BASTI IN AYURVEDA

BASTHI

GUIDE- DR. MURALIDHARA MD (AYU)

HOD AND PROFESSOR

DEPT. OF PG STUDIES IN KAYACHIKITSA,

SKAMCH&RC, VIJAYANAGAR, BANGALORE.

Amritha Edayilliam Nair

PG Scholar

Department of PG studies in Kayachikitsa

SKAMC & HRC

• CONTENTS

• Nirukti

• Classification of basthi

• Basthi dravyas

• Niruha

• Anuvasana

• Probable mode of action

• Different basthi yogas in different conditions.

Nirukti

• Vasu nivase- to reside

• Vas- aachaadane- to wrap/cover.

• Bastehe avrunothi mootram-that which covers the mootra

• Vasti nabhir adho bhage sthaane

• In the context of panchakarma its used in different sense

Bastina deeyathe ithi basthi-A.H Su.19/11

Classification of basthi

1) Adhishtana bhedam

• Pakwasayagata basthi

• Mootrashayagata basthi

• Garbhashayagata basthi

• Vrana basthi(su.chi.35/11)

2) Dravya bhedam

• Anuvasana basthi/sneha basthi

• Niruha basthi/Asthapana

• Sankhya bhedam(ch.si.1)

• Karma basthi(30)

Total 18 anuvasana -Starting with 2 anuvasana ending with 5 anuvasana + 12 niruha.

• Kalabasthi(15)

Total 9 anuvasana- starting with 1 anuvasana ending with 3 anuvasana+ 6 niruha.

• Yogabasthi(8)

• Total 5 anuvasana-starting with 1 anuvasana and ending with 2 anuvasana+3 niruha.

• Matra bhedam

• Dwadhasha prasrutha basthi (su.chi.38)

Prasutha= 2pala(96ml/100ml)

In total 1200ml

• Prasrutha yogika basthi(cha.si.8)

4,5,6,7,8,9,10 prasutha basthi

• Padaheena basthi(su.chi38)

3 prasrutha deduct from total qty- navaprasrutha-900ml.

Eg.madhuthalika basthi.

• Anuvasana vasthi classified based on matra

Sneha basthi- 1/4th qty of niruha-6 pala(288ml)

Anuvasana-1/2 of snehabasthi- 3pala(144ml)

Matra basthi-hruseeyasi matra of sneha 1 ½ pala- (72ml)

should get jeerna in 2 yaama-6 hours.

• Karmukata bhedam(s.sa.su.28)

Uthkleshanam,

samshodhanam,

Samshamanam

Lekhanam

bruhmanam,

vajeekaranam,

Sangraahi

Chakshushya

Pichabasthi

Maadhuthailikam- also called yapana, yuktaradha, doshahara, snigdabasthi.

• Basthishu tu theshu theshu avasthanthareshu

Yaanyupayunjyanthe dravyaani thaanyeva

asankhyeyathwan upadishanthe|

Rasaskandhebhyo eva yadhadosham yadhaavastham cha vibhajeth||A.s.su||

Basthi dravyas

Oudbida dravyas

Phalini dravya Vacha Kushta

Dhamargava Vatsaka phala Hingu

Ikshuvagu Shathapushpa Devadali

Jimuthaka madhuka Musta,usheera,chandana, shati

Kruthavedana 0thers Manjishta,traayamaana,yava,

Madana Triphala , eranda Shadvirechaneeya ganas

Trapusha Ela , guduchi Anuvasanopaka ganas

Hasthiparni Trikatu Madhuradi skandadi dravyas

Kutaja Rasna Dashamoola

Asthapanopaka gana Sarala Dhanyamla

Trivrut Devadaru

Bilwa Rajani

Pippali Madhuka

Jangama dravyas Parthiva

Ksheera Lavana

Ghrutha

Vasa

Majja

Dhadhi

Mastu

Takra

Mootra

Mamsa rasa

Madhu

• Literal meaning- that which cannot be assessed.

Definition

Tad vayasthapana doshasthapanadwaa

asthapanamithyuchyade||

shareeraarohanadosha

nirharanaath achinthya prabhavataya

yasminnuuha asambhava nirooha ithi||( As.sa.su.28)

Niruha/ Asthapana

• Guna(cha.si.1),(Su.chi.35)

• Vayasthapana(srothoshudhikaratwath)

• Sukha,ayu,bala,agni,medha,swara,varna,

• Vit sleshma pithanila mootrakarshi

• Dardyavahaha, shukrabalapradashcha, sarvan vikaran shamayeth.

• Ksheenashukram vajeekarothi

• Krusham bruhmayathi

• Sthoolam karshayathi

• Chakshu preenayathi

• Valeepalithamapahanti

• Shareeropachayam,varnam, balamarogyamayushaha.

