﻿{"id":4311,"date":"2023-10-11T15:25:21","date_gmt":"2023-10-11T09:55:21","guid":{"rendered":"https:\/\/ayurvedanetworkbhu.com\/?p=4311"},"modified":"2024-02-08T13:18:33","modified_gmt":"2024-02-08T07:48:33","slug":"4311-2","status":"publish","type":"post","link":"https:\/\/ayurvedanetworkbhu.com\/?p=4311","title":{"rendered":"Module on &#8220;Clinical Application of Kashaya Basti&#8221; Talk By- Dr. Rajkala P. Patil"},"content":{"rendered":"<p><iframe loading=\"lazy\" title=\"YouTube video player\" src=\"https:\/\/www.youtube.com\/embed\/SeSQ8n6b5Tw?si=8OYhE-x7Y-rvOLBM\" width=\"560\" height=\"315\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/p>\n<h2 style=\"text-align: center;\"><span style=\"background-color: #000080; color: #ffffff;\"><b>\u00a0 \u00a0NIRUHA BASTI KARMA\u00a0 \u00a0<\/b><\/span><\/h2>\n<p style=\"text-align: center;\"><span style=\"background-color: #993366; color: #ffffff;\"><strong>\u00a0 Dr. Rajkala P. Patil \u00a0<\/strong><\/span><br \/>\n<span style=\"color: #808080;\">Head &amp; Associate Professor,<\/span><br \/>\n<span style=\"color: #808080;\">Department of Panchakarma,<\/span><br \/>\n<span style=\"color: #808080;\">Faculty of Ayurveda, IMS, BHU, Varanasi<\/span><\/p>\n<p>&nbsp;<\/p>\n<p style=\"text-align: justify;\"><span style=\"font-weight: 400;\">Basti is a therapeutic procedure carefully designed to facilitate comprehensive bio-purification, with a primary focus on addressing Vata dosha-related imbalances through the ano-rectal route. It is revered as a potent remedy for a wide spectrum of ailments. Basti can be strategically incorporated into a treatment plan, either following seven days after Virechana karma or as a standalone therapeutic intervention. In the classical texts of Ayurveda, Basti is esteemed as the cornerstone of Ayurvedic therapeutics.\u00a0<\/span><\/p>\n<p style=\"text-align: justify;\"><strong><span style=\"background-color: #800000; color: #ffffff;\">\u00a0 What is Basti?\u00a0 \u00a0 \u00a0\u00a0<\/span><\/strong><\/p>\n<p style=\"text-align: center;\"><span style=\"font-weight: 400;\"><span style=\"color: #ff6600;\"><strong>\u092c\u0938\u094d\u0924\u093f\u0928\u093e \u0926\u0940\u092f\u0924\u0947 \u0907\u0924\u093f \u092c\u0938\u094d\u0924\u093f\u0903\u0964<\/strong><\/span><br \/>\n<\/span><span style=\"font-weight: 400;\">(A.H.Su.19\/1)<\/span><\/p>\n<p style=\"text-align: justify;\"><strong>Administration of liquid medicines through the rectal, urethral, or vaginal route is collectively called Basti.<\/strong><\/p>\n<p style=\"text-align: center;\"><strong><span style=\"color: #ff6600;\">\u0924\u0924\u094d\u0930 \u0926\u094d\u0927\u093f\u0935\u0927\u094b \u092c\u0938\u094d\u0924\u093f\u0903 \u0928\u0948\u0930\u0941\u0939\u093f\u0915\u094b \u0938\u094d\u0928\u0948\u0939\u093f\u0915\u0936\u094d\u091a\u0964 <\/span><\/strong><br \/>\n<strong><span style=\"color: #ff6600;\">\u0938 \u0926\u094b\u0937\u0902 \u0928\u093f\u0930\u094d\u0939\u0930\u0923\u093e\u0924\u094d\u200c \u0936\u0930\u0940\u0930 \u0926\u094b\u0937\u0939\u0930\u0923\u093e\u0926\u094d\u0935\u093e \u0928\u093f\u0930\u0941\u0939\u0903\u0964<\/span><\/strong><br \/>\n(Su. chi. 35\/18)<\/p>\n<p style=\"text-align: justify;\"><strong>Elimination of dosha and cures the disease.<\/strong><\/p>\n<p style=\"text-align: center;\"><span style=\"color: #ff6600;\"><strong>\u0935\u092f\u0903 \u0938\u094d\u0925\u093e\u092a\u0928\u093e\u0924\u094d\u200c \u0906\u092f\u0941\u0903 \u0938\u094d\u0925\u093e\u092a\u0928\u093e\u0924\u094d\u200c \u092f\u093e \u0906\u0938\u094d\u0925\u093e\u092a\u0928\u092e\u094d\u200c\u0965<\/strong><\/span><br \/>\n<span style=\"font-weight: 400;\">(<\/span><span style=\"font-weight: 400;\">A.S.Su.28\/6)<\/span><\/p>\n<p style=\"text-align: justify;\"><strong>Refers to maintenance and prolongation of life<\/strong><\/p>\n<p style=\"text-align: center;\"><span style=\"color: #ff6600;\"><strong>\u0905\u0928\u0941\u0935\u0938\u0928\u094d\u200c \u0905\u092a\u093f \u0928 \u0926\u0941\u0937\u094d\u092f\u0924\u094d\u092f\u0928\u0941\u0926\u093f\u0935\u0938\u0902 \u0935\u093e \u0926\u0940\u092f\u0924 \u0907\u0924\u094d\u092f\u0928\u0941\u0935\u093e\u0938\u0928\u0903\u0964<\/strong><\/span><br \/>\n<span style=\"font-weight: 400;\">(Su. chi. 35\/18)<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-weight: 400;\">Can be given every day regularly with no