UGM1 - Lesson 6.12 - Online e-Learning Module Application for Panchakarma

UG Module 6 - Lesson 12

BASTI KARMA

EXPLANATORY NOTES

SAMYAK YOGA, AYOGA AND ATIYOGA OF ANUVĀSANA BASTI

Samyak Anuvāsita Lakṣaṇa

प्रत्येत्यसक्तं सशकृच्च तैलं रक्तादिबुद्धीन्द्रियसम्प्रसादः
स्वप्नानुवृत्तिर्लघुता बलं च सृष्टाश्च वेगाः स्वनुवासिते स्युः||

(Cha. Si. 1/44)

Proper administration of Anuvāsana Basti give rise to the following signs and symptoms

Return of the Sneha with Purīṣa without any obstruction. Nourishment of Raktadi Dhātus, clarity of intellect and senses, good and continuous sleep, lightness and strength in the body and proper elimination of natural urges without any obstruction.

Anuvāsana Ayoga Lakṣaṇa

अधःशरीरोदरबाहुपृष्ठपार्श्वेषु रुग्रूक्षखरं च गात्रम्
ग्रहश्च विण्मूत्रसमीरणानामसम्यगेतान्यनुवासितस्य || (Cha. Si. 1/45)

Improper administration of Anuvāsana Basti give rise to the following signs and symptoms

Pain in the lower part of the body, abdomen, arms, back and flanks, dryness and roughness of the body and obstruction in the passage of stool, urine and flatus.

Anuvāsana Atiyoga Lakṣaṇa

हृल्लासमोहक्लमसादमूर्च्छाविकर्तिका चात्यनुवासितस्य| (Cha. Si. 1/46)

Excessive administration of Anuvāsana Basti gives rise to nausea, unconsciousness, physical fatigue, mental fatigue, exhaustion, fainting and gripping pain in the anus.

COMPLICATION OF ANUVĀSANA AND ITS MANAGEMENT ACCORDING TO AYURVEDA AND MORDERN MEDICINE

ANUVĀSANA BASTI VYĀPAT

According to Caraka, complications due to Sneha Basti are six in number. They are

वातपित्तकफात्यन्नपुरीषैरावृतस्य च|
अभुक्ते च प्रणीतस्य स्नेहबस्तेः षडापदः|| (Cha. Si. 4/25)

CARAKA	SUŚRUTA
Vātavrita Sneha Basti Pittavrita Sneha Basti Kaphavrita Sneha Basti Annavrita Sneha Basti Abhukte pranita Sneha Basti Purishāvrita Sneha Basti	Vātabhibhūta Sneha Basti Pittabhibhūta Sneha Basti Slesmabhibhūta Sneha Basti Annabhibhūta Sneha Basti Malāvrita Sneha Basti Duranusrita Sneha Basti Asvinnasya Vyāpat Alpa Bhuktavate Alpa Aśhanasya Vyāpat

Sneha Basti Vyāpat according to Ācārya Caraka

SL NO	Vyāpat	Nidāna	Lakṣaṇa	Cikitsā
1	Vātāvrita Sneha Basti	Śīta Basti / Alpa Bala Basti given in Vātādhika condition	Aṅgamarda ŚītaJvara Aādhmana Stambha Uru Pīḍana Pārśva Ruk Pārśva Veṣṭana	Nirūha Basti– with Rāsnādi Taila and Pītadru Taila – Added with Snigda, Amla, Lavana and Uṣṇa Dravyas, Sauvīraka, Sura, Kola, Kulattha and Yava. Mixed with Gomūtra and Kaṣāya of Bilva, Śyonāka, Gambhāri, Pātala, Ganikārika Anuvāsana Basti – Rāsnādi Taila, Pītadru Taila
2	Pittāvrita Sneha Basti	Ati Uṣṇa Basti in Pittādhika condition	Dāha Rāga Tṛṣṇā Moha Tamaka Jvara	Nirūha Basti- with Madhura Tikta Dravya
3	Kaphāvrita Sneha Basti	Mrdu Basti in Kaphādhika Avasthā	Tandra Śīta Jvara Ālasya Praseka Aruci Gaurava Mūrchā Glāni	Nirūha Basti – With Sura, Gomūtra, Madanaphala Taila and Kaṣāya, Kaṭu, Tīkṣṇa, Uṣṇa Dravyas
4	Annāvrita Sneha Basti	Guru Basti after Atibhojana	Chardi Mūrchā Aruci Glāni Śūla Nidrā Aṅgamarda Āmalinga Dāha	Pācana – Kaṭu Lavana Dravya Kaṣāya and Cūrṇa Mrdu Virecana Āma Pācana Kriya
5	Purīṣāvrita Sneha Basti	Alpa Bala Basti given in Mala Sañcaya Avasthā	Vit Mūtra Anila Saṅga Arti Gurutā Ādhmāna Hṛtgraha	Sneha Sveda Phala Varti Nirūha Basti – Śyāma Bilvādi Anuvāsana Basti Udāvarta Cikitsā
6	Abhukte Pranīta Sneha Basti	Ati Pīḍana of Sneha Basti in Abhukta Śūna Pāyu	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.	Nirūha and Anuvāsana Basti– Gomūtra, Śyāma Trivṛt, Yava, Kola, Kulattha Sthambhana therapy (Fanning, sprinkling cold water) – If Basti Dravya comes through throat.