Basthir vaathe cha pithe cha kaphe cha rakthe cha shasyathe

Samsarge sannipathe cha basthireva hitha sada|| su.chi.35||

Aasthaapya Charaka.si.2 Susrutha .chi.35 Vagbhatta.su.28

Sarvanga roga + +

Ekanga roga + +

Kukshi roga +

Vatha sanga + + +

Varcho sanga + + +

Mootrasanga + + +

Shukra sanga + +

Balakshaya +

Varna kshaya +

Mamsa kshaya +

Rethakshaya + +

Aadmana + + +

Angasupthi + +

Krimikoshta + +

Asthaapya

Udaavartha + + +

Shudhaathisaara + + +

Parvabheda + +

Abhitaapa + +

Pliha dosha + +

Gulma + + +

Shoola + + +

Hridroga + +

Bhagandara +

Unmaada + + +

Jeerna Jwara + + +

Bradna + + +

Vepana + +

Akshepa + +

Asthaapya

Shirashoola + + +

Karnashoola + +

Hrudayagraha + +

Parshwagraha + +

Prushtagraha + +

Katigraha + +

Gourava + +

Athi laghava + +

Raja kshaya + + +

Vishamagni + +

Janu- shoola,sthambha,shosha + +

Jangha -shoola,sthambha,shosha + +

Uru-shoola,sthambha,shosha + +

Gulpha-shoola,sthambha,shosha + +

Asthaapya

Parshni-shoola,sthambha,shosha + +

Yoni -shoola,sthambha,shosha + + +

Bahu -shoola,sthambha,shosha + +

Sthanantha shoola,sthambha,shosha + +

Dantha nagha-

shoola,sthambha,shosha

+ +

Sphig -shoola,sthambha,shosha + +

Nanathmaja vatavyadhi +

Aanthrakooja + +

Parikarthika + +

Timira +

Prathishyaya +

Shiroroga +

Adhimandha +

Ardhitha +

Sharkarashoola +

Upadamsha +

Aanaaha +

Mootrakruchra +

Vataraktha + +

Hanugraha + +

Manyagraha + +

Ashmari +

Moodagarbha +

Sthanya kshaya + +

Asthaapya

Cha susru vag

Ajirna + + +

Atisnigda + + +

Peethasneha + +

Uthklishta dosha + +

Alpaagni + +

Yaanaklantha + +

Athidurbala +

Kshudaartha + +

Trushnaartha + + +

Shramaartha +

Athikrusha +

Bhuktabhaktha +

Peethodaka +

Vamitha +

Anasthaapya

Cha susru vag

Krudha + +

Bheetha + +

Matha + +

Moorchitha + + +

Prasaktha chardi + + +

Prasaktha nishteeva + +

Prasaktha shwasa +

Prasaktha hikka + +

Badhodara + +

Chidrodara +

Udakodara +

Admana +

Alasaka +

Visoochika +

Anasthaapya

Cha susru vag

Amaprajatha +

Aamathisara + +

Madhumeha + +

Kushta + +

Arochaka +

Gudashopha +

Garbhini + +

Unmada + +

Bhaya + +

Shoka + +

Arsha + +

Panduroga +

Mada +

Udara +

Anasthaapya

Cha susru vag

Sthoulya +

Kantashosha +

Shopha +

Kshatha ksheena +

Bhrama +

Anasthaapya

Anaasthapya Complication Anasthapya complications

Ajeerna,athisnigda,peethas

neha,uthklishta dosha

Dooshyodara, moorcha,

shwayathu

Badha/chidra/udako

dara/adhmana

Prana himsa

Kshatha

uraska,yaanaklantha,athikr

usha

Deha shoshana, leads to

karshya

Visoochika,

amathisara,alasaka

Amakrutha dosha

Krutha vamana vireka Destroy deha just like kshara

iva dahyathe

Madhumeha,kushta vyadhivrudhi

Krutha nastha karma Vibhramsha,srothorodha

Vivrutho urdhwasrotha.

Matha,moorcha,vichalitha

chitha

Basthi vyapath

Prasakta chardhi, nishteeva

shwasa kasa hikka

Basthi urdwam nayeth

Complications of basthi if we do in contraindicated persons

• Purvakarma

Sambhaara sangraha

Atura pareeksha

Basthi kalpana

Atura sidhataa.

Niruha basthi karma vidhi

poorvakarmaPradhana

karmaPaschath

karma

• Atura pareeksha

• Before administering of the basthi physician should examine the patient whether fit for basthi or not.

• Basthi poorva sameekshya bhavas (ch.si.3/6)

• Dosha

• Oushada

desha

• Saathmya

• Kaala

agni• sathwaadi

• bala

vaya

• Basthi kalpana

• Sneha matra in Niruha basthi- In doshavastha (ch.si.3,su.ci.3)

• Vata dominance-6 pala(1/4th of niruha)

• Pitta dominance- 4 pala(1/6th of niruha)

• Kapha dominance-3 pala(1/8th of niruha)

Ingredients Vata pitha kapha Swasta

Madhu 1 ½ prasrutha 2prasrutha 3prasrutha 2prasrutha

Saindhava 1 tola 1tola 1tola 1tola

Sneha 3prasrutha 2prasrutha 1 ½prasrutha 2prasrutha

Kalka 1prasrutha 1prasrutha 1prasrutha 1prasrutha

Kwatha 5prasrutha 5prasrutha 5prasrutha 5prasrutha

Aavapa dravya 1 ½ prasrutha 2prasrutha 1 ½prasrutha 2prasrutha

Basthi kalpana according to dosha

1 prasutha=2 pala=96ml/100

1 tola= 1 karsha=12gm

• Dwadasha prasrutha basthi(1200ml)

• Madhu-2 prasrutha-4pala-192ml

• Saindhava-1 aksha-1karsha-12gm

• Sneha-3 prasruthi-6 pala- 288ml

• Kalka -1 prasruthi-2pala-96gm

• Kwatha -4 prasruthi-8 pala- 384ml

• Avapa dravyas-2 prasruthi- 4 pala-192ml.

