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CONCEPT OF BASTI

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Basti it is an one of the best treatment in any vata disorders,which it expels the the vitiated doshas out of the body through intestinal tract.

CONCEPT OF BASTI

  1. 1. CONCEPT OF BASTI (ENEMA THERAPY) DR. RAOSAHEB.A.DESHMUK ASSO.PROF; DEPT OF SAMHITA-SIDDHANTA BLDEA’s AVS AYURVEDA MAHAVIDYALAYA,HOSPITAL & RESEARCH CENTRE, VIJAYAPUR
  2. 2.  Etymology of Basti; Vasti means resides(retians) for a certain period,inside the body(bladder) or outside the body(siro basti,kati ,greeva basti).  Vasthy means residence,or else.  Basti means the procedure done by means of vasti i.e;bladder.
  3. 3.  Basti chikitsa is one amongest the ayurvedic panchakarma therapies which is used to expel the vitiated dosha’s out of the body through intestinal route.  It is considered to be the best among the other panchakarma therapies because of it’s ability to pacify vata dosha which is the igniting factor for any disease process.
  4. 4.  Various toxins entering our body by food,air etc; get accumulated in our gastro-intestinal tract.As time passes these toxins tend to increase and get spread in all channels of our body causing various diseases.  These accumulated toxins in the form of dosha’s,if expelled out at right time can prevent the disease.
  5. 5.  Basti Treatment वातोल्बणेषु दोषेषु वाते वा वस्ततरिष्यते उपक्रमाणाां सवेषाां सो अग्रणीस्तिववधततु सः निरूहो अन्वासिां बस्ततरुत्तिः Basti Is Described For Diseases With, Imbalanced Doshas Having Predominance Of Vata Or for Diseases With Vata Imbalance Alone, It Is The Best Among All Treatments.
  6. 6. Janu basti Medicated oil poured over back for relieving pain Medicated oil poured over knee for relieving pain
  7. 7. Hridaya basti Medicated oil poured over neck region Oils over chest region to relieve chest pain in heart disorders
  8. 8. BASTI Type- 1 SNEHA BASTI KASAYA BASTI ANUVASANA BASTI ASTHAPANA,NIRUHA BASTI
  9. 9. TYPE-2 BASTI APATHYA MARGA MUTRA MARGA FEMALES ONLY MALES & FEMALES(Both)
  10. 10. SNEHA BASTI ANUVASANA BASTI(300 ml) MATRA BASTI(75ml) KASAYA BASTI UTHAMA PRASRTHA SIDDHA MATHRIKA YOGIKA BASTI
  11. 11.  It is of three kinds- viz- 1. Niruha also known as Asthapana Basti (kashya basti) Decoction enema decoction mixed with salt, honey, ghee etc is administered.  2. Anuvasana also known as snehabasti ghee, oil, fat etc are administered.  Herbal oils such as Narayana Taila,  Herbal ghritas are more commonly used for this purpose.
  12. 12.  3. Uttarabasti administered through urethral route. Notes- Basti means urinary bladder. In ancient times urinary bladder of animals like buffalo etc were used as a bag to hold the enema material like decoctions, oil etc.
  13. 13.  a Karnika- ear-like ridge of this same size of the orifice should be constructed at the time of preparing the nozzle, another second ;Karnika- ridge should be made at a distance of two Angula- towards its tip,  The orifice at the tip should be kept closed- with a plug of cloth.
  14. 14.  Enema nozzle should be made from metals like gold, silver, wood, bone or bamboo;-  Gopuchhakara – resembling the tail of the cow in shape,  Achidra – without holes (except at the ends),  smooth,  straight ,and-  with Gulikamukha – tip shaped like a pill.
  15. 15.  For children less than 1 year of age, nozzle should be 5 angula(7.5 cm)- fingers breadth of Patients own finger in length;  1 – 7years of age, it should be 6 angula(9 cm);  7 year it should be 7 Angula(10.5 cm), 
  16. 16.  12 years - 8 Angula(12 cm) 16 years - 9 Angula(13.5 cm) 20 years and onwards - it should be 12 Angulas(18 cm) only. These measurements may be slightly increased for those of other age groups based on age, strength and body build.