Sneha Basti Vyāpat according to Ācārya Suśruta

SL NO	Vyāpat	Nidāna	Lakṣaṇa	Cikitsā
1	Vātābhibhūta Sneha Basti	Śīta Basti / Alpa Bala Basti given in Vātādhika condition	Mukha Kaṣāyata Jṛmbha Vepathu Viṣama Jvara Vāta Vedana	Doṣa Śāmaka Basti
2	Pittabhibhūta Sneha Basti	Ati Uṣṇa Basti in Pittādhika condition	Mukha Kaṭutva Dāha Tṛṣṇā Jvara Sveda Netra Mūtra Aṅga Pītatva	Doṣa Śāmaka Basti
3	Slesmābhibhūta Sneha Basti	Mrdu Basti in Kaphādhika Avasthā	Madhura Āsyata Gaurava Chardi Śīta Jvara Aruci Kṛcchra Śvāsa	Doṣa Śāmaka Basti
4	Annābhibhūta Sneha Basti	Guru Basti after Atibhojana	Guru Āmāśaya Śūla Vāyu Vibandha Hṛtpīda Mukha Vairasya Mūrchā Bhrama Aruci	Apatarpana Dipana
5	Malavrita Sneha Basti	Alpa bala Basti given in mala sanchaya avasthā	Pakvāśaya Gaurava Anga Sadana Adhmāna Śvāsa Śūla	Tīkṣṇa Nirūha and Tīkṣṇa Anuvāsana Basti
6	Dūranusrita Sneha Basti	Sneha Basti if administered in persons after Śodhana (Virecana)	Sneha comes out through mouth Upalepa in all Indriya Avasāda Smell of Snēha in mouth Kāsa Śvāsa Aruci	Atipīḍita Basti Vyāpat Cikitsā Āsthāpana Basti
7	Asvinnasya Vyāpat	Śīta and Mrdu Basti administerd in Aśodhita person in little amount	Manda Pravāhana Vibandha Gaurava Ādhmāna Pakvāśaya Śūla	Āsthāpana and Anuvāsana Basti
8	Alpa Bhuktavate Alpa Aśanasya Vyāpat	If Alpa Mātrā , Mridu Anuvāsana administered after small diet	Klama Utkleśa Arati Sneha Does Not Return Back	Śodhana, Āsthāpana and Sneha Basti

COMMONLY ENCOUNTERED COMPLICATION

Agnimāndya
Adhmāna
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
Abdominal pain	Svedana with hot water bag Dhānvantaram Gulikā Hinguvachādi Cūrṇa
Giddiness, Hypotension, Delirium	Console the patient Foot elevation Sidhamakaradvajam Dhānvantaram Gulikā Drākṣāriṣṭa
Chardi	Mādiphala Rasāyana Dhānvantaram Gulikā Drakshādi Kaṣāya Vilvādi Lehya
Body pain	Daśamūlāriṣṭa Dhānvantaram Gulikā Amṛtāriṣṭa
Dehydration	Water intake, Glucose, ORS
Proctitis	Śatadhauta Ghṛta Murivenna Triphala Kaṣāya Avagāha
Respiratory distress	Making the patient in upright position Sidhamakaradvajam Dhānvantaram Gulikā Nayopāyam Kaṣāya Elakanādi Kaṣāya Śvāsānandam Gulikā
Altered consciousness	Cūrṇa Nasya Dhūmapāna
Head ache	Rāsna jambīra Lepa Śira Śūla Vajra Rasa Kacchūradi Talaṃ
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

PARIHĀRA VIṢHAYA AND PARIHĀRYA KĀLA

PARIHĀRYA VIṢAYA AFTER ANUVĀSANA BASTI

अत्यासनस्थानवचांसि यानं स्वप्नं दिवा मैथुनवेगरोधान् ||

शीतोपचारातपशोकरोषांस्त्यजेदकालाहितभोजनं च | (Cha. Si. 1/54)

Here Caraka advises to avoid Excessive sitting, standing, speaking and travelling, day sleep, sexual intercourse, suppression of manifested natural urges, cooling regimens, exposure to sun, grief and anger and intake of untimely and unwholesome food after doing Pañcakarma.

