NIRUHA BASTI IN SHALYA

PRESENTERDr LAL RAVI SAHU

2ND YEAR PG SCHOLARDEPARTMENT OF

PANCHKARMASDMCAH HASSAN

CONTENTS

INTRODUCTION INDICATIONS OF NIRUHA BASTI IN SHALYA DISCUSSION CONCLUSION

INTRODUCTION

आस्थापनं, निनरूह इत्यनर्थाा�न्तरं; तस्य नि�कल्पो माधुतलैि�कः; तस्य पया�यशब्दो यापनो, युक्तरर्थाः, लि#द्धबस्तिस्तरिरनित | # दोषनिनह�रणाच्छरीरनीरोहणाद्वा निनरूहः, �यःस्थापनादायुःस्थापनाद्वा आस्थापनम् |

Niruha & Aasthapana are synonymic word. Niruha means - that expels Dosha. Aasthapana means – that brings stability in life/body.

WITH REFERENCE TO SHALYA TANTRA Acharya Sushruta has given prime importance to Basti Chikitsa

Su. Chi. 35 -Netrabasti Pramana Vibhaga,

Su. Chi. 36 -Netrabasti Vyapat,

Su. Chi. 37 -Anuvasanottara Basti &

Su. Chi. 38th - Niruha Karma Chapter have detail description on Basti

In Su. Chi. 1st chapter among Shasthi Upakramas of Vrana

46th & 47th Upakramas Basti & Uttara Basti has been mentioned

�ातदुष्टो व्रणो यस्तु रूक्षश्चात्यर्था��ेदनः | अधःकाये नि�शेषेण तत्र बस्ति�� र्वि�7धीयते || Su.Chi 1/109

Vata Dushita Vrana , Ruksha, Vedana Yukta and Adhokaya Sthith Vrana should be treated with Basti.

मूत्राघाते मूत्रदोषे शुक्रदोषेऽश्मरीव्रणे | तरै्था�ात��दोषे च बस्ति��रप्युत्तरो निहतः ||Su.Chi 1/110

Uttara basti is indicated in Mutraghata, Mutradosha,Shukradosha and ashmari janya vrana

Kati Bhagna Chikitsa आञ्छेदूर्ध्व��मधो �ाऽनिप कटिCभग्नं तु मान�म् |

ततः स्थानस्थिस्थते #न्धौ बस्तिस्तभिभः #मुपाचरेत्| Su. Chi. 3/28

A person with Kati-bhagna, the Sandhi should be repositioned and Sneha basti should be used.

Arsha Chikitsaतत्र, �ातप्रायेषु स्नेहस्�ेद�मननि�रेचना-स्थापनानु�ा#नमप्रनितनिषदं्ध,…… || Su. Chi. 6/16

In Vata pradhana Arsha Anuvasana and asthapana Basti should be used.

COMMONLY USED BASTI YOGAS IN

SHALYA SADHYA VYADHI Manjisthadi Kshara Basti - in Hyperlipidaemea, Atherosclerosis (eg.

TAO), Osteoarthritis. Hyperlipidaemea-  is abnormally elevated levels of any or all lipids

 and/or lipoproteins in the blood. It is the most common form of dyslipidemia (which includes any abnormal lipid levels).

Atherosclerosis- also known as arteriosclerotic vascular disease or ASVD ,is a specific form of arteriosclerosis in which an artery-wall thickens as a result of invasion and accumulation of white blood cells (WBCs) (foam cell) and proliferation of intimal-smooth-muscle cell creating a fibrofatty plaque, which reduces the lumen of the arteries.

Osteoarthritis-  is a type of joint disease that results from breakdown of joint cartilage and underlying bone.

MANJISTHADI KSHEERA BASTI – EG. ARTERIAL DISEASES WITH BURNING SENSATION.

 Raynaud's disease or Raynaud's phenomenon  is excessively reduced blood flow in response to cold or emotional stress,  causing discoloration of the fingers, toes, and occasionally other areas. This condition may also cause nails to become brittle with longitudinal ridges. 

Main cause Atherosclerosis

ERANDAMOOLADI NIRUHA BASTI - GRIDHARASI

Lumbar spinal stenosis (LSS) is a medical condition in which the spinal canal narrows and compresses the spinalcord and nerves at the level of the lumbar vertebra. This is usually due to the common occurrence of spinaldegeneration that occurs with aging.

PICHHA BASTI – IN ULCERATIVE COLITIS, IBS

Ulcerative colitis (UC) is a chronic relapsing form of inflammatory bowel disease (IBD) that causes inflammation and ulcers in the colon.

