PG Module 6
BASTI KARMA
EXPLANATORY NOTES
According to Caraka, complications due to Sneha Basti are six in number. They are
वातपित्तकफात्यन्नपुरीषैरावृतस्य च|
अभुक्ते च प्रणीतस्य स्नेहबस्तेः षडापदः||[i] (Cha. Si. 4/25)
CARAKA | SUŚRUTA |
1) Vātavrita Sneha Basti 2) Pittāvrita Sneha Basti 3) Kaphāvrita Sneha Basti 4) AnnāvritaSneha Basti 5) Abhukte Pranīta Sneha Basti 6) Purīṣāvrita Sneha Basti
| § Vātābhibhūta Sneha Basti § Pittābhibhūta Sneha Basti § Slesmābhibhūta Sneha Basti § Annābhibhūta Sneha Basti § Malāvrita Sneha Basti § Duranusrita Sneha Basti § Asvinnasya Vyāpat § Alpa Bhuktavate Alpa Aśhanasya Vyāpat |
Vātāvṛtasneha
NIDāNA
Caraka and Suśruta,
शीतोऽल्पो वाऽधिके वाते पित्तेऽत्युष्णः कफे मृदुः| [ii] (Cha. Si. 4/26)
Quality of Basti :
| Quality of person:
|
§ ŚītaBasti § Alpa Bala Basti | ü Given in Vātadhika condition |
Basti will not return, it gets occluded by Vāta
lakṣaṇa
अङ्गमर्दज्वराध्मानशीतस्तम्भोरुपीडनैः |
पार्श्वरुग्वेष्टनैर्विद्यात् स्नेहं वातावृतं भिषक्||[iii] (Cha. Si. 4/28)
CARAKA | SUŚRUTA (Su. Chi. 36/46-48) |
v Aṅgamarda v Jvara v Ādhmāna v Śīta v Stambha v Uru Pīḍana v Pārśva Ruk v Pārśva Veṣṭana | Ø Mukha Kaṣāyata Ø Jṛmbha Ø Vepathu Ø Viṣama Jvara Ø Vātavedana |
CIKITSĀ
स्निग्धाम्ललवणोष्णैस्तं रास्नापीतद्रुतैलिकैः|
सौवीरकसुराकोलकुलत्थयवसाधितैः||
निरूहैर्निर्हरेत् सम्यक् समूत्रैः पाञ्चमूलिकैः|
ताभ्यामेव च तैलाभ्यां सायं भुक्तेऽनुवासयेत्|| [iv] (Cha. Si. 4/29-30)
CARAKA
- Nirūha Basti– with Rāsnādi Taila and Pītadru Taila – Added with Snigda, Amla, Lavana and Uṣṇa Dravyas, Sauvīraka, Sura, Kola, Kulattha and Yava mixed with Gomūtraand Kaṣāya of Bilva, Śyonāka, Gambhārī, Pātala, Gaṇikārikā
- Anuvāsana Basti– Rāsnā Taila, Pītadru Taila
SUŚRUTA– Doṣa Śāmaka Basti
pittāvṛtasneha
nidāna
पित्तेऽत्युष्णः (Cha. Si. 4/26)
Quality of Basti :
| Quality of person:
|
Ati UṣṇaBasti | In Pittādhika condition |
Lakṣaṇa
दाहरागतृषामोहतमकज्वरदूषणैः|
विद्यात् पित्तावृतं [v] (Cha. Si. 4/31)
CARAKA | SUŚRUTA |
Ø Dāha Ø Rāga Ø Tṛṣṇā Ø Moha Ø Tamaka Ø Jvara | Ø Mukha Kaṭutva Ø Dāha Ø Tṛṣṇā Ø Jvara Ø Sveda Ø Netra Mūtra Aṅga Pītatva |
Cikitsā
स्वादुतिक्तैस्तं बस्तिभिर्हरेत्|| [vi] (Cha. Si. 4/31)
CHARAKA:- Niruha basti- with madhura thikta dravya
SUSRUTA – Dosha shamaka basti
kaphāvṛta sneha
nidāna
कफे मृदुः| (Cha. Si. 4/26)
Quality of Basti : | Quality of person:
|
