Ayurvedic Basti ( medicated enemata)

Basti – in GP
• Presented By –
• Prof.Dr.R.R.Deshpande (M.D
in Ayurvdic Medicine & M.D.
in Ayurvedic Physiology)
• www.ayurvedicfriend.com
• Mobile – 922 68 10 630
• professordeshpande@gmail.
com
8/28/2016 Prof.Dr.R.R.Deshpande 1

Information –Compilation
•      Prof. Dr.R.R.Deshpande --- 922 68 10 630
•      Dr. Sachin Sarpotdar -------- 982 27 95 363
•      Dr. Mayura Shinde ---------- 727 68 66 831
8/28/2016 2Prof.Dr.R.R.Deshpande

Panchakarm –Basti
• This is Part of Syllabus of 4th BAMS
• Also very useful in Practice

Panchakarm Point VI Basti
• 1.Etymology, definition and importance of
Basti as Ardha-Chikitsa
• 2. Utility of Basti Karma in health and disease
• 3. Basti Yantra- Putaka & Netra, Detailed
study of traditional Basti Yantra and their
Doshas
• Knowledge of alternative Basti Yantra-enema
can, enema syringe, modified plastic/rubber
bag for Putaka, modified plastic netra.

Panchakarm Point VI Basti
• 4.Classifications of Basti
• 5.Karma, Kāla and Yoga Basti schedules along
with their utility.

Panchakarm Point VI Point 6 Niruha
• Its etymology, synonyms, definition,
classifications, sub-classifications & indications
and contraindications.
• a. Dose fixation of Niruha Basti according to
age
• b. Contents and Method of preparation of
Niruha Basti dravya
• c. Diet

Panchakarm Point VI Point 6 Niruha
• d.Administration of Niruha Basti
• e. Pratyāgamana Kāla, Post Niruha Basti
management
• f. Samyak Yoga, Ayoga and Atiyoga of Niruha.
• g. Complication of Niruha Basti and its
management according to Ayurved and
Modern Medicines
• h. Pariharya Vishaya and kala

Panchakarm Point VI Point 7 Anuvasan
• Its etymology, synonyms, definition,
classifications, sub-classifications & indications
and contraindications.
• a. Dose fixation of Anuvasan Basti according to
age
• b. Contents and Method of preparation of
Anuvasan Basti dravya
• c. Diet

Panchakarm Point VI Point 7 Anuvasan
• d.Administration of Anuvasan Basti
• e. Pratyāgamana Kāla, Post Anuvasan Basti
management
• f. Samyak Yoga, Ayoga and Atiyoga of
Anuvasana.
• g. Complication of Anuvasan and its
management according to Ayurved and
Modern Medicines
• h. Pariharya Vishaya and kala

Panchakarm Point VI Point 8
• Basti Kārmukatā (Mode of action).

• Knowledge of following types of Basti:
• Madhutailika Basti
• Erandmuladi Basti
• Yāpana Basti
• Pichchha Basti
• Kshira Basti

• Knowledge of following types of Basti:
• Kshara Basti
• Vaitarana Basti
• Panchaprasutik Basti
• Lekhan Basti
• Krumighna Basti
• Tiktashir Basti
• Ardhamātrika Basti

• Uttara Basti: its definition, indications and
contraindications,
• Detailed study of traditional Basti Yantra and
their Doshas Knowledge of alternative Basti
Yantra
• a. Preparation of patient
• b. Preparation of Trolley for Uttarbasti

• c. drug preparation and Fixation of dose
• d. method of administration in male and
females
• e. observations
• f. complications and their management

Indications of Basti
• Mainly Basti is useful in the diseases created due to
vitiated Vata ,problems of muscles & bones .
• Diseases affecting the whole body (sarvangaroga)
eg. Rheumatoid arthritis, localized diseases
(ekangaroga) e.g. Sciatica, Spondylosis.
• Digestive tract problems like abdominal pain due to
gas ,Constipation, Ulcerative colitis etc, retention of
flatus, urine or stool.