 Patients usually present with diarrhea mixed with blood and mucus, of gradual onset that persists for an extended period (weeks).

The disease is classified by the extent of involvement, depending on how far up the colon the disease extends.

CLASSIFICATION Distal colitis, potentially treatable with enemas:

Proctitis: Involvement limited to the rectum. Proctosigmoiditis: Involvement of the rectosigmoid colon, the portion

of the colon adjacent to the rectum. Left-sided colitis: Involvement of the descending colon, which runs

along the patient's left side, up to the splenic flexure and the beginning of the transverse colon.

Extensive colitis, inflammation extending beyond the reach of enemas: Pancolitis: Involvement of the entire colon, extending from the

rectum to the cecum, beyond which the small intestine begins.

YASTIMADHU KSHEERA BASTI – IN GERD, DUODENAL ULCER

Gastroesophageal reflux disease (GERD), also known as gastro-oesophageal reflux disease (GORD) and acid reflux, is a chronic condition of mucosal damage caused by stomach acid coming up from the stomach into the esophagus. Occasional reflux causes heartburn, but chronic reflux leads to reflux esophagitis,

Peptic ulcer disease (PUD), also known as a peptic ulcer or stomach ulcer, is a break in the lining of the stomach, first part of thesmall intestine, or occasionally the lower esophagus. An ulcer in the stomach is known as a gastric ulcer while that in the first part of the intestines is known as a duodenal ulcer. The most common symptoms are waking at night with upper abdominal pain or upper abdominal pain that improves with eating. 

PICHHA BASTI

बदयKरा�तीशे�ुशाल्म�ीधन्�नाङ्कुराः | क्षीरलि#द्धाः क्षौद्रयुताः #ास्राः निपस्थिच्छ�#स्थिञ्Oताः ||८५|| �ाराहमानिहषौरभ्रबैडा�ैणेयकौक्कुCम् | #द्यस्कम#ृगाजं �ा देयं निपस्थिच्छ�बस्तिस्तषु ||८६|| SU. CHI. 38/85-86

Ingredients- Badar , Eravati (Nagabala), Shelu,Shalmali and Dhanvankura Ksheerapaka , Rakta and Madhu. Rakta of Pig, Buffalo, Sheep, Deer,Hen or Goat’s fresh blood.

Indication- Raktarsha, Raktatisara , Ulcerative colitus

KRIMIHARA BASTI नि�डङ्गनित्रफ�ालिशगु्रफ�मुस्ताखुपर्णिण7जात्||९||

कषायात् प्र#ृताः पञ्च तै�ादेको नि�मथ्य तान|् नि�डङ्गनिपप्प�ीकल्को निनरूहः निक्रमिमनाशनः||१०|| C.SI.8/9-10

Ingredients- Vidanga, Triphala, Shigru, Madanaphala, musta, Mushaparni, Taila

Indication- All type of Krimi Roga.

MANJISTHADI KSHARA BASTI

Ingredients- Saindhava , Makshika, Sneha, Manjisthadi Kalka, Manjisthadi kwatha, Gomutra,Kanji

Indication- Shrotoshodhana, Stenosis

PTA (posterior tibial artery) stenosis

Peripheral arterial disease.

KSHEERA BASTI

Ingredients- Makshika, Lavana,Sneha,Kalka,Kashaya, Avapa As Ksheerapaka

Indication- Ashthivaha Shrotogata Vikara- Ashthibhagna, Osteoarthritis.

MANJISTHADI KSHEERA BASTI

Ingredients- Makshika,lavana,Sneha, Kalka (Manjistha , Yasthimadhu,Guduchi, arjuna), milk as ksheerapaka( manjisthadi Ksheerapaka/ Yasthimadhu Ksheerapaka)

Indication- Asthipradoshaja Vyadhi , Involvement of rakta-pitta.

ERANDAMOOLADI NIRUHA BASTI एरण्डमू�ं नित्रप�ं प�ाशा [२] ह्रस्�ानिन मू�ानिन च यानिन पञ्च||३८||

रास्नाश्वगन्धानितब�ागुडूची पुनन��ारग्�धदे�दारु| भागाः प�ांशा मदनाष्टयुक्ता [३] ज�निद्वकं#े क्�लिर्थातेऽष्टशेष|े|३९|| पेष्याः शताह्वा हपुषा निप्रयङु्गः #निपप्प�ीकं मधुकं ब�ा [४] च| र#ाञ्जनं �त्#कबीजमुस्तं भागाक्षमातं्र [५] ��णांशयुक्तम्||४०|| #माभिक्षकस्तै�युतः #मूत्रो बस्तिस्तनृ�णां दीपन�ेखनीयः| जङ्घोरुपादनित्रकपृष्ठशू�ं कफा�ृतित7 मारुतनिनग्रहं च||४१|| नि�ण्मूत्र�ातग्रहणं #शू�मार्ध्वमानतामश्मरिरशक� रे च| आनाहमशtग्रहणीप्रदोषानेरण्डबस्तिस्तः शमयेत् प्रयुक्तः||४२|| C.Si.3/38-42

