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DR V LAKSHMANA PRASAD
M.D.(AYURVEDA),
P.G. LECTURER,
DEPARTMENT OF PANCHA KARMA,
,SRI VENKATESWARA AYURVEDIC COLLEGE,
TIRUPATI.
Conceptual aspects ofvasti dr .laxman prasad
Conceptual aspects ofvasti dr .laxman prasad
INTRODUCTION
 ACCORDING TO VAAAGBHATA;
“Upakramaanaam sarveshaam soagrani”
-A.Hr.Su.19/1
 ACCORDING TO CHARAKA:
“Tasmat chikistsaardhamiti brivanti
sarvaam chikitsaam api vasti meke”
-Ca.Si.1/40
 ACCORDING TO SUSHRUTA
“Tatra snehaadeenaam karmanaam--------
------ aneka karma karatvaat vasteh”
-Su.Chi.35/1
NIRUKTI
 “Vasu nivaase”
 “Vas acchaadane”
 “ Vas vaasane surabhi karane”
 “Vas tich naabhi radho bhaage mootraadhaare sthaane”
 “Aushadha daanaarthe dravya bhede”
-’Vaachaspatya’ by Taranath Bhattacharya
DEFINITION
 ACCORDING TO ARUNA DATTA
“Vastinaa deeyate iti vastih”
-Aruna datta on A.Hr.Su.19/1
 ACCORDING TO SHARANGA DHARA
“Vastibhirdeeyate yasmaat tasmaat vasti riti smritah”
-Sha.U.5/1
WHEN VASTI HAS TO BE ADMINISTERED
 ACCORDING TO CHARAKA
“Tasyaati vriddhasya samaaya naanyat
vastim vinaa bheshaja masti kinchit”
-Cha.Si.1/40
 ACCORDING TO VAAGBHATA
“Vaatolvaneshu dosheshu vaate vaa vasti rishyate”
-A.Hr.Su.19/1
 AS A PART OF SEASONAL REGIMEN IN VARSHA RUTU
“ Vasti karma nisheveta kruta samshodhana kramah”
-A.Sam.Su.4
VASTI’S SUPREMACY OVER OTHER THERAPIES
 As it has its controlling effect over Vaata
“Shaakhaa gataah koshtha gataascha----” (Cha.Si.1/38-40)
 Because of its its unparalleled therapeutic efficacy
“Karmaanyat vasti samam na vidyate -------” (Cha.Si.10/5)
 By virtue of its action on multiple doshas.
“Vastirvaatecha pittecha---------------------” (SuChi.35/3)
 Because of its multi faceted or multi dimensional effect
“-------aneka karma karatvaatvasteh” (Su.Chi.35/1-2).
CLASSIFICATION OF VASTI
Adhishtana bheda
1. Pakvaashaya gata
2. Mootraashaya gata
3. Garbhaashaya gata
4. Vrana gata
CLASSIFICATION OF VASTI
 According to Vaagbhata based on practical utility
(A.Hr.SU.19/1-2)
1. Nirooha Vasti
2. Anuvaasana vasti
 Sneha vasti
 Anuvaasana vasti
 Maatraa vasti
3. Uttara vasti
CLASSIFICATION OF VASTI
According to pattern of Vastis (Cha.Su.1/48)
1. Karma vasti
2. Kaala vasti
3. Yoga vasti
CLASSIFICATION OF VASTI
According to temperature of Vasti dravya (Cha.Si.1/35)
“Uhnaabhibhooteshu----------------tathaa
sukhoshnaan”
1. Sheeta vasti
2. Sukhoshna vasti
CLASSIFICATION OF VASTI
According to Karmukata of Vasti dravya
(Cha.Si.1/36-37)
1. Brimhaneeya
2. Vishodhaneeya
CLASSIFICATION OF VASTI
According to the effect of Vasti on Doshas
(Su.Chi.35/2)
1. Dosha samshodhana
2. Dosha samshamana
3. Dosha samgraahini
CLASSIFICATION OF VASTI
According to the effect of Vasti on Doshas
(A.Hr.Su.19/61)
1. Doshotkleshana
2. Dosha shuddhikara
3. Dosha shamana
CLASSIFICATION OF VASTI
 According to the effectof Vasti on Doshas
(A.Hr.Su.19/56-58)
1. Vaata hara vasti
2. Pitta hara vasti
3. Kapha hara vasti
CLASSIFICATION OF VASTI
According to mild or aggressive nature of Vasti
(Cha.Si.6/63, Sha.U. 6/16-17)
1. Teekshna Vasti
2. Mrudu Vasti
CLASSIFICATION OF VASTI
Apart from these, there are other Vastis which have been
presumably depicted on the basis of Kaarmukata
Vaajikara Vastis (Su.Chi.38/84)
Brimhana Vasti (Su.Chi.38/83)
Lekhana Vasti (Su.Chi.38/82)
Chakshushya Vasti (Su.Chi.35/2)
CLASSIFICATION OF VASTI
Rasaayana Vasti (Su.Chi.35/2)
Varnya Vasti (Su.Chi.35/2)
Picchila Vasti (Su.Chi.38/85-86)
Deepana Vasti (Sha.U.6/32)
Graahi Vasti (Su.Chi.38/87)
CLASSIFICATION OF VASTI
 There are certain unique kind of Vastis prescribed in the
texts in specific clinical scenarios and which are having
edge when compared with conventional Vastis.
 Yaapana Vasti (Cha.Si.12)
 Maadhutailika Vasti (Su.Chi.38/115&117)
 Yuktaratha Vasti (Su.Chi.38/115)
 Siddha Vasti (Su.Chi.38/118)
CLASSIFICATION OF VASTI
Vaitharana Vasti (Chakra datta 72/32)
Kshaara Vasti (Chakra datta 72/29-31)
Ardha maatrika Vasti (Chakra datta 72/26)
CONTRA INDICATIONS OF AASTHAAPANA VASTI
Ati snigdha --------- LEADS TO
Ajeerna ------------ SHVAYATHU
(Cha.Chi.15/42)
Peeta sneha --------- UDARA & MOORCHA
(Cha.Si.4/46)
CONTRA INDICATIONS OF AASTHAAPANA VASTI
Doshotklesha ----------- LEADS TO
Mandaagni ------------- TEEVRA AROCHAKA
CONTRA INDICATIONS OF AASTHAAPANA VASTI
Yaana klaanta ------------
Ati durabala ------------- LEADS TO
Kshudaarta ------------- AASHU DEHA SOSHA
Trishnaarta -------------
Sramaarta --------------
CONTRA INDICATIONS OF AASTHAAPANA VASTI
 Krusha ------------ INCREASES KAARSHYA
 Peetodaka ------------ LEADS TO VAATA PRAKOPA
THAT MAY DRIVE VASTI
 Bhukta bhakta ------ DRAVYAS EITHER THROUGH
ORAL OR ANAL ROUTE
AND ENGENDERS GRAVESOME
AILMENTS INSTANTANEOUSLY
CONTRA INDICATIONS OF AASTHAAPANA VASTI
Vamita ------------- BURNS HIS DEHYDRATED
BODY AS IF IT IS
ULCERATED BY
Virikta -------------- APPLICATION OF
KSHAARA
CONTRA INDICATIONS OF AASTHAAPANA VASTI
Krita nasya karma ----- LEADS TO IMPAIRMENT
OF SENSES AND
OBSTRUCTION OF
CHANNELS OF
CIRCULATION
CONTRA INDICATIONS OF AASTHAAPANA VASTI
Kruddha ---------------- LEADS TO OORDHWATAA
Bheeta ----------------VASTI VYAAPAT
Matta ----------------- LEADS TO FURTHER
INCREASE IN PROBLEM
Moorchita ---------------- BECAUSE OF MENTAL
DAMAGE
CONTRA INDICATIONS OF AASTHAAPANA VASTI
Prasakta chardhi ------
Nishteeva --------------- LEADS TO VAATA
Kaasa -------------------- PRAKOKPA THAT DRAWS
Shvaasa ------------------- VASTI UPWARDS
Hikkaa -------------------