risk of complications<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-weight: 400; background-color: #800000;\"><span style=\"color: #ffffff;\"><strong>\u00a0 Importance of Basti:<\/strong>\u00a0 \u00a0 \u00a0<\/span> \u00a0 \u00a0\u00a0<\/span><\/p>\n<p style=\"text-align: center;\"><strong><span style=\"color: #ff6600;\">\u092c\u0938\u094d\u0924\u093f \u0935\u093e\u0924\u0939\u0930\u093e\u0923\u093e\u092e\u094d\u200c \u0936\u094d\u0930\u0947\u0937\u094d\u0920\u092e\u094d\u200c\u0964<\/span><\/strong><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-weight: 400;\">Almost all the Acharya consider Basti as half or whole of the entire therapeutic measures and advocated best and quickest way to provide strength and immunity to even children and old peoples So this is the time to provide attention to Basti in present research era and to develop current advance modalities for Basti.<\/span><\/p>\n<p style=\"text-align: justify;\"><strong><span style=\"background-color: #800000; color: #ffffff;\">\u00a0 Classification of Basti:\u00a0 \u00a0 \u00a0<\/span><\/strong><\/p>\n<p style=\"text-align: justify;\"><strong><span style=\"color: #993366;\">1A) Based on Adhishtana:<\/span><\/strong><\/p>\n<ol style=\"text-align: justify;\">\n<li><span style=\"font-weight: 400;\"> Pakwashaya Gata<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> Garbhashaya Gata<\/span><\/li>\n<li>Mutrashaya Gata<\/li>\n<li><span style=\"font-weight: 400;\"> Vranagata<\/span><\/li>\n<\/ol>\n<p><span style=\"color: #993366;\"><strong>B) Based on action:<\/strong><\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-weight: 400;\"><strong>Susruta-<\/strong><br \/>\n1. Sadhana<br \/>\n<\/span><span style=\"font-weight: 400;\">2. Lekhana<br \/>\n<\/span><span style=\"font-weight: 400;\">3. Snehana<br \/>\n<\/span><span style=\"font-weight: 400;\">4. Brimhana<\/span><\/p>\n<p style=\"text-align: justify;\"><strong>Vagbhata:\u00a0<\/strong><\/p>\n<ol style=\"text-align: justify;\">\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Utkleshana<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Doshahara<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Shamana<\/span><\/li>\n<\/ol>\n<p><strong><span style=\"color: #993366;\">C) According to Anushangika bheda<\/span><\/strong><\/p>\n<ol style=\"text-align: justify;\">\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Yapana Basti<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Yukhtharatha Basti<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Siddha Basti<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Madhutailika Basti<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Prasrityogiki Basti<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Dvadashprasrita Basti<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Padahina Basti<\/span><\/li>\n<\/ol>\n<p><strong><span style=\"color: #993366;\">D) Based on composition:\u00a0<\/span><\/strong><\/p>\n<ol style=\"text-align: justify;\">\n<li><strong> Anavasana \/ Sneha Basti<br \/>\n<\/strong>The Basti Dravya is Taila \/ Gritha \/ Majja<\/li>\n<\/ol>\n<ol style=\"text-align: justify;\" start=\"2\">\n<li><span style=\"font-weight: 400;\"><strong> Nirooha \/ Asthapana Basti<\/strong><br \/>\n<\/span>Decoction is the major component<\/li>\n<\/ol>\n<p style=\"text-align: justify;\"><strong>On the basis of specific indications<\/strong><\/p>\n<ol style=\"text-align: justify;\">\n<li><span style=\"font-weight: 400;\"> Pramehahara Basti<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> Visarpahahara Basti<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> Raktapittahara Basti<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> Kusthahara Basti<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> Vataraktahara Basti<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> Gulmahara Basti<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> Abhisyndahara Basti<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> Krimihara Basti<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> Dahaghna Basti<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> Mutrakrcchahara Basti<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> Parikartikahara Basti.