For both male and female Uttarabasti

द्वित्रास्थापनशुद्धेभ्यो विदध्याद्बस्तिमुत्तरम्|| (A. H. Su. 19/70)

Uttarabasti should be administered to those who have purified by 2-3 Nirūha Basti. In usual practice Nirūha Basti given in the morning and Uttara Basti in the afternoon.

अथातुरमुपस्निग्धं स्विन्नं प्रशिथिलाशयम् ||
यवागूं सघृतक्षीरां पीतवन्तं यथाबलम् | (Su. Chi. 37/8)

The patient should be given mild oleation and sudation in the lower abdomen, thighs and groins. The patient is asked to void urine and faeces and given yavāgū added with ghee and milk as much as he can drink by his strength.

For male Uttarabasti

• Uttarabasti Yantra – For the administration of male Uttarabasti, urinary rubber catheter no.8 or 11 is used as Basti Netra and 50cc disposable syringe may be used as Basti Puṭaka.
• Table
• Hole towel
• Medicine
• Tray
• Sponge holding forceps
• Xylocaine jelly
• Gauze pieces
• Cleaning agents like normal saline, betadine

For female Uttarabasti

• Uttarabasti Yantra – For the urethral administration of Uttarabasti, urinary rubber catheter no.8 or 11 is used as Basti Netra and 50cc disposable syringe may be used as Basti Puṭaka. For intra uterine administration of Uttarabasti, IV or IUI canula and infant feeding tube is used as Basti Netra and 10 cc disposable syringe may be used as Basti Puṭaka.
• Lithotomy table
• Hole towel
• Medicine
• Kelley’s pad
• Tray
• Cuscus speculum
• Sponge holding forceps
• Xylocaine jelly
• Tampon
• Gauze pieces
• Cleaning agents like normal saline, betadine

Preparation of the medicine

• The Basti Dravya for Uttarabasti is of two type, Sneha and Kvātha.
• Take the required quantity of medicine in a pre-cleaned container
• Autoclave the medicine along with all the required materials
• Medicine should be filled in the Basti Puṭaka.

Fixation of dose

For male

स्नेहप्रमाणं परमं प्रकुञ्चश्चात्र कीर्तितः |

पञ्चविंशादधो मात्रां विदध्याद्बुद्धिकल्पिताम् || (Su. Chi. 37/102)

The maximum dose of Sneha to be given for persons below 25 years of age is 1 Prakuñca ie, 1 Pala. Above that age, the quantity should be decided by the intelligence of the physician.

तस्य बस्तिर्मृदुलघुर्मात्रा शुक्तिर्विकल्प्य वा| (A. H. Su. 19/72)

The Uttarabasti Dravya shall be Mṛdu, Laghu and its quantity is 1 Śukti or parts of it.

तेनाजबस्तियुक्तेन स्नेहस्यार्धपलं नयेत्|

यथावयोविशेषेण स्नेहमात्रां विकल्प्य वा|| (Cha. Si. 9/52)

The Basti Netra should be tied to a goat’s bladder containing half Pala of the unctuous recipe which is to be administered. The exact dose in which this unctuous recipe is to be administered should be determined on the basis of the age of the patient.

For female

गर्भाशयविशुद्ध्यर्थं स्नेहेन द्विगुणेन तु |

क्वाथप्रमाणं प्रसृतं, स्त्रिया द्विप्रसृतं भवेत् ||

कन्येतरस्याः, कन्यायास्तद्वद्बस्तिप्रमाणकम् | (Su. Chi. 37/116-117)

The quantity of oil should be double (2 Prasṛta) for cleansing the uterus. The quantity of decoction for urethral enema in males should be 1 Prasṛta; for females 2 Prasṛta for women who are not virgins; for virgins it should be the same as of men (1 Prasṛta).

प्रकुञ्चो मध्यमा मात्रा बालानां शुक्तिरेव तु|| (A. H. Su. 19/80)

The medium quantity of Basti Dravya is 1 Prakuñca and for children, it is 1 Śukti only.

स्नेहस्यप्रसृतंचात्रस्वाङ्गुलीमूलसम्मितम्|
देयं प्रमाणं परममर्वाग् बुद्धिविकल्पितम् || (Su. Chi. 37/106)

The maximum quantity of oil to be used for women is 1 Prasṛta which can be measured by cupping the palm of that female in which the level of Sneha reaches up to base line of the fingers, as determined by intelligence of the physician.