एतां प्रकृतिमप्राप्तः सर्ववर्ज्यानि वर्जयेत्|
महादोषकराण्यष्टाविमानि तु विशेषतः||
उच्चैर्भाष्यं रथक्षोभमविचङ्क्रमणासने|
अजीर्णाहितभोज्ये च दिवास्वप्नं समैथुनम्||
तज्जा देहोर्ध्वसर्वाधोमध्यपीडामदोषजाः|
श्लेष्मजाः क्षयजाश्चैव व्याध्यः स्युर्यथाक्रमम्|| (Cha. Si. 12/10-12)

The Aṣṭa Mahā Doṣakara Bhāvas are the eight factors which are Apathya during Śodhana procedures. They are Ucchabhāsana, Rathakṣobha, Aticaṅkramaṇa, Atyaśana, Ajīrṇa, Adyaśana or Ahita Bhojana, Divāsvapna and Maithuna. As Uchhabhashya leads to Ūrdhva Bhāga Deha Rogas. Rathakshobha leads to Sarva Deha Rogas. Aticaṅkramaṇa leads to Adho Deha Rogas, Atyaśana leads to Madhya Deha Rogas. Ajīrṇa and Ahita Bhojana leads to Āma doṣa. Divāsvapna leads to Kaphaja Rogas and Maithuna leads to Kṣayaja Rogas.

PARIHĀRA KĀLA

कालस्तु बस्त्यादिषु याति यावांस्तावान् भवे द्विपरिहारकालः| (Cha. Si. 1/54)

One should follow the restrictions and diet, double the duration taken for the treatment.

यान्यहानि पिबेत्तानि तावन्त्यन्यान्यपि त्यजेत्| (A. H. Su. 16/28)

The restrictions should be followed for same number of days taken for the treatment.

IMPORTANT SLOKA

प्रत्येत्यसक्तं सशकृच्च तैलं रक्तादिबुद्धीन्द्रियसम्प्रसादः
स्वप्नानुवृत्तिर्लघुता बलं च सृष्टाश्च वेगाः स्वनुवासिते स्युः|| (Ch. Si. 1/44)

Proper administration of Anuvāsana Basti give rise to the following signs and symptoms

अधःशरीरोदरबाहुपृष्ठपार्श्वेषु रुग्रूक्षखरं च गात्रम्
ग्रहश्च विण्मूत्रसमीरणानामसम्यगेतान्यनुवासितस्य || (Ch. Si. 1/45)

Improper administration of Anuvāsana Basti give rise to the following signs and symptoms

Pain in the lower part of the body, abdomen, arms, back and flanks, dryness and roughness of the body and obstruction in the passage of stool, urine and flatus.

हृल्लासमोहक्लमसादमूर्च्छाविकर्तिका चात्यनुवासितस्य| (Ch. Si. 1/46)

Excessive administration of Anuvāsana Basti gives rise to nausea, unconsciousness, physical fatigue, mental fatigue, exhaustion, fainting and gripping pain in the anus.

वातपित्तकफात्यन्नपुरीषैरावृतस्य च|
अभुक्ते च प्रणीतस्य स्नेहबस्तेः षडापदः|| (Ch. Si. 4/25)

Complications due to Sneha Basti are six in number. They are Vātavrita Sneha Basti, Pittāvrita Sneha Basti, Kaphāvrita Sneha Basti, Athyannāvrita Sneha Basti, Purīṣāvrita Sneha Basti and Abhukta Pranīta.

अत्यासनस्थानवचांसि यानं स्वप्नं दिवा मैथुनवेगरोधान् ||

शीतोपचारातपशोकरोषांस्त्यजेदकालाहितभोजनं च | (Ch. Si. 1/54)

एतांप्रकृतिमप्राप्तःसर्ववर्ज्यानिवर्जयेत्|
महादोषकराण्यष्टाविमानितुविशेषतः|
उच्चैर्भाष्यंरथक्षोभमविचङ्क्रमणासने|
अजीर्णाहितभोज्येचदिवास्वप्नंसमैथुनम्||
तज्जादेहोर्ध्वसर्वाधोमध्यपीडामदोषजाः|

श्लेष्मजाःक्षयजाश्चैवव्याधयःस्युर्यथाक्रमम् |

(Ch.Si.12/10-12)

कालस्तु बस्त्यादिषु याति यावांस्तावान् भवे द्विपरिहारकालः| (Ch. Si. 1/54)

One should follow the restrictions and diet, double the duration taken for the treatment.

यान्यहानि पिबेत्तानि तावन्त्यन्यान्यपि त्यजेत्| (AH. Su. 16/28)

The restrictions should be followed for same number of days taken for the treatment.

UG Module 6 - Lesson 12

BASTI KARMA

EXPLANATORY NOTES

IMPORTANT SLOKA

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