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BASTI IN AYURVEDA

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BASTI IN AYURVEDA

BASTI IN AYURVEDA

  1. 1. BASTHI GUIDE- DR. MURALIDHARA MD (AYU) HOD AND PROFESSOR DEPT. OF PG STUDIES IN KAYACHIKITSA, SKAMCH&RC, VIJAYANAGAR, BANGALORE. Amritha Edayilliam Nair PG Scholar Department of PG studies in Kayachikitsa SKAMC & HRC
  2. 2. • CONTENTS • Nirukti • Classification of basthi • Basthi dravyas • Niruha • Anuvasana • Probable mode of action • Different basthi yogas in different conditions.
  3. 3. Nirukti • Vasu nivase- to reside • Vas- aachaadane- to wrap/cover. • Bastehe avrunothi mootram-that which covers the mootra • Vasti nabhir adho bhage sthaane • In the context of panchakarma its used in different sense Bastina deeyathe ithi basthi-A.H Su.19/11
  4. 4. Classification of basthi 1) Adhishtana bhedam • Pakwasayagata basthi • Mootrashayagata basthi • Garbhashayagata basthi • Vrana basthi(su.chi.35/11) 2) Dravya bhedam • Anuvasana basthi/sneha basthi • Niruha basthi/Asthapana
  5. 5. • Sankhya bhedam(ch.si.1) • Karma basthi(30) Total 18 anuvasana -Starting with 2 anuvasana ending with 5 anuvasana + 12 niruha. • Kalabasthi(15) Total 9 anuvasana- starting with 1 anuvasana ending with 3 anuvasana+ 6 niruha. • Yogabasthi(8) • Total 5 anuvasana-starting with 1 anuvasana and ending with 2 anuvasana+3 niruha.
  6. 6. • Matra bhedam • Dwadhasha prasrutha basthi (su.chi.38) Prasutha= 2pala(96ml/100ml) In total 1200ml • Prasrutha yogika basthi(cha.si.8) 4,5,6,7,8,9,10 prasutha basthi • Padaheena basthi(su.chi38) 3 prasrutha deduct from total qty- navaprasrutha-900ml. Eg.madhuthalika basthi.
  7. 7. • Anuvasana vasthi classified based on matra Sneha basthi- 1/4th qty of niruha-6 pala(288ml) Anuvasana-1/2 of snehabasthi- 3pala(144ml) Matra basthi-hruseeyasi matra of sneha 1 ½ pala- (72ml) should get jeerna in 2 yaama-6 hours.
  8. 8. • Karmukata bhedam(s.sa.su.28) Uthkleshanam, samshodhanam, Samshamanam Lekhanam bruhmanam, vajeekaranam, Sangraahi Chakshushya Pichabasthi Maadhuthailikam- also called yapana, yuktaradha, doshahara, snigdabasthi.
  9. 9. • Basthishu tu theshu theshu avasthanthareshu Yaanyupayunjyanthe dravyaani thaanyeva asankhyeyathwan upadishanthe| Rasaskandhebhyo eva yadhadosham yadhaavastham cha vibhajeth||A.s.su|| Basthi dravyas
  10. 10. Oudbida dravyas Phalini dravya Vacha Kushta Dhamargava Vatsaka phala Hingu Ikshuvagu Shathapushpa Devadali Jimuthaka madhuka Musta,usheera,chandana, shati Kruthavedana 0thers Manjishta,traayamaana,yava, Madana Triphala , eranda Shadvirechaneeya ganas Trapusha Ela , guduchi Anuvasanopaka ganas Hasthiparni Trikatu Madhuradi skandadi dravyas Kutaja Rasna Dashamoola Asthapanopaka gana Sarala Dhanyamla Trivrut Devadaru Bilwa Rajani Pippali Madhuka
  11. 11. Jangama dravyas Parthiva Ksheera Lavana Ghrutha Vasa Majja Dhadhi Mastu Takra Mootra Mamsa rasa Madhu
  12. 12. • Literal meaning- that which cannot be assessed. Definition Tad vayasthapana doshasthapanadwaa asthapanamithyuchyade|| shareeraarohanadosha nirharanaath achinthya prabhavataya yasminnuuha asambhava nirooha ithi||( As.sa.su.28) Niruha/ Asthapana
  13. 13. • Guna(cha.si.1),(Su.chi.35) • Vayasthapana(srothoshudhikaratwath) • Sukha,ayu,bala,agni,medha,swara,varna, • Vit sleshma pithanila mootrakarshi • Dardyavahaha, shukrabalapradashcha, sarvan vikaran shamayeth. • Ksheenashukram vajeekarothi
  14. 14. • Krusham bruhmayathi • Sthoolam karshayathi • Chakshu preenayathi • Valeepalithamapahanti • Shareeropachayam,varnam, balamarogyamayushaha. Basthir vaathe cha pithe cha kaphe cha rakthe cha shasyathe Samsarge sannipathe cha basthireva hitha sada|| su.chi.35||
  15. 15. Aasthaapya Charaka.si.2 Susrutha .chi.35 Vagbhatta.su.28 Sarvanga roga + + Ekanga roga + + Kukshi roga + Vatha sanga + + + Varcho sanga + + + Mootrasanga + + + Shukra sanga + + Balakshaya + Varna kshaya + Mamsa kshaya + Rethakshaya + + Aadmana + + + Angasupthi + + Krimikoshta + + Asthaapya
