A Critical review on the concept of Nasapana

Abstract

Nasapana is one of the unique, but lesser-practiced procedures in Ayurveda which involves the administration of a larger dose of medicine through the nasal route. Nasapana bears close similarity with Nasya with respect to procedure, indication and mode of action. Although Brihatrayees do not mention this procedure, later authors give importance to Nasapana in diseases like Apabahuka, Viswachi, Pakshaghta, and Ardita. An initial explanation of Nasapana can be found in Vatavyadhi Adhikara of Chakradatta where he mentions the use of Kashaya prepared out of Masha, Bala, Rasna etc to be taken nasally in conditions of Vishwachi and Apabahuka. As there is no clear explanation of the exact procedure of Nasapana, different practitioners use different methods, as a result there is a varied opinion on the procedure. The commonly practiced method is using a Neti pot where the medication is instilled into the nostril and the patient is advised to swallow the content. In the present study, an attempt is made to compile all the available literature and the clinical trials done on the topic for a better understanding of the procedure.