• Muscle atrophy ,Muscle dystrophy
• Nervous disorders or Neurological problems
(vatavyadhi) like Hemiplegia, Parkinsonism
,Sciatica ,Motor Neuron disease
• Heart problems like Palpitation, Angina
pectoris
• Psychosis

• Disorders of udana vayu like Dry Bronchial
Asthama ,Dry cough ,Hiccough .
• Diseases of Apana vayu like Menstrual
disorders ,Infertility ,Oligozoospermia
• Basti is recommended for all types of Vata
dominant conditions where pain & stiffness
are the main features

Anuvasan Basti
• Generally oils like Bala, Balaguduchyadi, Bala
Ashwagandhadi, Lakshadi are used for
degenerative pathology.
• Sahacharadi, Triphaladi, Chinchalavan are
used for obstructive pathology or in obesity
associated morbidities

Indications of Anuvasan Basti
•   All indications of niruhabasti are indicated for
anuvasan also.
•   Persons with extreme dryness of vata dosha.
•   Pregnancy ----
Matrabasti with dose of 40 to 60 ml of Lakshadi
tail or Shatavari tail is given in the 7th month of
pregnancy

Contra indications of
Anuvasan Basti
• Condition contraindicated to Asthapan  or
Niruha Basti
•  Empty stomach
•  Acute fever
•  GIT – anemia, jaundice, anorexia,
spleenomegaly, ascitis, liver disorder, hunger,
diarrhea

Contra indications of
Anuvasan Basti
•   Respiratory – cold, productive cough(kaphaja kasa)
•    Kushtha – skin eruption with discharge
•    Urustambha
•    ENT:-nasal inflammation, eye inflammation.
•    Hormonal:- Diabetes, thyroid disorder
•    The abdominal pain due to Kapha, ama conditions,
extreme obesity,
•   Intestinal parasites, poisoning, gout

Anuvasana - Samyakyog
      Best Vata – Anuloman
•   Timely removal of waste products (mala) with
oily substances
•   No adverse side effects
•   Provides nutrition for Dhatus
•   Lightness in the body
•   Strength of the body increases

Anuvasana - Asamyakyog
• Body ache
• Dryness in the body
• Nausea
• Drowsiness

Niruha basti
• In this type herbal decoction is used
• e.g. herbs like Dashamool, Rasna,
Erand,Triphala are used for decoction.
• Decoction is mixed with honey, rock salt & oil
systematically and make ready to administer
in the body.
• It is a cleansing process

Niruhabasti – Indications
•  GIT- Flatulence, Abdominal discomfort,
constipation, worms etc.
•   Respiratory-  Rhinitis, Cough
•  CVS- Congestive Heart Disease, Hypertension.
•  Neurological- Hemiplegia, Sensory and motor
disturbance like tingling & numbness of the
extremities, Facial paralysis

Niruhabasti –  Indications
•  Endocrinal - Hypothyroidism
•  Locomotors - Joint pain, Muscular Pain, Regional
pain like backache, stiffness, lock jaw etc.
•  Excretory - Dysuria, Constipation, anal pain, Urinary
calculi etc.
•  Reproductive- Oligospermia, Azospermia, Scrotal
swelling Vaginal pain, labor pain, Breast pain,
Menstrual irregularity like in PCOD
•  ENT &Ophthamic- Headache, Earache & Glaucoma


Niruhabasti – Contra Indications
•   GIT- Indigestion, low metabolic fire, post internal
Oleation, Ascites, piles, Acute Diarrhea
•   Respiratory- Dyspnoea, Acute cough, hiccough etc
•   Endocrinal-DM
•   Excretory- Anal or perianal swelling, anal strictures
•   Reproductive-In pregnancy
•   ENT-Dryness in throat,
•   Others- Obesity, Skin diseases, edema

Preparation of basti dravyas
•  First mix honey and saindhav homogenously.
•   Add oil and again mix drug homogenously.
•   Now add the kalka i.e. paste of drug and make the
mixture homogenous
•   After kalka  gomutra (if indicated) should be added
and at the last warm decoction should be added.
•   Final prepared basti dravya should be homogenous
and warm (around 40 to 45 degree C).
•   Once the mixture is prepared it cannot be heated.

Uttar Basti
• The medicated decoctions and oils are passed
in the urinary bladder through urethra or in
uterus through vagina.
• In male it is given though urethra , while In
female it is given through vagina.

Uttar Basti - Indications
•   It is indicated in menstrual problems like
amenorrhea, dysmenorrhea, menorrhegia,
leucorrhea.
•    It is used in primary and secondary infertility.
•    It is very much useful to remove Tubal blocks
•    It is used in patient of recurrent abortions.
•    PCOD
•    It is used for urethral stricture and dysuria.

Uttar Basti
• Specific Time-
• After the menses on the 5,6,& 7th day for the 3
months.
• Instruments:        Cuscos speculum, Infant feeding
tube no. 8 or simple rubber catheter no. 3, syringe
of 5ml, betadin, cotton, gloves, swab holder, IUI
canula ( Intra Uterine Canula) ,Tampoon, Drepping
clothes
•   All instruments should be sterilized  in Autoclave

Uttar Basti - Procedure
• Pre therapeutic procedure --- Two  Nirhuha
with Dashamool &Triphalabharad are given
prior to Utter Basti.
•      Lithotomy position is given to the patient.
•      Painting and drepping is done
•      Sims speculum is applied.

