Basti- Practical aspects

Vd.Manohar S Gundeti
M.D.(Ayu)
YMT'S Ayurvedic Medical College and
Hospital,Kharghar, Navi Mumbai

panchakarma@rediffmail.com
919292342819
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 What ?
 Why ?
 When ?
 Whom ?
 How ?
 What r types ?

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What ?

 Nirukti- vas- nivase, vas- achadane

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Why ?

 Vikrutat anil uchedat- vata shaman

 Vaya sthapana- for healthy ageing
 Sukha ayu bala agnimedha kar-
 Kshina shukra vajikaranayati- for vajikaran
 Brimhanatvat- for brimhan
 Sthula karshyeti- for reducing weight
 Chaksu prinayat- for better eyes
 Sarvapradhan roganam upakram

 i.e.why ardha chikitsa

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What r types ?

 Depending on-

Anatomical
Pharmaceutical
Pharmacological
According to no.of bastis used

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 Anatomical-
Pakwashayagat (rectal)
Garbhashayagat (uterine)
Mutrashayagat (urethrovesical)
Vranagata (Wound)

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 Pharmaceutical
Niruha (Kashaya pradhan)
Anuvasana (Sneha pradhan)
Sneha/Anuvasana/Matra

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Pharmacological

Sushruta Vagbhata Charaka Sharangdh

Shodhana Utlkeshana Vataghna Utkleshana
Lekhana Doshahara Balavarnka Doshahara
Snehana Shamana Snehaniy Shodhana
Brmhana Sukrakrut Shamana
Krimighna Picchila
Deepana

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According to no.of bastis
used
 According to no.of bastis used
Karma- 30 (18 Anu + 12 Ni)
Kala- 16 ( 10 Anu + 6 Ni)
Yoga- 8 ( 5 Anu + 3 Ni)

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Whom ?

 Sarvangavata- hemiplegia,neurological
diseases
 Ekanga vata
 Retention of flatus,urine,stools,semen
 Vibandha
 Krimi
 80 types of vatavyadhi
 Loss of sensation,tremor,convulsions
 And many………

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Exceptions

 Arsha udavarta – anuvasana

 Atisar- piccha
 Udar pandu kamala halimak- kshirabasti

 Indications and contraindi are treated

as only guidelines. According to cond.
of disease and patient it is done.
(Dashavidha pariksha)
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Aatur pariksha

Dosha

Bala Aushadha

Vaya Desha
Basti

Satva kala

Agni Satmya

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Niruha basti

 Equipments required-
– Basti netra
– Bastiputaka
– Disposable gloves
– Hole towel

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Basti netra
Age Length Ant.tip Post.end
(circum)
Upto 5yrs 5 angula Mudga ½ angula
6yrs 6 angula Masha 1 angula
7-11 7 angula Kalay 1 ½ angul
12-15 8 angula Klinnkalay 2 angula
16-19 9 angula Karkandu 2 ½ ang
20yrs 12 angula 3 angula
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Aushadhi

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Aushadhi
 Madan Kutaj
 Kushtha Devdali
 Yashtimadhu Yav
 Vacha Dashamoola
 Devdar Rasna
 Mishreya Kulatha
 Madhu Saindhava
 Taila Ghrita
 Guda
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Kalka

When kalka not mentioned

 Ajmoda Madanphala
 Bilva Kushtha
 Vacha Mishreya
 Musta Pippali
10 gm each

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Order of mixing material

 Madhu+ Saindhava
 Sneha
 Kalka
 Kwatha
 Continuous stirring/churning

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Quantity

Age Quantity
1yr 4 tola
12 48 tola
18 96 tola
19-70 96tola
Above 70 80 tola
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 Vataja Pittaja Kaphaja
Madhu 120ml 160ml 240ml
Sneha 240ml 160ml 120ml
Kalka 80gm 80gm 80gm
Kwatha 400ml 400ml 400ml
Prakshep 120gm 160gm 120gm
Guda Mishreya Sarshap
960ml 960ml 960ml
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Procedure
Poorvakarma-
 Pre of pt.- selection,examination
(p/bp..) (p/r),pt education,consent
 Selection of drug/ quantity
 After snehapana/anuvasan
 Preparation of basti- sequence..
 Abhyanga/ hot water bath/ swedan
 Bladder,bowel evacuation
 In vata kala-
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Procedure

Pradhankarma
 Position
 Lubrication of lt. index finger, anus,
nozzle
 Administration of drug-300matra
 Particular/gradual force, without
interruption
 Pt asked to count no./take breath helps
to entrance of drug

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Procedure

Paschatkarma
 Supine position
 No massage/ tadan
 Time of retention- 100 matra-1muhurta
Complications—
 Abd. discomfort/fainting
 Ushnodakam

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Signs of proper niruha

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Pratyagam

 Upto 1 muhurt ( 45-48 min.)

If no-
 Varti / tikshna basti
(mutra/amla/kshara+sneha =tikshna basti)
Phalavarti-Madanphala 10gm
Pippali 10gm
Saindhava 10gm
Guda 50gm
Honey 25gm
Castor oil 50gm
 Flatus tube

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Procedure

Paschatkarma
 Rest
 Warm water bath
 Food- mansa rasa/ milk / yusha
 No sansarjan kram
 Anuvasan same day or next day

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Parihar

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Complications

 Wrong assessment of pt.