CONTRA INDICATIONS OF AASTHAAPANA VASTI
Baddhodara ------------- MAY LEAD TO FURTHER
Chhidrodara ------------INCREASE OF AADHMAANA
Dakodara ---------------AND ULTIMATELY TO THE
DEATH OF PATIENT
If the above three are
associated
with Aadhmaana
CONTRA INDICATIONS OF AASTHAAPANA VASTI
Alasaka --------------
Visoochika --------------- LEADS TO AAMA
RELATED
Aamaatisaara ------------ DISORDERS
Aama prajatha ------------
CONTRA INDICATIONS OF AASTHAAPANA VASTI
Madhumeha --------------- LEADS TO FURTHER
INCREASE OF THE
Kushtha -------------------- DISEASES
INDICATIONS OF AASTHAAPANA VASTI
DISORDERS ASSOCIATED WITH PARALYZING OF
BODY PARTS
Ekaanga roga
Sarvanga roga
INDICATIONS OF AASTHAAPANA VASTI
DISORDERS ASSOCIATED WITH SANGA
Vaata sanga
Varcho sanga
Mootra sanga
 Shukra sanga
INDICATIONS OF AASTHAAPANA VASTI
 DISORDERS ASSOCIATED WITH KSHAYA
Bala kshaya
Varna kshaya
Maamsa kshaya
Shukra kshaya
Rajah kshaya
Sthanya kshaya
INDICATIONS OF AASTHAAPANA VASTI
DISORDERS ASSOCIATED WITH INVOLUNTARY
MOVEMENTS
Kampa vaata
Aakshepaka vaata
INDICATIONS OF AASTHAAPANA VASTI
DISORDERS ASSOCIATED WITH SOOLA, SOSHA
OR STAMBHA
Sphik soola-sosha-stambha
Jaanu soola-sosha-stambha
Jangha soola-sosha-stambha
Ooru soola-sosha-stambha
Gulpha soola-sosha-stambha
Paarshni soola-sosha-stambha
Prapada soola-sosha-stambha
INDICATIONS OF AASTHAAPANA VASTI
DISORDERS ASSOCIATED WITH SOOLA, SOSHA
OR STAMBHA
Yoni soola-sosha-stambha
Baahu soola-sosha-stambha
Anguli soola-sosha-stambha
Nakha soola-sosha-stambha
Parva soola-sosha-stambha
Danta soola-sosha-stambha
Asthi soola-sosha-stambha
INDICATIONS OF AASTHAAPANA VASTI
DISORDERS ASSOCIATED WITH DEFAECATION
Shuddhatisaara
Parikartikaa
Alpaalpa utthaana
Sashabda utthaana
Ugra gandha utthaana
INDICATIONS OF AASTHAAPANA VASTI
ASHEETHI (80) VAATA VIKAARA DESCRIBED IN
MAHAA ROGAADHYAAYA OF CHARAKA SOOTRA
STHAANA (Cha.Su.20)
CONTRA INDICATIONS OF ANUVAASANA VASTI
Abhukta bhakta ------- ANUVAASANA VASTI
SPREADS UPWARDS
DUE TO ABSENCE OF
OBSTRUCTION IN THE
G I TRACT
CONTRA INDICATIONS OF ANUVAASANA VASTI
Nava jvara --------
Paandu roga -------LEADS TO DOSHOTKLESHA
Kaamala --------AND ULTIMATELY TO UDARA
Prameha -------
CONTRA INDICATIONS OF ANUVAASANA VASTI
Arshas ------------- LEADS TO ABHISHYANDA
AND ULTIMATELY TO UDARA
Arochaka --------------- FURTHER IMPAIRS THE
DESIRE TOWARDS FOOD
CONTRA INDICATIONS OF ANUVAASANA VASTI
Mandaagni ------------------ LEADS TO FURTHER
Durbala ------------------PLUMMETING OF AGNI
CONTRA INDICATIONS OF ANUVAASANA VASTI
 Pratishyaaya
 Pleeha&kaphodara
 Ooru stambha
 Varcho bheda
 Visha &gara peeta
 Pitta& Kaphabhishyanda --CAUSES EXCESS AGGRAVATION
 Guru koshtha OF ALREADY AGGRAVATED
 Shleepada DOSHAS
 Galaganda
 Apachi
 Krimi koshtha
INDICATIONS OF ANUVAASANA VASTI
AASTHAAPYAH
BHUKTA BHAKTA
VISESHATAASTU ROOKSHA TEEKSHNAAGNAYAH
KEVALA VAATA ROGAAARTAH
DISEASES WHERE AASTHAAPANA ALONE IS INDICATED
“Udareecha prameheecha------------
-----------------------naanuvaasyaah kathamchana”
---Su.Chi.35/22-23
 UDARA
 PRAMEHA
 KUSHTHA
 STHOOLA
DISEASES WHERE ANUVAASANA ALONE IS INDICATED
“Rookshanityaastu deeptaagni------------------------------
------------------------------------------------------dine dine”
-----Cha.Si.4/46
 Rooksha nitya -
 Deeptaagni
 Vyaayaamee
 Maarutaamayee
 Vankshana &sroni gata vaata
 Udaavarta
AASTAAPANA VASTI DRAVYA
 According to Sushruta
“Dattvaadau saindhavaasyksham------------
---------tadaavaapam ante dvi prasritonmitam”
---Su.Chi.38/37-39
Madhu ---------------------2 prasruta (160ml)
Saindhava lavana -------------aksha (10gm)
Sneha -------------------------- 3 prasruta (240ml)
Kalka -------------------------- 1 prasruta (80gm)
Kwaatha ----------------------- 4 prasruta (320ml)
Aavaapa dravya -------------- 2 prasruta (160ml)
AASTAAPANA VASTI DRAVYA
Ingredients Quantity in Palas
for Vaata
Quantity in Palas
for Pitta
Quantity in Palas
for Kapha
1.Madhu 3 4 6
2.Sneha 6 4 3
3.Kalka 2 2 2
4.Kwaatha 10 10 10
5.Aavaapa 3 4 3
According to Charaka (Cha.Si.3/30-31)
AASTAAPANA VASTI DRAVYA
 MADHU:
Yoga vaahi, Sookshma sroto gaami
Contains fructose, glucose, sucrose, maltose etc.
Consists of proteins , vitamins, minerals, enzymes, and
amino acids
Natural product with high nutritional and medicinal values
AASTAAPANA VASTI DRAVYA
 MADHU:
Because of rapid absorption of sugar it acts as an instant
energizer.
It speeds up healing of tissues.
Anti bacterial and acidic in nature with enzymatically
produced hydrogen peroxide.
Regular usage strengthens the W.B.C.
AASTAAPANA VASTI DRAVYA
 LAVANA:
 Madhura, Laghu, Tridosha hara, Anushna sheeta, and less Abhishyanda
 Contains 21 essential and 30 necessary minerals
 Regulates acid alkaline balance and removes excess acidity.
 Maintaining osmosis and activation of A.T.P. phase.
 Generates hydro electric energies and helps for nerve cells communication.
 Madhu and lavana --- glucose and electrolytes
AASTAAPANA VASTI DRAVYA
SNEHA:
Sarpi:
Taila:
Vasa:
Majja:
AASTAAPANA VASTI DRAVYA
SARPI:
Abundant in saturated fatty acids i.e. 8% which makes
it easily digestible.
Contains triglycerides, diglycerides, mono
glycerides, phospho lipids, along with beta carotene
and vitamin E which are known anti oxidants.
AASTAAPANA VASTI DRAVYA
TAILA :
Madhura rasa, Madhura vipaaka, Rasaayana, with
Sookshma and Vishada gunas and considered as best
in Snehana and Vaata hara properties.
Good source of vitamin E, Mg, Cu, Ca, Fe, Zn, and
Vitamin B6.