Mrdu Basti | In Kaphādhika Avasthā |
Lakṣaṇa
तन्द्राशीतज्वरालस्यप्रसेकारुचिगौरवैः|
सम्मूर्च्छाग्लानिभिर्विद्याच्छ्लेष्मणा स्नेहमावृतम्|| [vii] (Cha. Si. 4/32)
CARAKA | SUŚRUTA |
Tandrā | Madhura Āsya |
Śīta | Gaurava |
Jvara | Chardi |
Ālasya | Shita jwara |
Praseka | Aruci |
Aruci | Kṛcchra Śvāsa |
Gaurava |
|
Mūrchā |
|
Glāni |
|
Cikitsā
कषायकटुतीक्ष्णोष्णैः [१] सुरामूत्रोपसाधितैः|
फलतैलयुतैः साम्लैर्बस्तिभिस्तं विनिर्हरेत्|| [viii] (Cha. Si. 4/33)
CARAKA:
Nirūha Basti – With Sura, Gomūtra,Madanaphala Taila and Kaṣāya KaṭuTīkṣṇaUṣṇa Dravyas
SUŚRUTA– Doṣa Śāmaka Basti
annāvṛta sneha
nidāna
अतिभुक्ते गुरु (Cha. Si. 4/26)
Quality of Basti | Quality of person |
Guru Basti | After Atibhojana |
Lakṣaṇa
छर्दिमूर्च्छारुचिग्लानिशूलनिद्राङ्गमर्दनैः |
आमलिङ्गैः सदाहैस्तं विद्यादत्यशनावृतम्|| [ix](Cha. Si. 4/34)
CARAKA | SUŚRUTA |
Chardi | Guru Āmāśaya |
Mūrchā | Śūla |
Aruci | Vāyu Vibandha |
Glāni | Hṛtpīḍā |
Śūla | Mukha Vairasya |
Nidrā | Mūrchā |
Aṅgamarda | Bhrama |
Āmaliṅga | Aruci |
Dāha |
|
Cikitsā
कटूनां लवणानां च क्वाथैश्चूर्णैश्च पाचनम्|
विरेको मृदुरत्रामविहिता च क्रिया हिता|| [x](Cha. Si. 4/35)
CARAKA
- Pācana–Kaṭu Lavana Dravya Kaṣāya and Cūrṇa
- Mṛdu Virecana
- Āma PācanaKriya
SUŚRUTA– Apatarpaṇa, Dīpana
purīṣāvṛta sneha
nidāna
र्वर्चःसञ्चयेऽल्पबलस्तथा (Cha. Si. 4/26)
Quantity of Basti | Quality of person |
Alpa Bala Basti | Given in mala SañcayaAvasthā |
LAKṢAṆA
विण्मूत्रानिलसङ्गार्तिगुरुत्वाध्मानहृद्ग्रहैः| [xi] (Cha. Si. 4/36)
CARAKA | SUŚRUTA |
Vit Mūtra Anila Saṅga | Pakvāśaya Gaurava |
Arti | Aṅga Sadana |
Gurutā | Ādhmāna |
Ādhmāna | Śvāsa |
Hṛt Graha | Śūla |
Cikitsā
स्नेहं विडावृतं ज्ञात्वा स्नेहस्वेदैः सवर्तिभिः||
श्यामाबिल्वादिसिद्धैश्च निरूहैः सानुवासनैः|
निर्हरेद्विधिना सम्यगुदावर्तहरेण च|| [xii] (Cha. Si. 4/37)
CARAKA
- Sneha Sveda
- Phala Varti
- Nirūha Basti- Śyāma Bilvādi
- Anuvāsana Basti
- Udāvarta Cikitsā
SUŚRUTA– Tīkṣṇa Nirūha and Tīkṣṇa Anuvāsana
abhuktapraṇīta
nidāna
अभुक्ते शून्यपायौ वा वेगात् स्नेहोऽतिपीडितः| [xiii] (Cha. Si. 4/38)
Quality of Basti | Quality of person |
Ati Pīḍana of Sneha | Abhukta Śūnya Pāyu |
Lakṣaṇa
धावत्यूर्ध्वं ततः कण्ठादूर्ध्वेभ्यः खेभ्य एत्यपि|| [xiv] (Cha. Si. 4/38)
Basti Dravya reaches upwards because of the absence of any obstruction and will reach throat and may come out from the upper orifice of the body.
