Basti
Basti is considered as the prime treatment among all the panchakarma. It has curative, preventive, and promotive aspects.
Basti karma is a procedure where medicated preparations are administered through anal canal. It stays there for a period and comes out as mala(faeces).
“Bastina diyathe iti basti” (A.Hru.Su. 19/1)
Benefits
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Srotoshudhhi (Purifies all system and clear minute passages)
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Vayasthapana (Sustains age)
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Pushtikara (Provides strength to body)
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Ruchi (Increases taste perception)
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Shoolahara (Relieves pain)
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Kukshiayama (Effective in GI tract disorders)
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Vajikaroti (Aphrodisiac)
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Medhokrut (Improves intellectual power)
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Swapnanuvrutti (Induces sound sleep)
Classification
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Based on location
- Pakvashayagata basti : Administration of basti into colon through anal canal
- Mutrashayagata basti : Administration of basti into urinary bladder through urethra
- Garbhashayagata basti : Administration of basti into uterus through vagina
- Vrana basti : Administration of basti into vrana for purification and healing purpose.
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Based on medication used
Sneha basti : Snehas (medicated ghee,oil…) are administrated into colon through anal canal.
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Anuvasana basti : Uses oil or ghee
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Matra basti : Half dose of anuvasana basti
Niruha basti : Kashaya is the chief constituent of basti dravya along with Madhu (honey), Saindhava (salt), Kalka (paste) and Sneha (oil). In place of Kashaya – Ksheera (milk), Mamsa rasa (meat soup), Gomutra (Cow’s urine) etc are used.
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Based on number of Basti
i)Karma basti : 30 basti are to be administered.
ii)Kala basti : 16 basti are to be administered
iii)Yoga basti : 8 basti are to be administered
This procedure includes : Poorva karma, Pradhana karma, paschat karma
Poorva Karma - Pre Preparation
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Selection of indicated patient
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Examination of the vitals of patient
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Prepare basti dravya
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Patient is asked to pass faeces, urine, and flatus
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Abhyanga (Massage) and Swedana (Fomentation) is given to patient
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Patient is asked to come in empty stomach (Niruha basti)
Advised to take food (Anuvasana basti)
Pradhana Karma - Main Procedure
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Administered in afternoon after digestion of previous meal and not feeling hungry.
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Patient is asked to lie down on left side and keep his/head on his/her arms like pillow.
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Patient is asked to flex his/her right leg, left leg fully extended.
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Anus and enema nozzle is lubricated. Air bubble is removed, and enema nozzle is introduced slowly.
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Slowly inject the basti content and gradually withdraw the nozzle.
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Patient is said to lie on his/her back with his/her body in raised position.
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On urge for defecation, he should not suppress it.
Paschat Karma - Post Preparation
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Niruha basti : Warm water bath
: Diet – Rice with soup of meat or pulses
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Anuvasana basti : Buttocks of patient is patted
: Relax in supine position
: Raise foot end of the table to little extent
Symptoms of Proper Adminitstration
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Prasrushta vit (Evacuation of bowel without discomfort)
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Prasrushta mutra (Evacuation of urine without discomfort)
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Ruchi in ahara (Taste in food)
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Agni vruddhi (Good appetite)
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Ashaya laghava (Lightness of body)
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Rogopashamana (Recovery of disease)
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Bala (Increases strength)
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Clarity of senses, intellect
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Returning of faeces and oil separately without sticking with each other
Indications
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Kukshi roga(GI disorders)
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Obstruction to flow of Varcha(Faeces), Mutra(Urine)
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Adhmana(Distension of abdomen)
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Shiroshula(Headache), Karna shula(Earache)
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Shosha(Emaciation)
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Arthritis
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Cardiac disorders
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Tremors
Contraindications
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Ajeerna(Just after meals)
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Yanaklanta(Excessive traveling)
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Kshut trushna(Hungry, Thirsty)
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Ama atisara(Diarrhoea due to indigestion)
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Visuchika(Gastroenteritis)
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Intestinal obstruction
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Kushta(Skin disorders)
Article By :
Ms. Arpitha (Final year BAMS student)
https://www.facebook.com/arpitha.j.568