AASTAAPANA VASTI DRAVYA
KALKA
Gives potency to whole combination
Helps to disintegrate malas
Increase osmotic permeability of the solution
AASTAAPANA VASTI DRAVYA
KWAATHA:
Maintains volume of medicament
Helps in spreading and cleaning
AASTAAPANA VASTI DRAVYA
Madhu -------------------ambiphilic
Sneha -------------------- lipophilic
Kwaatha -------------------- hydrophilic
STANDARDIZATION PROCEDURE OF
AASTHAAPANA & ANUVAASANA VASTIS
POORVA KARMA
PRADHAANA KARMA
PASCHAAT KARMA
POORVAKARMA ASPECTS OFBOTH
AASTHAAPANA & ANUVAASANA
THERE ARE 10 FACTORS WHICH HAVE TO BE
SCRUPULOUSLY ANALYZED (Cha.Si.3/6)
1.Dosha 6.Agni
2.Aushadha 7.Satva
3.Desha 8.Oka
4.Kaala 9.Vaya
5.Saatmya 10.Bala
POORVAKARMA ASPECTS OFBOTH
AASTHAAPANA & ANUVAASANA
1.DOSHA
Dosha gati : Kshaya, Vriddhi, Samatva
Oordhwa, Adha, Tiryak
Koshtha, Shaakha, Marmaasthi sandhi
The statuses like aama-niraama, dosha tara-tama
bhedas
POORVAKARMA ASPECTS OFBOTH
AASTHAAPANA & ANUVAASANA
Dosha Aasthaapana Vasti Anuvaasana Vasti
1.Vaata 1 9-11
2.Pitta 2 5-7
3.Kapha 3 1-3
1.DOSHA
Cha.Si.3/69 Cha.Si.1/25
POORVAKARMA ASPECTS OFBOTH
AASTHAAPANA & ANUVAASANA
2.AUSHADHA
There are total 11 Dravya doshas (Su.Chi.35/32)
1.Aamataa (Cha.Si.4/48) 6.Ati teekshnataa
2.Heenataa 7.Ati mriduta
3.Ati maatrata 8.Ati snigdhataa
4.Ati sheetataa 9.Ati rookshataa
5.Atyushnata 10.Ati saandrataa
11.Ati dravataa
POORVAKARMA ASPECTS OFBOTH
AASTHAAPANA & ANUVAASANA
3.DESHA: BHOOMI DESHA & AATURA DESHA
 Bhoomi Desha
Trividha desha
POORVAKARMA ASPECTS OFBOTH
AASTHAAPANA & ANUVAASANA
3.DESHA:
Aatura Desha (preparation of the patient) for
Aasthaapana
 “Aasthaapyam snehitam svinnam shuddham labdha
balam punah”
--- A.Hr.Su.19/20
 “Atha anuvaasitam aasthaapayet”
---Su.Chi.38/1
POORVAKARMA ASPECTS OFBOTH
AASTHAAPANA & ANUVAASANA
3.DESHA:
Aatura Desha (preparation of the patient) for
Aasthaapana vasti
 “Rookshsya bahu vaatasya------------------------
------------------------tatah paschaat niroohayet”
---Su.Chi.37/44
Local sneha sveda –sroni, vankshana, kati, pakwashaya
POORVAKARMA ASPECTS OFBOTH
AASTHAAPANA & ANUVAASANA
3.DESHA:
Aatura Desha (preparation of the patient) for
Anuvaasana vasti.
Bhojana
“ Yathochitaat paada heenaam bhojayitvaanuvaasayet”
--Su.Chi.37/57
POORVAKARMA ASPECTS OFBOTH
AASTHAAPANA & ANUVAASANA
3.DESHA:
Aatura Desha (preparation of the patient) for
anuvaasana vasti.
Chankramana
“Bhojayitava yathaa shastram krita chankramanam tatah
visarjyam cha sakrit mootram yojayet snehavastinaa”
----Su.Chi.37/58-59
POORVAKARMA ASPECTS OFBOTH
AASTHAAPANA & ANUVAASANA
3.DESHA:
Aatura Desha (preparation of the patient) for
anuvaasana vasti.
Abhyangaadi krama
“Athanuvaaasym svabhyaktam ushnaambu sveditam sanaih”
----Su.Chi.37/58
POORVAKARMA ASPECTS OFBOTH
AASTHAAPANA & ANUVAASANA
4.Kaala :
Ritu bheda
Vyaadhyavasthaa bheda
POORVAKARMA ASPECTS OFBOTH
AASTHAAPANA & ANUVAASANA
4.Kaala :
Ritu for Aasthaapana
Ritu for Anuvaasana
“Sheete vasantecha divaanuvaasyau
raatrau sharat greeshma ghanaagameshu”
--Cha.Su.1/22
POORVAKARMA ASPECTS OFBOTH
AASTHAAPANA & ANUVAASANA
5.Saatmya:
Saatmya for Aasthaapana vasti
“Na tu bhuktavato deyam aasthaapana miti sthitih
visoochikaam vaa janayet chardhim vaapi sudaarunam
kopayet sarvadoshaanaam tasmaat dadyaat abhojane”
--Su.Chi.38/19-20
POORVAKARMA ASPECTS OFBOTH
AASTHAAPANA & ANUVAASANA
5.Saatmya:
Saatmya for Anuvaasana vasti
“Na cha abhuktavato deyam pranidheyah kathamchana
shuddhatvaat shoonya koshthasya sneha oordhvam
samutpatet”
--- Su.Chi.37/52-53
POORVAKARMA ASPECTS OFBOTH
AASTHAAPANA & ANUVAASANA
6.Agni :
Mandaagni is a contra indicated status both for
Aasthaapana as well as Anuvaasana Vastis.
POORVAKARMA ASPECTS OFBOTH
AASTHAAPANA & ANUVAASANA
7.Sattva :
Praavara
Madhyama
Avara
Accordingly Mridu-Teekshna Vastis could be suggested
POORVAKARMA ASPECTS OFBOTH
AASTHAAPANA & ANUVAASANA
8.Oka: Abhyaasa Saatmya
Accordingly the suitable amendments could be made
in both Aasthaapana as well as Anuvaasana Vastis.
POORVAKARMA ASPECTS OFBOTH
AASTHAAPANA & ANUVAASANA
9.Vayah :
The length of Vastinetra in both Aasthaapana &
Anuvaasana Vastis as well as
the quantum of Vasti dravya i.e. going to be used in
Aasthaapana vasti
are going to be varied according to Vayas
POORVAKARMA ASPECTS OFBOTH
AASTHAAPANA & ANUVAASANA
9.Vayah :
Vasti dravya at the age of 1 year ½ Prasruta
from 1-12 to be increased by ½
Prasruta by each passing year.
At the age of 12 years 6 Prasrutas,
There after by each passing year up to 18 years it has to
be increased by 1 Prasruta.
At the age of 18 years 12 Prasrutas
POORVAKARMA ASPECTS OFBOTH
AASTHAAPANA & ANUVAASANA
9.Vayah :
The length of the Vasti netra up to 6 years is 6
Angulas.
From 6-12 years it has to be increased by 1/3 Angula by
each passing year.
at the age of 12years it is 8 Angulas.
from 12-20years it has to be increased by ½ Angula by
each passing year.
at the age of 20 years it is 12 Angulas
POORVAKARMA ASPECTS OFBOTH
AASTHAAPANA & ANUVAASANA
10.Bala
Sahaja
Kaalaja
Yukti kruta
PRADHAANA KARMA ASPECTS OFBOTH
AASTHAAPANA & ANUVAASANA
VASTI PRANIDHAANA
VASTI PRATYAAGAMA KAALA AND OBSERVATION
SAMYAGYOGA-AYOGA-ATIYOGA
PRAANA KARMA ASPECTS OFBOTH
AASTHAAPANA & ANUVAASANADHA
VASTI PRANIDHAANA
Preparation of Vasti Dravya
Preparation of Vasti Yantra
Preparation of patient
PRADHAANA KARMA ASPECTS OFBOTH
AASTHAAPANA & ANUVAASANA
Preparation of Vasti dravya for Aasthaapana vasti
“Maakshikam lavanam sneham kalkam kwaathamiti
kramaat”
----A.Hr.Su.19/45
Preparation of Vasti dravya for Anuvaasana vasti
“Sa tu saindhava choornena sataahvenacha yojitah
deyam sukhosthnamch tatha nireti sahasaa sukham”
----Su.Chi.37/63
PRADHAANA KARMA ASPECTS OFBOTH
AASTHAAPANA & ANUVAASANA
Preparation of Vasti Yantra
Vasti Netra
Vasti Putaka
PRADHAANA KARMA ASPECTS OFBOTH
AASTHAAPANA & ANUVAASANA
Preparation of patient:
“Vaamaashraye hi grahanee gudau cha----------
------------------------------------------vasti daanam”
--Cha.Su.3/24
Advised to take deep inhalation
Neither excess pressure nor less pressure has to be
imposed on Vasti Putaka while administering Vasti.