 Wrong preparation of basti dravya
 Wrong position of pt.
 Wrong insertion methods (pranidhan
dosha)
 Netradosha
 Pidandosha
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Different Basti yoga

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Vaitarana

 Vangsen
 Chincha 40gm
 Saindhava 10gm
 Oil- madhuyashtadi 10ml
 Cow Milk 160ml
 Guda 20gm
 Ghridhrasi, kati/uru/prishtha shula
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Kshar basti

 Saindhava 10gm
 Mishreya 10gm
 Gomutra 320ml
 Chincha 80gm
 Guda 80gm

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Vaitarana

Chakradatta
 Gomutra 320ml
 Oil (madhuyashtyadi/shatavha/dhanvantara)
10ml
 Chincha 40gm
 Guda 30gm
 Saindhava 10gm
 Amavata- amavastha
 A/D 3-5days after food

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Lekhana basti

 Triphal kwatha+ gomutra+ madhu+

yavakshar+ ushakadi gana
 Complications- drastic purgation/pain/
bleeding/fainting
 Anuvasana basti/piccha basti

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Piccha basti

 Mocharasa
 Isabgol
 Peya

 Preparation- milk (100ml)+

mocharasa/ isabgol(25gm) boil
add nagkehsar/lodhra/arjun churna
15gms
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 Parnabija rasa basti 40ml+
 Ghrita 20ml
 Badarpatra+vatshringa+shalmalipatra
+ dhamasa ankur+ milk+madhu+rakta
A.S.

 Ulc.collitis
 Raktarsha
 Raktatisar
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Takra basti

 Takra 200ml
 Jatyadi taila 40ml

 Adding takra in taila drop by drop to

malke homogeneous emulsion

 Ulcerative collitis
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Madhutailika

A.H.
 Madhu- 150 ml

 Taila- 150 ml

 Saindhava- 15gm(karsha)

 Misi- 30 gm (2 pichu)

 Erandamula kwatha- 500ml

 Total –near 800ml

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Chakshushya

 Madhutailika+ yashtimadhu

 For ophthalmic disorders

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Tikta kshira basti

 Guduchi Patol
 Nimba Chirayata
 Yashtimadhu total 25gms
 Tiktaka ghrita 10ml
 Milk 100ml

 Asthimajjagatvata
 Osteoporosis/osteomyelitis / pots spine
 To increase height/ to reduce hairfall
 For strength of teeth
 Amlapitta
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Kshirabasti

 Kwatha (erandmoola/panchatikta) 250ml

 Milk 350ml
 Taila (madhuyashtyadi/guggulutikta GTM) 100ml
 Madhu 100ml
 Saindhava 5gm
Change can be done in ingradients & dose
 Vatarakta- Daha pradhan (pitta) vatarakta
 R.A.- nirama avashta
 Jirna jvara,madatyaya,gulna,halimak,pittodar
 Hypertension
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Yapana basti

Samshaman basti
 Increase longevity
 In all seasons
 In pts ( Immuno-compromised
conditions) and healthy
 Mrudu dravyas
 No vyapat

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Chatusneha basti

 Dashmoola
 Goat flesh
 Ghrita
 Vasa
 Majja
 Taila
A.H.K.4/4
 Cerebellar atrophy, degenerative diseases of
brain

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Picchil basti

 vidarikanda
 Vatapatra
 Shelu
 Shalmali
 Dhanvankura
 Milk
 Honey 12pala
480ml
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Mutra basti

 Gomutra 8pala
 Eranda kwatha 4pala
 Tila taila 2pala
 Madhu 1prasrut
 Mansarasa 4tola
 Milk 4tola
 Kanji 4tola
 Chincha 4tola
 Guda 1pala
 Madanphala 1pala
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Ardhamatrika niruha

 Dashmoola kwatha 8pala

 Taila 2pala
 Madhu 2pala
 Shatavha kalka 1tola
 Saindhava 1tola

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Matra basti

 No restrictions for the use of

matrabasti
 Can be given in
anytime/season/anyone
 Oil+Saindhav- helps to spread &
penetrate
Shatavha- brings mala to kostha
 Heat saindhava then add in oil
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Matra basti

Constipation- tila taila / chinchataila-

paed
Krimi- karanja taila/ vidanga taila
Raktarsha/ fissure- jatyadi taila
Dymenorrhoea- tila taila
Ovarian cyst- sahachar taila

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Katigat vat- Guggulutiktak gtm
Dry cough- Tila taila
Sciatica- Vishagarbha taila
Mutrashmari/ colic- Tila taila
Pakshaghat- mahamasha taila
Parkinson- kapikachu sidha taila/kshir
Downs baby, delayed milestones-
Stress-
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Conditions/rules
 Pts condition (serious diseases)
 Brimhan / lekhana vyatyas
 Basti and snehapana in any form shouldn’t be given
simultaneously
 After 7days of virechana
 Parihara (uccha bhashan etc.) kala should be double
 Niruha should be avoided after food
 Anuvasana shouldn’t be on empty stomach
 In all niruha bastis madhu/saindhava should be used
 In anuvasana saindhava/shatapushpa/sunthi should be used
 Oil should be murcchit

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Oils
Til taila
Karpasasthyadi-
pakshaghat,avabahuka,ardita
Ketakyadi-asthigata vata
Kottamchukkadi-vatashaman
Chandanadi-vatarakta
Chinchadi-sarva vatashaman
Pindataila- vatarakta
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 THANK U………

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