Ayurveda_Panchakarma: Basti-Practical_aspects

25/03/0925/03/09 ICARE PODARICARE PODAR

Basti- Practical aspectsBasti- Practical aspects

Vd.Manohar S GundetiVd.Manohar S GundetiM.D.(Ayu)M.D.(Ayu)

YMT'S Ayurvedic Medical College and YMT'S Ayurvedic Medical College and Hospital,Kharghar, Navi MumbaiHospital,Kharghar, Navi Mumbai [email protected]@rediffmail.com

919292342819919292342819

mailto:[email protected]


What ?What ? Why ?Why ? When ?When ? Whom ?Whom ? How ?How ? What r types ?What r types ?


What ?What ?

Nirukti- vas- nivase, vas- achadaneNirukti- vas- nivase, vas- achadane


Why ?Why ?

Vikrutat anil uchedat- vata shamanVikrutat anil uchedat- vata shaman Vaya sthapana- for healthy ageingVaya sthapana- for healthy ageing Sukha ayu bala agnimedha kar-Sukha ayu bala agnimedha kar- Kshina shukra vajikaranayati- for vajikaranKshina shukra vajikaranayati- for vajikaran Brimhanatvat- for brimhanBrimhanatvat- for brimhan Sthula karshyeti- for reducing weightSthula karshyeti- for reducing weight Chaksu prinayat- for better eyesChaksu prinayat- for better eyes Sarvapradhan roganam upakramSarvapradhan roganam upakram

i.e.why ardha chikitsai.e.why ardha chikitsa


What r types ?What r types ?

Depending on-Depending on-

AnatomicalAnatomicalPharmaceuticalPharmaceuticalPharmacologicalPharmacologicalAccording to no.of bastis usedAccording to no.of bastis used


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


PharmaceuticalPharmaceuticalNiruha (Kashaya pradhan)Niruha (Kashaya pradhan)Anuvasana (Sneha pradhan)Anuvasana (Sneha pradhan)

Sneha/Anuvasana/MatraSneha/Anuvasana/Matra


PharmacologicalPharmacological

Sushruta Vagbhata Charaka Sharangdh

Shodhana Utlkeshana Vataghna Utkleshana

Lekhana Doshahara Balavarnka DoshaharaSnehana Shamana Snehaniy ShodhanaBrmhana Sukrakrut Shamana

Krimighna PicchilaDeepana


According to no.of bastis According to no.of bastis usedused According to no.of bastis usedAccording to no.of bastis used

Karma- 30 (18 Anu + 12 Ni)Karma- 30 (18 Anu + 12 Ni)Kala- 16 ( 10 Anu + 6 Ni)Kala- 16 ( 10 Anu + 6 Ni)Yoga- 8 ( 5 Anu + 3 Ni)Yoga- 8 ( 5 Anu + 3 Ni)


Whom ?Whom ?

Sarvangavata- hemiplegia,neurological Sarvangavata- hemiplegia,neurological diseasesdiseases

Ekanga vataEkanga vata Retention of flatus,urine,stools,semenRetention of flatus,urine,stools,semen VibandhaVibandha KrimiKrimi 80 types of vatavyadhi80 types of vatavyadhi Loss of sensation,tremor,convulsionsLoss of sensation,tremor,convulsions And many………And many………


ExceptionsExceptions

Arsha udavarta – anuvasanaArsha udavarta – anuvasana Atisar- picchaAtisar- piccha Udar pandu kamala halimak- kshirabastiUdar pandu kamala halimak- kshirabasti

Indications and contraindi are treated Indications and contraindi are treated as only guidelines. According to cond. as only guidelines. According to cond. of disease and patient it is done. of disease and patient it is done. (Dashavidha pariksha)(Dashavidha pariksha)


Aatur parikshaAatur pariksha

Bala

Vaya

Satva

Agni Satmya

kala

Desha

Aushadha

Dosha

Basti


Niruha bastiNiruha basti

Equipments required-Equipments required-– Basti netraBasti netra– BastiputakaBastiputaka– Disposable glovesDisposable gloves– Hole towelHole towel


