The procedure in which medicated taila is administered through rectal route.

• Ref General Requirements SOP
• Medicated taila for anuvasana basti – Q. S.
• Saindhava – 1 gm
• Sathapushpa churna – 1 gm
• Taila for abhyanga – 150 ml
• Thalam
• Enema syringe – 1
• Cotton pad – 2
• Towel – 1
• Bowl – 2
• Vessels – 1
• Khalwa yantra – 1
• Gloves – 2
• Hot water bath
• Dhara table – 1
• Steam box

Manpower

• Therapist – 2
• Physician – 1

Preparation of medicine

• The medicated taila for anuvasana basti is taken in a khalwa yantra.
• Add 1 gm of saindhava and 1 gm of sathapushpa churna to the taila and triturated well till it become a homogenous mixture.

Preparation of Thalam

• Prescribed drugs taken and thalam prepared.
• Refer video and SOP of Thalam

Preparation of tray

• Take a clean tray.
• Put prepared basti dravya in a bowl, taila for abhyanga in a bowl, enema syringe, thalam, cotton pad, langotti, towel, gloves.

Preparation of patient

• Check vitals.
• Jeernahara lakshana assessed.
• Vegotsarga
• Make patient wear langotti.

• Sarvanga abhyanga is to be done in all seven postures. (Ref SOP and video of abhyanga)
• Then, bashpa sweda is to be done. (Ref SOP and video of bashpa sweda)
• After that the patient is asked to take hot shower and advised to take food less by one fourth of the usual quantity.

• Patient is asked to lie in left lateral position with right leg flexed and left leg straight.
• The left hand of the patient is flexed in such a way that head is rested over the left arm in the form of a pillow and right hand placed above the body.
• The basti dravya prepared is made lukewarm using a hot water bath.
• The therapist is to wear gloves on both the hands.
• Then basti dravya is to be filled into the enema syringa and expel out the air inside the syringe.
• Lubricate the syringe first using the cotton pad dipped in medicated oil and then the anal opening, which facilitates the easy entry of the syringe into the anal canal.
• Using the right hand, the enema syringe is gently inserted into the anal canal.
• Then slowly push the basti dravya at a single stretch.
• Ask the patient to take deep breath with mouth during the administration.
• After the administration gently remove the syringe.

• Tap the buttocks of the patient by the hands of the therapist.
• Then the patient is asked to lie in supine position.
• Being in the same position patient is asked to rub both hands and at the same time therapist rubs the patient’s sole.
• Then lift the foot of the patient thrice.
• Patient is asked to relax for few minutes in the same position.

• 1 hour

• Hemiplegia
• Paraplegia
• Parkinson’s disease
• Arthritis – Osteo arthritis, Rheumatoid arthritis, Gouty arthritis
• Low back ache
• Sciatica
• Myalgia

• Acute Fever
• Haemorrhoids
• Fistula
• Indigestion
• Bleeding Disorders
• Diarrhoea
• Weak person

• Should closely observe the general condition of the patient during the procedure.
• Anuvasana basti should never be given without taking food.
• Patient is advised to take food which is neither with more of fats nor very dry.
• Basti dravya should be administered neither too fast nor too slow.
• Small quantity of liquid should be allowed to remain in the syringe to prevent the entering of air.

• Abdominal pain: fomentation with hot water bag, can give dhanwantharam gulika or hinguvachadi churna.
• Distension of abdomen: fomentation with hot water bag, can give dhanwantharam gulika or hinguvachadi churna.
• Nausea, vomiting: can give vilwadi lehya, madiphala rasayana, dhanwantaram gulika
• Heaviness of body: snehana and swedana