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This is a panchakarma treatment in which oils or medicines and instilled into each nostrils alternately keeping the other one closed. Patient is asked to inhale well  so as to spread the medicine. Palm, Foot, face and shoulders are then massaged well and the patient is asked to spit. Prior to the nasal medication local application of oil followed by fomentation is done at the neck, face and shoulder. It is indicated in disease of ear, nose, throat, head and eyes. Also useful in facial paralysis, Sinusitis, migraine, mental disorders etc.

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