Age(increase by 1 pala) Qty Age (increase by 2

pala)

Qty

1 year 1 pala 13 year 14 pala





6 year 6 pala 18 year- 70 year 24 pala

7 year 7 pala >70 year 22 pala

8 year 8 pala

9 year 9 pala

10 year 10 pala

11 year 11 pala

12 year 12 pala

Quantity of basthi based on vaya

• Selection of oushada depends on dosha(ch.si.8)

• In vata- snigda,amla,lavana,madhura,ushna dravya,mamsa rasa

• In pitta and rakta- tikta,Kashaya,madhura,seethadravya,ksheera

• In kapha- tikta ushna kashya katu

• Ama- pachana dravya

• Raktapitha- pichabasthi, raktha basthi.

.Atura sidhataa-

• If the patient is having more rookshatha initially 2-3 anuvasana basthi can be

given and if patient is not fit for anuvasana, having more snigdatha, mala

sanchaya then niruha basthi should be directly administered after subjecting

the patient to Abhyanga and swedana.

•Preparation of basthi.

• In a paatra first madhu is taken, to that saindhava is added and manthana done.

• After sumathitha, sneha is added gradually.

• Then kalka is added and triturating should be done until dravya becomes slakshna.

• Na drava, na tanu, sama

• At last Kashaya followed by Avapa is added.

• Suyojitha basthi lakshana(chakrapanidatha)

• A well prepared basthi should not run out of hand quickly.

• Neither too thin, should not stick/coat/remain steady on the hand in such a way that we cannot see lines in our palm through the solution.

• Should be uniform solution(samatha) of its contents

• Rationale of mixing sequence of basthi

• Madhu- mangalakaraka.

• Saindhava- disintegrates the pichilatha, bahulatwa and kashayathwa of madhu.

• Sneha- ekeebhaavaya kalpathe (homogeneous).

• Kalka- samsrujyathe cha asu (quickly disperses and mixes).

• Kashaya- for samatham vrajet (mixture becomes homogeneous),

to maintain the quantity

• Mutra – increase the action and potency of basthi.

• Pradhana karma

• Instructions to the patient

• Basthi pranidhana

• Basthi pratyagamana

• Observation of yoga,ayoga,athiyoga lakshana.

• Basthi pranidhana

• The patient having the symptoms of proper digestion and not having very much

hunger , after performing Abhyanga and swedana taken for basthi karma.

• Lie down in left lateral position, keep his/her hand below the head as pillow,

extend the left leg completely and flex the right leg at the knee joint, keeping on

the left leg by flexing the hip joint.

• Then sukhoshna sneha applied in the anal region and on the basthinetra, remove

the cotton piece and slightly squeeze the putaka to remove air and keep the thumb

on the netra while introducing it.

• Introduce basthi netra slowly in the direction of vertebral column upto 1/4th part of the netra.

• Then hold the basthi putaka in the left hand. Gradually administer with the uniform pressure

neither too fast not too slow without shaking the hands. Instruct the patient to count numbers

from 1 to 50 .

• Press the putaka till little quantity of basthi dravya remains in the putaka otherwise vayu enters

into pakwashaya and then withdraw netra gradually.

• Basthi pidana kaala is 30 matras.

• Advice the patient to lie down in supine position with apillow below the hips till he gets the

urge of defication.

• After giving basthi anticlockwise massage should be done on the abdomen.

• Basthi prathyagamana

• 1 muhurtha maximum time period in which prathyagamana of basthi should

happen.

• If not it causes- vata prathiloma,vistabda,shoola,arathi,jwara,mruthyu(su.ci.38),

• Vagbatta added- adhmana, pakwashaya shoola, hridayagraha, mootra shoola.

• Measures to be undertaken- phala varthi, teekshna basthi,swedana,

vitrasana, administration of teekshna virechana.

• Yapana basthis may retain for longer time, teekshna basthis comes with in 100

matrakala.

Yoga Ayoga Athiyoga ch.si.1

• Prasrushta vit

mootra,sameerana

• Shira,hruth,guda,basthi

linga ruk

• Kapha,ratha,pitha,vatha

kshaya

• Ruchi • Shopha • Supthi

• Agnivrudhi • Prathishyaya • Angamarda

• Aashaya laghava • Parikarthika • Klama

• Rogashanthi • Hrullaasa • Vepana

• Prakruthisthatha • Marutha mootra sanga • Nidranasha

• Balam • Shwasa • Balanaasha

• Tamapravesha

• Unmada

• Hikka

Observation

• Paschath karma

• Rogi parichara

• Parihaara

• Vyapath and chikitsa.

