Vaitarana Basti final.pptx

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1. BASTI Created By: Jinal, Avadhee , Netal , Priti , Hardik, Sachin , Sudhir , Rahul , Yash , Uttam Guided By: Dr. Satyajit Kulkrni Sir Dr. Nikunj Mewada Sir Dr. Girish Damor Sir Dr. Rupali Bharatdwaj Ma’am

2. INTRODUCTION Basti karma is one among the Shodhana .

3. ETYMOLOGY OF BASTI The word basti is derived from the root ‘vas’ by adding ‘ tich ’ pratyaya . वसु निवासे बस् आच्छादने बस् वासने सुरभि कारणे Nivaasa  – abode, home or place of stay, that which accommodates (here vasti accommodates urine, holds medicines during the treatment procedures) Aachhadana  – to cover, envelope or surround, Vasti is a structure which covers or envelopes or surrounds urine (when used as an equipment in the treatment procedures it surrounds the medicated liquids like herbal decoctions, herbal oils, ghee, milk etc)

4. In the treatment, the term Vasti giving the meaning of nivasa and aachhaadana is adaptable Surabhi  – to impart fragrance Thus, Vasti is a treatment procedure in which the liquid medicines are administered through the anal route (through urethra and vaginal orifice and wound openings also) The medicines were administered using sterilized urinary bladder of an animal as equipment (enema cans, syringes used now days are called Vasti yantra or enema equipment)

5. DEFINITION OF BASTI नाभिप्रदेशं कटिपार्श्वकुक्षिं गत्वा शकृद्दोषचयं विलोड्य  ||४०|| संस्नेह्य कायं सपुरीषदोषः सम्यक् सुखेनैति च यः स बस्तिः  |४१| ( च . सि . १ / ४० - ४१ ) The therapy that while moving in umbilical region, lumbar region, sides of the chest and pelvic regions churns up stool including all the other morbid matter located there and appropriately eliminates them with ease after oleating the body is called basti . बस्तिभि: दीयते यस्मात् तस्मात् बस्तिरिति स्मृत​॥ (वङ्गसेन , शा.उ.ख.५/१ ) वस्तिना दीयते इति वस्तिः।(अरुणदत्त)

6. शाखागताः कोष्ठगताश्च रोगा मर्मोर्ध्वसर्वावयवाङ्गजाश्च| ये सन्ति तेषां न हि कश्चिदन्यो वायोः परं जन्मनि हेतुरस्ति||३८|| विण्मूत्रपित्तादिमलाशयानां विक्षेपसङ्घातकरः स यस्मात्| तस्यातिवृद्धस्य शमाय नान्यद्बस्तिं विना भेषजमस्ति किञ्चित्||३९|| तस्माच्चिकित्सार्धमिति ब्रुवन्ति सर्वां चिकित्सामपि बस्तिमेके|४०| ( च . सि . १ / ३८ - ४० ) IMPORTANCE OF BASTI

7. None other than vata is responsible for all diseases origination in shakha (peripheral tissues), koshtha (visceral organs), marma (vital points of the body), urdhva (upper part of body), sarvavaya (covering entire body) and anga (individual parts of the body). Vata is responsible for separation and combination of stool, urine, pitta etc. including other excreta and tissue elements. When it gets highly aggravated there is no remedy other than basti for its alleviation. Therefore, basti is considered by physicians to be the half of entire therapeutics. Some physicians even consider it as whole of the therapeutics.

8. CLASSIFICATION Based on the site of administration ( Adhishtana Bheda ) – 1. Pakwashaya Gata 2. Garbhashaya Gata   3. Mutrashaya Gata 4. Vrana Gata

9. Based on the type of liquid medicine used (Dravya Bheda ) – 1. Niruha Basti 3. Anuvasana Basti  –  3 sub types – Sneha Basti Anuvasana Basti Matra basti

10. Anushangika bheda (MISCELLANEOUS  CLASSIFICATION OF BASTI) Yapana Basti Siddha Basti Vaitarana Basti Madhutailika Basti Ksheera Basti Prasruta Yougika Basti Dwadasha Prasrutikee Basti Padaheena Basti Pichcha Basti Rakta Basti

11. Vaitarana Basti Vaitarana basti is classified on the basis of its different combination of dravyas . Vaitarana basti is a form of niruh basti but with some modifications. It is explained by Vangasena , Vrindamadhava   & Chakradatta. It is very useful in Amadosha predominance, viz. Anaha , Amavata , Shotha & Shoola , all types of Vata-Kaphaja disorders etc.