  16. 16. Udaavartha + + + Shudhaathisaara + + + Parvabheda + + Abhitaapa + + Pliha dosha + + Gulma + + + Shoola + + + Hridroga + + Bhagandara + Unmaada + + + Jeerna Jwara + + + Bradna + + + Vepana + + Akshepa + + Asthaapya
  17. 17. Shirashoola + + + Karnashoola + + Hrudayagraha + + Parshwagraha + + Prushtagraha + + Katigraha + + Gourava + + Athi laghava + + Raja kshaya + + + Vishamagni + + Janu- shoola,sthambha,shosha + + Jangha -shoola,sthambha,shosha + + Uru-shoola,sthambha,shosha + + Gulpha-shoola,sthambha,shosha + + Asthaapya
  18. 18. Parshni-shoola,sthambha,shosha + + Yoni -shoola,sthambha,shosha + + + Bahu -shoola,sthambha,shosha + + Sthanantha shoola,sthambha,shosha + + Dantha nagha- shoola,sthambha,shosha + + Sphig -shoola,sthambha,shosha + + Nanathmaja vatavyadhi + Aanthrakooja + + Parikarthika + + Timira + Prathishyaya + Shiroroga + Adhimandha + Ardhitha +
  19. 19. Sharkarashoola + Upadamsha + Aanaaha + Mootrakruchra + Vataraktha + + Hanugraha + + Manyagraha + + Ashmari + Moodagarbha + Sthanya kshaya + + Asthaapya
  20. 20. Cha susru vag Ajirna + + + Atisnigda + + + Peethasneha + + Uthklishta dosha + + Alpaagni + + Yaanaklantha + + Athidurbala + Kshudaartha + + Trushnaartha + + + Shramaartha + Athikrusha + Bhuktabhaktha + Peethodaka + Vamitha + Anasthaapya
  21. 21. Cha susru vag Krudha + + Bheetha + + Matha + + Moorchitha + + + Prasaktha chardi + + + Prasaktha nishteeva + + Prasaktha shwasa + Prasaktha hikka + + Badhodara + + Chidrodara + Udakodara + Admana + Alasaka + Visoochika + Anasthaapya
  22. 22. Cha susru vag Amaprajatha + Aamathisara + + Madhumeha + + Kushta + + Arochaka + Gudashopha + Garbhini + + Unmada + + Bhaya + + Shoka + + Arsha + + Panduroga + Mada + Udara + Anasthaapya
  23. 23. Cha susru vag Sthoulya + Kantashosha + Shopha + Kshatha ksheena + Bhrama + Anasthaapya
  24. 24. Anaasthapya Complication Anasthapya complications Ajeerna,athisnigda,peethas neha,uthklishta dosha Dooshyodara, moorcha, shwayathu Badha/chidra/udako dara/adhmana Prana himsa Kshatha uraska,yaanaklantha,athikr usha Deha shoshana, leads to karshya Visoochika, amathisara,alasaka Amakrutha dosha Krutha vamana vireka Destroy deha just like kshara iva dahyathe Madhumeha,kushta vyadhivrudhi Krutha nastha karma Vibhramsha,srothorodha Vivrutho urdhwasrotha. Matha,moorcha,vichalitha chitha Basthi vyapath Prasakta chardhi, nishteeva shwasa kasa hikka Basthi urdwam nayeth Complications of basthi if we do in contraindicated persons
  25. 25. • Purvakarma Sambhaara sangraha Atura pareeksha Basthi kalpana Atura sidhataa. Niruha basthi karma vidhi poorvakarma Pradhana karma Paschath karma
  26. 26. • Atura pareeksha • Before administering of the basthi physician should examine the patient whether fit for basthi or not. • Basthi poorva sameekshya bhavas (ch.si.3/6) • Dosha • Oushada desha • Saathmya • Kaala agni • sathwaadi • bala vaya
  27. 27. • Basthi kalpana • Sneha matra in Niruha basthi- In doshavastha (ch.si.3,su.ci.3) • Vata dominance-6 pala(1/4th of niruha) • Pitta dominance- 4 pala(1/6th of niruha) • Kapha dominance-3 pala(1/8th of niruha)
  28. 28. Ingredients Vata pitha kapha Swasta Madhu 1 ½ prasrutha 2prasrutha 3prasrutha 2prasrutha Saindhava 1 tola 1tola 1tola 1tola Sneha 3prasrutha 2prasrutha 1 ½prasrutha 2prasrutha Kalka 1prasrutha 1prasrutha 1prasrutha 1prasrutha Kwatha 5prasrutha 5prasrutha 5prasrutha 5prasrutha Aavapa dravya 1 ½ prasrutha 2prasrutha 1 ½prasrutha 2prasrutha Basthi kalpana according to dosha 1 prasutha=2 pala=96ml/100 1 tola= 1 karsha=12gm
  29. 29. • Dwadasha prasrutha basthi(1200ml) • Madhu-2 prasrutha-4pala-192ml • Saindhava-1 aksha-1karsha-12gm • Sneha-3 prasruthi-6 pala- 288ml • Kalka -1 prasruthi-2pala-96gm • Kwatha -4 prasruthi-8 pala- 384ml • Avapa dravyas-2 prasruthi- 4 pala-192ml.