• Rogi parichara(ch.si.3/68),(A.hru.su.19)

• After observing the samyak lakshana patient adviced to take hot water bath and

ligt diet in accordance with the dosha dominance.

• In vataha –mamsa rasa

• Pitha- ksheeranna

• Kapha- yusha

• Quantity of diet should be 1/3rd of routine diet according to agni.

• Parihaara-

• Athyasana

• Asthana asana

• Ativachana

• Divaswapna

• Yaana

• Maithuna

• Atapasevana

• Shoka

• Krodha

• Ahitabhojana

• Sheetopachara .

• If vata prakopa is more, anuvasana basthi should be given at the same day evening.

• Charaka explained in si.12th chapter about the complications if we follow these contradicted things.

Vyapad(12) karana lakshana chikitsa

Ayoga Sheeta, alpamatra,

alpalavana, alpasneham,

alpadrava,alpa

matra,alpaghana basthi

given in guru kostatha,

vatabahula, ruksha, vata

pradhana roga

Gurukoshtatwam,

vatamootra shakrut

graham, nabhi-basthi

shoola, shotha over

guda, kandu

gandani,vaivarnya,aru

chi,agnimandya

Ushna pramathya

pana(pippali),

Sweda

Phalavarthi

Virechana at proper time

Bilwadi basthi-kwatha of

bilva,daru,trivrit,yava,kola,

kulatha,sura,gomutra,satapu

shpaadi thaila.

Athiyoga Repeated use of ati teeksha

ushna kshara, bahu matra

basti given in snigna

swinna mrudukoshta

Same as virechana

athiyoga

Sheeta picha

basthi(A.h.kalpa.5/21)

Niruha with

prushniparni,kamala,draksh

a,gambhari, yashti kalka,

kshira,grutha

Basthi vyapad and chikitsa


Klama Use of Niruha in remnents

of aama dosha causing

obstruction of vata marga

Mandagni,

moorcha,klama

,vidaaha,hruthshoola,

moha, udweshtana,

gourava

Rooksha

sweda,pachana,pippalyadi

kwatha, vachadi

yoga+arishata+asava,

dashamoola basthi-with

gomutra, madhu, thaila.

Aadmaana Alpaveerya basthi given in

maha dosha,rooksha, krura

koshta does margaavarana

of vata marga

Admaana,marmapeeda

m,vidaaham,gurukosht

ada,mushka,vangshna

vedanam,

hrudayavedana

Shyaamaadi varthi, bilvadi

niruha, anuvasana with

peeluvadi siddha thaila.



Hikka Athiteekshna basthi given

in mrudukoshta,abala

Hikka, Hikkaghna, brihmana

Anuvasana with balaadi

siddha thaila anuvasana.

Pippalli/saindhava mixed

ushana jala pana,

Dhoomaadi prayoga

followed by annam.

Hruthpraa

pthi

Giving basthi savata, and

not properly done basthi

pidana caused compression

over hrudaya pradesha

Hruth prapthi Niruha with kusha,

kasha,amla lavana skanda

dravyas, badari phala

Anuvasan with vathaghna

oushadis.



Urdhwa

prapthi

Doing vata mootra

pureesha vega dharana

or doing athi

nishpeedana of basthi

Urdwa aayathi basthi

dravyam

moorcha

If moorcha occurs-sheetha jala

sinchanan over face

Parshwa udara mardana

Traasana,gala pidana-all these

will obstruct the udana vayu

stimulates downward movement

of apana

Kramuka kalka 12 gm with

amlakanji

If basthidravya stagnated in

pakwashya-dashamoola basthi

In ura region- bilwadi

panchamoola basth

In shiras-nasya, dhuma,sarshapa

lepa to shira.



Pravahika Giving mrudu veerya,alpa

matra basthi in bahudosha

rogi after doing abhyanga

svedana causes

doshothklesha and alpa

dosha hara

Pravahika with

lakshanas of

aamathisara

Sa basthi paayu

shopham

Jangha uru sadana

Sweda,

abhyanga,niruha,langhana,v

irechana with trivrut aadi

dravya followed by

samsarjana karma.

Shiroarthi Administration of

mruduveerya, sheetha, alpa

matra basthi in krurakoshta

and bahu dosa leads to

avarana to vata

vimargagamana

Shiroarthi, baadhirya,

karnanaada, peenasa,

netra vibhramam

Anjana,pradhamana nasya,

dhooma nasya,

shirovirechana

Anuvasana –teeksha

anulomika.



Angaarthi Administration of guru

teekshna veerya,

bahumatra basthi in

persons who not

undergone snehana

swedana

Atimatram

pravarthate,sthabdada

of koshta, udavrutha

koshta by

vayu,gaatraveshtana,to

da,bheda,sphurana

Lavana taila abhyanga

Prasthara sweda with

eranda patra kwatha

Dashamoola niruha

Anuvasana with bilva taila,

yashti thaila.