12. ETYMOLOGY OF VAITARANA BASTI Vaitarana or Vaitarani river (which has to cross by a person who is supposed to death) asmentioned in the Garuda Purana and various other Hindu religious texts, lies between the earth and the infernal Naraka. And is believed to purify one’s sins. Also, Vaitarani River is mentioned in other texts like Harihareshwara Mahatmya,Tirtha Yatra Parva of Mahabharat , Matsya Purana,Vamana Purana and Padma Purana . Lastly, it is the Padma Purana which reveals the etymology Vaitarana means vai – truly + tarana – saving. Vaitarana is called so because the enema is said to truly save one from many diseases.

13. The term Vaitarana has been made from the word “ Vitaranam ”, which means to donate, go across, to leave which help to expel out the Dosha. Thus, we can say that Vaitarana Basti helps to expel out the morbid Dosha from the body and thereby giving relief in the disease. This Basti is powerful in a sense that it can bring back life of a person who is about to cross the Vaitarana .

14. REFERENCE In Brihat Trayee there is no description of Vaitarana Vasti. The first reference regarding Vaitarana Basti is probably found in the Sidhayogah or Vrindha Madhava and is explained as a separate section after Niruha Adhikara as this formulation does not satisfy the common pattern of the combination as in Niruha . Chakradatta – Niruhadhikara Vangasena

15. INGREDIENTS INGREDIENTS CHAKRADATTA VANGASENA VRINDHAMADHAVA Guda ½ Pala (24gm) ½ Pala (24gm) 1 sukti (24 gms ) Saindhava Lavana 1 Karsha (12 gms ) 1 Karsha (12 gms ) 1 Karsha (12 gms ) Tila Taila Eshat (60-70 ml) Eshat (60-70 ml) Eshat (60-70 ml) Amleeka ( Chincha ) 1 Pala (48gms) 1 Pala (48gms) 1 Pala (48gms) Gomutra 1 Kudava (192 ml) - 1 Kudava (192 ml) Surabhipayasa or Godugdha - 1 Kudava (192 ml) -

16. Guda Saindhava Lavana Tila Taila Amleeka ( Chincha ) Gomutra Godugdha

17. Sukshma Guna reaches up to the micro channel of body. Tikshna Guna breaks down the morbid Dosha Sanghata while Snigdha Guna liquefies the Dosha. Irritant property eliminates the dosha. SAINDHAVA LAVANA

18. In this Basti instead of Madhu, Guda is used. It along with Saindhava makes homogenous mixture, to form a solution having properties to permeable the water easily. Here, Purana Guda should be taken as it is Laghu, Pathya, Anabhishyandi , Agnivardhaka and Vata- Pittaghna . It also helps in carrying the drug up to micro-cellular level. GUDA

19. Sneha dravya reduces Vata Dushti, softens microchannels , destroys the compact mala, and removes the obstruction in the channels. (Ch.Si.1/7). In this Basti, Tila , Taila mixed with the mixture of Guda and Saindhava help in forming the uniform mixture. It also protects the mucus membrane from the untoward effect of irritating drugs in the Basti drava . SNEHA

20. Amleeka is having Vata– kaphashamaka , Ruksha and Ushna properties. Ruksha Guna helps in counteracting the Ama which is chief pathogenic factor of many diseases. AMLEEKA

21. In this Basti, Gomutra is chief content, which owing to its Katu Rasa, Katu Vipaka, Ushna Virya , Laghu, Ruksha, Tikshna properties pacify the Kapha. The Ruksha Guna of Gomutra is very helpful in the diseased condition like Amavata . It is useful for Vaitarana Basti owing to its Tridoshahara , Agnideepana , Pachana , Srotovishodhana and Vatanulomaka properties. Thus it works as curative as well purification measure. GOMUTRA

22. PROPERTIES: Brimhana Vrishya Medhya Balya Jeevaneeya Rakta- pittaghna GODUGDHA

23. METHOD OF PREPARATION PROCEDURE: Poorva Karma (Pre Operative Procedure) Pradhana Karma (Main Operative Procedure) Pashchata Karma (Post Operative Procedure).

24. PREPARATION OF BASTI DAVYA: Vaitarana Basti is prepared as per the classical method used for the preparation of Niruha Basti. Jaggery ( Guda ) is mixed uniformly with equal quantity of lukewarm water. Saindhava is added to the above. Tila Taila is added till the mixture become homogenous. Chincha Kalka is taken and added to above mixture carefully. Gomutra is added slowly and mixing is continued so as to have uniform Basti Dravya. Finally after filtering, Basti Dravya is made lukewarm by keeping it into hot water. 1) POORVA KARMA

