Bastiis considered as the prime treatment among all thepanchakarma. It has curative, preventive, and promotive aspects.

Basti karmais a procedure where medicated preparations are administered through anal canal. It stays there for a period and comes out asmala(faeces).

Bastina diyathe iti basti”(A.Hru.Su.19/1)


  • Srotoshudhhi(Purifies all system and clear minute passages)

  • Vayasthapana(Sustains age)

  • Pushtikara(Provides strength to body)

  • Ruchi(Increases taste perception)

  • Shoolahara(Relieves pain)

  • Kukshiayama(Effective in GI tract disorders)

  • Vajikaroti(Aphrodisiac)

  • Medhokrut(Improves intellectual power)

  • Swapnanuvrutti(Induces sound sleep)


  • 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 intovranafor purification and healing purpose.

  • Based on medication used

Sneha basti:Snehas(medicated ghee,oil…) are administrated into colon through anal canal.

  • Anuvasana basti: Uses oil or ghee

  • Matra basti: Half dose ofanuvasana basti

Niruha basti:Kashayais the chief constituent ofbasti dravyaalong withMadhu(honey), Saindhava(salt), Kalka(paste) andSneha(oil).In place ofKashaya – Ksheera(milk), Mamsa rasa(meat soup), Gomutra(Cow’s urine) etc are used.

  • Based on number of Basti

i)Karma basti: 30bastiare to be administered.

ii)Kala basti: 16bastiare to be administered

iii)Yoga basti: 8bastiare to be administered

This procedure includes :Poorva karma,Pradhana karma,paschat karma

Poorva Karma – Pre Preparation


  • Selection of indicated patient

  • Examination of the vitals of patient

  • Preparebasti dravya

  • Patient is asked to pass faeces, urine, and flatus

  • Abhyanga(Massage) andSwedana(Fomentation) is given to patient

  • Patient is asked to come in empty stomach (Niruha basti)

Advised to take food (Anuvasana basti)

Pradhana Karma – Main Procedure

  • Administered in afternoon after digestion of previous meal and not feeling hungry.

  • Patient is asked to lie down on left side and keep his/head on his/her arms like pillow.

  • Patient is asked to flex his/her right leg, left leg fully extended.

  • Anus and enema nozzle is lubricated. Air bubble is removed, and enema nozzle is introduced slowly.

  • Slowly inject thebasticontent and gradually withdraw the nozzle.

  • Patient is said to lie on his/her back with his/her body in raised position.

  • On urge for defecation, he should not suppress it.

Paschat Karma – Post Preparation

  • Niruha basti: Warm water bath

: Diet – Rice with soup of meat or pulses

  • Anuvasana basti: Buttocks of patient is patted

: Relax in supine position

: Raise foot end of the table to little extent

Symptoms of Proper Adminitstration

  • Prasrushta vit(Evacuation of bowel without discomfort)

  • Prasrushta mutra(Evacuation of urine without discomfort)

  • Ruchiinahara(Taste in food)

  • Agni vruddhi(Good appetite)

  • Ashaya laghava(Lightness of body)

  • Rogopashamana(Recovery of disease)

  • Bala(Increases strength)

  • Clarity of senses, intellect

  • Returning of faeces and oil separately without sticking with each other


  • Kukshi roga(GI disorders)

  • Obstruction to flow ofVarcha(Faeces),Mutra(Urine)

  • Adhmana(Distension of abdomen)

  • Shiroshula(Headache),Karna shula(Earache)

  • Shosha(Emaciation)

  • Arthritis

  • Cardiac disorders

  • Tremors

  • Ajeerna(Just after meals)

  • Yanaklanta(Excessive traveling)

  • Kshut trushna(Hungry, Thirsty)

  • Ama atisara(Diarrhoea due to indigestion)

  • Visuchika(Gastroenteritis)

  • Intestinal obstruction

  • Kushta(Skin disorders)

Article By :
Ms. Arpitha(Final year BAMS student)