Parikartha Administration of ruksha

teekshna athimatra basthi

in mrudu koshta and alpa

dosha

Parikarthika, trika,

vangshna, basthi toda

Adhonaabhi

rujam,vibhanda,

alpalpa mala pravruthi

Basthi with swadu

sheedoushada like-

ikshu+yashti+tilakalka

followed by ksheeranna.

Amla mrudu bhojana



Parisrava Administration of amla

ushna teekshna athi

lavana basthi in

conditions of pitharoga

causes injury to paayu

Causes vidaha, sraava

of rakta, pitha, aneka

varna srava, moorcha.

Sheetha Picha basthi with

ardrashaamali ksheerapaka with

ajapaya+ grutha

Picha basthi with vataadipallava,

yava,tila,suvarchala,upodika,

kanchanara.

Raktapithaghni, athisaraghni

kriya

Guda seka, guda pradeha with

sheetha madhura dravya.


Pranidana

dosha

Netra dosha Basthi dosha Pidana dosha Basthi dravya

dosha

Sayya dosha Atura

nimitha

• Netra

vichalitham

• Ati dirgha • Bahalatha • Athi piditha • Amatha • uchritha

seersha

• Krodha

• Netra

vivarthitham

• Ati hraswa • Alpata • Shanai

piditha

• Heenatha • Ucha

seersha

• Ayasa

• Atyukshipth

am

• Sannikrisht

a karnika

• Sachidrada • Bhuyo

bhuyo

pidanam

• Athimatrath

a

• Nyubja • Shoka

• Adhyaasana

• Avasannam • Viprakrisht

a karnika

• Prastirnatha • Kaalaathikr

amana

pidanam

• Atiseethata • Uthana • Maithuna

• Virudhasan

a

• Tiryak

pranihite

• Sthula • Durbadha • Atiushnatha • Sankuchitha

deha

• Divaaswapn

a

• Vata sevana

• Parswa

avapeeditha

• Karkasha • Athi

teekshnatha

• Dakshina

parswa

saayina

• Uchabhasha

• Atichankra

maa

•

• Pranida

na

dosha

• Netra dosha • Basthi

dosha

• Pidana

dosha

• Basthi dravya

dosha

• Sayya

dosha

• Atura

nimitha

• Avanata

• Anubhinna

• Athimruduth

• Atisandratha

• Sthitha • Yana yana.

• Seetha

sambhogataya

• Sukshmachidra • Ati snigdatha,

• Athidravya

• Chiraasanna

• Brihath chidra • Athirukshatha • Sthaana

• Vasanam- bhojanam (A.sa.su.28)

• Anu vasanam- after bhojanam.

Anuvasannapi na dooshyath anudivasam

va deeyathe ithi anuvasanam||su.chi.35/18||

The basthi which remains inside the body without causing any harm.

Basthi which administered everyday.

Anuvasana

• Samsnehanam, varnabalapradam

• Na tailadanath paramasthi kinchith dravyam visheshena sameeranaarthe||cha.si.1st||

• Karma(su.ci.37)

• 1st basthi- act on basthi vangshne( adhakaaya)

• 2nd-act on moordhasthanilam(urdwakaaya)

• 3rd- gives bala varna

• 4th-nourishes rasa

• 5th-nourishes rakta

• 6th-nourishes mamsa

• 7th- nourishes meda

• 8th-asthi

• 9th –majja

• Other 18 basthi –nourishes shukradhatu

Gunas and karma

Anuvasya Ananuvasya

• All asthapyas • All anaasthapyas • Gurukoshta

• Athi rooksha • Niranna • Athisthoola

• Deepthagni, athiagni • Navajwara • Shleepada

• Kevala anilaartha • Panduroga • Galaganda

• Kamala • Apachi

• Prameha • Kriminakoshtina

• Prathishyaya • Arochaka

• Pleeha • Urusthambha

• Kaphodara • Arsha

• Aadyavatha • Pitha kapha abhishyanda

• Varchobheda

• Peetha visha,gara

Anuvasya & Ananuvasya

Ananuvasya Complication

• Abhukta Urdwam athivarthate sneha-due to visaranasheela of sneha.

• Navajwara,

• pandu

• kamala

• prameha

Does doshauthklesha and leads to udara

• Arshas Produce abhishyanda leads admana

Complications of basthi if we do in contraindicated persons

• Dosha- contraindicated in sama dosha, vridha kapha, utklishta dosha.

• Kala- In vata pitta dosha & varsha,sharath,greeshma rithu-ratrikaala.

In kapha dosha &sheetha, vasantha rithu- diva.

• After virechana karma on 9 th day.

• Bhojanottara kala.

• Basthi kalpana based on dosha

• vata- 9 or 11

• pitta- 5 or 7

• kapha- 1 or 3

Anuvasana purva chintya vishayas

• Purvakarma

• Sambhaara sangraha

• Rogi pareeksha

• Preparation of sneha vasthi- sneha, saindhava

• Atura sidhataa-

Abhyanga & swedana, laghu bhojana, chankramanadi karma, visrujya shakruthmootra.