Cikitsā
मूत्रश्यामात्रिवृत्सिद्धो यवकोलकुलत्थवान्|
तत्सिद्धतैल इष्टोऽत्र निरूहः सानुवासनः||
कण्ठादागच्छतः स्तम्भकण्ठग्रहविरेचनैः|
छर्दिघ्नीभिः क्रियाभिश्च तस्य कार्यं निवर्तनम्|| [xv] (Cha. Si. 4/38-40)
- Nirūha and Anuvāsana Basti– Gomūtra, ŚyāmaTrivṛt, Yava, Kola, Kulattha
- Sthambhana therapy (Fanning, sprinkling cold water) – If Basti Dravya comes through throat.
DŪRĀBUSṚTA sneha (SUŚRUTA)
NIDANA
शुद्धस्य दूरानुसृते स्नेहे स्नेहस्य दर्शनम् |[xvi] (Su. Chi. 37/91)
Sneha Basti if administered in persons after Śodhana (Virecana)
Lakṣaṇa
गात्रेषु सर्वेन्द्रियाणामुपलेपाऽवसादनम् ||
स्नेहगन्धि मुखं चापि कासश्वासावरोचकः |[xvii] (Su. Chi. 37/91)
Sneha comes out through mouth
- Upalepa in all Indriya
- Avasāda
- Smell of Sneha in mouth
- Kāsa
- Śvāsa
- Aruci
CIKITSĀ
अतिपीडितवत्तत्र सिद्धिरास्थापनं तथा ||[xviii] (Su. Chi. 37/92)
- AtiPīḍita Basti vyapat Cikitsā
- Asthapana basti
ASVINNASYA SNEHA BASTI VYĀPAT (SUŚRUTA)
NIDĀNA
अस्विन्नस्याविशुद्धस्य स्नेहोऽल्पः सम्प्रयोजितः |
शीतो मृदुश्च नाभ्येति ……[xix] (Su. Chi. 37/93)
Śīta and MṛduBasti administerd in Aśothita person in little amount
Lakṣaṇa
ततो मन्दं प्रवाहते ||
विबन्धगौरवाध्मानशूलाः पक्वाशयं प्रति |[xx] (Su. Chi. 37/93)
- Manda Pravāhana
- Vibandha
- Gourava
- Ādhmāna
- Pakvaśaya Śūla
CIKITSĀ
तत्रास्थापनमेवाशु प्रयोज्यं सानुवासनम् ||[xxi] (Su. Chi. 37/94)
Āsthāpana and Anuvāsana Basti
ALPA BHUKTAVATE ALPA AŚANASYA (SUŚRUTA)
NIDāNA
अल्पं भुक्तवतोऽल्पो हि स्नेहो मन्दगुणस्तथा |[xxii] (Su. Chi. 37/93)
If Alpa Mātrā, Mṛdu Anuvāsana administerd after small diet
Lakṣaṇa
दत्तो नैति क्लमोत्क्लेशौ भृशं चारतिमावहेत् ||[xxiii] (Su. Chi. 37/95)
- Klama
- Utkleśa
- Arati
- Sneha does not return back
Cikitsā
तत्राप्यास्थापनं कार्यं शोधनीयेन बस्तिना |
(अन्वासनं च स्नेहेन शोधनीयेन शस्यते |||[xxiv] (Su. Chi. 37/96)
Śodhana Asthāpana and Sneha Basti
COMMONLY ENCOUNTERED COMPLICATION
- Agnimāndya
- Ādhmāna
- Atisāra
- Udara Śūla
- Burning sensation in abdomen
- Jvara
- Heaviness of body
PRECAUTIONS TO AVOID COMPLICATIONS
- Vital parameters like BP, PR should be checked before and after treatment
- Per rectal examination
- Proctoscopy examination to rule out piles, fissure,…
- Counselling of patient
- Explain the whole procedure to patient
- Doctor should wear gloves during procedure
- Sterilization of Netra, vessels to avoid infection
- Use proper quantity of ingredients
- Use good quality ingredients
- Advice the patient to maintain personal hygiene
- Temperature of Basti Dravya should be checked
- Ensure no air filled up in Basti Yantra
- Should not dip finger in Basti Dravya directly for checking temperature
- Lubricate nozzle and Guda
- Introduce nozzle parallel to vertebral column
- Avoid complete evacuation of Basti Dravya, should remain 25-30 ml
- Should advice to take bath and have food soon after excretion in case of Nirūha Basti
- Should monitor the patient to avoid complications like stroke
PRACTICALLY OBSERVED COMPLICATIONS AND MANAGEMENT
COMPLICATIONS | TREATMENT |
v Abdominal pain
| · Svedana with hot water bag · Dhānvantaram Gulikā · Hinguvachādi Cūrṇa |
v Giddiness, Hypotension, Delirium | · Console the patient · Foot elevation · Sidhamakaradvajam · Dhānvantaram Gulikā · Drākṣāriṣṭa |