PRADHAANA KARMA ASPECTS OFBOTH
AASTHAAPANA & ANUVAASANA
PRADHAANA KARMA ASPECTS OFBOTH
AASTHAAPANA & ANUVAASANA
There are 3 rectal valves. Superior , middle and
inferior. The middle one is important among them
which plays an important role in the defaecation
process.
In left lateral position this will be protected. If any
position other than this is adopted that injures this
valve and leads to faecal incontinence.
Preparation of patient:
PRADHAANA KARMA ASPECTS OFBOTH
AASTHAAPANA & ANUVAASANA
Preparation of patient:
PRADHAANA KARMA ASPECTS OFBOTH
AASTHAAPANA & ANUVAASANA
Preparation of patient:
Grahani and Guda are anatomically lying on the left
side of the body. So in the left lateral position there
will be better accessibility of medicament towards
Pakwaashaya.
The left lateral position is facilitated by gravity
because of anatomical slope where as in right lateral
position Vasti dravya has to move against the gravity.
PRADHAANA KARMA ASPECTS OFBOTH
AASTHAAPANA & ANUVAASANA
Preparation of patient:
For Aasthaapana vasti up to 3o Maatraas period and
for Anuvaasana vasti up to 100 Maatraas period patient
has to lie down as such.
“Saavaseshamcha kurveeta vaayuh seshe hi tishtati”
---A.Hr.Su.19/26
“Dattetutthaana dehasya paaninaa taadayet sphichau”
---A.Hr.Su.19/27
PRADHAANA KARMA ASPECTS OFBOTH
AASTHAAPANA & ANUVAASANA
VASTI PRATYAAGAMA AND OBSERVATION FOR
AASTHAAPANA VASTI
“Nirooha pratyaagama kaalastu muhoorto bhavati”
--Su.Chi.38/5
If it exceeds this period -------
PRADHAANA KARMA ASPECTS OFBOTH
AASTHAAPANA & ANUVAASANA
VASTI PRATYAAGAMA AND OBSERVATION FOR
AASTHAAPANA VASTI
Management measures to be taken:
Local Svedana
Phala varti
Shodhana-Virechana with Trivrit choorna
Traasana
Teekshna and Ushna Vasti with Gomootra, Amla
dravya, Yava Kshaara etc
PRADHAANA KARMA ASPECTS OFBOTH
AASTHAAPANA & ANUVAASANA
VASTI PRATYAAGAMA AND OBSERVATION FOR
ANUVAASANA VASTI:
“Nivritti kaalah paramo trayo yaamaah tatah paarm
ahoraatramupeksheta paratah phalavartibhih
teeknairvaa vastibhih kuryaat yatnam sneha nivrittaye”
---A.Hr.Su.19/30-31
PRADHAANA KARMA ASPECTS OFBOTH
AASTHAAPANA & ANUVAASANA
SAMYAGYOGA OF NIROOHA VASTI
“Naabhipradesham kati paarshva kukshim-----------
----------------------------------------------yassa vastih”
---Cha.Si.1/40
“Prasrushta vinmootra sameranatvam------------------
---------------------------------------su niroodha lingam”
---Cha.Si.1/41
PRADHAANA KARMA ASPECTS OFBOTH
AASTHAAPANA & ANUVAASANA
AYOGA OF NIROOHA VASTI:
“Syaat ruk shiro hridguda vasti linge-------------
---------------------------na samyak cha niroohite syuh”
----Cha.Su.1/42
ATIYOGA OF NIROOHA VASTI:
equal to Virechana Atiyoga Lakshanas
PRADHAANA KARMA ASPECTS OFBOTH
AASTHAAPANA & ANUVAASANA
SAMYAGYOGA OF ANUVAASANA VASTI:
“Sanilah sa pureeshascha snehah pratyeti yasyatu
osham chosham vina sheeghram sa samyaganuvaasitah”
---Su.Chi.37/67
PRADHAANA KARMA ASPECTS OFBOTH
AASTHAAPANA & ANUVAASANA
SAMYAGYOGA -HEENA YOGA -ATIYOGA OF
ANUVAASANA VASTI:
“Samyag heenaatiyogaascha tasya syuh sneha peetavat”
--A.Hr.Su.19/53
PASCHAAT KARMA ASPECTS OFBOTH
AASTHAAPANA & ANUVAASANA
IMMEDIATE MEASURES
PATHYAADI AND PARIHAARYA VISHAYA
VYAAPATS
PASCHAAT KARMA ASPECTS OFBOTH
AASTHAAPANA & ANUVAASANA
IMMEDIATE MEASURES TO BE FOLLOWED AFTER
AASTHAAPANA VASTI
“Swayameva nivrittetu dviteeye vasti rishyate
triteeyepi chaturdhepi yavsadvaa suniroodhata”
--A.Hr.Su.19/49
PASCHAAT KARMA ASPECTS OFBOTH
AASTHAAPANA & ANUVAASANA
PATHYAADI AND PARIHAARYA VISHAYA:
Pathyaadi meant for Aastaapana vasti:
“Su niroodham tato jantum snaatavantamtubhojayet
pitta sleshmaanilaavishtam ksheera yoosh rasaih kramaat
Sarvam vaa jaangala rasaih bhojayet avikaaritah”
--Su.Chi.38/11-12
PASCHAAT KARMA ASPECTS OFBOTH
AASTHAAPANA & ANUVAASANA
PARIHAARYA VISHAYA COMMON FOR BOTH
AASTHAAPANA AND ANUVAASANA:
 “Kaalaastu vastyaadishu yaati yaavaan----
--------------------------------------------
--------------------tyajet akaalaahita bhojanamcha”
---Cha.Si.1/55
PASCHAAT KARMA ASPECTS OFBOTH
AASTHAAPANA & ANUVAASANA
PATHYAADI AND PARIHAARYA VISHAYA:
Pathyaadi meant for Anuvaasana vasti
“Mukta sneham dravoshnama cha------------------
------------------------anuvaasyah tryahaat tryahaat”
----Cha.Si.4/42
“Dhaanya naagara siddham vaa toyam---------------
----------------------------ushnam vaa kevalam jalam”
----Cha.Si.4/43
PASCHAAT KARMA ASPECTS OFBOTH
AASTHAAPANA & ANUVAASANA
VYAAPATS MEANT FOR AASTHAAPANA VASTI
(Cha.Si.7/5-6). TOTAL 12 IN NUMBER.
1.Ayoga 8.Pravaahikaa
2.Atiyoga 9.Shirorti
3.Klama 10.Angaarti
4.Aadhmaana 11.Parikarta
5.Hikkaa 12.Parisravaa
6.Hrit praapti
7.Oordhwata
PASCHAAT KARMA ASPECTS OFBOTH
AASTHAAPANA & ANUVAASANA
VYAAPATS MEANT FOR ANUVAASANA VASTI
(Cha.Si.4/25). TOTAL 6 IN NUMBER.