Basti netraBasti netraAge 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


AushadhiAushadhi


AushadhiAushadhi

MadanMadan KutajKutaj KushthaKushtha DevdaliDevdali YashtimadhuYashtimadhu YavYav VachaVacha DashamoolaDashamoola DevdarDevdar RasnaRasna MishreyaMishreya KulathaKulatha MadhuMadhu SaindhavaSaindhava TailaTaila GhritaGhrita GudaGuda


KalkaKalka

When kalka not mentionedWhen kalka not mentioned AjmodaAjmoda MadanphalaMadanphala BilvaBilva KushthaKushtha VachaVacha MishreyaMishreya MustaMusta PippaliPippali10 gm each10 gm each


Order of mixing materialOrder of mixing material

Madhu+ SaindhavaMadhu+ Saindhava SnehaSneha KalkaKalka KwathaKwatha Continuous stirring/churningContinuous stirring/churning


Quantity Quantity

Age Quantity

1yr 4 tola

12 48 tola

18 96 tola

19-70 96tola

Above 70 80 tola


Vataja Pittaja KaphajaMadhu 120ml 160ml 240mlSneha 240ml 160ml 120mlKalka 80gm 80gm 80gmKwatha 400ml 400ml 400mlPrakshep 120gm 160gm 120gm

Guda Mishreya Sarshap960ml 960ml 960ml


ProcedureProcedurePoorvakarma- Poorvakarma-

Pre of pt.- selection,examination Pre of pt.- selection,examination (p/bp..) (p/r),pt education,consent(p/bp..) (p/r),pt education,consent

Selection of drug/ quantitySelection of drug/ quantity After snehapana/anuvasan After snehapana/anuvasan Preparation of basti- sequence..Preparation of basti- sequence.. Abhyanga/ hot water bath/ swedanAbhyanga/ hot water bath/ swedan Bladder,bowel evacuationBladder,bowel evacuation In vata kala- In vata kala-


ProcedureProcedure

PradhankarmaPradhankarma PositionPosition Lubrication of lt. index finger, anus, Lubrication of lt. index finger, anus,

nozzlenozzle Administration of drug-300matra Administration of drug-300matra Particular/gradual force, without Particular/gradual force, without

interruptioninterruption Pt asked to count no./take breath helps Pt asked to count no./take breath helps

to entrance of drugto entrance of drug


ProcedureProcedure

PaschatkarmaPaschatkarma Supine positionSupine position No massage/ tadanNo massage/ tadan Time of retention- 100 matra-1muhurtaTime of retention- 100 matra-1muhurta

Complications—Complications— Abd. discomfort/faintingAbd. discomfort/fainting UshnodakamUshnodakam


Signs of proper niruhaSigns of proper niruha


PratyagamPratyagam

Upto 1 muhurt ( 45-48 min.)Upto 1 muhurt ( 45-48 min.)If no-If no-

Varti / tikshna bastiVarti / tikshna basti(mutra/amla/kshara+sneha =tikshna basti)(mutra/amla/kshara+sneha =tikshna basti)Phalavarti-Madanphala 10gmPhalavarti-Madanphala 10gm

Pippali 10gmPippali 10gmSaindhava 10gmSaindhava 10gmGuda 50gmGuda 50gmHoney 25gmHoney 25gmCastor oil 50gmCastor oil 50gm

Flatus tubeFlatus tube


ProcedureProcedure

PaschatkarmaPaschatkarma Rest Rest Warm water bathWarm water bath Food- mansa rasa/ milk / yushaFood- mansa rasa/ milk / yusha No sansarjan kramNo sansarjan kram Anuvasan same day or next dayAnuvasan same day or next day


PariharParihar


ComplicationsComplications

Wrong assessment of pt.Wrong assessment of pt. Wrong preparation of basti dravyaWrong preparation of basti dravya Wrong position of pt.Wrong position of pt. Wrong insertion methods (pranidhan Wrong insertion methods (pranidhan

dosha)dosha) NetradoshaNetradosha PidandoshaPidandosha


Different Basti yogaDifferent Basti yoga


VaitaranaVaitarana

VangsenVangsen Chincha 40gmChincha 40gm Saindhava 10gmSaindhava 10gm Oil- madhuyashtadi 10mlOil- madhuyashtadi 10ml Cow Milk 160ml Cow Milk 160ml Guda 20gmGuda 20gm Ghridhrasi, kati/uru/prishtha shulaGhridhrasi, kati/uru/prishtha shula