<\/span><\/li>\n<\/ol>\n<p style=\"text-align: justify;\"><strong>Based on the nature of the Basti Dravya<\/strong><\/p>\n<ol style=\"text-align: justify;\">\n<li><span style=\"font-weight: 400;\"> Mridu Basti<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> Madhyama Basti<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> Tikshna Basti<\/span><\/li>\n<\/ol>\n<p style=\"text-align: justify;\"><strong>Based on Number:\u00a0<\/strong><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-weight: 400;\">Karma Basti: 30 basti<br \/>\n<\/span><span style=\"font-weight: 400;\">Kala Basti: 15 basti<br \/>\n<\/span><span style=\"font-weight: 400;\">Yoga Basti- 7 basti\u00a0<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-weight: 400;\">Nirooha Basti: is the procedure where, combinations of medicaments are administered through rectal route, for local as well as systemic effects. Depending on the dose and nature of ingredients, Nirooha is of several types like Ksheera Basti, Yapana, Vaitarana Basti, etc.<\/span><\/p>\n<p style=\"text-align: justify;\"><strong><span style=\"color: #ffffff; background-color: #800000;\">\u00a0 Indications of Nirooha\u00a0 \u00a0<\/span><\/strong><\/p>\n<ul style=\"text-align: justify;\">\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Sarvanga Roga: Neurological disorders involving whole body &#8211; Paralysis, Parkinsonism<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Ekanga Roga: Neurological disease in one part of the body<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Vatasanga: Obstruction to the passage of flatus<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Mutrasanga<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Malasanga<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Shukrasanga<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Mudhagarbha<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Pregnancy (in 9th month)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Balakshaya &#8211; \u2193 physical strength<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Mamsakshaya \u2013 Emaciation<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Shukrakshaya<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Angasupti \u2013 Numbness in body parts<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Hridroga\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Katishula<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Rajakshaya<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Vatarakta\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Ashmari<\/span><\/li>\n<\/ul>\n<p style=\"text-align: justify;\"><span style=\"color: #ffffff;\"><strong><span style=\"background-color: #800000;\">\u00a0 Practical indications of Nirooha Basti:\u00a0 \u00a0 \u00a0\u00a0<\/span><\/strong><\/span><\/p>\n<ul style=\"text-align: justify;\">\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Neurological diseases<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Rheumatoid syndrome, and other arthropathy<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Low back ache of varied aetiology<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Peripheral vascular disorders<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Ulcerative colitis<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">IBS<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Infertility (Male and female)<\/span><\/li>\n<\/ul>\n<p style=\"text-align: justify;\"><span style=\"background-color: #800000; color: #ffffff;\"><strong>\u00a0 Contraindications of Nirooha Basti:\u00a0 \u00a0 \u00a0 \u00a0\u00a0<\/strong><\/span><\/p>\n<ul style=\"text-align: justify;\">\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Ajirna &#8211; Dushyodara<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Pitasneha \u2013 Shotha, Murccha<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Alpagni<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Atidurbala<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Utklishta dosha<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Khudharta<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Vamita<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Murchhita<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Kasaprasakta<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Shvasaprasakta<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Kushtha<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Arsha<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Shunapayu: swelling in anus\u00a0<\/span><\/li>\n<\/ul>\n<p style=\"text-align: justify;\"><span style=\"color: #ffffff;\"><strong><span style=\"background-color: #800000;\">\u00a0 Materials required\u00a0 \u00a0 \u00a0\u00a0<\/span><\/strong><\/span><\/p>\n<ol>\n<li><span style=\"font-weight: 400;\"> Mortar and pestle<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> Basti Netra<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> Polythene cover of at least 1&amp;1\/2 litre capacity\/ traditional Basti Putaka<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> Hot water<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> Utensils<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> Good quality fine sieve<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> Cotton towel<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> Measuring apparatus<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> Cotton thread-1\/2 meter<\/span><\/li>\n<li>Cotton<\/li>\n<li style=\"text-align: justify;\"><span style=\"font-weight: 400;\">Sterile glove.<\/span><\/li>\n<li style=\"text-align: justify;\"><span style=\"font-weight: 400;\">Oil for Abhyanga<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> Medicaments as per prescription in the required quantity<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> Churner<\/span><\/li>\n<\/ol>\n<p style=\"text-align: justify;\"><strong><span style=\"background-color: #800000; color: #ffffff;\">\u00a0 Basti Netra:\u00a0 \u00a0<\/span><\/strong><span style=\"font-weight: 400;\"> Classically brass basti Netra with three karnika tied to basti Dravya filled polythene bag is used for administration of Basti.\u00a0<\/span><\/p>\n<p style=\"text-align: justify;\"><strong><span style=\"background-color: #800000; color: #ffffff;\">\u00a0 Preparation of Basti Dravya\u00a0 \u00a0 \u00a0 \u00a0<\/span><\/strong><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-weight: 400;\">Initially, Saindhava is put in the Khalwa Yantra and it is powdered well. Madhu is added in a thin stream triturating properly to ensure a homogenous mixture. It is followed by the mixing of appropriate Tailam in the required quantity mentioned in the mixture slowly by the side of the mortar and it is continuously stirred until it attains a uniform consistency.\u00a0<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-weight: 400;\">The Kalka, which is the fine paste of drugs mentioned in the Yoga is added little by little along with proper grinding with pestle. Then appropriate Kwatha in required amount as per yoga is added slowly and properly mixed. The Avapa, if mentioned in the Yoga\/if needed, is added at last followed by proper stirring.\u00a0 The mixture is filtered through a fine sieve and finally made lukewarm (Sukoshna) by keeping over a hot water bath. This mixture is churned well with the help of a churner.\u00a0 When it is lukewarm, and comfortable for the patient, it is transferred to a\u00a0 plastic cover\u00a0 (Basti Putaka) having sufficient thickness and then Basti Netra of bronze or plastic is tied to it very well with plugging the other tip with a cotton Varti.<\/span><\/p>\n<p style=\"text-align: justify;\"><strong>Time of administration<\/strong><\/p>\n<p style=\"text-align: center;\"><span style=\"color: #ff6600;\"><strong>\u092e\u0927\u094d\u092f\u093e\u0928\u094d\u0939\u0947 \u0915\u093f\u0928\u094d\u091a\u093f\u0924 \u0906\u0935\u0930\u094d\u0924\u0947, \u0928\u093e\u0924\u093f\u092c\u0941\u092d\u0941\u0915\u094d\u0937\u093f\u0924\u093e\u0964<\/strong><\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-weight: 400;\">This time varies depending on Desha and Kala and is generally\u00a0 in between 9am -11am<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"background-color: #800000; color: #ffffff;\"><b>\u00a0 Poorvakarma of Nirooha\u00a0 \u00a0 \u00a0 \u00a0\u00a0<\/b><\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-weight: 400;\">The procedure is usually done in empty stomach<br \/>\n<\/span><span style=\"font-weight: 400;\">Those who are Sukumara and Ksheena are asked to take very light food in early morning.<br \/>\n<\/span><span style=\"font-weight: 400;\">Abhyanga and Sweda done over lower abdomen and lower back i.e. Kati, Parshwa, etc.<br \/>\n<\/span><span style=\"font-weight: 400;\">Sarvanga Abhyanga and Sveda can be done before the procedure.