ANUVASANA VASTHI

It is used in two ways as a supportive treatment for asthapana in different protocols like yoga, kala, karmavasthi and as a kevala snehavasthi in the form of matravasthi.
Mainly used in conditions of vata for the purpose of snehana but in some cases like arshas, Vasthi like Pippalyadi Anuvasana can be given.

1. Anuvasana vasthi Dr.Simi Ravindran Assistant professor Department of P anchakarma Government Ayurveda college Thiruvananthapuram

2. Yatha cha annam anuvasan api na doosyati anuvasaram api va deeyathe ithi anuvasanam Snehanartham … Chathusneham Tasya bhedho matravasthi Hraswa peya matra thulyam … srusta malo doshagnascha Thathapi thou najeerne yojow na diva swapno tato sevya ..

3. Anuvasana upagam Rasna Devadaru Madanaphala Satapushpa Rakthapunaranava Swethapunarnava Gokshura Agnimantha Bilwa shyonyaka

4. Snehavasthi-6 Anuvasana vasthi-3 Matra vasthi -1 1/2

5. Matravasthi the dose equal to hraswa snehapaana matra Half of anuvasana One and half pala-72 grams

6. Anuvasana Vasthi It is used in two ways as a supportive treatment for asthapana in different protocols like yoga, kala , karmavasthi and as a kevala snehavasthi in the form of matravasthi . Mainly used in conditions of vata for the purpose of snehana but in some cases like arshas , Vasthi like Pippalyadi Anuvasana can be given.

7. Materials required Plastic polythene cover/ traditional putaka with vasthinetra Gloves Vessels Anuvasana taila / ghrita ( chikkana paka ) - 1/4th of asthapana Hot water for warming the sneha

8. Indications Sarvanga roga –daily Ekanga roga Kukshi roga Vata sanga Mootra sanga Mala sanga Shukrasanga Balakhsya Adhmana Anga supthi Krimikosta Udavarta Parvabheda gulma

9. Ekanga roga Bhagandara Unmada Jwara Vridhi Shirasoola Kampa Parikarthika

10. Preoperative procedure Food is given just before Anuvasana as prescribed by the physician. A.Hr.Su .(19/22)

11. Procedure After taking food patient should walk little distance. .. abhukthe rikta kostasya pryunjeetha …. Then advice the patient to lie down on the left lateral position with his right leg flexed at knee and hip, left leg kept straight and left hand below the head. Warmed sneha is taken in polythene cover. Wearing the hand gloves, per rectal examination is carried out to rule out loaded rectum, or any other obstruction.

12. Contd … Then the vasthinetra is carefully introduced into the anal canal in the direction of vertebral column .- netra vyapath Snehadravya should be pushed with uniform force not too slow not too fast. A little amount of snehadravya should be retained in the container and vasthinetra is removed slowly.

13. Time of administration Usually between 1-2pm. (Just after lunch)

14. Post operative Patient should lie supine. Mild massage over abdomen is given. Bend his legs at the knee, and buttocks are hit by his heels. Patient is allowed to lie with pillow under his thighs. Patient is advised to attend his urge. A.Hr.Su.19/27-28

15. Why Anuvasana After Food ?

16. Contd.. The Anuvasana Vasthi administered to the person who has not taken food, quickly moves upwards because of its mobile, far reaching and subtle properties. From this vata does not get controlled but the digestive activities become greatly weakened because of the vasti material not coming out of the body. If it is administered when the person has taken food, the full stomach obstructs the vata , then the Anuvasana Vasti will be able to mitigate vata and expels it out after the digestion of food.

17. Contd.. For all purpose warm water should be used. Till the sneha comes out, patient is not allowed to eat anything. Usually sneha comes out with feces within 1-5 hours. A.Hr.Su.19/30

18. Samyak - Yoga of Anuvasana It will stays for some time and comes out with feces. Vatanulomana A.Hr.Su.19/53

19. The symptoms of proper Anuvasana are Returning of feaces and oil separately without sticking with each other Clarity of senses, intellect and Raktadi Dhatu Feeling of lightness Increase of Stenghth Regulation of excretory urges Proper sleep Cha.Si .( 1/44)

20. Without any discomfort or burning sensation Su. Chi. 37/67

21. Ayoga of Anuvasana Pain in the lower part of the body, abdomen, arms, back and sides Dryness and roughness of the body Retention of feaces , flatus and Urine Cha.Si .( 1/45)

22. Ati - Yoga of Anuvasana Nausea Stupor Fatigue Exhaustion Fainting Griping pain Cha.Si .( 1/46)

23. Vatha pitha kaphat annaipureeeshai avrutasya cha… Abhukthe cha praneethasya snehavasthe shadapada …

24. Complications Abdominal pain : Rx: Hinguvachadi / ashta / vaisvanara choorna .

25. Thanks