1. Vaataavrita
2. Pittavrita
3. Kaphaavrita
4. Atyannaavrita
5. Pureeshaavrita
6. Abhukta praneeta
Conceptual aspects ofvasti dr .laxman prasad

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Conceptual aspects ofvasti dr .laxman prasad

  • 1. DR V LAKSHMANA PRASAD M.D.(AYURVEDA), P.G. LECTURER, DEPARTMENT OF PANCHA KARMA, ,SRI VENKATESWARA AYURVEDIC COLLEGE, TIRUPATI.
  • 4. INTRODUCTION  ACCORDING TO VAAAGBHATA; “Upakramaanaam sarveshaam soagrani” -A.Hr.Su.19/1  ACCORDING TO CHARAKA: “Tasmat chikistsaardhamiti brivanti sarvaam chikitsaam api vasti meke” -Ca.Si.1/40  ACCORDING TO SUSHRUTA “Tatra snehaadeenaam karmanaam-------- ------ aneka karma karatvaat vasteh” -Su.Chi.35/1
  • 5. NIRUKTI  “Vasu nivaase”  “Vas acchaadane”  “ Vas vaasane surabhi karane”  “Vas tich naabhi radho bhaage mootraadhaare sthaane”  “Aushadha daanaarthe dravya bhede” -’Vaachaspatya’ by Taranath Bhattacharya
  • 6. DEFINITION  ACCORDING TO ARUNA DATTA “Vastinaa deeyate iti vastih” -Aruna datta on A.Hr.Su.19/1  ACCORDING TO SHARANGA DHARA “Vastibhirdeeyate yasmaat tasmaat vasti riti smritah” -Sha.U.5/1
  • 7. WHEN VASTI HAS TO BE ADMINISTERED  ACCORDING TO CHARAKA “Tasyaati vriddhasya samaaya naanyat vastim vinaa bheshaja masti kinchit” -Cha.Si.1/40  ACCORDING TO VAAGBHATA “Vaatolvaneshu dosheshu vaate vaa vasti rishyate” -A.Hr.Su.19/1  AS A PART OF SEASONAL REGIMEN IN VARSHA RUTU “ Vasti karma nisheveta kruta samshodhana kramah” -A.Sam.Su.4
  • 8. VASTI’S SUPREMACY OVER OTHER THERAPIES  As it has its controlling effect over Vaata “Shaakhaa gataah koshtha gataascha----” (Cha.Si.1/38-40)  Because of its its unparalleled therapeutic efficacy “Karmaanyat vasti samam na vidyate -------” (Cha.Si.10/5)  By virtue of its action on multiple doshas. “Vastirvaatecha pittecha---------------------” (SuChi.35/3)  Because of its multi faceted or multi dimensional effect “-------aneka karma karatvaatvasteh” (Su.Chi.35/1-2).
  • 9. CLASSIFICATION OF VASTI Adhishtana bheda 1. Pakvaashaya gata 2. Mootraashaya gata 3. Garbhaashaya gata 4. Vrana gata
  • 10. CLASSIFICATION OF VASTI  According to Vaagbhata based on practical utility (A.Hr.SU.19/1-2) 1. Nirooha Vasti 2. Anuvaasana vasti  Sneha vasti  Anuvaasana vasti  Maatraa vasti 3. Uttara vasti
  • 11. CLASSIFICATION OF VASTI According to pattern of Vastis (Cha.Su.1/48) 1. Karma vasti 2. Kaala vasti 3. Yoga vasti
  • 12. CLASSIFICATION OF VASTI According to temperature of Vasti dravya (Cha.Si.1/35) “Uhnaabhibhooteshu----------------tathaa sukhoshnaan” 1. Sheeta vasti 2. Sukhoshna vasti
  • 13. CLASSIFICATION OF VASTI According to Karmukata of Vasti dravya (Cha.Si.1/36-37) 1. Brimhaneeya 2. Vishodhaneeya
  • 14. CLASSIFICATION OF VASTI According to the effect of Vasti on Doshas (Su.Chi.35/2) 1. Dosha samshodhana 2. Dosha samshamana 3. Dosha samgraahini
  • 15. CLASSIFICATION OF VASTI According to the effect of Vasti on Doshas (A.Hr.Su.19/61) 1. Doshotkleshana 2. Dosha shuddhikara 3. Dosha shamana
  • 16. CLASSIFICATION OF VASTI  According to the effectof Vasti on Doshas (A.Hr.Su.19/56-58) 1. Vaata hara vasti 2. Pitta hara vasti 3. Kapha hara vasti
  • 17. CLASSIFICATION OF VASTI According to mild or aggressive nature of Vasti (Cha.Si.6/63, Sha.U. 6/16-17) 1. Teekshna Vasti 2. Mrudu Vasti
  • 18. CLASSIFICATION OF VASTI Apart from these, there are other Vastis which have been presumably depicted on the basis of Kaarmukata Vaajikara Vastis (Su.Chi.38/84) Brimhana Vasti (Su.Chi.38/83) Lekhana Vasti (Su.Chi.38/82) Chakshushya Vasti (Su.Chi.35/2)
  • 19. CLASSIFICATION OF VASTI Rasaayana Vasti (Su.Chi.35/2) Varnya Vasti (Su.Chi.35/2) Picchila Vasti (Su.Chi.38/85-86) Deepana Vasti (Sha.U.6/32) Graahi Vasti (Su.Chi.38/87)
  • 20. CLASSIFICATION OF VASTI  There are certain unique kind of Vastis prescribed in the texts in specific clinical scenarios and which are having edge when compared with conventional Vastis.  Yaapana Vasti (Cha.Si.12)  Maadhutailika Vasti (Su.Chi.38/115&117)  Yuktaratha Vasti (Su.Chi.38/115)  Siddha Vasti (Su.Chi.38/118)
  • 21. CLASSIFICATION OF VASTI Vaitharana Vasti (Chakra datta 72/32) Kshaara Vasti (Chakra datta 72/29-31) Ardha maatrika Vasti (Chakra datta 72/26)
  • 22. CONTRA INDICATIONS OF AASTHAAPANA VASTI Ati snigdha --------- LEADS TO Ajeerna ------------ SHVAYATHU (Cha.Chi.15/42) Peeta sneha --------- UDARA & MOORCHA (Cha.Si.4/46)
  • 23. CONTRA INDICATIONS OF AASTHAAPANA VASTI Doshotklesha ----------- LEADS TO Mandaagni ------------- TEEVRA AROCHAKA
  • 24. CONTRA INDICATIONS OF AASTHAAPANA VASTI Yaana klaanta ------------ Ati durabala ------------- LEADS TO Kshudaarta ------------- AASHU DEHA SOSHA Trishnaarta ------------- Sramaarta --------------
  • 25. CONTRA INDICATIONS OF AASTHAAPANA VASTI  Krusha ------------ INCREASES KAARSHYA  Peetodaka ------------ LEADS TO VAATA PRAKOPA THAT MAY DRIVE VASTI  Bhukta bhakta ------ DRAVYAS EITHER THROUGH ORAL OR ANAL ROUTE AND ENGENDERS GRAVESOME AILMENTS INSTANTANEOUSLY
  • 26. CONTRA INDICATIONS OF AASTHAAPANA VASTI Vamita ------------- BURNS HIS DEHYDRATED BODY AS IF IT IS ULCERATED BY Virikta -------------- APPLICATION OF KSHAARA
  • 27. CONTRA INDICATIONS OF AASTHAAPANA VASTI Krita nasya karma ----- LEADS TO IMPAIRMENT OF SENSES AND OBSTRUCTION OF CHANNELS OF CIRCULATION
  • 28. CONTRA INDICATIONS OF AASTHAAPANA VASTI Kruddha ---------------- LEADS TO OORDHWATAA Bheeta ----------------VASTI VYAAPAT Matta ----------------- LEADS TO FURTHER INCREASE IN PROBLEM Moorchita ---------------- BECAUSE OF MENTAL DAMAGE
  • 29. CONTRA INDICATIONS OF AASTHAAPANA VASTI Prasakta chardhi ------ Nishteeva --------------- LEADS TO VAATA Kaasa -------------------- PRAKOKPA THAT DRAWS Shvaasa ------------------- VASTI UPWARDS Hikkaa -------------------
