MODE OF ACTION OF BASTI KARMA

MODE OF ACTION OF BASTI KARMA

1. Concept of achintya veerya in basti karma Presenter: Under The Guidance Of : Dr. Madhu Ranjan Dr. Prakash Paltye 1 st year PG Scholar Associate Professor Panchakarma Dept Panchakarma Dept ASHWINI AYURVEDIC MEDICAL COLLEGE, TUMKUR

2. Contents: Introduction Basti definition Classification Ingredients Mode of action References

3. introduction: definition यस्मात बस्तिभि: चर्मपुटकै: दीयते तस्मात बस्ति:। बस्तिना दीयते इति बस्ति:॥ ( अ.द.अ.हृ.सू १९/१ ) बस्ति: यस्मात बस्तिभि: दीयते गुददेशे तस्मात बस्तिरिति स्मृत:॥

4. Basti as ardhachikitsa शाखागत: कोष्ठगताश्च रोगा मर्मोर्ध्व सर्वावयवाअन्गजाश्च। ये सन्ति तेषां न हि कश्चिदन्यो वायो: परं जन्मनि हेतुरस्ति॥... तस्मात चिकित्सार्धमिति ब्रुवन्ति सर्वा चिकित्सामपि बस्तिमेके॥ (च. सि.१/३८-३९) बस्तिर्वाते च पित्ते च कफे रक्ते च शस्यते। संसर्गे सन्निपाते च बस्तिरेव हित: सदा॥ (सु.चि.३५/६)

5. classification स तु बस्तिस्त्रिविध: आस्थापनं अनुवासनं उत्तरबस्तिश्चेति॥ ( अ.स.सू.२८/६) BASTI ASTHAPANA BASTI ANUVASANA BASTI UTTARA BASTI

6. Basti karma ingredients माक्षिकं लवणं स्नेहं कल्कं कषायं इतिक्रमात आव्पेत निरुहणां ह्येषं संयोजने विधि:॥ MADHU LAVANA SNEHA KALKA KWATHA

7. Mode of action of basti drugs SAINDHAVA : Guna : Snigdha, Tikshna, Sukshma. Karma:cures aruchi, ajirna, vibandhaand agnimandya. Even in small doses it is carminative, stomachic and digestive. Encolonic and endocolonic action: H elps in elimination of Basti due to its irritant property. The presence of Na+ in Bastidravya helps in absorption of drugs as the Na+ channels are the most commonly used channels for the absorbed almost as rapidly as pure water. The concentrated dose of salt causes irritant action on bowel producing peristalsis. When strong solution of salt is administered into rectum it destroys thread worms.

8. MADHU: Guna: Kaphachedana property, scraping and balya property. Karma: Fatty acids present in honey stimulate peristaltic digestion. As Vayu is Yogavahi, madhu equivalent to its combats its disaatrous effects, hence potentiating the quality of other ingredients. Encolonic and endocolonic action: Honey along with salts makes a homogenous mixture to form a solution having properties to permeable the water easily thus absorbing quickly and acting as an instant energizer. It has hygroscopic properties which speed up the heeling, growth of heeling tissue. It scrapes out Malarupa Kapha from Intestine.

9. SNEHA: It lubricates colon, soften mala and helps to eliminate without strain. Encolonic and Endocolonic action: O il helps in protecting the intestinal mucosa from irritating substances, thus helping an easy and smooth elimination of Basti Dravyas without causing wear and tear to mucosa. Adding Sneha (lipid) with decoction aims to provide a dual base of the preparation for trans-mucosal and intercellular absorption. Volatile substance are rapidly absorbed from aqueous or oil solutions. Oil enema or oil present in enema preparation helps to absorb the toxic substance in it. KALKA : It also helps to disintegrate malas. increasing osmotic permeability of solution. Encolonic and endocolonic action: the action of these two component mainly depend upon the drugs used in it. KWATHA : This is main content of Basti dravya. The drugs used for decoction are mainly according to disease and stage of disease. It brings homogeneousity to mixture.

10. method: Mode of action of basti पक्वाशये तथा श्रोण्यां नाभ्यधस्ताच्च सर्वत:। सम्यक प्रणिहितो बस्ति: स्थानेष्वेतेषु तिष्ठति॥ पक्वशयाद्बस्तिवीर्यं सर्वदेहनुसर्पति। वृक्षमूले निपिक्तानामपां वीर्यमिव द्रुमम॥ स चापि सहसा बस्ति: केवल: समलोपिवा॥ प्रत्येति वीर्ये त्वनिलॆरपानाद्येर्विनीयते॥ वीर्येण बस्तिरादत्ते दोषानापादामस्तकात। पक्वाशयस्थोम्बरगो भूमेरर्को रसानिव॥ स कटीपृष्ठकोष्ठस्थान वीर्यणालोड्य संचयान। उत्खात मूलान हरति दोषाणां साधुयोजित:॥ (सु.चि. ३५/ २४-२७)