  17. 17.  Anuvasana Matra- quantity for oil enema:- यथायथां निरूहतय पादो मािा अिुवासिे The quantity for oil enema should be one fourth of the quantity of that of decoction enema, as prescribed for each age group.
  18. 18. Basti netraGuda marga Vastya (Bladder)
  19. 19.  The person suitable for decoction enema; should be administered SNEHANA(oleation) and SWEDANA (sweating) therapy followed by purification therapy- emesis or purgation.  After he regains strength, determining that he is fit for oil enema, he should be given an oil enema first. The following procedure is adopted. During cold season (Hemanta and Shishira Rutus) and Vasanta (spring) it should be given during day in other seasons during night.  He should be given oil massage and bath,  then accustomed food, less by one fourth of the usual quantity; satiable, light- easily digestible neither with more of fats nor very dry,  followed by an after-drink of appropriate liquid.
  20. 20. Basti netra Position of a patient while basti karma Sneha basti through Guda marga
  21. 21.  Next he should walk (loitre)for some time,  eliminate feces and urine and  lie on a comfortable (sayana)cot, neither too high nor too low,  Lie on his left side,  folding his right thigh, and extending the left thigh.
  22. 22.  Next, the enema nozzle which is Lubricated,  after the air inside the bag is expelled out,  confirming that it is well fastened to the nozzle,  it should be pressed without shaking the hands, in the direction of the vertebral column,  neither too fast nor too slow,  neither with great force nor with low pressure  but in one attempt,  a little quantity of liquid material be allowed to remain in the bag.
  23. 23.  After the administration and removing the nozzle the person should be placed with his face upwards,  his buttocks beaten gently by the hands of the physician,  then by patients own heels;  the foot of the cot should be lifted up thrice; Next he must lie extending the entire body,  with a pillow under his heels,  oil should be smeared all over the body  and all the parts of it beaten with fist or massaged,  concentrating on the painful areas of the body,
  24. 24. After sneha basti ;expelled sneha out Before the sneha basti karma position of sneha Sneha expelled out through Basti marga
  25. 25.  so that the fat enema liquid inside the rectum does not come out soon.  If it comes out soon, another oil enema should be administered immediately because fat which does not remain inside does not serve the purpose.  If the person has good digestive activity, and if the fat comes out after the stipulated time he can be given light food in the evening.
  26. 26.  The maximum time for the fat to come out is three Yama- (1Yama=3 hours) nine hours;  after that, it can be awaited for one day and night;  later on, after Ahoratra (a day & night)24 hours after administration, attempt should be made to remove it by force, with the help of rectal suppositories made from fruits or strong decoction enema.
  27. 27.  If it does not come out due to severe dryness inside and  Does not produce any troubles like jadya(lassitude) etc. It should be neglected and allowed to remain inside for the night;  Next morning he is made to drink warm water either processed with ginger or plain.  Again he should be given fat enema on the third or fifth day, or till the fat gets well digested;
  28. 28.  Patients suitable for Anuvasana Basti ; Anuvasana Arha – Anuvasya आतथाप्या एव च अिुवातया ववशेषादनतवह्नन्यः रूक्ाः के वलवातातातः Person suitable for asthapana are suitable for oil enema (anuvasana). Especially those who have strong digestion power,  Who are dry not undergone snehana therapy and  Those suffering from diseases of vata.
  29. 29.  Persons unsuitable for oil enema are all those unsuitable for decoction enema, those suffering from Pandu – anemia,  Kamala – Jaundice,  Meha – diabetes, urinary tract disorders  Peenasa – rhinitis  Niranna -on empty stomach-  Pleeha - Disease of the spleen, Splenomegaly  Vid bhedi – diarrohea  Guru koshta – hard bowels- constipated,
  30. 30.  Kaphodara – Kapha type of Ascites  Abhishyandi -a type of eye disorder  Bhrusha Sthula – profound obesity,  Krimi Koshta – Intestinal worms;  Adhyamaruta – gout(rheumatoid diseases)  Gara visa - Who have consumed poison,  Galaganda - goiter.