v Chardi | · Mādiphala Rasāyana · Dhānvantaram Gulikā · Drakshādi Kaṣāya · Vilvādi Lehya |
v Body pain | · Daśamūlāriṣṭa · Dhānvantaram Gulikā · Amṛtāriṣṭa |
v Dehydration | · Water intake, Glucose, ORS |
v Proctitis | · Śatadhauta Ghṛta · Murivenna · Triphala Kaṣāya Avagāha |
v Respiratory distress | · Making the patient in upright position · Sidhamakaradvajam · Dhānvantaram Gulikā · Nayopāyam Kaṣāya · Elakanādi Kaṣāya · Śvāsānandam Gulikā |
v Altered consciousness | · Cūrṇa Nasya · Dhūmapāna
|
v Head ache | · Rāsna jambīra Lepa · Śira Śūla Vajra Rasa · Kacchūradi Talaṃ |
v Long retention | · Guda Varti · Introduce Netra to Guda for stimulation |
Complications should be managed only after proper examination. Complications which need emergency management like stroke, heart problems,… should be referred to higher centres | |
[i]Agnivesha, Charaka Samhita, revised by Charaka and Dridhabala with the Ayurveda Dipika commentary of Cakrapāṇidatta, edited by Vaidya Jadavaji Trikamji Ācārya, Chaukhambha Prakashan, Varanasi, Reprint edition 2016, sidhi sthana 4/25
[ii]Agnivesha, Charaka Samhita, revised by Charaka and Dridhabala with the Ayurveda Dipika commentary of Chakrapanidatta, edited by Vaidya Jadavaji Trikamji Acharya, Chaukhambha Prakashan, Varanasi, Reprint edition 2016, sidhi sthana 4/26
[iii]Agnivesha, Charaka Samhita, revised by Charaka and Dridhabala with the Ayurveda Dipika commentary of Chakrapanidatta, edited by Vaidya Jadavaji Trikamji Acharya, Chaukhambha Prakashan, Varanasi, Reprint edition 2016, sidhi sthana 4/28
[iv]Agnivesha, Charaka Samhita, revised by Charaka and Dridhabala with the Ayurveda Dipika commentary of Chakrapanidatta, edited by Vaidya Jadavaji Trikamji Acharya, Chaukhambha Prakashan, Varanasi, Reprint edition 2016, sidhi sthana 4/29,30
[v]Agnivesha, Charaka Samhita, revised by Charaka and Dridhabala with the Ayurveda Dipika commentary of Chakrapanidatta, edited by Vaidya Jadavaji Trikamji Acharya, Chaukhambha Prakashan, Varanasi, Reprint edition 2016, sidhi sthana 4/31
[vi]Agnivesha, Charaka Samhita, revised by Charaka and Dridhabala with the Ayurveda Dipika commentary of Chakrapanidatta, edited by Vaidya Jadavaji Trikamji Acharya, Chaukhambha Prakashan, Varanasi, Reprint edition 2016, sidhi sthana 4/31
[vii]Agnivesha, Charaka Samhita, revised by Charaka and Dridhabala with the Ayurveda Dipika commentary of Chakrapanidatta, edited by Vaidya Jadavaji Trikamji Acharya, Chaukhambha Prakashan, Varanasi, Reprint edition 2016, sidhi sthana 4/32
[viii]Agnivesha, Charaka Samhita, revised by Charaka and Dridhabala with the Ayurveda Dipika commentary of Chakrapanidatta, edited by Vaidya Jadavaji Trikamji Acharya, Chaukhambha Prakashan, Varanasi, Reprint edition 2016, sidhi sthana 4/33
[ix]Agnivesha, Charaka Samhita, revised by Charaka and Dridhabala with the Ayurveda Dipika commentary of Chakrapanidatta, edited by Vaidya Jadavaji Trikamji Acharya, Chaukhambha Prakashan, Varanasi, Reprint edition 2016, sidhi sthana 4/34
[x]Agnivesha, Charaka Samhita, revised by Charaka and Dridhabala with the Ayurveda Dipika commentary of Chakrapanidatta, edited by Vaidya Jadavaji Trikamji Acharya, Chaukhambha Prakashan, Varanasi, Reprint edition 2016, sidhi sthana 4/35