11. Mode of action of basti: Administration of Basti dravya via Bastinetra Netra penetrates up to Pravahaini and Visarjini Vali (A.H.Ni.7/3) When pressure is applied the Vastidravyas gets pushed further into Antra (intestine) It traverse whole Antra and reaches Pakvashaya

12. Amsa(part) of jatharagni is present in Pakvashaya as Katu Avasthapaka takes place here. This little agni has only Soshana property, and avoid any complex digestion chain formation (ca. chi.15/11) Finally Bastidravya is reached is Pakvashaya and the Virya of the Basti medicine spreads all over the body through micro and macro channels (systemic action of Vasti) In Basti it is the Virya of drug which brings about an action. Virya is nothing but energy/ potency capable of bringing a change.

13. Various branches of Adhogami dhamanis (A.S.sa 6) present in Pakvashaya absorb the Virya and carry it to Urdhwagami and Tiryaka Gami Dhamanis.

14. Action of Niruha basti in the pakwashaya Action of first Niruha Vasti : dravyas by reaching upto umbilical region (transverse colon), sacro iliac region (rectum), flanks and hypochondriac regions (ascending and descending colon), churns up the fecal and morbid matter present there and at the same time by spending its unctuous effect in the whole body, draws out the fecal and morbid matter with ease. Action of second Niruha Vasti: If dosas are in excess quantity we need to repeat Niruha again.

15. Second Niruha again does the same action. This time acting on Pitta Dosha dependent on Vata in Pakvashaya. Action of Third Niruha Vasti: Just as blowing of air ( in fire place) propels fire upwards; in the same way vayu throws Virya to Pitta and Kapha; thus pulling them out. The third Niruha Basti if given expels out morbid Kapha in pakvashaya dependent on Vata. Thus the excess Pitta and Kapha Dosha which have moved from their own abode to Pakwashaya gets dislodged/ thrown out by giving continuos three niruha basti

16. As cloth takes away the dye from water mixed with Kusumbha(plant). Likewise Niruha Basti eliminates excrements from the liquefied body materials (selective absorption action of vasti karma) Once all Pakvashayagata dosha get cleared Vayu attains normalcy(local action of vasti). Thus it is clear that vasti is not given merely to draw out the impacted feces from the colon but it is one of the routes of drugs administration for systemic therapy of many diseases also. That is the reason why vasti alone has been unanimously claimed as half treatment of diseases.

17. All the activities of body both external and internal are essentially dependent on Vata is normalcy. Vasti makes the vitiated Apanavata to move in a downward direction and cures the multitude of diseases. Thus when Apana Vata attains normalcy it corrects disorders of Vita, Sleshama , Pitta, Anila, Mutra and provides strength.

18. The potency of drugs of enema material present in colon is transported quickly by Apanavayu to regions of SamanaVayu, thus normalizing it. Thus when Samana Vayu attains normalcy it corrects disorders . From Samana Vayu it gets transmitted to Vyana Vayu. VyanaVata transmits the actions of enema sideward's, Apanavata downwards, and Pranavata upwards, through their own channels; just as canals transport water to a field.

19. On Vyana Vata corrections it brings Similarly udanavayu gets normalizes bringing And further it effect is transmitted to Prana Vayu Thus these Vayu getting satisfied(nourished) become normal and helps to regain health. Now slowly and steadily they subdue aggravated Pitta and sleshma dependent on them and restore them to their own seats, and thus nourish all the constituents of the body by supplying the required bhutas.

20. result: So the mode of action of basti is brought about in two ways Direct access Via tiryakagami dhamanis It goes directly to skin and pores and nourishes them Once rasadhatu gets nourished Further uttaradhatu attains nourishment Nourishment to all dhatus Indirect access Via urdhwagami dhamanis Where they further go to hridaya Divide into various branches With the help of Vyana vayu They are explled out of the heart Thus the nourishment reach the whole body again and nourish various dhatu.

21. discussion So basti introduced in the colon acts upon every system of body from head to toe and draws out the impurities by its potency like sun evaporates water from earth by its heat (eliminative or purificative action of Basti) Just as the comb arranges the entangled hair in order similarly does basti the deranged dosa to its normalcy. Basti are chief among all therapies; cures all diseases without any residue; purifying/ clearing the interior of channels; its also increases the ojas, tejas, semen, intelligence and digestive power. In regard of encolonic , endocolonic and dicolonic action, vasti dravya when administered reaches upto the micro and macrocellular level due to its virya helps firsts to disrupt the pathogenic process and carries out the morbid matter towards Pakvashaya for elimination and then after absorption it starts regenerative process. Thus it works as a curative as well as a purificative measure.

22. Thank you