  • 30. CONTRA INDICATIONS OF AASTHAAPANA VASTI Baddhodara ------------- MAY LEAD TO FURTHER Chhidrodara ------------INCREASE OF AADHMAANA Dakodara ---------------AND ULTIMATELY TO THE DEATH OF PATIENT If the above three are associated with Aadhmaana
  • 31. CONTRA INDICATIONS OF AASTHAAPANA VASTI Alasaka -------------- Visoochika --------------- LEADS TO AAMA RELATED Aamaatisaara ------------ DISORDERS Aama prajatha ------------
  • 32. CONTRA INDICATIONS OF AASTHAAPANA VASTI Madhumeha --------------- LEADS TO FURTHER INCREASE OF THE Kushtha -------------------- DISEASES
  • 33. INDICATIONS OF AASTHAAPANA VASTI DISORDERS ASSOCIATED WITH PARALYZING OF BODY PARTS Ekaanga roga Sarvanga roga
  • 34. INDICATIONS OF AASTHAAPANA VASTI DISORDERS ASSOCIATED WITH SANGA Vaata sanga Varcho sanga Mootra sanga  Shukra sanga
  • 35. INDICATIONS OF AASTHAAPANA VASTI  DISORDERS ASSOCIATED WITH KSHAYA Bala kshaya Varna kshaya Maamsa kshaya Shukra kshaya Rajah kshaya Sthanya kshaya
  • 36. INDICATIONS OF AASTHAAPANA VASTI DISORDERS ASSOCIATED WITH INVOLUNTARY MOVEMENTS Kampa vaata Aakshepaka vaata
  • 37. INDICATIONS OF AASTHAAPANA VASTI DISORDERS ASSOCIATED WITH SOOLA, SOSHA OR STAMBHA Sphik soola-sosha-stambha Jaanu soola-sosha-stambha Jangha soola-sosha-stambha Ooru soola-sosha-stambha Gulpha soola-sosha-stambha Paarshni soola-sosha-stambha Prapada soola-sosha-stambha
  • 38. INDICATIONS OF AASTHAAPANA VASTI DISORDERS ASSOCIATED WITH SOOLA, SOSHA OR STAMBHA Yoni soola-sosha-stambha Baahu soola-sosha-stambha Anguli soola-sosha-stambha Nakha soola-sosha-stambha Parva soola-sosha-stambha Danta soola-sosha-stambha Asthi soola-sosha-stambha
  • 39. INDICATIONS OF AASTHAAPANA VASTI DISORDERS ASSOCIATED WITH DEFAECATION Shuddhatisaara Parikartikaa Alpaalpa utthaana Sashabda utthaana Ugra gandha utthaana
  • 40. INDICATIONS OF AASTHAAPANA VASTI ASHEETHI (80) VAATA VIKAARA DESCRIBED IN MAHAA ROGAADHYAAYA OF CHARAKA SOOTRA STHAANA (Cha.Su.20)
  • 41. CONTRA INDICATIONS OF ANUVAASANA VASTI Abhukta bhakta ------- ANUVAASANA VASTI SPREADS UPWARDS DUE TO ABSENCE OF OBSTRUCTION IN THE G I TRACT
  • 42. CONTRA INDICATIONS OF ANUVAASANA VASTI Nava jvara -------- Paandu roga -------LEADS TO DOSHOTKLESHA Kaamala --------AND ULTIMATELY TO UDARA Prameha -------
  • 43. CONTRA INDICATIONS OF ANUVAASANA VASTI Arshas ------------- LEADS TO ABHISHYANDA AND ULTIMATELY TO UDARA Arochaka --------------- FURTHER IMPAIRS THE DESIRE TOWARDS FOOD
  • 44. CONTRA INDICATIONS OF ANUVAASANA VASTI Mandaagni ------------------ LEADS TO FURTHER Durbala ------------------PLUMMETING OF AGNI
  • 45. CONTRA INDICATIONS OF ANUVAASANA VASTI  Pratishyaaya  Pleeha&kaphodara  Ooru stambha  Varcho bheda  Visha &gara peeta  Pitta& Kaphabhishyanda --CAUSES EXCESS AGGRAVATION  Guru koshtha OF ALREADY AGGRAVATED  Shleepada DOSHAS  Galaganda  Apachi  Krimi koshtha
  • 46. INDICATIONS OF ANUVAASANA VASTI AASTHAAPYAH BHUKTA BHAKTA VISESHATAASTU ROOKSHA TEEKSHNAAGNAYAH KEVALA VAATA ROGAAARTAH
  • 47. DISEASES WHERE AASTHAAPANA ALONE IS INDICATED “Udareecha prameheecha------------ -----------------------naanuvaasyaah kathamchana” ---Su.Chi.35/22-23  UDARA  PRAMEHA  KUSHTHA  STHOOLA
  • 48. DISEASES WHERE ANUVAASANA ALONE IS INDICATED “Rookshanityaastu deeptaagni------------------------------ ------------------------------------------------------dine dine” -----Cha.Si.4/46  Rooksha nitya -  Deeptaagni  Vyaayaamee  Maarutaamayee  Vankshana &sroni gata vaata  Udaavarta
  • 49. AASTAAPANA VASTI DRAVYA  According to Sushruta “Dattvaadau saindhavaasyksham------------ ---------tadaavaapam ante dvi prasritonmitam” ---Su.Chi.38/37-39 Madhu ---------------------2 prasruta (160ml) Saindhava lavana -------------aksha (10gm) Sneha -------------------------- 3 prasruta (240ml) Kalka -------------------------- 1 prasruta (80gm) Kwaatha ----------------------- 4 prasruta (320ml) Aavaapa dravya -------------- 2 prasruta (160ml)
  • 50. AASTAAPANA VASTI DRAVYA Ingredients Quantity in Palas for Vaata Quantity in Palas for Pitta Quantity in Palas for Kapha 1.Madhu 3 4 6 2.Sneha 6 4 3 3.Kalka 2 2 2 4.Kwaatha 10 10 10 5.Aavaapa 3 4 3 According to Charaka (Cha.Si.3/30-31)
  • 51. AASTAAPANA VASTI DRAVYA  MADHU: Yoga vaahi, Sookshma sroto gaami Contains fructose, glucose, sucrose, maltose etc. Consists of proteins , vitamins, minerals, enzymes, and amino acids Natural product with high nutritional and medicinal values
  • 52. AASTAAPANA VASTI DRAVYA  MADHU: Because of rapid absorption of sugar it acts as an instant energizer. It speeds up healing of tissues. Anti bacterial and acidic in nature with enzymatically produced hydrogen peroxide. Regular usage strengthens the W.B.C.
  • 53. AASTAAPANA VASTI DRAVYA  LAVANA:  Madhura, Laghu, Tridosha hara, Anushna sheeta, and less Abhishyanda  Contains 21 essential and 30 necessary minerals  Regulates acid alkaline balance and removes excess acidity.  Maintaining osmosis and activation of A.T.P. phase.  Generates hydro electric energies and helps for nerve cells communication.  Madhu and lavana --- glucose and electrolytes
  • 55. AASTAAPANA VASTI DRAVYA SARPI: Abundant in saturated fatty acids i.e. 8% which makes it easily digestible. Contains triglycerides, diglycerides, mono glycerides, phospho lipids, along with beta carotene and vitamin E which are known anti oxidants.
  • 56. AASTAAPANA VASTI DRAVYA TAILA : Madhura rasa, Madhura vipaaka, Rasaayana, with Sookshma and Vishada gunas and considered as best in Snehana and Vaata hara properties. Good source of vitamin E, Mg, Cu, Ca, Fe, Zn, and Vitamin B6.
