CONCEPT OF BASTI

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.

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. 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 . DEFINITION OF BASTI

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. BASTI -ADHYAYA

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. Why Basti ?????

5. Basti Treatment वातोल्बणेषु दोषेषु वाते वा वस्तिरिष्यते उपक्रमाणां सर्वेषां सो अग्रणीस्त्रिविधस्तु सः  निरूहो अन्वासनं बस्तिरुत्तरः 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. BASTI VIDHI ADHYAYA

6. BASTI BHAYA MARGA ABHAYANTRA MARGA (External Route) (Internal Route) Janu basti Aasthapana basti Kati basti Niruha basti Manya basti Matra basti Greeva basti Uttara basti Hridaya basti T y pes of Basti Acc to two ways

7. Kati basti Janu basti Medicated oil poured over back for relieving pain Medicated oil poured over knee for relieving pain

8. Greeva basti Hridaya basti Medicated oil poured over neck region Oils over chest region to relieve chest pain in heart disorders

9. BASTI Type- 1 SNEHA BASTI KASAYA BASTI ANUVASANA BASTI ASTHAPANA,NIRUHA BASTI TYPES OF BASTI ACCORDING TO ROUTES

10. TYPE-2 BASTI APATHYA MARGA MUTRA MARGA FEMALES ONLY MALES & FEMALES( Both ) TYPES OF BASTI ACCORDING TO ROUTES

11. SNEHA BAST I ANUVASANA BASTI (300 ml) MATRA BASTI (75ml) KASAYA BASTI UTHAMA PRASRTHA SIDDHA MATHRIKA YOGIKA BASTI BASTI TYPES ACC TO MATRA( DOSE)

12. 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. TYPES OF BASTI IN DETAIL

13. 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. UTTARA- BASTI

14. B asti netra (Nozzle)images

15. 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. B asti netra discripition

16. 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.  Basti netra(Nozzle)

17. 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), B asti netra Dose

18. 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.  Basti Netra

19. ANUVASANA-BASTI(Sneha basti)

20. Anuvasana Matra - quantity for oil enema:- यथायथं निरूहस्य पादो मात्रा अनुवासने  The quantity for oil enema should be one fourth of the quantity of that of decoction enema, as prescribed for each age group.  Producer of Anuvasana basti

21. BASTI KARMA NORMAL POISITION Basti netra Guda marg a Vastya (Bladder)

22. 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. P rocedure of Anuvasana basti

23. PATIENT POISITION WHILE BASTI Basti netra Position of a patient while basti karma Sneha basti through Guda marga

24. 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.  PRODUCER OF ANUVASANA-BASTI

25. 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.  PRODUCER OF ANUVASANA-BASTI

26. 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,  PRODUCER OF ANUVASANA-BASTI

27. SNEHA BASTI EXPELLED OUT THROUGH GUDA MARGA After sneha basti ;expelled sneha out Before the sneha basti karma position of sneha Sneha expelled out through Basti marga

28. 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.  PRODUCER OF ANUVASANA-BASTI

29. 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.  PRODUCER OF ANUVASANA-BASTI

30. 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; PRODUCER OF ANUVASANA-BASTI

31. Patients suitable for Anuvasana Basti ; Anuvasana Arha – Anuvasya आस्थाप्या एव च अनुवास्या विशेषादतिवह्न्यः  रूक्षाः केवलवातार्ताः 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 .  P ersons sutiable for Anuvasana basti

32. 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, Persons Not sutiable for Anuvasana basti

33. 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.  PERSONS NOT SUTIABLE FOR ANUVASANA-BASTI

34. Niruha Basti Vidhi - Procedure of decoction enema:- पञ्चमे अथ तृतीये वा दिवसे साधके शुभे  मध्याह्ने किञ्चिदावृत्ते प्रयुक्ते बलिमङ्गले  अभ्यक्तस्वेदितोत्सृष्टमलं नातिबुभुक्षितम् अवेक्ष्य पुरुषं दोषभेषजादीनि चादरात् बस्तिं प्रकल्पयेद्वैद्यस्तद्विद्यैर्बहुभिः 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 ., ASTHAPANA-BASTI(Niruha Basti)

35.  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. ASTHAPANA-BASTI( Niruha Basti )

36. तेन साधयेत्  गुल्मानाहखुडप्लीहशुद्धातीसारशूलिनः जीर्णज्वरप्रतिश्यायशुक्रानिलमलग्रहान् वर्ध्माश्मरीरजोनाशान् दारुणांश्चानिलामयान् 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 Persons suitable for ASTHAPANA-BASTI decoction enema -Asthapya / Asthapana Arha

37. 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.  Persons suitable for ASTHAPANA-BASTI decoction enema -Asthapya / Asthapana Arha

38. निरूहमात्रा प्रथमे प्रकुञ्चो वत्सरे परम् प्रकुञ्चवृद्धिः प्रत्यब्धं यावत्षट्प्रस्रुतास्ततः  प्रसृतं वर्द्धयेदूर्ध्वं द्वादशाष्टादशस्य तु आसप्ततेरिदं मानं, दशैव प्रसृताः परम्  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. NIRUHA & ANUVASANA MATRA (Quantity of medicine for decoction enema:

39. 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 :- यथायथं निरूहस्य पादो मात्रा अनुवासने   ; 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.  NIRUHA & ANUVASANA MATRA (Quantity of medicine for decoction enema:

40. KARMA BASTI KAAL BASTI YOGA BASTI

41. Karma Basti – treatment with 30 enemas प्राक्स्नेह एकः पञ्चान्ते द्वादशास्थापनानि च  सान्वासनानि कर्मैवं बस्तयस्त्रिंशदीरिताः 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 KARMA – BASTI (30 days)

42. 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 d ay= 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 . KARMA -BASTI

43. Kala Basti – 15 enema regimen कालः पञ्चदशैको अत्र प्राक् स्नेहो अन्ते त्रयस्तथा  षट् पञ्चबस्त्यन्तरिताः 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 .  KALA – BASTI ( 15 days )

44. 1Day = A , 2day = A , 3da y = K , 4day = A , 5day = K   6 day = A , 7 day = K , 8 day = A , 9 day = K , 10 day = A 11 day = K , 12 d ay= A , 13 day = A , 14 day= A , 15 day = A . NOTE: A= Anuvasana basti K= Kashaya basti KALA-BASTI

45. Yogabasti  – 8 day enema regimen -  योगो अष्टौ बस्तयो अत्र तु त्रयो निरूहाः स्नेहाश्च स्नेहावाद्यन्तयोरुभौ 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 YOGA-BASTI (8 days)

46. Matra Basti – Low dose fat enema – ह्रस्वया स्नेहपानस्य मात्रया योजितः समः   मात्राबस्तिः स्मृतः स्नेहः 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 . MATRA-BASTI

47. Matra Basti – Low dose fat enema – शीलनीयः सदा च सा बालवृद्धाध्वभारस्त्रीव्यायामासक्तचिन्तकैः  वातभग्नाबलाल्पाग्निनृपेश्वरसुखात्मभिः  दोषघ्नो निष्परीहारो 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 MATRA-BASTI

48. 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) MATRA-BASTI

49. 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.  UTTARA-BASTI PROCEDURE(Males)

50. 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 .  UTTARA-BASTI PRODUCER(Females)