Kshar bastiKshar basti

SaindhavaSaindhava 10gm10gm MishreyaMishreya 10gm10gm GomutraGomutra 320ml320ml ChinchaChincha 80gm80gm GudaGuda 80gm80gm


VaitaranaVaitarana

ChakradattaChakradatta Gomutra Gomutra 320ml320ml Oil (madhuyashtyadi/shatavha/dhanvantara) Oil (madhuyashtyadi/shatavha/dhanvantara)

10ml10ml Chincha Chincha 40gm40gm Guda Guda 30gm30gm SaindhavaSaindhava 10gm10gm Amavata- amavasthaAmavata- amavastha A/D 3-5days after foodA/D 3-5days after food


Lekhana bastiLekhana basti

Triphal kwatha+ gomutra+ madhu+ Triphal kwatha+ gomutra+ madhu+ yavakshar+ ushakadi ganayavakshar+ ushakadi gana

Complications- drastic purgation/pain/Complications- drastic purgation/pain/bleeding/faintingbleeding/fainting

Anuvasana basti/piccha bastiAnuvasana basti/piccha basti


Piccha bastiPiccha basti

MocharasaMocharasa IsabgolIsabgol PeyaPeya

Preparation- milk (100ml)+ Preparation- milk (100ml)+ mocharasa/ isabgol(25gm) boilmocharasa/ isabgol(25gm) boiladd nagkehsar/lodhra/arjun churna add nagkehsar/lodhra/arjun churna 15gms 15gms


Parnabija rasa basti 40ml+ Parnabija rasa basti 40ml+ Ghrita 20mlGhrita 20ml Badarpatra+vatshringa+shalmalipatraBadarpatra+vatshringa+shalmalipatra

+ dhamasa ankur+ milk+madhu+rakta+ dhamasa ankur+ milk+madhu+raktaA.S.A.S.

Ulc.collitisUlc.collitis RaktarshaRaktarsha RaktatisarRaktatisar


Takra bastiTakra basti

Takra 200mlTakra 200ml Jatyadi taila 40mlJatyadi taila 40ml

Adding takra in taila drop by drop to Adding takra in taila drop by drop to malke homogeneous emulsionmalke homogeneous emulsion

Ulcerative collitisUlcerative collitis


MadhutailikaMadhutailika

A.H.A.H. Madhu- 150 mlMadhu- 150 ml Taila- 150 mlTaila- 150 ml Saindhava- 15gm(karsha)Saindhava- 15gm(karsha) Misi- 30 gm (2 pichu)Misi- 30 gm (2 pichu) Erandamula kwatha- 500mlErandamula kwatha- 500ml

Total –near 800mlTotal –near 800ml


ChakshushyaChakshushya

Madhutailika+ yashtimadhuMadhutailika+ yashtimadhu

For ophthalmic disordersFor ophthalmic disorders


Tikta kshira bastiTikta kshira basti

GuduchiGuduchi PatolPatol NimbaNimba ChirayataChirayata Yashtimadhu Yashtimadhu total 25gmstotal 25gms Tiktaka ghrita 10mlTiktaka ghrita 10ml Milk 100mlMilk 100ml

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


KshirabastiKshirabasti

Kwatha (erandmoola/panchatikta) 250mlKwatha (erandmoola/panchatikta) 250ml Milk 350mlMilk 350ml Taila (madhuyashtyadi/guggulutikta GTM) 100mlTaila (madhuyashtyadi/guggulutikta GTM) 100ml Madhu 100mlMadhu 100ml Saindhava 5gmSaindhava 5gm

Change can be done in ingradients & doseChange can be done in ingradients & dose Vatarakta- Daha pradhan (pitta) vataraktaVatarakta- Daha pradhan (pitta) vatarakta R.A.- nirama avashtaR.A.- nirama avashta Jirna jvara,madatyaya,gulna,halimak,pittodarJirna jvara,madatyaya,gulna,halimak,pittodar HypertensionHypertension


Yapana bastiYapana basti

Samshaman bastiSamshaman basti Increase longevityIncrease longevity In all seasonsIn all seasons In pts ( Immuno-compromised In pts ( Immuno-compromised

conditions) and healthyconditions) and healthy Mrudu dravyasMrudu dravyas No vyapatNo vyapat