  • 57. AASTAAPANA VASTI DRAVYA KALKA Gives potency to whole combination Helps to disintegrate malas Increase osmotic permeability of the solution
  • 58. AASTAAPANA VASTI DRAVYA KWAATHA: Maintains volume of medicament Helps in spreading and cleaning
  • 59. AASTAAPANA VASTI DRAVYA Madhu -------------------ambiphilic Sneha -------------------- lipophilic Kwaatha -------------------- hydrophilic
  • 60. STANDARDIZATION PROCEDURE OF AASTHAAPANA & ANUVAASANA VASTIS POORVA KARMA PRADHAANA KARMA PASCHAAT KARMA
  • 61. POORVAKARMA ASPECTS OFBOTH AASTHAAPANA & ANUVAASANA THERE ARE 10 FACTORS WHICH HAVE TO BE SCRUPULOUSLY ANALYZED (Cha.Si.3/6) 1.Dosha 6.Agni 2.Aushadha 7.Satva 3.Desha 8.Oka 4.Kaala 9.Vaya 5.Saatmya 10.Bala
  • 62. POORVAKARMA ASPECTS OFBOTH AASTHAAPANA & ANUVAASANA 1.DOSHA Dosha gati : Kshaya, Vriddhi, Samatva Oordhwa, Adha, Tiryak Koshtha, Shaakha, Marmaasthi sandhi The statuses like aama-niraama, dosha tara-tama bhedas
  • 63. POORVAKARMA ASPECTS OFBOTH AASTHAAPANA & ANUVAASANA Dosha Aasthaapana Vasti Anuvaasana Vasti 1.Vaata 1 9-11 2.Pitta 2 5-7 3.Kapha 3 1-3 1.DOSHA Cha.Si.3/69 Cha.Si.1/25
  • 64. POORVAKARMA ASPECTS OFBOTH AASTHAAPANA & ANUVAASANA 2.AUSHADHA There are total 11 Dravya doshas (Su.Chi.35/32) 1.Aamataa (Cha.Si.4/48) 6.Ati teekshnataa 2.Heenataa 7.Ati mriduta 3.Ati maatrata 8.Ati snigdhataa 4.Ati sheetataa 9.Ati rookshataa 5.Atyushnata 10.Ati saandrataa 11.Ati dravataa
  • 65. POORVAKARMA ASPECTS OFBOTH AASTHAAPANA & ANUVAASANA 3.DESHA: BHOOMI DESHA & AATURA DESHA  Bhoomi Desha Trividha desha
  • 66. POORVAKARMA ASPECTS OFBOTH AASTHAAPANA & ANUVAASANA 3.DESHA: Aatura Desha (preparation of the patient) for Aasthaapana  “Aasthaapyam snehitam svinnam shuddham labdha balam punah” --- A.Hr.Su.19/20  “Atha anuvaasitam aasthaapayet” ---Su.Chi.38/1
  • 67. POORVAKARMA ASPECTS OFBOTH AASTHAAPANA & ANUVAASANA 3.DESHA: Aatura Desha (preparation of the patient) for Aasthaapana vasti  “Rookshsya bahu vaatasya------------------------ ------------------------tatah paschaat niroohayet” ---Su.Chi.37/44 Local sneha sveda –sroni, vankshana, kati, pakwashaya
  • 68. POORVAKARMA ASPECTS OFBOTH AASTHAAPANA & ANUVAASANA 3.DESHA: Aatura Desha (preparation of the patient) for Anuvaasana vasti. Bhojana “ Yathochitaat paada heenaam bhojayitvaanuvaasayet” --Su.Chi.37/57
  • 69. POORVAKARMA ASPECTS OFBOTH AASTHAAPANA & ANUVAASANA 3.DESHA: Aatura Desha (preparation of the patient) for anuvaasana vasti. Chankramana “Bhojayitava yathaa shastram krita chankramanam tatah visarjyam cha sakrit mootram yojayet snehavastinaa” ----Su.Chi.37/58-59
  • 70. POORVAKARMA ASPECTS OFBOTH AASTHAAPANA & ANUVAASANA 3.DESHA: Aatura Desha (preparation of the patient) for anuvaasana vasti. Abhyangaadi krama “Athanuvaaasym svabhyaktam ushnaambu sveditam sanaih” ----Su.Chi.37/58
  • 71. POORVAKARMA ASPECTS OFBOTH AASTHAAPANA & ANUVAASANA 4.Kaala : Ritu bheda Vyaadhyavasthaa bheda
  • 72. POORVAKARMA ASPECTS OFBOTH AASTHAAPANA & ANUVAASANA 4.Kaala : Ritu for Aasthaapana Ritu for Anuvaasana “Sheete vasantecha divaanuvaasyau raatrau sharat greeshma ghanaagameshu” --Cha.Su.1/22
  • 73. POORVAKARMA ASPECTS OFBOTH AASTHAAPANA & ANUVAASANA 5.Saatmya: Saatmya for Aasthaapana vasti “Na tu bhuktavato deyam aasthaapana miti sthitih visoochikaam vaa janayet chardhim vaapi sudaarunam kopayet sarvadoshaanaam tasmaat dadyaat abhojane” --Su.Chi.38/19-20
  • 74. POORVAKARMA ASPECTS OFBOTH AASTHAAPANA & ANUVAASANA 5.Saatmya: Saatmya for Anuvaasana vasti “Na cha abhuktavato deyam pranidheyah kathamchana shuddhatvaat shoonya koshthasya sneha oordhvam samutpatet” --- Su.Chi.37/52-53
  • 75. POORVAKARMA ASPECTS OFBOTH AASTHAAPANA & ANUVAASANA 6.Agni : Mandaagni is a contra indicated status both for Aasthaapana as well as Anuvaasana Vastis.
  • 76. POORVAKARMA ASPECTS OFBOTH AASTHAAPANA & ANUVAASANA 7.Sattva : Praavara Madhyama Avara Accordingly Mridu-Teekshna Vastis could be suggested
  • 77. POORVAKARMA ASPECTS OFBOTH AASTHAAPANA & ANUVAASANA 8.Oka: Abhyaasa Saatmya Accordingly the suitable amendments could be made in both Aasthaapana as well as Anuvaasana Vastis.
  • 78. POORVAKARMA ASPECTS OFBOTH AASTHAAPANA & ANUVAASANA 9.Vayah : The length of Vastinetra in both Aasthaapana & Anuvaasana Vastis as well as the quantum of Vasti dravya i.e. going to be used in Aasthaapana vasti are going to be varied according to Vayas
  • 79. POORVAKARMA ASPECTS OFBOTH AASTHAAPANA & ANUVAASANA 9.Vayah : Vasti dravya at the age of 1 year ½ Prasruta from 1-12 to be increased by ½ Prasruta by each passing year. At the age of 12 years 6 Prasrutas, There after by each passing year up to 18 years it has to be increased by 1 Prasruta. At the age of 18 years 12 Prasrutas
  • 80. POORVAKARMA ASPECTS OFBOTH AASTHAAPANA & ANUVAASANA 9.Vayah : The length of the Vasti netra up to 6 years is 6 Angulas. From 6-12 years it has to be increased by 1/3 Angula by each passing year. at the age of 12years it is 8 Angulas. from 12-20years it has to be increased by ½ Angula by each passing year. at the age of 20 years it is 12 Angulas
  • 81. POORVAKARMA ASPECTS OFBOTH AASTHAAPANA & ANUVAASANA 10.Bala Sahaja Kaalaja Yukti kruta
  • 82. PRADHAANA KARMA ASPECTS OFBOTH AASTHAAPANA & ANUVAASANA VASTI PRANIDHAANA VASTI PRATYAAGAMA KAALA AND OBSERVATION SAMYAGYOGA-AYOGA-ATIYOGA
  • 83. PRAANA KARMA ASPECTS OFBOTH AASTHAAPANA & ANUVAASANADHA VASTI PRANIDHAANA Preparation of Vasti Dravya Preparation of Vasti Yantra Preparation of patient
  • 84. PRADHAANA KARMA ASPECTS OFBOTH AASTHAAPANA & ANUVAASANA Preparation of Vasti dravya for Aasthaapana vasti “Maakshikam lavanam sneham kalkam kwaathamiti kramaat” ----A.Hr.Su.19/45 Preparation of Vasti dravya for Anuvaasana vasti “Sa tu saindhava choornena sataahvenacha yojitah deyam sukhosthnamch tatha nireti sahasaa sukham” ----Su.Chi.37/63
  • 85. PRADHAANA KARMA ASPECTS OFBOTH AASTHAAPANA & ANUVAASANA Preparation of Vasti Yantra Vasti Netra Vasti Putaka
  • 86. PRADHAANA KARMA ASPECTS OFBOTH AASTHAAPANA & ANUVAASANA Preparation of patient: “Vaamaashraye hi grahanee gudau cha---------- ------------------------------------------vasti daanam” --Cha.Su.3/24 Advised to take deep inhalation Neither excess pressure nor less pressure has to be imposed on Vasti Putaka while administering Vasti.