\u00a0<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"background-color: #800000; color: #ffffff;\"><b>\u00a0 Pradhanakarma\u00a0 \u00a0 \u00a0\u00a0<\/b><\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-weight: 400;\">Position of the patient: The patient is asked to lie on a cot of knee height, in the left lateral position. His left lower limb extended and his right lower limb flexed at knee and hip. His left upper limb is kept folded under his head.\u00a0<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-weight: 400;\">Procedure: A small amount of plain ghee\/medicated oil is smeared over the tip of Basti Netra as well as the anus of the patient for lubrication. Wearing the hand gloves, per rectal examination is carried out to rule out loaded rectum, or any other obstruction. Hold the Basti Netra in the left hand and Putaka in the right hand. Remove the plug from the tip of Basti Netra and evacuate the air and close the tip with left index finger. Basti Netra is then gently introduced into the anus and Putaka is pressed slowly and steadily to push the Basti Dravya into the patient\u2019s rectum. Patient is asked to count up to 30 and to breathe deeply through the mouth during introduction.\u00a0 Basti Netra is withdrawn with a little amount of medicament remained in the Putaka to avoid the entry of air. If the patient feels the urge for defecation during the procedure, he is allowed to pass stools after removing Basti Nethra and the remaining medicine is administered later.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"background-color: #800000; color: #ffffff;\"><b>\u00a0 Paschatkarma\u00a0 \u00a0 \u00a0\u00a0<\/b><\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-weight: 400;\">The patient is asked to lie in supine position till the urge for defecation occurs. He is asked to clear the bowels as many times he feels Vega and advised to take bath in luke warm water.\u00a0<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-weight: 400;\">Then diet according to dosha vitiation and Satmya is given (preferably rice with Mudgayoosha or Mamsarasa).\u00a0<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-weight: 400;\">Blood pressure, pulse rate, time of retention, number of evacuations and if discomforts any are observed. He is asked to take rest and light food is given at night.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"background-color: #800000; color: #ffffff;\"><b>\u00a0 Complications &amp; their management\u00a0 \u00a0 \u00a0 \u00a0<\/b><\/span><\/p>\n<ol style=\"text-align: justify;\">\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Abdominal discomfort and pain \u2013 after careful evaluation about the cause appropriate management can be adopted. General measures like Abyanga, Sweda, Deepana Anulomana drugs are advised.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Immediate evacuation without retention &#8211; Another Basti with less Lavana, Ushna and quantity should be administered immediately after ruling out sphincteral incontinence.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Giddiness, low pulse, cold extremities, delirium: &#8211; Console the patient, foot end elevation, hot drinks, warming extremities. Drugs like Sidhamakaradhwaja, Drakshadi Kashaya, Dhanwantharam Gulika, etc. can be given.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Vomiting: &#8211; Usually subsides without specific management. Drugs like Chandrakalarasa, Dhanwantharam Gulika, Drakshadi Kashaya, Mayoorapichabhasma, etc. can be given.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Anaphylatic reaction: &#8211; Skin eruptions, itching, urticaria, dyspnoea, etc. Careful history taking to identify known allergents and avoiding them. Haridrakhanda, Thrikatu with Sita, Chandanasavam, Draksharishtam, etc. can be given.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Long retention: &#8211; Known causes like obstruction of anal canal by pile mass, enlarged prostrate, fecal matter etc should be excluded. Rubber tube or specific Guda Vartis can be introduced into anal canal for evacuation.<\/span><\/li>\n<\/ol>\n<p style=\"text-align: justify;\"><strong>Clinical Case discussions of basti: Niruha is done in following clinical cases and got good results to physician.