  31. 31.  Niruha Basti Vidhi- Procedure of decoction enema:- पञ्चमे अथ तृतीये वा ददवसे साधके शुभे मध्याह्निे ककस्ञ्चदावृत्ते प्रयुक्ते बललमङ्गले अभ्यक्ततवेददतोत्सृष्टमलां िानतबुभुक्षक्तम् अवेक्ष्य पुरुषां दोषभेषजादीनि चादिात् बस्ततां प्रकल्पयेद्वैद्यततद्ववद्यैबतहुलभः सह On the fifth or third day- after fat enema,  At an auspicious time,  Some time after madhyahna(midday) ;  After performing auspicious rites,  After abhyanga(oleation )and swedana(sweating) ;  After elimination of wastes- urine, faeces  After not taking a heavy meal & after a light meal .,
  32. 32.  After carefully considering the nature of the person patient, the dosas, drugs etc,  The physician, accompanied by many experts of the enema therapy, should administer decoction enema to the patient.  The patient should not be very hungry while enema is given.
  33. 33. तेि साधयेत् गुल्मािाहखुडप्लीहशुद्धातीसािशूललिः जीणतज्विप्रनतश्यायशुक्रानिलमलग्रहाि् वध्मातश्मिीिजोिाशाि् दारुणाांश्चानिलामयाि् Patients suffering from; Gulma – tumors of the abdomen  Anaha – bloating, fullness  Khuda – gout(rheumatiod diseases)  Pleeha roga-disease of the spleen, splenomegaly  Shuddha atisara – diarrhoea unassociated with other diseases  Shula - pain in abdomen  Jeernajwara - chronic fever  Pratishyaya - rhinitis
  34. 34.  Shukra, anila, mala graha – obstruction of semen, flatus and constipation,  Vardhma – enlargement of the scrotum,  Ashmari -urinary calculi,  Rajonasha – amenorrhoea and  Vatadi diseases caused due to vata origin.
  35. 35. निरूहमािा प्रथमे प्रकु ञ्चो वत्सिे पिम् प्रकु ञ्चवृद््धः प्रत्यब्धां यावत्षट्प्प्रस्रुतातततः प्रसृतां वद्तधयेदूध्वं द्वादशाष्टादशतय तु आसप्ततेरिदां मािां, दशैव प्रसृताः पिम ् for a child upto 1 year age, the decoction enema quantity is 1 prakuncha = 1 pala = 48gm. For each succeeding year it should be increased by 1 pala till it becomes six prasruta- 12 pala =576g;  So for a 12 year old, the quantity is 12 pala. Further on it should be in increased by one prasruta (2 palas= 96 gm).  Each year till it becomes twelve prasta- 24 palas=1152gm.
  36. 36.  At the 18 years, it is 24 pala.  18 – 70 years – 24 pala.  After 70 years, 10 prasruta = 20 pala = 960 grams / ml ANUVASANA MATRA- QUANTITY FOR OIL ENEMA:-  यथायथां निरूहतय पादो मािा अिुवासिे ;  The quantity for oil enema should be one fourth (1/4)of the quantity of that of decoction enema, as prescribed for each age group.
  37. 37.  Karma Basti – treatment with 30 enemas प्राक्तिेह एकः पञ्चान्ते द्वादशातथापिानि च सान्वासिानि कमैवां बततयस्तिांशदीरिताः A course of 30 enemas  with one fat enema at the beginning  and five at the end, with twelve decoction enema and  twelve fat enema alternately in the middle is called as Karma basti. Here, each day, one enema is usually given.  Some expert doctors may give two enemas per day.  But one enema per day is the common standard
  38. 38.  F = Fat enema = Anuvasana = Snehabasti D = Decoction enema = Niruha = Asthapanabasti 1 Day=A ,2day = A ,3day = K ,4day = A ,5day = K 6 day= A, 7 day= K, 8 day= A ,9 day= K, 10 day= A 11 day= K ,12 day= A, 13day = K ,14day = A ,15day = K 16 day = A, 17 day= K ,18 day= A,19 day= K,20 day= A 21 day= K ,22day = A, 23 day= K ,24 day = A, 25 day = K 26 day= A, 27day = A ,28 day= A ,29day = A, 30day = A.