  30. 30. Age(increase by 1 pala) Qty Age (increase by 2 pala) Qty 1 year 1 pala 13 year 14 pala 2 year 2 pala 14 year 16 pala 3 year 3 pala 15 year 18 pala 4 year 4 pala 16 year 20 pala 5 year 5 pala 17 year 22 pala 6 year 6 pala 18 year- 70 year 24 pala 7 year 7 pala >70 year 22 pala 8 year 8 pala 9 year 9 pala 10 year 10 pala 11 year 11 pala 12 year 12 pala Quantity of basthi based on vaya
  31. 31. • Selection of oushada depends on dosha(ch.si.8) • In vata- snigda,amla,lavana,madhura,ushna dravya,mamsa rasa • In pitta and rakta- tikta,Kashaya,madhura,seethadravya,ksheera • In kapha- tikta ushna kashya katu • Ama- pachana dravya • Raktapitha- pichabasthi, raktha basthi. .Atura sidhataa- • If the patient is having more rookshatha initially 2-3 anuvasana basthi can be given and if patient is not fit for anuvasana, having more snigdatha, mala sanchaya then niruha basthi should be directly administered after subjecting the patient to Abhyanga and swedana.
  32. 32. • Preparation of basthi. • In a paatra first madhu is taken, to that saindhava is added and manthana done. • After sumathitha, sneha is added gradually. • Then kalka is added and triturating should be done until dravya becomes slakshna. • Na drava, na tanu, sama • At last Kashaya followed by Avapa is added. • Suyojitha basthi lakshana(chakrapanidatha) • A well prepared basthi should not run out of hand quickly. • Neither too thin, should not stick/coat/remain steady on the hand in such a way that we cannot see lines in our palm through the solution. • Should be uniform solution(samatha) of its contents
  33. 33. • Rationale of mixing sequence of basthi • Madhu- mangalakaraka. • Saindhava- disintegrates the pichilatha, bahulatwa and kashayathwa of madhu. • Sneha- ekeebhaavaya kalpathe (homogeneous). • Kalka- samsrujyathe cha asu (quickly disperses and mixes). • Kashaya- for samatham vrajet (mixture becomes homogeneous), to maintain the quantity • Mutra – increase the action and potency of basthi.
  34. 34. • Pradhana karma • Instructions to the patient • Basthi pranidhana • Basthi pratyagamana • Observation of yoga,ayoga,athiyoga lakshana.
  35. 35. • Basthi pranidhana • The patient having the symptoms of proper digestion and not having very much hunger , after performing Abhyanga and swedana taken for basthi karma. • Lie down in left lateral position, keep his/her hand below the head as pillow, extend the left leg completely and flex the right leg at the knee joint, keeping on the left leg by flexing the hip joint. • Then sukhoshna sneha applied in the anal region and on the basthinetra, remove the cotton piece and slightly squeeze the putaka to remove air and keep the thumb on the netra while introducing it.
  36. 36. • Introduce basthi netra slowly in the direction of vertebral column upto 1/4th part of the netra. • Then hold the basthi putaka in the left hand. Gradually administer with the uniform pressure neither too fast not too slow without shaking the hands. Instruct the patient to count numbers from 1 to 50 . • Press the putaka till little quantity of basthi dravya remains in the putaka otherwise vayu enters into pakwashaya and then withdraw netra gradually. • Basthi pidana kaala is 30 matras. • Advice the patient to lie down in supine position with apillow below the hips till he gets the urge of defication. • After giving basthi anticlockwise massage should be done on the abdomen.
  37. 37. • Basthi prathyagamana • 1 muhurtha maximum time period in which prathyagamana of basthi should happen. • If not it causes- vata prathiloma,vistabda,shoola,arathi,jwara,mruthyu(su.ci.38), • Vagbatta added- adhmana, pakwashaya shoola, hridayagraha, mootra shoola. • Measures to be undertaken- phala varthi, teekshna basthi,swedana, vitrasana, administration of teekshna virechana. • Yapana basthis may retain for longer time, teekshna basthis comes with in 100 matrakala.