\u00a0<\/strong><\/p>\n<ol style=\"text-align: justify;\">\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Renal calculi of 8 mm<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Spinal injury\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Backache\u00a0\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Renal failure-\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Pancreatitis chronic\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Diabetes- Pramehahar Basti<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Rheumatoid Arthritis<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Vaitarana- Amavatastha\u00a0<\/span><\/li>\n<\/ol>\n<p style=\"text-align: justify;\"><span style=\"background-color: #800000; color: #ffffff;\"><b>\u00a0 10 multiple-choice questions (MCQs) based on the Nirooha Basti topic:\u00a0 \u00a0 \u00a0<\/b><\/span><\/p>\n<ol>\n<li><strong> What is the primary focus of the therapeutic procedure known as Basti?<br \/>\n<\/strong>A. Addressing Pitta dosha imbalances<br \/>\nB. Facilitating comprehensive bio-purification<br \/>\nC. Stimulating hair growth<br \/>\nD. Treating skin conditions<br \/>\n<strong><span style=\"color: #800080;\">Answer: B. Facilitating comprehensive bio-purification<\/span><\/strong><\/li>\n<li><span style=\"font-weight: 400;\"><strong> When can Basti be strategically incorporated into a treatment plan?<\/strong><br \/>\n<\/span>A. Immediately after Virechana karma<br \/>\nB. Anytime during the treatment process<br \/>\nC. Following seven days after Virechana karma<br \/>\nD. Only as a standalone therapy<br \/>\n<strong style=\"color: #800080;\">Answer: C. Following seven days after Virechana karma<\/strong><\/li>\n<\/ol>\n<ol style=\"text-align: justify;\" start=\"3\">\n<li><strong> According to classical Ayurvedic texts, what is the significance of Basti in Ayurvedic therapeutics?<br \/>\n<\/strong>A. It is considered a minor therapy.<br \/>\nB. It is the primary treatment for skin disorders.<br \/>\nC. It is esteemed as the cornerstone of Ayurvedic therapeutics.<br \/>\nD. It is only relevant for children and the elderly.<br \/>\n<span style=\"color: #800080;\"><strong>Answer: C. It is esteemed as the cornerstone of Ayurvedic therapeutics.<\/strong><\/span><\/li>\n<\/ol>\n<ol style=\"text-align: justify;\" start=\"4\">\n<li><span style=\"color: #800080;\"><strong><span style=\"color: #000000;\"> Which of the following is NOT a classification of Basti based on its action?<\/span><br \/>\n<\/strong><\/span>A. Sodhana<br \/>\nB. Lekhana<br \/>\nC. Brimhana<br \/>\nD. Prasrityogiki<br \/>\n<span style=\"color: #800080;\"><strong>Answer: D. Prasrityogiki<\/strong><\/span><\/li>\n<\/ol>\n<ol style=\"text-align: justify;\" start=\"5\">\n<li><strong> What is the primary purpose of Abhyanga and Sweda before the Basti procedure?<br \/>\n<\/strong><span style=\"font-weight: 400;\">A. To cleanse the digestive system<br \/>\n<\/span><span style=\"font-weight: 400;\">B. To prepare the patient mentally<br \/>\n<\/span><span style=\"font-weight: 400;\">C. To relax the patient&#8217;s mind<br \/>\n<\/span><span style=\"font-weight: 400;\">D. To prepare the lower abdomen and lower back<br \/>\n<\/span><span style=\"color: #800080;\"><strong>Answer: D. To prepare the lower abdomen and lower back<\/strong><\/span><\/li>\n<\/ol>\n<ol style=\"text-align: justify;\" start=\"6\">\n<li><strong> What is the recommended position for the patient during the administration of Basti?<br \/>\n<\/strong><span style=\"font-weight: 400;\">A. Supine position<br \/>\n<\/span><span style=\"font-weight: 400;\">B. Right lateral position<br \/>\n<\/span><span style=\"font-weight: 400;\">C. Left lateral position<br \/>\n<\/span><span style=\"font-weight: 400;\">D. Prone position<br \/>\n<\/span><strong><span style=\"color: #800080;\">Answer: C. Left lateral position<\/span><\/strong><\/li>\n<\/ol>\n<ol style=\"text-align: justify;\" start=\"7\">\n<li><span style=\"font-weight: 400;\"><strong> What is the purpose of wearing hand gloves during the Basti procedure?<\/strong><br \/>\n<\/span><span style=\"font-weight: 400;\">A. To protect the patient from infections<br \/>\n<\/span><span style=\"font-weight: 400;\">B. To maintain hygiene<br \/>\n<\/span><span style=\"font-weight: 400;\">C. To prevent allergic reactions<br \/>\n<\/span><span style=\"font-weight: 400;\">D. To keep the patient&#8217;s hands warm<br \/>\n<\/span><strong><span style=\"color: #800080;\">Answer: B. To maintain hygiene<\/span><\/strong><\/li>\n<\/ol>\n<ol style=\"text-align: justify;\" start=\"8\">\n<li><span style=\"font-weight: 400;\"> What is the time frame generally recommended for the administration of Basti?