Consist of 35 drugs- mainly kaphahara. Ashmari, Anaha, Vibanadha,Arsha, Grahanai,Vatakapha-Disorders

like Gridharasi

CASE STUDY

45 Year male patient having complaints of

Bleeding during defaecation Diagnosis- Ulcerative colitis Treatment- NB-Pichha basti

AB-Dadimadi Ghrita Result- Symptoms reduced in 8 days

RESEARCH ARTICLEEFFICACY OF PICHHA BASTI IN ULCERATIVE COLITIS: AN OBSERVATIONAL STUDY Chiterlekha, Swati S. Deshpande, Baidyanath Mishra

. Int. J. Ayur. Pharma Research. 2014;2(8):23-26

CONCLUSION Basti karma has shown improvement or cure of the ulcerations by enhanced healing and subsiding inflammation & irritability of the colon. It also improves functions of Apana Vayu, situated in Pakwashaya and results into improvement regulation of evacuation of the colon. In the study the mean scores of frequency of diarrhoea, blood and mucous in stool, pain abdomen, weakness, pus cell in stool are compared to before and after treatment is highly significant.

RESEARCH ARTICLE

TRIPHALADI NIRUHA BASTI IN THE MANAGEMENT OF CHRONIC KIDNEY DISEASEKiran M Goud, Basavaraj S Shirur, VinayKumar K.N, Baidyanath MishraInt. J. Ayur. Pharma Research. 2014;2(8):27-33.CONCLUSION

Basti used in the this study is very much effective in improving the kidney functions and the Basti used in this study having the property of Sroto vishuddhi. The kidneys are made up of principally the “Rakta” and “Meda” dhatus. Triphaladi Niruha Basti along with various Shamana aushadhi, has resulted in the reversal of the kidney factors and recover from CKD. This action may be tribute to its various Sothagna (Anti-inflammatory), Mutrala (Diuretic), Lekhana (Scrapes) property.

DISCUSSIONKsheera basti Mode of action in different Asthivahastroto vikara

In Asthivaha stroto vikara body needs more calcium to repair and nourish the bone .

Milk calcium may be absorbed in the absence of vitamin D, under the influence of lactose in the distal small intestine via the paracellular route. Thus milk can provide calcium with “ensured absorbability” which is generally insensitive to external factors, except for inhibitors, such as oxalic acid. Dairy products do not contain anything likely to inhibit the intestinal absorption of calcium, like phytates, oxalates, uronic acids or the polyphenols of certain plant foods.

it should be remembered that milk and dairy products are not only excellent sources of calcium, but also provide an almost complete diet whose consumption provides a “meal effect” .

so the absorption of calcium and provides a simultaneous intake of phosphorus that is essential for bone deposition.

Thus it can be used for various disorders such as• Osteoarthritis• Post-operative treatment of different types of fractures• Rehablitataion after Bone or Ligament graft• In sports injury• As Brumhana basti.

Manjisthadi kshara basti

Mode of action

Consist of mainly Manjistha-

Rasa: Madhur,Tikat, KashayaBitter, sweet, astringentVirya:SheetaVipaka: KatuGuna: Guru , RukshaDosha: Pittakapha Shamaka,Dhatu: Rakta , Mamsa, Asthi

Manjistha calms aggravated pitta and breaks up congested kapha. Many pitta-aggravated imbalances in the body, especially those of the blood, may be supported by Manjistha’s affinity for balancing pitta. Also useful in skin related disorders, lymph disorders and good for bones.

Role of kshara- Kshara having Lekhana properties , so it scraps out aggrevated Doshas from Dhatu , thus gives Shrotoshodhana effect.

So it is highly beneficial in diseases like

Vericose vein Female reproductive disorders

Stenosis

Atherosclerosis

CKD (chronic kidney disease)

Where Shodhana and Lekhana is needed.

CONCLUSION Basti as Ardha Chikitsa (it can cure many diseases ). Niruha Basti one among imp. Sodhana Karma. Multiple combinations are possible. Important in both surgical & non surgical conditions. Can be used in KAUMARA to VRIDHHA. Can be given in Ama condition also (eg- Amavata – CHURNA Basti) Equally important in all Astangas of Ayurveda.