Chatusneha bastiChatusneha basti

Dashmoola Dashmoola Goat fleshGoat flesh Ghrita Ghrita VasaVasa MajjaMajja TailaTaila

A.H.K.4/4A.H.K.4/4 Cerebellar atrophy, degenerative diseases of Cerebellar atrophy, degenerative diseases of

brainbrain


Picchil bastiPicchil basti

vidarikanda vidarikanda VatapatraVatapatra SheluShelu Shalmali Shalmali DhanvankuraDhanvankura MilkMilk HoneyHoney 12pala 12pala

480ml480ml


Mutra bastiMutra basti

GomutraGomutra 8pala8pala Eranda kwathaEranda kwatha 4pala4pala Tila tailaTila taila 2pala2pala MadhuMadhu 1prasrut1prasrut MansarasaMansarasa 4tola4tola MilkMilk 4tola4tola KanjiKanji 4tola4tola ChinchaChincha 4tola4tola GudaGuda 1pala1pala MadanphalaMadanphala 1pala1pala


Ardhamatrika niruhaArdhamatrika niruha

Dashmoola kwathaDashmoola kwatha 8pala8pala TailaTaila 2pala2pala MadhuMadhu 2pala2pala Shatavha kalkaShatavha kalka 1tola1tola SaindhavaSaindhava 1tola1tola


Matra bastiMatra basti

No restrictions for the use of No restrictions for the use of matrabastimatrabasti

Can be given in Can be given in anytime/season/anyoneanytime/season/anyone

Oil+Saindhav- helps to spread & Oil+Saindhav- helps to spread & penetratepenetrateShatavha- brings mala to kosthaShatavha- brings mala to kostha

Heat saindhava then add in oilHeat saindhava then add in oil


Matra bastiMatra basti

Constipation- tila taila / chinchataila-Constipation- tila taila / chinchataila-paedpaed

Krimi- karanja taila/ vidanga tailaKrimi- karanja taila/ vidanga tailaRaktarsha/ fissure- jatyadi tailaRaktarsha/ fissure- jatyadi tailaDymenorrhoea- tila tailaDymenorrhoea- tila tailaOvarian cyst- sahachar tailaOvarian cyst- sahachar taila


Katigat vat- Guggulutiktak gtmKatigat vat- Guggulutiktak gtmDry cough- Tila tailaDry cough- Tila tailaSciatica- Vishagarbha tailaSciatica- Vishagarbha tailaMutrashmari/ colic- Tila tailaMutrashmari/ colic- Tila tailaPakshaghat- mahamasha tailaPakshaghat- mahamasha tailaParkinson- kapikachu sidha taila/kshirParkinson- kapikachu sidha taila/kshirDowns baby, delayed milestones-Downs baby, delayed milestones-Stress-Stress-


Conditions/rulesConditions/rules

Pts condition (serious diseases)Pts condition (serious diseases) Brimhan / lekhana vyatyasBrimhan / lekhana vyatyas Basti and snehapana in any form shouldn’t be given Basti and snehapana in any form shouldn’t be given

simultaneouslysimultaneously After 7days of virechanaAfter 7days of virechana Parihara (uccha bhashan etc.) kala should be double Parihara (uccha bhashan etc.) kala should be double Niruha should be avoided after foodNiruha should be avoided after food Anuvasana shouldn’t be on empty stomachAnuvasana shouldn’t be on empty stomach In all niruha bastis madhu/saindhava should be usedIn all niruha bastis madhu/saindhava should be used In anuvasana saindhava/shatapushpa/sunthi should be used In anuvasana saindhava/shatapushpa/sunthi should be used Oil should be murcchitOil should be murcchit


OilsOils

Til tailaTil tailaKarpasasthyadi- Karpasasthyadi- pakshaghat,avabahuka,arditapakshaghat,avabahuka,arditaKetakyadi-asthigata vataKetakyadi-asthigata vataKottamchukkadi-vatashamanKottamchukkadi-vatashamanChandanadi-vataraktaChandanadi-vataraktaChinchadi-sarva vatashamanChinchadi-sarva vatashamanPindataila- vataraktaPindataila- vatarakta


THANK U………THANK U………

Ayurveda_Panchakarma: Basti-Practical_aspects

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