<br \/>\n<\/span><span style=\"font-weight: 400;\">A. 06 am &#8211; 08 am<br \/>\n<\/span><span style=\"font-weight: 400;\">B. 09 am &#8211; 11 am<br \/>\n<\/span>C. 12 pm &#8211; 02 pm<br \/>\nD. 03 pm &#8211; 05 pm<br \/>\n<strong><span style=\"color: #800080;\">Answer: B. 09 am &#8211; 11 am<\/span><\/strong><\/li>\n<\/ol>\n<ol style=\"text-align: justify;\" start=\"9\">\n<li><strong> Which of the following is NOT a practical indication for Nirooha Basti?<br \/>\n<\/strong><span style=\"font-weight: 400;\">A. Rheumatoid syndrome<br \/>\n<\/span><span style=\"font-weight: 400;\">B. Neurological diseases<br \/>\n<\/span>C. Low backache<br \/>\nD. Common cold<br \/>\n<span style=\"color: #800080;\"><strong>Answer: D. Common cold<\/strong><\/span><\/li>\n<\/ol>\n<ol style=\"text-align: justify;\" start=\"10\">\n<li><strong> What is the primary material used for Basti Netra in traditional practice?<br \/>\n<\/strong><span style=\"font-weight: 400;\">A. Stainless steel<br \/>\n<\/span><span style=\"font-weight: 400;\">B. Brass<br \/>\n<\/span><span style=\"font-weight: 400;\">C. Plastic<br \/>\n<\/span><span style=\"font-weight: 400;\">D. Wood<br \/>\n<\/span><strong><span style=\"color: #800080;\">Answer: B. Brass<\/span><\/strong><\/li>\n<\/ol>\n<p style=\"text-align: justify;\"><span style=\"color: #ffffff; background-color: #3366ff;\"><strong><span style=\"color: #000000;\">\u00a0 References:\u00a0 \u00a0<\/span> \u00a0<\/strong><\/span><\/p>\n<ol>\n<li style=\"font-weight: 400; text-align: justify;\" aria-level=\"1\"><span style=\"font-weight: 400; color: #3366ff;\">Agnivesha; Charaka Samhita; redacted by Charaka and Dridabala with Ayurveda Dipika Commentary by Chakrapanidutta; English translation edition 1997; by Ram Karan Sharma and Vaidya Bhagwan Dash; Chaukhambha Sanskrit Series Office, Varanasi, Uttar Pradesh. Pp 738 pg 699-700<\/span><\/li>\n<li style=\"font-weight: 400; text-align: justify;\" aria-level=\"1\"><span style=\"color: #3366ff;\"><span style=\"font-weight: 400;\">Vagbhatacharya; Ashtanga Hridaya with commentaries Sarvangasundara of Arunadutta and Ayurveda Rasayana of Hemadri, ed. by Pandit Bhishak Acharya, Hari Shastri Paradkar Akola; 8<\/span><span style=\"font-weight: 400;\">th<\/span><span style=\"font-weight: 400;\"> edition, 2000; Chaukhambha Orientalia, Varanasi, Uttar Pradesh. Pp 956 pg 769<\/span><\/span><\/li>\n<li style=\"font-weight: 400; text-align: justify;\" aria-level=\"1\"><span style=\"font-weight: 400; color: #3366ff;\">Sushruta, Sushruta Samhita with commentary of Sri Dalhanacharya edited by Aryan Ram Acharya \u201cKavyatirtha\u201d, published by Chaukhamba Orientalia, Varanasi, Reprint 2009<\/span><\/li>\n<li style=\"font-weight: 400; text-align: justify;\" aria-level=\"1\"><span style=\"font-weight: 400; color: #3366ff;\">Dravyaguna Vijnana by Dr. J. L. N Shastri, Vol. 2, 3rd Edition, Chaukhamba Orientalia, Varanasi, 2008<\/span><\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u00a0 \u00a0NIRUHA BASTI KARMA\u00a0 \u00a0 \u00a0 Dr. Rajkala P. Patil \u00a0 Head &amp; Associate Professor, Department of Panchakarma, Faculty of Ayurveda, IMS, BHU, Varanasi &nbsp; Basti is a therapeutic procedure carefully designed to facilitate comprehensive bio-purification, with a primary focus on addressing Vata dosha-related imbalances through the ano-rectal route. It is revered as a potent [&hellip;]<\/p>\n","protected":false},"author":336,"featured_media":4312,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"video","meta":{"_uf_show_specific_survey":0,"_uf_disable_surveys":false,"footnotes":""},"categories":[116,498,45,54],"tags":[],"class_list":["post-4311","post","type-post","status-publish","format-video","has-post-thumbnail","hentry","category-complete-module","category-dr-rajkala-p-patil","category-panchakarma","category-videos","post_format-post-format-video"],"aioseo_notices":[],"aioseo_head":"\n\t\t<!-- All in One SEO 5.0.0.1 - aioseo.com -->\n\t<meta name=\"description\" content=\"NIRUHA BASTI KARMA Dr. Rajkala P. 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