  39. 39.  Kala Basti – 15 enema regimen कालः पञ्चदशैको अि प्राक् तिेहो अन्ते ियततथा षट्प् पञ्चबतत्यन्तरिताः A course of 15 enemas, with one fat enema at the beginning and  three at the end,  with six decoction enemas  and five fat enema alternately in the middle- is known as Kala Basti. 
  40. 40.  1Day=A ,2day = A,3day = K ,4day = A,5day = K  6 day= A, 7 day= K, 8 day = A, 9 day= K ,10 day= A  11 day= K ,12 day= A , 13 day = A, 14 day= A, 15 day = A.  NOTE: A= Anuvasana basti  K= Kashaya basti
  41. 41.  Yogabasti – 8 day enema regimen - योगो अष्टौ बततयो अि तु ियो निरूहाः तिेहाश्च तिेहावाद्यन्तयोरुभौ A course of eight enemas, with one fat enema both at the beginning and at the end, with three decoction enema and three fat enema alternately in the middle is known as- yoga basti.  1Day=A, 2 day= K, 3 day = A, 4day = K 5 day= A,6 day= K ,7 day= A , 8 day = A 
  42. 42.  Matra Basti – Low dose fat enema – ह्रतवया तिेहपाितय मािया योस्जतः समः मािाबस्ततः तमृतः तिेहः Fat enema consisting of fat quantity equivalent to the minimum quantity of fat used for Snehakarma is known as Matra Basti.  In practice, a very low dose of medicated oil or ghee – 50 – 75 ml is administered as Matra Basti.
  43. 43.  Matra Basti – Low dose fat enema –  शीलिीयः सदा च सा बालवृद्धाध्वभाितिीव्यायामासक्त्चन्तकै ः वातभग्िाबलाल्पास्ग्ििृपेश्विसुखात्मलभः दोषघ्िो निष्पिीहािो बल्यः स्रुष्टमलः सुखः It should be used always for Bala – children,  Vriddha – the aged,  Adhva : -who are habituated to long walking,  Bhara : - carrying heavy loads  Stri : -sexual activity  Vyayama: - Physical exercise
  44. 44.  Chinta – who think too much,  who are suffering from- diseases of vata,  Vatabhanga :- fractures,  Alpabala:- debility,  Alpaagni:- poor digestive activity,  Nrpa:- for kings, (who lead luxurious life)  wealthy persons ;  and persons who live happily;(who lead luxurious life)
  45. 45.  Next the patient who has been given bath and food in accordance with the regimen prescribed for fat enema,  Should be asked to sit erect on a soft seat or stool  Of the height of one’s knees,  His penis should be held straight- by the physician  A thin probe should be slowly inserted into the urethra to clear the channel; After thus clearing the passage, the enema nozzle should be inserted along the line of the suture, to the entire length of the urethal passage- till the cavity of the urinary bladder is reached, without shaking ,  The enema bag pressed just as described for rectal enema, pushing fat- oil, ghee etc. Into the urinary bladder; this is the ideal method- for a urethral enema.
  46. 46.  For women, - Vaginal/ Uterine enema- douche should be administered during the Menstrual period only for,-  it is only then that it- uterus is without its closure material; -  in other words it is open and so can retain the enema material  it can be given even apart from the menstrual period, in emergency.  In diseases such as prolapsed and pain of the uterus or Vagina, in other diseases of uterus and vagina and in menorrhagia. 
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Basti it is an one of the best treatment in any vata disorders,which it expels the the vitiated doshas out of the body through intestinal tract.

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