  38. 38. Yoga Ayoga Athiyoga ch.si.1 • Prasrushta vit mootra,sameerana • Shira,hruth,guda,basthi linga ruk • Kapha,ratha,pitha,vatha kshaya • Ruchi • Shopha • Supthi • Agnivrudhi • Prathishyaya • Angamarda • Aashaya laghava • Parikarthika • Klama • Rogashanthi • Hrullaasa • Vepana • Prakruthisthatha • Marutha mootra sanga • Nidranasha • Balam • Shwasa • Balanaasha • Tamapravesha • Unmada • Hikka Observation
  39. 39. • Paschath karma • Rogi parichara • Parihaara • Vyapath and chikitsa.
  40. 40. • Rogi parichara(ch.si.3/68),(A.hru.su.19) • After observing the samyak lakshana patient adviced to take hot water bath and ligt diet in accordance with the dosha dominance. • In vataha –mamsa rasa • Pitha- ksheeranna • Kapha- yusha • Quantity of diet should be 1/3rd of routine diet according to agni.
  41. 41. • Parihaara- • Athyasana • Asthana asana • Ativachana • Divaswapna • Yaana • Maithuna • Atapasevana • Shoka • Krodha • Ahitabhojana • Sheetopachara . • If vata prakopa is more, anuvasana basthi should be given at the same day evening. • Charaka explained in si.12th chapter about the complications if we follow these contradicted things.
  42. 42. Vyapad(12) karana lakshana chikitsa Ayoga Sheeta, alpamatra, alpalavana, alpasneham, alpadrava,alpa matra,alpaghana basthi given in guru kostatha, vatabahula, ruksha, vata pradhana roga Gurukoshtatwam, vatamootra shakrut graham, nabhi-basthi shoola, shotha over guda, kandu gandani,vaivarnya,aru chi,agnimandya Ushna pramathya pana(pippali), Sweda Phalavarthi Virechana at proper time Bilwadi basthi-kwatha of bilva,daru,trivrit,yava,kola, kulatha,sura,gomutra,satapu shpaadi thaila. Athiyoga Repeated use of ati teeksha ushna kshara, bahu matra basti given in snigna swinna mrudukoshta Same as virechana athiyoga Sheeta picha basthi(A.h.kalpa.5/21) Niruha with prushniparni,kamala,draksh a,gambhari, yashti kalka, kshira,grutha Basthi vyapad and chikitsa
  43. 43. Vyapad(12) karana lakshana chikitsa Klama Use of Niruha in remnents of aama dosha causing obstruction of vata marga Mandagni, moorcha,klama ,vidaaha,hruthshoola, moha, udweshtana, gourava Rooksha sweda,pachana,pippalyadi kwatha, vachadi yoga+arishata+asava, dashamoola basthi-with gomutra, madhu, thaila. Aadmaana Alpaveerya basthi given in maha dosha,rooksha, krura koshta does margaavarana of vata marga Admaana,marmapeeda m,vidaaham,gurukosht ada,mushka,vangshna vedanam, hrudayavedana Shyaamaadi varthi, bilvadi niruha, anuvasana with peeluvadi siddha thaila. Basthi vyapad and chikitsa
  44. 44. Vyapad(12) karana lakshana chikitsa Hikka Athiteekshna basthi given in mrudukoshta,abala Hikka, Hikkaghna, brihmana Anuvasana with balaadi siddha thaila anuvasana. Pippalli/saindhava mixed ushana jala pana, Dhoomaadi prayoga followed by annam. Hruthpraa pthi Giving basthi savata, and not properly done basthi pidana caused compression over hrudaya pradesha Hruth prapthi Niruha with kusha, kasha,amla lavana skanda dravyas, badari phala Anuvasan with vathaghna oushadis. Basthi vyapad and chikitsa
  45. 45. Vyapad(12) karana lakshana chikitsa Urdhwa prapthi Doing vata mootra pureesha vega dharana or doing athi nishpeedana of basthi Urdwa aayathi basthi dravyam moorcha If moorcha occurs-sheetha jala sinchanan over face Parshwa udara mardana Traasana,gala pidana-all these will obstruct the udana vayu stimulates downward movement of apana Kramuka kalka 12 gm with amlakanji If basthidravya stagnated in pakwashya-dashamoola basthi In ura region- bilwadi panchamoola basth In shiras-nasya, dhuma,sarshapa lepa to shira. Basthi vyapad and chikitsa
  46. 46. Vyapad(12) karana lakshana chikitsa Pravahika Giving mrudu veerya,alpa matra basthi in bahudosha rogi after doing abhyanga svedana causes doshothklesha and alpa dosha hara Pravahika with lakshanas of aamathisara Sa basthi paayu shopham Jangha uru sadana Sweda, abhyanga,niruha,langhana,v irechana with trivrut aadi dravya followed by samsarjana karma. Shiroarthi Administration of mruduveerya, sheetha, alpa matra basthi in krurakoshta and bahu dosa leads to avarana to vata vimargagamana Shiroarthi, baadhirya, karnanaada, peenasa, netra vibhramam Anjana,pradhamana nasya, dhooma nasya, shirovirechana Anuvasana –teeksha anulomika. Basthi vyapad and chikitsa