• Pradhana karma

• Paschat karma

• Basthi pratygamana kala-3 yaama

If basthi is not comes back even after 3 yaama then wait for 24 hours- if no complication give dhanyanagara siddha jala for paana helps in pachana and prayagamana of basthi.if complictions arise then give teekshna basthi or guda varthishould be administered.

• Samyak yoga ayoga athiyoga.

• Snehabasthi vayapad and chikitsa.

Samyak yoga Athiyoga Ayoga

• Asaktham sashakruth cha

thailam

• Hrullasa • Adha shareera ruja

• Rakthadi budhi indriya

samprasada

• Moha • Udara ruja

• Swapnanuvruthi • Klama • Bahuprushta ruja

• Laghutha • Saada • Parshwa ruja

• Balam • Moorcha • Ruksha gaatra

• Srushtashcha vega • Vikarthika • Ruksha swara

• Vit, mootra,sameerana

graha.


Vatavruth

a sneha

vyapad

Administration of sneha in

sheetha kala, in alpa matra-

in condition of increased

vata- cause avarana of vata

Angamarda ,jwara,

admana,sheetha,stham

ba, urupeeda,

parshwaruk

veshtanam.

Niruha with snigda amla

lavana ushna dravya, with

mootra panchamoola

Anuvasana at sayamkala

with rasnaadi yoga.

Pithavrud

a sneha

vyapad

Administration ushna sneha

basthi in conditions of

increased pitha

Daha , raga, trusha,

moha, tamaka, jwara

Niruha basthi with swadu

tikta dravya

Sneha Basthi vyapad and chikitsa(cha.si.4/25)

Vyapad karana lakshana chikitsa

Kaphavru

da sneha

vyapad

Mrudu basthi given in

excessive kapha condition

Tandra,

sheetajwara,alasya,

praseka, aruchi,

gourava,moorcha,

glani.

Basthi with katu Kashaya

teekshna usha sura mootra

Annavrud

a sneha

vyapad

Basthi given athibhukta,

alpabala

Chardi,

moorcha,aruchi,

glani,shoola,nidra,

angamardana,

aamalakshana

Aamachikitsa ,internal

medication of katu lavana

rasa kwatha churna

pachana,mrudu virechana.

Sneha Basthi vyapad and chikitsa

Vyapad karana lakshana chikitsa

Pureeshav

ruda

sneha

Administration of alpa

basthi when there is varcha

sanchaya

Vit, mootra, anila

sanga,arthi.guruthwa

admana, hruthgraha

Snehana,svedana,

Shyamabilvadi sidha niruha

and anuvasana

Udavartha hara chikitsa.

Abhuktash

cha

praneethas

hcha

Empty stomach

administration

Shoonapaayu if it

gives in athipeedana

May reach upto kanda

comes through mouth

Niruha and anuvasa with

shyamaadi yoga

If chardi is ter do

chardighna kriya.

Sneha Basthi vyapad and chikitsa

• Mode of action of basthi(su.chi.35)

Veerya of basthi oushada reaches all over the body through the srotas in the

same way as the water poure at the root of the plant reaches upto leaves.

even though basthi dravyas comes out very quikly with mala, their veerya

acts all over the body by the action of panchavata, just as sun draws moisture

from the earth.

Aapaathathalam moordhasthan doshan pakwashaye sthitha:

Veeryena basthi: aadathe khastho arko bhoorasaan iva||cha.si.7||

Veerya of basthi reaches Apana vayu and nourishes it,then acts on

samana vayu. After nourishing samana vayu, it nourishes vyana vayu,

thereafter acting on udana vayu and prana vayu and nourishes them.

• When all panchavata gets nourishment it promotes the health. The veerya basthi acts

on pitha kapha to bring to normalcy. The veerya of basthi is carried to tiryak pradesha

by vyana vayu, to adha pradesha by apana vayu, and to urdwa pradesha by prana

vayu. (A.s.5/68)

• It is explained that basthi should administered to the patient lying on the left lateral

side as the grahani and guda are situated on the left side of the body, vali of the guda

get weakened.

• Basthi dravya reach up to grahani, the stimulation of jatharagni present in grahani

happens. Sneha dravya by its sukshma guna enters into sukshma srotas reaches

grahani. Here it acts on samana vata which lies near the seat of the jataragni,thus

ignites it.

•Action of basthi dravya inside the body• Saindhava

• Sukshma guna-It reaches upto the microchannel of the body.

• Tikshna guna- It breaks down the morbid mala and dosha sanghaata.

• Snigda guna- liquefies the dosha.

• It reduces the pichila, bahula,and Kashaya properties of madhu.

• By its irritant property eliminates the basthi

• In excess quantity it can cause daaha, athisara.

• Absence or less quantity of saindhava responsible for ayoga.||A.hru.su.19||

• Madhu

• If any drug is administered with appropriate vehicle it can be absorbed and assimilated by the body properly.(yogavaahi)

• It forms a homogeneous mixture with saindhava.

