Svedya:- Snehana therapy is beneficial in clients who are supposed to undergo svedana therapy.
- Shodhayitavya :- As preliminary procedure snehana should be carried out in clients who will be subjected to shodhana therapy.
- Ruksha :- Dryness or lack of greasiness in the body can be rectified by the snehana therapy.
- Vatavikarinah :-Snehapana is the prime treatment in patients having morbidity of vatadosha.
- Vyayamanitya :- Individuals having the habit of doing regular physical exercise will be benefited by the Snehana therapy.
- Madyanitya :- Snehana is one among the different remedies in alcohol addicts.
- Strinitya:- To maintain the vitality and vigorsnehana is carried out in persons indulging in regular sex.
- Cintaka :- Clients suffering from mental stress are benefited by the snehana therapy.
- Vriddha :- Dryness of the body is related to advanced age and can be rectified by the snehana in the Aged persons.
- Bala :-Snehana is nutritive in developing children.
- Abala :- For the nutritive effect snehana is carried out in debilitated persons.
- Krisha :- Persons who are lean and thin can be Improved by snehana therapy.
- Kshinasra :- Individuals suffering from depletion of blood are benefitted by the snehapana treatment.
- Kshinaretasah :- In persons with depleted shukra (semen), to enhance the same snehapana is done.
- Syanda :- Snehapana is a remedy in patients of Conjunctivitis.
- Timira :- Progressive cataract may be effectively treated with snehana therapy.
- Daruna :- Individuals who can not be awakened easily.
- Pratibodhinah :- From sleep are treated by snehana therapy.
Prescription of sneha should be done according to the prakriti in healthy and according to the disease in a diseased. In healthy persons usually, cow’s ghee is preferred for the snehapana therapy. Depending upon the effect desired either plain ghee or medicated ghee may be given in hale and healthy. Selection of the medicated ghee, oil or other fat substance is disease specific in patients.
REGIMEN DURING THE COURSE OF SNEHAPANA
To achieve the desired effect from the snehana therapy, for the proper digestion of the large amount of the sneha administered, to prevent any untoward symptoms during the course of snehana the client should observe the following regimen through out the duration of the snehana therapy.
- Ushnodakopachara :- Client should take only of warm water even for bath and wash he should use only warm water.
- Bramhacharya :- He should abstain from the sex.
- Na vegadharana :- Withholding naturally manifesting urges like defecation, urination, passing of the flatus, eructation etc should be avoided altogether.
- Vyayama :- Physical exercise is not advisable during the course of snehapana.
- Uchchairvachana :- Speaking in loud voice should be prevented.
- Krodha-shokau :- One should stay away from emotional disturbances like anger or grief during the course of therapy.Hima-
- Hima-tapau :- Exposure to extreme cold or heat is not ideal.
- Pravatamvarjayet :- Either while taking rest or sleeping, he should keep himself away from exposing To breeze. Even the fan may be switched off.
- Yanadhva :- Traveling should be avoided during the Course of the treatment.
- Prajagara :- Keeping awake at night is not ideal.
- Svapna :- Client should take proper sleep at night.
- Nicha-atyuchcha :- Sitting in an unusually high or low seat should be avoided.
- Dhuma :- Exposure to any smoke should be avoide.
- Rajamsi :- Exposure to dust should be prevented.
- Abhisyandiannam :- During the course of the snehana one should not take foods that induce excessive salivations.
- Rukshannam :- Intake of dry food is not recommended during the course of snehana therapy.
Symptoms of proper effect of Snehapana:
- Vatanulomana:- Proper passing of the flatus.
- Diptagni:- increase in appetite.
- Snigdhavarchas :- Passing of oily stools.
- Asamhatavarchas :- Passing of unformed stools
- Angamardava :- Soft feeling of the body parts.
- Snigdhanga :- Oilyness of the body parts.
- Susnigdhatvak :- Greasiness of the skin
- Glani :- Lack of interest to take food along with Other discomforts like sweetness in the Mouth, giddiness, drowsiness, and chest Pain.
- Klama :- Experiencing tiredness even without Doing any physical work.
- Anga-laghava :- Subjective feeling of lightness of body Parts.
- Adhastadsneha :- passing of fat in stools darshanam.
- Snehodvegah :- Smell and taste of sneha in eructation.
- Anga-sadana :- Feeling of tiredness in different body part
- Sneha-dvesha :- Aversion to fat substances.
Symptoms of the Improper effect of Snehapana:
- Grathitapurisha :- Passing of hard stools.
- Rukshapurish :- Passing of dry stools.
- Apragunavaya :- Incomplete evacuation of flatus.
- Mandagni :- Impaired appetite.
- Krichchhradannam :- Delay in digestion of food consumed Vipacyate
- Urovidaha:- Burning sensation in the substernal Region.
- Gatrakharatva :-Rougness of skin.
- Gatraroukshya :- Dryness of the skin.
- Dourbalya :- General debility.
Symptoms of excessive effect of Snehapana
- Shariragourava:- Subjective feeling of heaviness of the body.
- Jadyata:- Sluggishness in the functioning of the Sense organs.
- Apakvapurish :- Undigested foods in stools.
- Tandra :- Drowsiness.
- Aruchi :- Lack of taste in the mouth.
- Utklesha :- Nausea.
- Bhaktadvesha :- Aversion to take food.
- Mukhasrava :- Excessive salivation.
- Ghranasrava :- Discharge from the nose.
- Gudasrava :- Secretions in the in anus.
- Gudadaha :- Burning sensation in the anal region.
- Pravahika :- Dysentery.
- Purishati-pravritti :- Excessive passing of stools
Panchakarma following Snehapana:
When the snehapana is done as a preparation for any shodhana procedure, naturally snehapana is followed by shodhana procedure like vamana or virechana. In case of vamana karma, following the snehapana client is subjected to abhyanga and svedana for onw day and the vamana is carried out the very next day. When the snehana is completed by three days, abhyanga and svedana is carried out on the 4th day and is followed by vamana karma on 5th day. Abhyanga and svedana is performed on the 6th day and vamana on 8th day when it takes five days for the snehana procedure. If the snehana is completed in seven days, abhyanga and svedana is carried out on the 8th day and vamana on the 9th day. The course is little different from vamana karma in the procedure of virechana karma. Following snehana, abhyangandsvedana is carried out for 3 days and is followed by virechana in the immediate next day. Avarasneha is achieved in three days, this is followed by snehana and svedana for three days up to 6th day, virechana is administered on the 8th day. In madhyamasneha, desired effect is achieved in 5 days, this is followed by abhyanga and svedana for three days up to 8th day of the course and the client is subjected to virechana on the 9th day. Pravarasneha takes 7 days for completion; this is followed by abhyanga and svedana for 3 days up to 10th day. Virechana is done on 11th day.