  47. 47. Vyapad(12) karana lakshana chikitsa Angaarthi Administration of guru teekshna veerya, bahumatra basthi in persons who not undergone snehana swedana Atimatram pravarthate,sthabdada of koshta, udavrutha koshta by vayu,gaatraveshtana,to da,bheda,sphurana Lavana taila abhyanga Prasthara sweda with eranda patra kwatha Dashamoola niruha Anuvasana with bilva taila, yashti thaila. Parikartha Administration of ruksha teekshna athimatra basthi in mrudu koshta and alpa dosha Parikarthika, trika, vangshna, basthi toda Adhonaabhi rujam,vibhanda, alpalpa mala pravruthi Basthi with swadu sheedoushada like- ikshu+yashti+tilakalka followed by ksheeranna. Amla mrudu bhojana Basthi vyapad and chikitsa
  48. 48. Vyapad(12) karana lakshana chikitsa Parisrava Administration of amla ushna teekshna athi lavana basthi in conditions of pitharoga causes injury to paayu Causes vidaha, sraava of rakta, pitha, aneka varna srava, moorcha. Sheetha Picha basthi with ardrashaamali ksheerapaka with ajapaya+ grutha Picha basthi with vataadipallava, yava,tila,suvarchala,upodika, kanchanara. Raktapithaghni, athisaraghni kriya Guda seka, guda pradeha with sheetha madhura dravya. Basthi vyapad and chikitsa
  49. 49. Pranidana dosha Netra dosha Basthi dosha Pidana dosha Basthi dravya dosha Sayya dosha Atura nimitha • Netra vichalitham • Ati dirgha • Bahalatha • Athi piditha • Amatha • uchritha seersha • Krodha • Netra vivarthitham • Ati hraswa • Alpata • Shanai piditha • Heenatha • Ucha seersha • Ayasa • Atyukshipth am • Sannikrisht a karnika • Sachidrada • Bhuyo bhuyo pidanam • Athimatrath a • Nyubja • Shoka • Adhyaasana • Avasannam • Viprakrisht a karnika • Prastirnatha • Kaalaathikr amana pidanam • Atiseethata • Uthana • Maithuna • Virudhasan a • Tiryak pranihite • Sthula • Durbadha • Atiushnatha • Sankuchitha deha • Divaaswapn a • Vata sevana • Parswa avapeeditha • Karkasha • Athi teekshnatha • Dakshina parswa saayina • Uchabhasha • Atichankra maa •
  50. 50. • Pranida na dosha • Netra dosha • Basthi dosha • Pidana dosha • Basthi dravya dosha • Sayya dosha • Atura nimitha • Avanata • Anubhinna • Athimruduth • Atisandratha • Sthitha • Yana yana. • Seetha sambhogataya • Sukshmachidra • Ati snigdatha, • Athidravya • Chiraasanna • Brihath chidra • Athirukshatha • Sthaana
  51. 51. • Vasanam- bhojanam (A.sa.su.28) • Anu vasanam- after bhojanam. Anuvasannapi na dooshyath anudivasam va deeyathe ithi anuvasanam||su.chi.35/18|| The basthi which remains inside the body without causing any harm. Basthi which administered everyday. Anuvasana
  52. 52. • Samsnehanam, varnabalapradam • Na tailadanath paramasthi kinchith dravyam visheshena sameeranaarthe||cha.si.1st|| • Karma(su.ci.37) • 1st basthi- act on basthi vangshne( adhakaaya) • 2nd-act on moordhasthanilam(urdwakaaya) • 3rd- gives bala varna • 4th-nourishes rasa • 5th-nourishes rakta • 6th-nourishes mamsa • 7th- nourishes meda • 8th-asthi • 9th –majja • Other 18 basthi –nourishes shukradhatu Gunas and karma
  53. 53. Anuvasya Ananuvasya • All asthapyas • All anaasthapyas • Gurukoshta • Athi rooksha • Niranna • Athisthoola • Deepthagni, athiagni • Navajwara • Shleepada • Kevala anilaartha • Panduroga • Galaganda • Kamala • Apachi • Prameha • Kriminakoshtina • Prathishyaya • Arochaka • Pleeha • Urusthambha • Kaphodara • Arsha • Aadyavatha • Pitha kapha abhishyanda • Varchobheda • Peetha visha,gara Anuvasya & Ananuvasya
  54. 54. Ananuvasya Complication • Abhukta Urdwam athivarthate sneha-due to visaranasheela of sneha. • Navajwara, • pandu • kamala • prameha Does doshauthklesha and leads to udara • Arshas Produce abhishyanda leads admana Complications of basthi if we do in contraindicated persons
  55. 55. • Dosha- contraindicated in sama dosha, vridha kapha, utklishta dosha. • Kala- In vata pitta dosha & varsha,sharath,greeshma rithu-ratrikaala. In kapha dosha &sheetha, vasantha rithu- diva. • After virechana karma on 9 th day. • Bhojanottara kala. • Basthi kalpana based on dosha • vata- 9 or 11 • pitta- 5 or 7 • kapha- 1 or 3 Anuvasana purva chintya vishayas
  56. 56. • Purvakarma • Sambhaara sangraha • Rogi pareeksha • Preparation of sneha vasthi- sneha, saindhava • Atura sidhataa- Abhyanga & swedana, laghu bhojana, chankramanadi karma, visrujya shakruth mootra. • Pradhana karma • Paschat karma • Basthi pratygamana kala-3 yaama If basthi is not comes back even after 3 yaama then wait for 24 hours- if no complication give dhanyanagara siddha jala for paana helps in pachana and prayagamana of basthi.if complictions arise then give teekshna basthi or guda varthi should be administered. • Samyak yoga ayoga athiyoga. • Snehabasthi vayapad and chikitsa.