[xi]Agnivesha, Charaka Samhita, revised by Charaka and Dridhabala with the Ayurveda Dipika commentary of Chakrapanidatta, edited by Vaidya Jadavaji Trikamji Acharya, Chaukhambha Prakashan, Varanasi, Reprint edition 2016, sidhi sthana 4/36
[xii]Agnivesha, Charaka Samhita, revised by Charaka and Dridhabala with the Ayurveda Dipika commentary of Chakrapanidatta, edited by Vaidya Jadavaji Trikamji Acharya, Chaukhambha Prakashan, Varanasi, Reprint edition 2016, sidhi sthana 4/37
[xiii]Agnivesha, Charaka Samhita, revised by Charaka and Dridhabala with the Ayurveda Dipika commentary of Chakrapanidatta, edited by Vaidya Jadavaji Trikamji Acharya, Chaukhambha Prakashan, Varanasi, Reprint edition 2016, sidhi sthana 4/38
[xiv]Agnivesha, Charaka Samhita, revised by Charaka and Dridhabala with the Ayurveda Dipika commentary of Chakrapanidatta, edited by Vaidya Jadavaji Trikamji Acharya, Chaukhambha Prakashan, Varanasi, Reprint edition 2016, sidhi sthana 4/38
[xv]Agnivesha, Charaka Samhita, revised by Charaka and Dridhabala with the Ayurveda Dipika commentary of Chakrapanidatta, edited by Vaidya Jadavaji Trikamji Acharya, Chaukhambha Prakashan, Varanasi, Reprint edition 2016, sidhi sthana 4/38,40
[xvi]Susrutha, Susrutha Samhita (Nibandha Samgraha commentary of Dalhana and Nyayachandrikapanchaka of Jayadasa). Yadavji trikamji, editor. 4th ed. Varanasi: Chaukamba Orientalia; 2016. Cikitsā sthanam, 37/91
[xvii]Susrutha, Susrutha Samhita (Nibandha Samgraha commentary of Dalhana and Nyayachandrikapanchaka of Jayadasa). Yadavji trikamji, editor. 4th ed. Varanasi: Chaukamba Orientalia; 2016. Cikitsā sthanam, 37/91
[xviii]Susrutha, Susrutha Samhita (Nibandha Samgraha commentary of Dalhana and Nyayachandrikapanchaka of Jayadasa). Yadavji trikamji, editor. 4th ed. Varanasi: Chaukamba Orientalia; 2016. Cikitsā sthanam, 37/92
[xix]Susrutha, Susrutha Samhita (Nibandha Samgraha commentary of Dalhana and Nyayachandrikapanchaka of Jayadasa). Yadavji trikamji, editor. 4th ed. Varanasi: Chaukamba Orientalia; 2016. Cikitsā sthanam, 37/93
[xx]Susrutha, Susrutha Samhita (Nibandha Samgraha commentary of Dalhana and Nyayachandrikapanchaka of Jayadasa). Yadavji trikamji, editor. 4th ed. Varanasi: Chaukamba Orientalia; 2016. Cikitsā sthanam, 37/93
[xxi]Susrutha, Susrutha Samhita (Nibandha Samgraha commentary of Dalhana and Nyayachandrikapanchaka of Jayadasa). Yadavji trikamji, editor. 4th ed. Varanasi: Chaukamba Orientalia; 2016. Cikitsā sthanam, 37/94
[xxii]Susrutha, Susrutha Samhita (Nibandha Samgraha commentary of Dalhana and Nyayachandrikapanchaka of Jayadasa). Yadavji trikamji, editor. 4th ed. Varanasi: Chaukamba Orientalia; 2016. Cikitsā sthanam, 37/93
[xxiii]Susrutha, Susrutha Samhita (Nibandha Samgraha commentary of Dalhana and Nyayachandrikapanchaka of Jayadasa). Yadavji trikamji, editor. 4th ed. Varanasi: Chaukamba Orientalia; 2016. Cikitsā sthanam, 37/95
[xxiv]Susrutha, Susrutha Samhita (Nibandha Samgraha commentary of Dalhana and Nyayachandrikapanchaka of Jayadasa). Yadavji trikamji, editor. 4th ed. Varanasi: Chaukamba Orientalia; 2016. Cikitsā sthanam, 37/96