Uttar Basti - Procedure
•   Infant feeding tube or catheter or Intra uterine
canula  is inserted in the uterus through the cervix
very gently and carefully upto 3cm.
•    Dose of sneha :--  3 cc to 5 cc
•      Sneha is taken in syringe and administer in uterus
,with Intra Uterine canula
•      Post therapeutic position should be ‘Head low
position’ given for about 1 hour.

Intra Uterine Canula

Applied uttar basti
•      In strictures or obstructive pathology-
Kshar, Kasis ,Sahachar oils are used.
•      In infertility Narayan oil or Phala Ghrut are
used.
•      For improving the strength of reproductive
organs the Phala Ghrut or Bala Oil,
Yashtimadhu oil is used.

Madhutailik Basti
• Madhutailik basti is a sub-type of Niruh basti
• In which madhu i.e. honey and taila i.e. oils
are used in equal or much more quantity

Uttar Basti– In Male
•  Instruments: --- Simple Rubber Catheter 3
Number, Gloves, Xylocaine gel 2%  & Syringe
of 50 ml are needed.
•   These all instruments to be used should be
sterile.
•   Sneha needed in a dose of 20-50 ml.

Uttar Basti– In Male
• After stool passing in the morning it is given in
between 6 to 9 a.m. or in the evening in
between 5-7
• It is given either every day or an alternate day
for 7-14 days.

Uttar Basti– In Male -Procedure
•   The catheter should be inserted in the urethra up to
3-5 cms.
•   The sneha should be administered very slowly.
•   After the treatment Green Gram soup or meat soup
should be given to patient.
•   Patients should be asked to avoid the sexual act
during the course of the therapy.
• Cleaning of the genitals is advised specifically.

Yapan basti
• It is used for children, women, old age persons, for
removal of vitiated doshas   and also for the
improvement of complexion and voice
• This Basti provides longevity of human being.
Substances used are
• Honey and oil , approximately 90 g each + Erand
root decoction 180ml + Shatpushpa Churna 20mg +
Saindhav (Rock salt) 10 Gm +  Madanphal Churna 10
Gm.

Siddha basti
• Increases strength, muscle power, improves
complexion.
•   Substances used – Yava, Kulattha, Pippali,
Yashtimadhu, Saindhav, Honey.
   Generally each substance is taken in 40 gm
dose and water is added 4 times and after
boiling  till it remains 1/4th it is given in 250 ml
dose.

Rajyapan Basti -Indications
• Cleansing & tonifying in nature
• Indicated in Urinary tract infections,
glomerulo nephritis, avascular necrosis of hip
joints, Inguinal & Scrotal pain,
Musculoskeletal diseases like muscular
dystrophy, neurological cases like Multiple
sclerosis, Parkinson's disease etc.

Rajyapan Basti-Indications
• It is recommended in dry allergic cough or in
COPDs like emphysema, bronchiectasis,
chronic fever, gouty arthritis, irritable bowel
syndrome, Knee joint osteoarthritis etc.
• It is used in Auto immune conditions like
Ankylosing spondylosis & RA.
Rajyapan Basti increases the strength, it
increases the sexual drive, improves the
digestion and Vital sap.

Rajyapan Basti-Ingrediants
• Decoction of Ashwagandha, Shatavari,
Erandamool, Bala in a dose of 240 ml.
•      Honey - 20 ml.
•      Rock salt - 5 Gm
•      Sesame oil - 40 ml
•      Ghee - 40 ml.
•      Meat soup – 160 ml & Cow Milk – 160 ml.

Vaitaran Basti-Indications
• In Ama associated conditions to relieve the
pain e.g. in Amavata (RA)
• It reduces the acute inflammation especially
relieves the pain & burning.

Vaitaran Basti- Ingrediants
• Chincha leaves ( Tamarind) --- 40 Gm +
• Jaggery- 20 Gm + Rock Salt- 10 Gm +
• Cow Urine or Gomutrasav 160 ml + Sesame
oil- 30 ml
• It is used for 1 – 3 weeks.

