1

AMA Academy – KPSC MO Coaching 2023

ASHTANGA HRIDAYA / SANGRAHA
VASTI VIDHI
VASTI is indicated in doshas of Vata predominance or Vata alone (vasti anilapradheneshu dosheshu prayujyathe )

Vastinadeeyathe ithi vasti

Sarveshamupakramanamagrani( AH)
Sarvopakramaanam pradhanatama (A S) - seegram brimhanadi karithvaat, mitigates vikrutha anila
Three types --- Niruha , Anuvasana, Uttara vasthi
AS - Asthapana, anuvasana, uttaravasthi
 Asthapana bheda – Utkleshanam, samshodhanam, samshamanam, lekhana, brumhana, vajeekarana, pichha
vasthi, madhutailikam
Synonyms of Madhutailika – yapana, yuktaradha, doshahara,snigdhavasthi
 Anuvasana – with any four sneha
Tasya bheda matra vasthi (Hrswa snehapana matra )
 Uttaravasti – niruhath uttharena / Uttara margena
INDICATIONS OF ASTHAPANA
Sudhaatisara ,jeernajwara , pratisyaya , asmari, rajonasa, guda(vataraktam), daaruna anila aamayam , gulma , aanaha
CONTRAINDICATION OF ASTHAPANA
Atisnigdha , chest injured person(urakshatha), a person soon after sodhana, underwent nasya, prasaktha chardi, Swasa,
kasa, praseka , arsas, vishuchika, hidhma, adhmana, alpavahni, sunapayu, just after food , badhodara, chidrodara ,
udakodara, kushta , madhumeha, pregnancy upto 7th month
( AS - 8th month)
REASONS FOR CONTRAINDICATION –
 Atisnigdha – dosha utklesha---udara ,morrcha,swayathu
 Kshatha uraska , Atikrisha--- causes kshobha – sareeram asu peedayeth
 Kritha vamana, vireka- riktham deham (kshatham kshara eva daheth)
 Giving Sneha vasthi immediately – agni nasha-- sleshmaamaya
 Krutha nasya – causes vivruthva urdhwa srothas and results in asya roga ( asya vibhramsha )
 Prasaktha chardi – vaayu niruham oordham nayeth
 Arshas – avrutha margatvath, anagacheth vasthi, prana himsa
 Badhodara , Chidrodara, Udakodara, adhmanam- increases adhmana further and can cause mrityu
 Alasaka – increase in ama dosha- marana
 Arochaka – aamaya vridhi
 Garbhini ( before 8th month) – ama garbha bhramsha

INDICATIONS OF ANUVASANA

Same as asthapana vasthi

Ativahni ,ruksha , kevalavatartha
Those contraindicated for asthapana are not suitable for anuvasana
 2

CONTRAINDICATIONS OF ANUVASANA
Jwara, Pandu , Kamala, Meha , Pinasa, ( niranna ) In empty stomach, pliha, vidbheda, gurukoshta, abbhishyanda( Pitta
, kapha ) ,karshyam, sthoulyam, krimikoshta , adhyamaruta, gara , visha , apachi, slipada, galaganda
REASONS FOR CONTRAINDICATIONS
 Abhuktha baktha – kshipram urdhwam prapadyathe sneha
 Arshasi- due to abhishyanda – results in aadhmanam
 Kritha vamana virechana – dosha utklesha – agnimandya- kaphaja roga
 Pandu roga, kamala, prameha - dosha utklesha – udara
 Pratishyaya – dosham vardhathe
GENERAL RULE ---
Asthapana – Niranna
Anuvasana – After anna
VASTI YANTRA- VASTI NETRA AND VASTI PUTAKA
VASTI NETRA
Materials for making the netra – hema, silver, daru, asthi ,venu
( suvarna, roopya trapu tamra reethi kamsyam, mani ,shankha, sringa, danta, asthi, venu, nala , khadira kadara tinisa
tinduka daru sara
Shape – gopuchaakara ,achidra , slakshna , riju , gulikamukham
OUTER DIAMETER – patient’s angushta (mulachidra)
At the tip – kanishta – little finger