• Considered best kaphahara.

• Basthi dravya containing more madhu makes the person extremely potent.||ch.si.12||

• Sneha

• Sneha dravya reduces vata dushti, softens the microchannels, removes the obstruction in the channels.

• Helps in elimination of doshas and malas

• Also protects the mucous membrane from the untoward effect of irritating drugs in basthidravya.

• Kalka, kwatha and avapa drayas

• These serve the functons of utkleshana, doshahara or shamana.

• These are selected based on dosha, dushya, srothas etc involved in particular vyadhi.

PROBABLE MODERN CONCEPT

The mode of action of basti can be understand in the following way –

Drug is administered through anal region.It gets absorbed in intestinal mucosa & works by 4 mechanism

By absorption mechanism

By system biology mechanism

By neural stimulation mechanism

By excretory mechanism

Hyper osmosis takes place

From colon cell to lumen

Absorption of endotoxins

Irritation of Large intestine (due to irritant property)

Elimination

ABSORPTION MECHANISM

SYSTEM BIOLOGY MECHANISM

Drug is administered through anal region

It gets absorbed in intestinal mucosa

Lipid soluble Water soluble

Passive diffusion Active diffusion

By these diffusion mechanism the Basti drugs goes to epithelial cell. Then it goes to the capillaries. Then goes to cell after that molecules.

Drug given

ENS is stimulated

Excites mysentric plexus & sub mucosal plexus

Neurotransmitters carries information to CNS

CNS acts independently to produce the effect

NEURAL STIMULATION MECHANISM

• The sigmoidal, rectal & anal region of large intestine are

considerably better supplied with parasympathetic nerve fibers than

other part of intestine.

• They are mainly stimulating in action & functions especially on

defecation reflexes.

EXCRETORY MECHANISM

• Asthapana basthi yogas in different condition

• Vatahara-

• VatagnaKashaya+trivruthasneha+kalka+saindhava+madhu+guda+

dhanyamla/gomutra/ksheera/mamsarasa.

1)Dashamoola niruha basthi

• Saindhava-

• Madhu-

• Sneha- ghrutha, thaila,vasa.

• Kashaya-dashamoola or (yava,kulatha,sthira,kola)

• Avapa-chaagamamsarasa, amlakanji.

• Indication- sarvanila vyadhihara.

• Pithahara

• Pithaghna Kashaya(nyagrodhadigana)+kakolyadi gana kalka+sai

ndhava+madhu+ghrutha+sharkara+ksheera/ikshurasa.

• 1) Saindhava,

• madhu

• Sneha-sarpi

• Kashaya-yashti madhu ksheerapaka

• Kalka- shathapushapa+pippali

• Indication- vatharaktha, vaiswarya, visarpa

2)Pithavrudhi(su.chi.38)

• Madhu- na athibahu kshoudram

• Saindhava

• Sneha-ghrutha

• Kalka - srungataka,athmagupta,kesara,chandana,vidari,misi,

• manjishta,shyama(priyangu),indrayava,sinduja,madanaphala,padmaka,yashti

• Kashaya-

laghupanchamoola, triphala, uthpala,vasaka,sareeva, usheera, manjishta,rasna,parooshaka.

• Avapa-ksheera, mamsarasa,ikshurasa

• Administred in sheetha form

• Kaphahara

• Kaphaghna Kashaya(aragwadadigana Kashaya)+pippalyadigana

kalka+katuthaila+madhu+saindhava+mootra

• 1)Saindhava

• Madhu

• Kshara-yavakshara

• Sneha- madanaphala siddha thaila+ sarshapa thaila

• Kashaya-koshataka,aragwada,devadaaru,kutaja,moorva,kulatha,bruhathi,

• Kalka-sarshapa,madanapala,ela,kushta

• Indication-mandagni,arochaka

• 2)Patolaadi basthi

• Madhu

• Saindhava

• Sneha-madanapala siddha thaila

• Kalka-sarshapa,ela,madanaphala

• Kashaya-patola,hareetaki,devadaru,pippali

• Indication-kaphaamaya.

• Kaphavarana and vatahara(eranda basthi)

• 1)Saindhava

• Madhu

• Sneha- thailam

• Kalka-shatapushpa,hapusha,priyangu,pippaleekam,madhukam, bala,

rasanjanam,vatsakabeejam,mustham

• Kashaya- erandamoola,palasha,lakhupanchamoola,rasna,ashwagandha,

athibala,guduchi,punarnava,aragwada,devadaru,madanapala, yashti

• Avapa- gomutra

• Indication- deepanam, lekhanam,jangha uru pada trika prushta shoola

Kaphaavaranam,vataghnam,aanaaham,arsha,grahani,

• 2)Madhu

• Saindhava-

• Kshara-yavakshara

• Sneha- sarshapa thaila, tila thaila

• Kalka- vacha,madanaphala,sarshapa,saindhava,kushta,ela,pippali,bilwa,nagara.