Lekhan Basti
• Herbs like Triphala, Mustha, Kulatha, Sahachar are
used for decocotion along with Cow urine or
Gomutrasava. Rock salt is also added in it with
honey
• It is given in 500-900 ml dose alternate day. Triphaldi
or Sahacharadi oil 60-100 ml are used for Anuvasan
Basti.
• It is used in obesity, Hypercholesterolemia & in
PCOD with obesity


Tiktak sheer Basti
• Indicated in osteoporosis, osteopenia
• cervical spondylosis, lumber disks problem like
compression, prolapsed disks
• Pathological fracture
• Hair graying, hair fall
• Dental caries
• For the height gaining

Tiktak sheer Basti
• Guduchi, Patol, Vasa, Nimb, Kirattikta Bharad
total 50 Gm +
• 800 ml water, boiled till it remains 100 ml
• followed by 100 ml milk addition and
• Again boild till water gets evaporated+
• PanchaTikta Ghee 10 ml to 40 ml.

Piccha Basti
•    Indicated in IBS, Bacillary dysentery,
Ulcerative colitis etc.
•    Honey 200 ml + Saidhav 15 Gm  +
Nalpamaradi Keram ( Sneha) 100 ml +
Yashtimaddhu Kalka 30 Gm + Shalamali &
mustadi siddha kshir 200 ml
   Usually this basti is given by drip method


Karma – Kala – yoga Basti
• 1)  Yoga Basti -- 3 Niruha + 5 Anuvasana = 8
bastis --  Control to maintain Vata
• 2)  Kala Basti --  6 Niruha + 10 Anuvasana = 16
bastis --  Control of seasonal Vata
• 3)  Karma Basti -- 12 Niruha + 18 Anuvasana
= 30 bastis-- Control of extreme Vata vitiation

Economics of Basti
• Rubber catheter cost is about 6-7 Rupees per piece.
•  Plastic gloves are available at 80 Rupees per 100
pairs.
•   Enema pot is about 150 to 175 Rupees.
•    Medicated oil cost varies from 350 to 450 Rupees
per liter to 800 to 1200 rupees per liter
•   Generally Basti costs about 150-200 Rupees per day.

Pre treatment ( Purva Karma )
• External Oleation i.e. massage (Abhyanga)- At
least on stomach & back.On abdomen it
should be more circular & soft .Make sure that
there is no serious pathology inside the
abdomen like ulcer, perforation, strangulation,
Intussception
• Fomentation- Tube fomentation or
fomentation with napkin.

Pre treatment ( Purva Karma )
•      Anuvasana basti (if patient has excess
dryness, then give  2-3 Anuvasana basti)
•      Light meal before Anuvasan and empty
stomach before Niruha.
•      Excretion of the stool and passing of urine.


After treatment of Basti

•  Take rest
•  Bath with lukewarm water
•  Have light diet. Sansarjanakrama is not
necessary.
•   Use warm water to drink.

After treatment of Basti
• Don’t
•  Sit for long time
•  Vehicle journey
•  Sleeping during day time
•  Coitus
•  Suppression of natural urges
•  Having cold water for drinking or even bath (
which can provoke vata)

Basti Therapy in Clinical Practice
• 1) Cervical Spondylosis --- Tikta Ksheer Basti +
Shali Shastik Pinda Swedan 10 days. It relieves
pain, spasm .It gives relief for sensory &
motor symptoms like Tingling Numbness, pain
during the movement of neck

• 2) Backache ---- Sahacharadi Oil Matrabasti 60
ml + Patra pottali Swedan relieves the pain
,stiffness & spasm
•

• 3) Ulcerative colitis , IBS, Bacillary dysentery -
-- Mocharas Piccha basti – 25 Gm Mocharas+
100 ml cow milk+ 100 ml water boil till
evaporation of total Water. Many times this is
given by Enema pot & drip method. Internally
Bilva Avaleha is useful
•

• 4) Dry Cough (Allergic cough),Asthma ---
Sesame oil Matra Basti – 60 ml 7 Days give
symptomatic relief.
•

• 5) In weight gaining- Balaguduchyadi Oil 50 ml
Matrabasti 15 days. + Full body Gentle
massage with Kshir Bala oil + Internally
ShatavariKalpa or Chyavanprash

• 6) Oligospermia --- Kavach Beej Churna +
Shatavari 10 Gm each in 200 ml milk plus 200
ml water and by boiling till water get
evaporated+ Phala Ghrutum basti for 15 days
improves the sperm count.