  • 87. PRADHAANA KARMA ASPECTS OFBOTH AASTHAAPANA & ANUVAASANA
  • 88. PRADHAANA KARMA ASPECTS OFBOTH AASTHAAPANA & ANUVAASANA There are 3 rectal valves. Superior , middle and inferior. The middle one is important among them which plays an important role in the defaecation process. In left lateral position this will be protected. If any position other than this is adopted that injures this valve and leads to faecal incontinence. Preparation of patient:
  • 89. PRADHAANA KARMA ASPECTS OFBOTH AASTHAAPANA & ANUVAASANA Preparation of patient:
  • 90. PRADHAANA KARMA ASPECTS OFBOTH AASTHAAPANA & ANUVAASANA Preparation of patient: Grahani and Guda are anatomically lying on the left side of the body. So in the left lateral position there will be better accessibility of medicament towards Pakwaashaya. The left lateral position is facilitated by gravity because of anatomical slope where as in right lateral position Vasti dravya has to move against the gravity.
  • 91. PRADHAANA KARMA ASPECTS OFBOTH AASTHAAPANA & ANUVAASANA Preparation of patient: For Aasthaapana vasti up to 3o Maatraas period and for Anuvaasana vasti up to 100 Maatraas period patient has to lie down as such. “Saavaseshamcha kurveeta vaayuh seshe hi tishtati” ---A.Hr.Su.19/26 “Dattetutthaana dehasya paaninaa taadayet sphichau” ---A.Hr.Su.19/27
  • 92. PRADHAANA KARMA ASPECTS OFBOTH AASTHAAPANA & ANUVAASANA VASTI PRATYAAGAMA AND OBSERVATION FOR AASTHAAPANA VASTI “Nirooha pratyaagama kaalastu muhoorto bhavati” --Su.Chi.38/5 If it exceeds this period -------
  • 93. PRADHAANA KARMA ASPECTS OFBOTH AASTHAAPANA & ANUVAASANA VASTI PRATYAAGAMA AND OBSERVATION FOR AASTHAAPANA VASTI Management measures to be taken: Local Svedana Phala varti Shodhana-Virechana with Trivrit choorna Traasana Teekshna and Ushna Vasti with Gomootra, Amla dravya, Yava Kshaara etc
  • 94. PRADHAANA KARMA ASPECTS OFBOTH AASTHAAPANA & ANUVAASANA VASTI PRATYAAGAMA AND OBSERVATION FOR ANUVAASANA VASTI: “Nivritti kaalah paramo trayo yaamaah tatah paarm ahoraatramupeksheta paratah phalavartibhih teeknairvaa vastibhih kuryaat yatnam sneha nivrittaye” ---A.Hr.Su.19/30-31
  • 95. PRADHAANA KARMA ASPECTS OFBOTH AASTHAAPANA & ANUVAASANA SAMYAGYOGA OF NIROOHA VASTI “Naabhipradesham kati paarshva kukshim----------- ----------------------------------------------yassa vastih” ---Cha.Si.1/40 “Prasrushta vinmootra sameranatvam------------------ ---------------------------------------su niroodha lingam” ---Cha.Si.1/41
  • 96. PRADHAANA KARMA ASPECTS OFBOTH AASTHAAPANA & ANUVAASANA AYOGA OF NIROOHA VASTI: “Syaat ruk shiro hridguda vasti linge------------- ---------------------------na samyak cha niroohite syuh” ----Cha.Su.1/42 ATIYOGA OF NIROOHA VASTI: equal to Virechana Atiyoga Lakshanas
  • 97. PRADHAANA KARMA ASPECTS OFBOTH AASTHAAPANA & ANUVAASANA SAMYAGYOGA OF ANUVAASANA VASTI: “Sanilah sa pureeshascha snehah pratyeti yasyatu osham chosham vina sheeghram sa samyaganuvaasitah” ---Su.Chi.37/67
  • 98. PRADHAANA KARMA ASPECTS OFBOTH AASTHAAPANA & ANUVAASANA SAMYAGYOGA -HEENA YOGA -ATIYOGA OF ANUVAASANA VASTI: “Samyag heenaatiyogaascha tasya syuh sneha peetavat” --A.Hr.Su.19/53
  • 99. PASCHAAT KARMA ASPECTS OFBOTH AASTHAAPANA & ANUVAASANA IMMEDIATE MEASURES PATHYAADI AND PARIHAARYA VISHAYA VYAAPATS
  • 100. PASCHAAT KARMA ASPECTS OFBOTH AASTHAAPANA & ANUVAASANA IMMEDIATE MEASURES TO BE FOLLOWED AFTER AASTHAAPANA VASTI “Swayameva nivrittetu dviteeye vasti rishyate triteeyepi chaturdhepi yavsadvaa suniroodhata” --A.Hr.Su.19/49
  • 101. PASCHAAT KARMA ASPECTS OFBOTH AASTHAAPANA & ANUVAASANA PATHYAADI AND PARIHAARYA VISHAYA: Pathyaadi meant for Aastaapana vasti: “Su niroodham tato jantum snaatavantamtubhojayet pitta sleshmaanilaavishtam ksheera yoosh rasaih kramaat Sarvam vaa jaangala rasaih bhojayet avikaaritah” --Su.Chi.38/11-12
  • 102. PASCHAAT KARMA ASPECTS OFBOTH AASTHAAPANA & ANUVAASANA PARIHAARYA VISHAYA COMMON FOR BOTH AASTHAAPANA AND ANUVAASANA:  “Kaalaastu vastyaadishu yaati yaavaan---- -------------------------------------------- --------------------tyajet akaalaahita bhojanamcha” ---Cha.Si.1/55
  • 103. PASCHAAT KARMA ASPECTS OFBOTH AASTHAAPANA & ANUVAASANA PATHYAADI AND PARIHAARYA VISHAYA: Pathyaadi meant for Anuvaasana vasti “Mukta sneham dravoshnama cha------------------ ------------------------anuvaasyah tryahaat tryahaat” ----Cha.Si.4/42 “Dhaanya naagara siddham vaa toyam--------------- ----------------------------ushnam vaa kevalam jalam” ----Cha.Si.4/43
  • 104. PASCHAAT KARMA ASPECTS OFBOTH AASTHAAPANA & ANUVAASANA VYAAPATS MEANT FOR AASTHAAPANA VASTI (Cha.Si.7/5-6). TOTAL 12 IN NUMBER. 1.Ayoga 8.Pravaahikaa 2.Atiyoga 9.Shirorti 3.Klama 10.Angaarti 4.Aadhmaana 11.Parikarta 5.Hikkaa 12.Parisravaa 6.Hrit praapti 7.Oordhwata
  • 105. PASCHAAT KARMA ASPECTS OFBOTH AASTHAAPANA & ANUVAASANA VYAAPATS MEANT FOR ANUVAASANA VASTI (Cha.Si.4/25). TOTAL 6 IN NUMBER. 1. Vaataavrita 2. Pittavrita 3. Kaphaavrita 4. Atyannaavrita 5. Pureeshaavrita 6. Abhukta praneeta