• Kashaya- katphala(bhadra),nimba, kulatha,arka,koshataki,amritha,sareeva,bruhathi,paata,moorva,aragwada,vatsaka

• Avapa- gomootra,amlakanji

• Indication- kamala,pandu,prameha,medaswina, anagni, kapharogi, ashanadweshi, galaganada, gara, shleepada, udararogi

• Pitha vatha hara

• 1)Saindhava

• Madhu

• Sneha-thailam,ghrutham

• Kalka- priyangu, krushna, mustha

• Kashaya- laghupanchamoola,bala,patola,trayanthika,eranda,

• add chaagamamsarasa while preparing kashya

• Indication-deepana,mamsabalaprada,chakshubala

• Samsargaja dosha

• 1)Madhu

• Saindhava

• Guda-

• Sneha-thaila,sarpi

• Kalka-vacha,shathapushpa,devadaru,kushta,yashti,sarshapa,pippali,madanaphala

• Kashaya-ksheerapaka

with-punarnava,eranda,vaasa,paashanabheda,bala,palaasha,dashamoola,

Phala of bilva,yava,kulatha,dhanyaka,madanaphala

shodhana lekhana bhrumhana vajeekarana pichalabasthi Sangrahni

basthi

Utkleshana

basthi

Kashaya-

Shodhadravya

kashya(vaman

avirechanadi

dravya)

Kalka-same

Sneha

Madhu

Saindhava

Avapa-

Ksheera/gomut

ra/dhanyamla

Kashaya-

triphala

Kalka-same

Sneha-

katuthaila

Madhu

Saindhava

Kshara-yava

Avapa-

gomutra

Ushakaadigana

dravaya

kashaya

Kashaya-

vidaarigandha

di dravaya

Kalka-

kakolyadi

Sneha-sarpi

Madhu

Saindhava

Avapa-

mamsarasa

Kashaya-

chataka

and,chataka

mamsa

Kalka-same

Sneha-grutha

Madhu

Saindhava

Avapa-

Ksheera/aathm

aguptha phala

kashaya

Kashaya-

ksheerapaka of

badara,naagab

ala,shleshmath

aka,shaalmali,

dhanuvruksha-

angora

Kalka-same

Sneha

Madhu

Saindhava

Avapa-

Raktha-

varaha,mahish

a,mesha,eana,k

ukkuta,sadhyoj

aatha aaja

Kashaya-

priyanguadi

gana

Kalka-

ambashtadi

gana

Sneha

Madhu

Saindhava

Kashaya-

erandabeeja,m

adhuka,pippali

,saindhavam,v

acha,hapisha,

madanaphala

Kalka-same

Sneha

Madhu

Saindhava

Avapa-same

kashaya

Maadhuthailika

basthi

Yuktaradha basthi Sidha basthi Yapana

basthi(musthadi

yapana basthi)

Kashaya-erandamoola

kwatha

Kalka-

shathapushpa/madanap

hala

thailam-samam

Madhu-samam

Saindhava

Avapa-

Ksheera/gomutra/dhan

yamla/mamsarasa

Kashaya-

erandamoolakwatha

Kalka-vacha

madhuka,pippali,mada

naphala

Thailam-samam

Madhu-samam

Saindhava

Kashaya-

yava,kolam,kulatha

Kalka-pippali,yashti

Thailam-samam

Madhu-samam

Saindhava

Kashaya-ksheerapaka

Kalka-same

Sneha-grutha-samam

Madhu-samam

Saindhava

Avapa-mamsarasa

• Ardhamatrika basthi(chakradatta)

• Indicated –for sukumara,yakshma,shoola,krimi, vatarakta

• Madhu

• Saindhava

• Thaila-ksheerabala

• Kalka-shatapushpa

• Kashya-dashamoola/madanapala

• Vaitharana basthi

• Saindhava Lavana – 1 Karsha. (12gms)

• Guda – ½ Pala. (24gm)

• Tila Taila – Eeshat (60-70ml)

• Amleeka – 1 Pala. (48gms)

• Gomutra – 1 Kudava. (192ml)

Reference for special basthis indicated in some diseases

• Kushta, meha nashaka basthi- charaka.si.8th/8

• Kushtahara basthi-cha.chi.7/46

• Raktha basthi in rakthadisaara- cha.si.8/25

• Asthapana in jwara- cha.chi.3/240-249

• Anuvasana in jwara- cha.chi.2/172

• Basthi in raktha gulma- tikta ksheera basthi-cha.chi5/172

• Basthi in udara-(kapha,pitha avarana of vata)- cha.chi.13/172

• Basthi in arsha- cha.chi.14/135

• Pichabasthi-in pravahika,gudabhramsha,rakthasraava-cha.chi.14/224

• Pichabasthi in context of pithadisaara-cha.chi.19/63

• Sa ghrutha ksheera basthi context of vatharakta-cha.chi.29/88-95

• Krimi nashaka basthi-cha.si.8/9

Date post:	22-Jan-2018
Category:	Education
Upload:	kamal-sharma
View:	249 times
Download:	11 times

BASTI IN AYURVEDA

Education