  57. 57. Samyak yoga Athiyoga Ayoga • Asaktham sashakruth cha thailam • Hrullasa • Adha shareera ruja • Rakthadi budhi indriya samprasada • Moha • Udara ruja • Swapnanuvruthi • Klama • Bahuprushta ruja • Laghutha • Saada • Parshwa ruja • Balam • Moorcha • Ruksha gaatra • Srushtashcha vega • Vikarthika • Ruksha swara • Vit, mootra,sameerana graha.
  58. 58. Vyapad(6) karana lakshana chikitsa Vatavruth a sneha vyapad Administration of sneha in sheetha kala, in alpa matra- in condition of increased vata- cause avarana of vata Angamarda ,jwara, admana,sheetha,stham ba, urupeeda, parshwaruk veshtanam. Niruha with snigda amla lavana ushna dravya, with mootra panchamoola Anuvasana at sayamkala with rasnaadi yoga. Pithavrud a sneha vyapad Administration ushna sneha basthi in conditions of increased pitha Daha , raga, trusha, moha, tamaka, jwara Niruha basthi with swadu tikta dravya Sneha Basthi vyapad and chikitsa(cha.si.4/25)
  59. 59. Vyapad karana lakshana chikitsa Kaphavru da sneha vyapad Mrudu basthi given in excessive kapha condition Tandra, sheetajwara,alasya, praseka, aruchi, gourava,moorcha, glani. Basthi with katu Kashaya teekshna usha sura mootra Annavrud a sneha vyapad Basthi given athibhukta, alpabala Chardi, moorcha,aruchi, glani,shoola,nidra, angamardana, aamalakshana Aamachikitsa ,internal medication of katu lavana rasa kwatha churna pachana,mrudu virechana. Sneha Basthi vyapad and chikitsa
  60. 60. Vyapad karana lakshana chikitsa Pureeshav ruda sneha Administration of alpa basthi when there is varcha sanchaya Vit, mootra, anila sanga,arthi.guruthwa admana, hruthgraha Snehana,svedana, Shyamabilvadi sidha niruha and anuvasana Udavartha hara chikitsa. Abhuktash cha praneethas hcha Empty stomach administration Shoonapaayu if it gives in athipeedana May reach upto kanda comes through mouth Niruha and anuvasa with shyamaadi yoga If chardi is ter do chardighna kriya. Sneha Basthi vyapad and chikitsa
  61. 61. • Mode of action of basthi(su.chi.35) Veerya of basthi oushada reaches all over the body through the srotas in the same way as the water poure at the root of the plant reaches upto leaves. even though basthi dravyas comes out very quikly with mala, their veerya acts all over the body by the action of panchavata, just as sun draws moisture from the earth. Aapaathathalam moordhasthan doshan pakwashaye sthitha: Veeryena basthi: aadathe khastho arko bhoorasaan iva||cha.si.7|| Veerya of basthi reaches Apana vayu and nourishes it,then acts on samana vayu. After nourishing samana vayu, it nourishes vyana vayu, thereafter acting on udana vayu and prana vayu and nourishes them.
  62. 62. • When all panchavata gets nourishment it promotes the health. The veerya basthi acts on pitha kapha to bring to normalcy. The veerya of basthi is carried to tiryak pradesha by vyana vayu, to adha pradesha by apana vayu, and to urdwa pradesha by prana vayu. (A.s.5/68) • It is explained that basthi should administered to the patient lying on the left lateral side as the grahani and guda are situated on the left side of the body, vali of the guda get weakened. • Basthi dravya reach up to grahani, the stimulation of jatharagni present in grahani happens. Sneha dravya by its sukshma guna enters into sukshma srotas reaches grahani. Here it acts on samana vata which lies near the seat of the jataragni,thus ignites it.