AGE AND SIZE OF ENEMA NOZZLE

AGE LENGTH IN BASE IN SIZE OF TIP
ANGULAS ANGULAS
Mulachidra
LESS THAN 1 5A 0.5A VANA MUDGA ( wild green
YEAR gram )
1-6 YEARS 6A 1A MUDGA ( green gram )
7 YEARS 7A 1.5 A MASHA ( black gram)
12 YEARS 8A 2A KALAYA(pea)
16 YEARS 9A 2.5 A KLINNA KALAYA (soaked pea
)
20 ONWARDS 12 A 3A KARKANDHU ( seed of lantha)

3 karnika in VASTI NETRA

First karnika–leaving a distance equal to the diameter of mulachidra from the tip
Second and third karnika – at the base – distance of 2 Angulas between them
VASTI PUTAKA – MATERIALS
Vasti of aja, avi, mahisha ( Varaha, harina, go )
It should be made – druda, tanu , nashta siro , vigandho, kashaya raktha
In the absence ( vasthi alaabhe) – plavani, chagala- angapada or thick cloth( madhuchishtam )
 3

NIRUHA AND ANUVASANA MATRA

QUANTITY OF MEDICINE YEAR WISE
AGE NIRUHA VASTHI MATRA ANUVASANA VASTHI
MATRA
1 YEAR 1 pala/ 1 prakuncha 0.25 pala
2 YEAR 2 pala = 1 prasrutha 0.5 pala
3-12 YEAR 3- 12 pala= 6 prasrutha 0.75 pala
13 YEAR 14 pala= 7 prasrutha 3.5 pala
14 YEAR 8 prasrutha
15 YEAR 9 prasrutha
16 YEAR 10 prasrutha
17 YEAR 11 prasrutha
13-18 YEARS 14 – 24 pala increase 2 pala 3.5 pala to 6 pala
each year
18 TO 70 YEARS 24 PALA = 12 prasrutha 6 pala
After 70 year – 10 prasrutha
Anuvasana = 1/4th quantity of niruha matra
Time of Anuvasana
In sita and vasantha it should be administered --- day time
In other seasons ( Greeshma , Sarath) – during night
A S – should not do anuvasana at night – causes doshotklesha – due to snehaveerya causes adhmana, gauravam ,
jwaram
Procedure of Anuvasana
Abhyanga ,snana ( ushnodaka) ---padahinabhojana, hita , laghu
Ardra hastham
Position – vamaparswa ( left lateral ) – because grahani and guda is vama asraya
AS – MENTIONS – food before anuvasana
If atisnigdha ahara – madam, murcha, agnisada , hrillasa
If ruksha ahara – vishtambha ( stasis ) , balavarna hani
If alpa matra drava aashine, vega dharana – avarana – vyapath

Chiram ashithavatho – jwaram

PASCHATH KARMA OF ANUVASANA

 Uthanadehashayana ,sphijouthadanam, thadanam at parsni, pada of sayya should be lifted thrice
 The patient – his heels should be stroked with mushti , toes , soles , calves
 If ruja – snehena pratiloma mardana- vaksata mathram
 If the anuvasana is expelled immediately without mala (vina malena kevala sneha ) then another anuvasana
administered
 Deeptagni – sayam – laghu annam
 Sunti , dhanyaka jala or ushnambu
MAXIMUM RETENTION TIME OF ANUVASANA --- 3 YAMA / 9 HOURS
Can wait for ahorathram , administer phalavarti or teekshnavasti thereafter.
DAILY ADMINISTRATION OF ANUVASANA – atyulbanamaruta ,vyayamanitya , deeptagni , ruksha
 4

NIRUHA VASTHI
Time of administration – Madhyahne Kinchithaavruthe , Na atibubhukshithe
Order of mixing – makshikam ,lavanam, sneham, kalkam , kwatham
After administration at the time of vega – utkadakasanam

MAXIMUM RETENTION OF NIRUHA VASTI – 1 muhurta/ 48 minutes

If not expelled – another vasti with sneha, kshara, mutra ,amla – possessing snigdha , teekshna , ushna must be
administered immediately
Phalavarti, svedana ,trasana may also be employed .