• 7) Chronic Constipation --- Matra Basti with
Chincha Lavan oil is useful & used in a dose of
60 ml for 7days.+ advice about adequate
drinking of water + regular walling exercise +
Yogic exercises to improve tone of abdominal
muscles like Naukasan + Enough roughage in
diet

Textual Basti for GP
• Bala Guduchydi Basti ( A.H Kalpa 4/1,2)
• Honey 200 ml + Saindhav 15 GM+ Sahacharadi
oil 150 ml + Sukumar Ghrita 150 ml +Kalka of
Yavani ,Madan Phala
,Bilva,vacha,Musta,Pippali 30 Gm + Decoction
of Bala ,Guduchi,rasna,triphala,Dashamul
400ml + Mansa rasa 200 ml
• Uses – Vata pacifying, Nourishing to increase
weight

• Bala Patoladi Basti ( A.H. Kalpa 4/5,6)
• Honey 200 ml + Saindhav 15 Gm + Kshirbal tail
150 ml + Triphaladi Ghrutam 150 ml + Kalka of
Priyangu ,Pippali,Musta 30 Gm + Decoction of
Bala,Patola,Laghu Panchamul,Eranda,Yava 400
ml + Aja mansa ras 200 ml
• Uses – Eye Tonic, To increase muscular
strength

• Erandamula Basti ( A.H.Kalpa 4/7 to 10)
• Honey 200 ml + Saindhav 15 Gm + Murchit Til
oil 200 ML + Kalka of Vacha, Shatavha,
Priyangu, Yashtimadhu,Pippali,musta,indrayav
30 Gm + Decoction of Erandamul ,Rasna,
Guduchi,Ashvagandha,Punarnava,Aragvadha,
devdaru,madanphala 600 ml + Gomutra 75 ml
• Uses -- Lekhana

• Bruhatyadi Yapan Basti ( Cha.Sid 12/16)
• Honey 200 ml + Saindhav 15 Gm +
Madhuyashtyadi Tailam 100ml + Sukumar
Ghee 100 ml + Kalka of
Yashtimadhu,Madanphal,Pippali 30 Gm +
Decoction of
Brahati,Kantakari,Shatavari,Guduchi 450 ml
• Uses – Rheumatoid Arthritis

• Laghu Panchamul Yapan Basti ( Cha.Sidhi
12/16)
• Honey 200ml + Saindhav 15 Gm + Kakshadi
Tail 100 ml + Pippalyadi Ghee 100 ml + Kalka
of Pippali , Yashtimadhu ,Madan phala 30 Gm
+ Kshir Kashya of Lagu Panchamul 450 ml +
Apya dravya Jaggery 15 Gm
• Uses – Weakness ,Debility ,specially after
Visham Jwara

• Baladi Yapan Basti ( Charak Siddhi 12/16)
• Honey 200 ml + Saindhav 15 Gm + Kshir bala
Tail 100 ml + Kalyanak Ghee 100 ml + Kalka of
Yashtimadhu 30 Gm + Kshir Kashaya with Bala
,Ati bala ,Apamarga ,Atmagupta,Yavam 450 ml
• Uses – Chronic fatigue, Emaciation,
Oligozoospermia

• Madhu Tailik Yapan Basti ( Charak Siddhi
12/18)
• Honey 200 ml + Saindhav 15 Gm + Murchita
Tail 200 ml + Kalka of Shatavha 30 Gm +
Decoction of Eranda mul 450 ml
• Uses – Chronic skin diseases ,Chronic Urinary
disorders ,Diabetes mellitus ,Tumors in GI
Tract

Appreciation
• We personally appreciate the Innovative &
useful idea of Vidyananda Labs Pvt .Ltd .8
,Nanak Society ,Matunga Road ( West)
,Mumbai -400016 .Phones – 98 928
14011,9987684052

Innovative Disposable Basti
• Save time in pre & post basti preparation ,like
Syringes ,catheters etc. So this is faster way to
treat more patients. Prevention of equipment
induced infections. Out stationed patients can
continue treatment at their own place.
Vaidyas can keep their dispensary more clean .

• Disposable Matra Basti Pouches are available
for following oils –
• 1)  Sahachar Tail  2) Maha sahachar Tail 3)
Vishagarbha Tail 4) Narayan tail  ( Shatavari) 5)
Dhanvantar Tail ( Bala) 6) Kshir Bala Tail

• Availability – At Manakarnika Aushadhalaya
,Pune – 1015 ,Sadashiv Peth ,Near Ranade
Hosp,Nagnathpar ,Pune 30 .Ph – 020 –
24493953 & Shedge Building ,Padval
ali,Chinchwad Gaon ,Pune 33 .Phone --
09921625384

Prof.Dr.R.R.Deshpande
• Sharing of Knowledge
• FOR
• Propagating Ayurved

Ayurvedic Basti ( medicated enemata)

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