  63. 63. • Action of basthi dravya inside the body • Saindhava • Sukshma guna-It reaches upto the microchannel of the body. • Tikshna guna- It breaks down the morbid mala and dosha sanghaata. • Snigda guna- liquefies the dosha. • It reduces the pichila, bahula,and Kashaya properties of madhu. • By its irritant property eliminates the basthi • In excess quantity it can cause daaha, athisara. • Absence or less quantity of saindhava responsible for ayoga.||A.hru.su.19|| • Madhu • If any drug is administered with appropriate vehicle it can be absorbed and assimilated by the body properly.(yogavaahi) • It forms a homogeneous mixture with saindhava. • Considered best kaphahara. • Basthi dravya containing more madhu makes the person extremely potent.||ch.si.12||
  64. 64. • Sneha • Sneha dravya reduces vata dushti, softens the microchannels, removes the obstruction in the channels. • Helps in elimination of doshas and malas • Also protects the mucous membrane from the untoward effect of irritating drugs in basthi dravya. • Kalka, kwatha and avapa drayas • These serve the functons of utkleshana, doshahara or shamana. • These are selected based on dosha, dushya, srothas etc involved in particular vyadhi.
  65. 65. PROBABLE MODERN CONCEPT The mode of action of basti can be understand in the following way – Drug is administered through anal region.It gets absorbed in intestinal mucosa & works by 4 mechanism By absorption mechanism By system biology mechanism By neural stimulation mechanism By excretory mechanism
  66. 66. Hyper osmosis takes place From colon cell to lumen Absorption of endotoxins Irritation of Large intestine (due to irritant property) Elimination ABSORPTION MECHANISM
  67. 67. SYSTEM BIOLOGY MECHANISM Drug is administered through anal region It gets absorbed in intestinal mucosa Lipid soluble Water soluble Passive diffusion Active diffusion By these diffusion mechanism the Basti drugs goes to epithelial cell. Then it goes to the capillaries. Then goes to cell after that molecules.
  68. 68. Drug given ENS is stimulated Excites mysentric plexus & sub mucosal plexus Neurotransmitters carries information to CNS CNS acts independently to produce the effect NEURAL STIMULATION MECHANISM
  69. 69. • The sigmoidal, rectal & anal region of large intestine are considerably better supplied with parasympathetic nerve fibers than other part of intestine. • They are mainly stimulating in action & functions especially on defecation reflexes. EXCRETORY MECHANISM
  70. 70. • Asthapana basthi yogas in different condition • Vatahara- • VatagnaKashaya+trivruthasneha+kalka+saindhava+madhu+guda+ dhanyamla/gomutra/ksheera/mamsarasa. 1)Dashamoola niruha basthi • Saindhava- • Madhu- • Sneha- ghrutha, thaila,vasa. • Kashaya-dashamoola or (yava,kulatha,sthira,kola) • Avapa-chaagamamsarasa, amlakanji. • Indication- sarvanila vyadhihara.
  71. 71. • Pithahara • Pithaghna Kashaya(nyagrodhadigana)+kakolyadi gana kalka+sai ndhava+madhu+ghrutha+sharkara+ksheera/ikshurasa. • 1) Saindhava, • madhu • Sneha-sarpi • Kashaya-yashti madhu ksheerapaka • Kalka- shathapushapa+pippali • Indication- vatharaktha, vaiswarya, visarpa
  72. 72. 2)Pithavrudhi(su.chi.38) • Madhu- na athibahu kshoudram • Saindhava • Sneha-ghrutha • Kalka - srungataka,athmagupta,kesara,chandana,vidari,misi, • manjishta,shyama(priyangu),indrayava,sinduja,madanaphala,padmaka,yashti • Kashaya- laghupanchamoola, triphala, uthpala,vasaka,sareeva, usheera, manjishta,rasna,parooshaka. • Avapa-ksheera, mamsarasa,ikshurasa • Administred in sheetha form
  73. 73. • Kaphahara • Kaphaghna Kashaya(aragwadadigana Kashaya)+pippalyadigana kalka+katuthaila+madhu+saindhava+mootra • 1)Saindhava • Madhu • Kshara-yavakshara • Sneha- madanaphala siddha thaila+ sarshapa thaila • Kashaya-koshataka,aragwada,devadaaru,kutaja,moorva,kulatha,bruhathi, • Kalka-sarshapa,madanapala,ela,kushta • Indication-mandagni,arochaka
  74. 74. • 2)Patolaadi basthi • Madhu • Saindhava • Sneha-madanapala siddha thaila • Kalka-sarshapa,ela,madanaphala • Kashaya-patola,hareetaki,devadaru,pippali • Indication-kaphaamaya.