KASHAYA VASTHI – AS
Samyojana vidhi – makshikam, lavanam, sneham, kalkam kwatham ithi kramath
Dravyam- 20 pala medicine , 8 madana phala
Sneha – 1/4th (of decoction )vata, 1/6th pitta , swastha , 1/8th kapha
Kalka – 1/8th
Guda – 1 pala
Appropriate saindhava , madhu
Ushnambhukumbheebashpena taptham khaja samaahatham

COMPLICATIONS
 Tiryag praneethe – na yaathi dhara
 Chalithe netre- guda vrana
 Sanaihi dathe – na ashayamithi vasthi
 Athi peeditha- kandam pradhavathi
 Athi mridu / hima – sthambham
 Amla teekshna – bhrama daha moha
 Snigdhau – Atijadya
 Ruksha – pavana kopam
 Alpa mtra lavanam – Ayogam
 Athi mathra – Atiyogam
 Athi lavanam – Daha atisara

SAMYAK, AYOGA, ATIYOGA OF NIRUHA VASTHI ----- SAME AS VIRECHANA

 The complications of Niruha caused by Prachalitha mala – will subside by hot water bath , food
SAMYAK, AYOGA , ATIYOGA OF ANUVASANA --- SAME AS SNEHAPANA
1/3 SNEHA VASTI – Kapha predominance
5/7 SNEHA VASTI – Pitta predominance
9/11 SNEHA VASTI – Vata predominance
Asthapana – eko apakarshathi anilam swa margaath, pitham dviteeyasthu kapham triteeya
 5

1- Vata
2- Pitta
3- Kapha
SCHEDULED VASTHI
 KARMA VASTHI – 30 ( A , 12A 12K, 5A ) 12 kashaya vasti and 18 sneha vasthi
 KALA VASTHI – 15 ( A , 6A 5K, 3A ) 5 kashaya vasthi and 10 sneha vasthi
 YOGA VASTHI – 8 (A, 3K 3A, A) 3 kashaya vasthi and 5 sneha vasthi
MATRA VASTHI

 Hrswasnehapanamatra
 Indicated for alpagni, alpabala

UTTARAVASTHI
Poorvakarma of Uttaravasti – 2/3 asthapana vasti
Uttaravasti netra

Males – 12 A
Vritta , gopucha, karnika in the moola and Madhya
Agram – sidharthaka pravesham
Slakshnam, made of hemadi
Kumuda , asvamara, sumana pushpavrinthopamam and should be dridha
Vasthi - mridu, laghu
Mathra – 1sukthi -1/2 pala
Procedure – Like snehavasthi – patient taken bath and food
Janusamam peedom
Amehanaantham , nishkampam
3-4 vasti can be administered. All other procedures similar to anuvasana
UTTARAVASTHI – FEMALE
Performed during arthava kala
-Yonibhramsa, yonisula, asrugdhara
- 10 Angula
Agram – mudga pravesham

 4 A in apathyamargam
 2 A -- moothra margam
 1 A --- bala moothra margam
MATHRA
 Madhyama mathra – 1 prakuncha / 1 pala
 Children – 1 shukthi- ½ pala
PROCEDURE
o Position – lithotomy position
o Poorva sodhana with asthapana
 6

o 3-4 uttaravasthi in a day – continued for 3 days

o Quantity of sneha increased daily
o After resting 3 days , administer again for 3 days

GAP BETWEEN THERAPIES

 Vamana – 15 days – Virechana

 Virechana – 15 days – Niruha
 Virechana – 7 days – Anuvasana / sneha vasthi
 Sneha vasthi can be administered immediately after Kashaya vasthi