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Basti

Simply put, it is a kind of medicated (herbal) enema but in Ayurveda it is one of the most powerful of Panchakarma treatments. Vata is a very active principle in pathogenesis. When we control vata through the use of basti, we have gone to the root cause of a vast majority of diseases caused by vata.





In India, it is generally administered during the rainy season – June / July.

Symptoms and Indications :


Constipation
Indigestion
Flatulence (Gas trouble)  
All painful condition in the world

Causes :

Basti is advised in case of : 

Overwork
   
Burn out
   
Loss of appetite
   
Low calorie diet. 
   
Fermented food, fast food, spicy and oily food, extra intake of cold-drinks, excess intake of pulses and water. 
   

Procedure:

Enema of medicated oils and kadhas (decoction of medicated herbs) is given for 7 to 21 days. It is also supplemented by oral administration of kadhas. The duration and kinds of herbs used differ from person to person depending on the disease and make-up of the patient.

Ayurvedic Thoughts on Basti :

Vata is the main etiological factor in the manifestation of diseases. It is the motive force behind the elimination and retention of feces, urine, bile and other excreta. Vata is mainly located in the large intestine, but bone tissue (asthi dhatu) is also a site for vata. Hence the medication administered rectally effects asthi dhatu. The mucus membrane of the colon is related to the outer covering of the bones (periosteum), which nourishes the bones. Therefore, any medication given rectally goes into the deeper tissues, like bones, and corrects vata disorders. 

Vata's predominant site is the colon. Ayurvedic basti involves the introduction into the rectum of herbal concoctions of sesame oil, and certain herbal preparations in a liquid medium. Basti, is the most effective treatment of vata disorders, although many enemas over a prescribed period of time are usually required. It relieves constipation, distention, chronic fever, cold, sexual disorders, kidney stones, heart pain, backache, sciatica and other pains in the joints. Many other vata disorders such as arthritis, rheumatism, gout, muscle spasms and headaches may also be treated with basti. 
 
There are eight main types of basti, according to traditional texts, each with their own indications and contra-indications as listed below. 

Anuvasana (oil enema) is used in pure vata disorders and when a person is having excess hunger or dryness related to vata imbalances.
   
Niruha-Asthapana (decoction enema) is used, among other conditions, for evacuation of vata, nervous diseases, gastro-intestinal vata conditions, gout, certain fever conditions, unconsciousness, certain urinary conditions, appetite, pain, hyperacidity and heart diseases.
   
Uttara Basti (through the urethra with men or vagina with women) is used for selected semen and ovulation disorders and for some problems involving painful urination or bladder infections. This is not to be used for someone with diabetes.
   
Matra Basti (daily oil enema) is used by someone emaciated by overwork or too much exercise, too much heavy lifting, walking too long of a distance, too much sexual activity or someone with chronic vata disorders. It does not need to be accompanied by any strict dietary restriction or daily routine and can be administered, in the appropriate cases, in all seasons. It gives strength, promotes weight and helps elimination of waste products.
   
Karma Basti (schedule of 30 bastis)
   
Kala Basti (schedule of 15 bastis; 10 oil + 5 decoction)
   
Yoga Basti (schedule of 8 bastis; 5 oil + 3 decoction).
In karma, kala and yoga bastis, it is better to give both types of basti in combination and not the oil and decoction separately. The conditions under which these are recommended are too detailed to be able to list in this article. In general, the indications and contra-indications that apply to basti also apply here.
   
Bruhana Basti (nutritional enema) is used for providing deep nutrition in select conditions. Traditionally, highly nutritive substances have been used, such as warm milk, meat broth, bone marrow soup and herbs like shatavari or ashwagandha.
   

Special Notes :

Basti is very effective in paralysis. Patients suffering from paralysis and paraplagia can walk within 8 to 10 days after undergone basti.

Dr. Satish Shamlalji Bhattad
Dr. Mrs. Suchita Bhattad

Our goal is to work on the principals of Ayurveda, to see that the healthy live healthy life and the diseased are relieved of their diseases with an expectation to see a society with its members having.

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