25. After Mala, Mutra Veganivarana , Sthanika Snehana ( Tila Taila) and Sthanika Swedana ( Nirgundi Patra Nadi Sweda ) should be done. Patient should advise to lie down in the left lateral position on the Basti table ( Droni ) with straight body and left hand kept as pillow. His right leg is folded at knee joint and made to rest flat over the straight left leg. Then Sukhoshna Sneha is to be applied in the anal region and on the Basti Netra. Introduce the Basti Netra slowly up to 1/4 part of the Basti Netra. Lukewarm Basti should be administered slowly. BASTI PRATYAGAMANA: It will take maximum period in Return of 1 Muhurta (48 minutes). 2) PRADHANA KARMA

26. It can be given after food like Anuvasana Basti. But if the patient is strong enough it can be given in empty stomach. Acharya  Vangasena , Godugdha can be used instead of Gomutra . SPECIALITIES OF THE BASTI

27. SAMYOGA: Prasasta vidamutra –Mala- mutra Pravartana , Agni vraddhi , Laghuta , Roga shanti and Bala vraddhi . AYOGA: Shiro Hridaya , Guda , Basti, Medhra Vedana , Shotha , Pratishyaya (Rhinitis), Parikartika , Hrillasa (Nausea), retention of flatus and Shwasa (Dyspnoea). ATIYOGA: Adhmana , Parikartika , Parisrava , Hridgraha , Vibhramsha , Stambha and Kamla .

28. Removing of Netra from Guda , then tadana on thigh & buttucks , then ask him to change postures from left lateral to prone, right lateral and supine postures, if patient gets natural urge with in 10 to15 minutes ask him to for motion and observed Samyak Lakshana of Basti karma. DIET: Fresh Green Gram Khichidi in lunch and dinner next day Anuvasana Basti should be administered. 3) PASHCHAT KARMA

29. INDICATION According to Acharya Chakradatta & Vrindhamadhava : Amavata Anaha Shoola According to Acharya Vangasena : Shoola Vata disorders Gridhrasi Janu sankocha Vishama Jwaram Klaibya

30. CONTRAINDICATION Vridhha Garbhini Duarblya Shramata Kshudartha Arsha

31. Acharya Chakradatta & Vrindhamadhava have explained the role of Vaitarana Basti in management of Amavata . The ingredients of Vaitarana Basti mainly possess Deepana , Pachana , Ushna, Sukshma, Laghu, Teekshna and Lekhana properties. These properties help to alleviate Ama and Vata in the body. Basti dravya reaches various part of the body like Sandhis and minute channels like by its Sukshma Guna and liquefies the Dosha which was present in various forms. Gomutra , which is the chief content, is helpful to reduce the Shotha and Ruja as it is mainly indicated in Ama . VAITARANA BASTI IN AMAVATA

32. At the same time it does the Srotovishodhana there by decreasing the Srotobhiyandana which internally leads to Vatanulomana because of removal of obstruction and finally expels Ama and Kapha-vata out of the body. Thus Basti dravya after reaching to large intestine and small intestine get absorbed from intestine, due to Laghu, Ushna, Thikshna and Rukha Guna of Vaitarana Basti Dravya, It breaks the obstructions and expels out the morbid material from the all over the body thus help in breaking down the pathogenesis of disease.

33. Acharya Vangasena has explained role of Vaitarana Basti management of Gridhrasi in Basti Karma Adhikara . Gridhrasi mainly condition which is associated with Shula, Stambha , Sankocha , Shotha i.e. Vata- kaphaja . The Lavana - amla -sneha- gomutra yukta Vaitarana Basti acts as Vatashamaka and also reduces the symptoms in Vatakaphaja Gridhrasi . The Godugdha Vaitarana Basti has got the more lipid content in it. VAITARANA BASTI IN GRIDHRASI

34. The rectum has a rich blood and lymph supply and drugs can cross the rectal mucosa like other lipid membranes. Lipid soluble substances are rapidly absorbed from the rectum. In the rectum, in the upper portion, the absorption in via the upper rectal mucosa and is carried to the superior haemorrhoidal vein into portal circulation. Whereas that absorbed in the lower rectum enter directly into systemic circulation via middle and inferior haemorrhoidal vein. These factors-the probable mode of action and probable mechanism of action may be responsible for the relief in the signs and symptoms of the disease. The Lavana - amla -sneha- dugdha Yukta Vaitarana Basti acts as vatashamaka and also reduces the symptoms in Vataja Gridhrasi .

35. RESEARCH ARTICLE https://www.researchgate.net/publication/330437629_Efficacy_of_Vaitarana_Basti_with_respective_to_Ayurveda http://www.iamj.in/posts/2018/images/upload/1448_1455.pdf https://www.researchgate.net/publication/324058875_Vaitarana_Vasti_-_A_Conceptual_Study https://ijrap.net/admin/php/uploads/1321_pdf.pdf