Introduction
Dhumapana using medicated elements is the procedure in which fumes are taken through nose or through mouth and expelled out through mouth.[1] In Ayurvedic classics Dhumapana is also mentioned under the broad umbrella of Nasya Karma (medicines instilled through nose) which is an important Panchakarma procedure.[2] In classical texts of Ayurveda, Acharya Charaka[3] and Vagbhata[4] have mentioned Dhumapana in the context of Dinacharya, whereas Acharya Susrutha has described Dhumapana as a parasurgical procedures.[5] It is not only performed as an individual procedure, but also as Paschat Karma of various procedures. Dhumapana is specially indicated for disorders of Vata and Kapha pertaining to Urdhwajatru (diseases pertaining to parts of the body above the neck).
It cures Gaurava (heaviness of head), Shirashula (headache), Pinasa (Rhinitis), Ardhavabhedaka (Migraine), Karnashula (Earache), Akshishula (Pain in eye), Kasa (Cough), Hikka (hiccup), Shwasa (Dyspnoea), Galagraha (Obstruction in throat), Dantadaurbalya (weakness of teeth), Astrava (Discharge from the morbid ear, nose and eye), Putigandha (purulent smell from nose and mouth), Dantashula (toothache), Arochaka (Anorexia), Hanu Manya Graha (Lock jaw), Kandu (itching), Krimi (worm infections), Panduta Mukhe (paleness of face), Slesma Praseka (increased salivation), Vaisvarya (impaired voice), Galashundi (disease of throat), Upajihvika (diseases of tongue), Khalitya (Alopecia), Pinjaratva (greying of hair), Kesha Patana (hair fall), Kshvathu (sneezing).
Atitandra (excessive drowsiness), Buddi Moha (loss of consciousness), and Atinidrata (excess sleep). The hair roots of the skull become strong, improves Swara and enhances the perceptions of Indriya.[6] To administer Dhumapana effectively, Dhumavarti and Dhumanetra are the essential components.
Dhumavarti
For Prayogika Dhumapana, Drugs like Harenuka (Pisumsativum), Priyangu (Callicarpa macrophylla), Chandana (Santalam album), Usheera (Vetiveria zizanoides), Jatamansi (Nardostachys jatamansi), bark of Nyagrodha (Ficus bengalensis), Musta (Cyperus rotundus), Shallaki (Boswellia serrata) etc. are pounded.[7]
For Snahika Dhumapana, drugs of sweet taste along with Vasa (fat), Ghrita (ghee), Madhuyashti (beeswax), and Jeevaniya (rejuvenating) drugs are used. For Vairechanika Dhumapana, Shveta (Clitoria ternatea), Jyotishmati (Celastrus paniculatus), Haratala (Orpiment), Agaru (Aquilaria agalocha), Patra (Cinnamomum tamala) are used.[8] To prepare Dhumavarti these powdered drugs are made into Kalka (paste). This Kalka is applied to a hollow reed of Sara plant and then made into a cigar of the shape of Yava (barley grain) having central thickness of thumb and length of Eight Angula (approximately 16 cm). After the paste dries, reed of Sara plant is removed, smear the wick with Ghee.
Dhumanetra
According to Acharya Charaka, the Dhuma passed through the Dhumanetra become Tanu (soft) and not harmful for Indriyas.[9] So, the Dhumanetra is essential for Dhumapana. According to Vagbhatta[10], Dhumanetra is straight with 3 chambers with a base allowing free movement of the thumb and tip with the size of Kolasthi (seed of jujube). The length of Dhumanetra differs according to the function it plays.
Acharya Susruta, mentions about the thickness of Dhumanetra to be of little finger at its front portion, having an orifice allowing a Kalaya (Round pea) to pass through, with the thickness of the thumb at its base in Prayogika Dhumapana. In the case of Snehana, Virechana, Kasagna, Vamaniya Dhumanetra, permits the passage of Kolasthi through it.
Dhumanetra for Vrana Dhupana is of thickness as that of round pea and with orifice in front allowing a Kulatha (horse gram) to pass through.[11] Considering all the measurements and its pertinence in action, Dhumanetra attached to a Dhuma Chalika and altogether it is made into Dhumayantra. Length of Dhumanetra is mentioned in Table 1.
According to classics, materials used are the same as that of Vastinetra as mentioned in Table 2. They are metals like Gold, silver, copper, iron, brass, also wood, bone, bamboo, tusk, horn.[12] Even though there are different materials for making Dhumanetra, many a times folded chart paper, written paper, Dhumavarti as such is used for Dhumapana.