Management of Nasya Vyapat with Nasya: A Clinical Experience

Nasya is an important clinical procedure described in Ayurvedic texts for the purification and nourishment of the structures of head and neck with systemic pharmacological effects. Depending on its intended purpose, it is classified into Sodhana, Samana, and Brmhana. Sodhana Nasya can be highly effective when performed appropriately, however, complications may arise due to procedural errors, improper dosage, or administration under unsuitable conditions. The case report details a 51-year-old male diagnosed with Kaphaja Unmada who developed acute symptoms following Nasya with Anu taila. No adverse effects were observed during the first two days of the treatment. However, on the third day, immediately after a forceful inhalation during instillation, the patient experienced right sided nasal burning, burning sensation in the temporal and frontal regions, ear blockage, and intense vertex pain, with a Visual Analogue Scale (VAS) score of 9/10. The sudden onset of symptoms suggested overpenetration of the oil and possible irritation of the trigeminal nerve. Initial interventions such as Nadi Sveda, Dhumapana, and supine rest position failed to provide relief. However, significant improvement was achieved through Brmhana Nasya using Kalyanaka Ghrita and local application of Kshirabala taila over vertex, reducing the VAS score to 3/10. This case underscores the vital importance of strictly adhering to established protocols in Nasya therapy. In this instance, the patient’s vigorous inhalation, which deviated from the standard procedure, contributed to the onset of complications. Prompt diagnosis, supported by timely and appropriate intervention, played a decisive role in effectively managing and reversing the adverse effects from Nasya.