  75. 75. • Kaphavarana and vatahara(eranda basthi) • 1)Saindhava • Madhu • Sneha- thailam • Kalka-shatapushpa,hapusha,priyangu,pippaleekam,madhukam, bala, rasanjanam,vatsakabeejam,mustham • Kashaya- erandamoola,palasha,lakhupanchamoola,rasna,ashwagandha, athibala,guduchi,punarnava,aragwada,devadaru,madanapala, yashti • Avapa- gomutra • Indication- deepanam, lekhanam,jangha uru pada trika prushta shoola Kaphaavaranam,vataghnam,aanaaham,arsha,grahani,
  76. 76. • 2)Madhu • Saindhava- • Kshara-yavakshara • Sneha- sarshapa thaila, tila thaila • Kalka- vacha,madanaphala,sarshapa,saindhava,kushta,ela,pippali,bilwa,nagara. • Kashaya- katphala(bhadra),nimba, kulatha,arka,koshataki,amritha,sareeva,bruhathi,paata,moorva,aragwada,vatsaka • Avapa- gomootra,amlakanji • Indication- kamala,pandu,prameha,medaswina, anagni, kapharogi, ashanadweshi, galaganada, gara, shleepada, udararogi
  77. 77. • Pitha vatha hara • 1)Saindhava • Madhu • Sneha-thailam,ghrutham • Kalka- priyangu, krushna, mustha • Kashaya- laghupanchamoola,bala,patola,trayanthika,eranda, • add chaagamamsarasa while preparing kashya • Indication-deepana,mamsabalaprada,chakshubala
  78. 78. • Samsargaja dosha • 1)Madhu • Saindhava • Guda- • Sneha-thaila,sarpi • Kalka- vacha,shathapushpa,devadaru,kushta,yashti,sarshapa,pippali,madanaphala • Kashaya-ksheerapaka with-punarnava,eranda,vaasa,paashanabheda,bala,palaasha,dashamoola, Phala of bilva,yava,kulatha,dhanyaka,madanaphala
  79. 79. shodhana lekhana bhrumhana vajeekarana pichalabasthi Sangrahni basthi Utkleshana basthi Kashaya- Shodhadravya kashya(vaman avirechanadi dravya) Kalka-same Sneha Madhu Saindhava Avapa- Ksheera/gomut ra/dhanyamla Kashaya- triphala Kalka-same Sneha- katuthaila Madhu Saindhava Kshara-yava Avapa- gomutra Ushakaadigana dravaya kashaya Kashaya- vidaarigandha di dravaya Kalka- kakolyadi Sneha-sarpi Madhu Saindhava Avapa- mamsarasa Kashaya- chataka and,chataka mamsa Kalka-same Sneha-grutha Madhu Saindhava Avapa- Ksheera/aathm aguptha phala kashaya Kashaya- ksheerapaka of badara,naagab ala,shleshmath aka,shaalmali, dhanuvruksha- angora Kalka-same Sneha Madhu Saindhava Avapa- Raktha- varaha,mahish a,mesha,eana,k ukkuta,sadhyoj aatha aaja Kashaya- priyanguadi gana Kalka- ambashtadi gana Sneha Madhu Saindhava Kashaya- erandabeeja,m adhuka,pippali ,saindhavam,v acha,hapisha, madanaphala Kalka-same Sneha Madhu Saindhava Avapa-same kashaya
  80. 80. Maadhuthailika basthi Yuktaradha basthi Sidha basthi Yapana basthi(musthadi yapana basthi) Kashaya-erandamoola kwatha Kalka- shathapushpa/madanap hala thailam-samam Madhu-samam Saindhava Avapa- Ksheera/gomutra/dhan yamla/mamsarasa Kashaya- erandamoolakwatha Kalka-vacha madhuka,pippali,mada naphala Thailam-samam Madhu-samam Saindhava Kashaya- yava,kolam,kulatha Kalka-pippali,yashti Thailam-samam Madhu-samam Saindhava Kashaya-ksheerapaka Kalka-same Sneha-grutha-samam Madhu-samam Saindhava Avapa-mamsarasa
  81. 81. • Ardhamatrika basthi(chakradatta) • Indicated –for sukumara,yakshma,shoola,krimi, vatarakta • Madhu • Saindhava • Thaila-ksheerabala • Kalka-shatapushpa • Kashya-dashamoola/madanapala
  82. 82. • Vaitharana basthi • Saindhava Lavana – 1 Karsha. (12gms) • Guda – ½ Pala. (24gm) • Tila Taila – Eeshat (60-70ml) • Amleeka – 1 Pala. (48gms) • Gomutra – 1 Kudava. (192ml)
  83. 83. Reference for special basthis indicated in some diseases • Kushta, meha nashaka basthi- charaka.si.8th/8 • Kushtahara basthi-cha.chi.7/46 • Raktha basthi in rakthadisaara- cha.si.8/25 • Asthapana in jwara- cha.chi.3/240-249 • Anuvasana in jwara- cha.chi.2/172 • Basthi in raktha gulma- tikta ksheera basthi-cha.chi5/172 • Basthi in udara-(kapha,pitha avarana of vata)- cha.chi.13/172 • Basthi in arsha- cha.chi.14/135 • Pichabasthi-in pravahika,gudabhramsha,rakthasraava-cha.chi.14/224 • Pichabasthi in context of pithadisaara-cha.chi.19/63 • Sa ghrutha ksheera basthi context of vatharakta-cha.chi.29/88-95 • Krimi nashaka basthi-cha.si.8/9
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BASTI IN AYURVEDA

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