Yapana basti - Revision history

Agnivesha at 10:05, 24 February 2024

2024-02-24T10:05:01Z

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	\|label2 = Authors		\|label2 = Authors
	\|data2 = Kulkarni Gajanan<sup>1</sup>, <br/>Deole Y.S. <sup>2</sup> <br/>Bhatt Hemisha<sup>2</sup>		\|data2 = Kulkarni Gajanan<sup>1</sup><br/>[[Yogesh Deole\|Deole Y.S.]]<sup>2</sup><br/>Bhatt Hemisha<sup>2</sup>

	\|label3 = Reviewer & Editor		\|label3 = Reviewer & Editor
	\|data3 = Basisht G.<sup>3</sup>		\|data3 = [[Gopal Basisht\|Basisht G.]]<sup>3</sup>

	\|label4 = Affiliations		\|label4 = Affiliations

Agnivesha at 20:37, 26 September 2023

2023-09-26T20:37:18Z

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Agnivesha at 12:08, 20 September 2023

2023-09-20T12:08:19Z

← Older revision		Revision as of 12:08, 20 September 2023
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	== Current researches ==		== Current researches ==
			=== Effect of yapana basti in shukragata vata ===
			<p style="text-align:justify;">In a clinical study, the effect of yapana basti and akarakarabhadi yoga was assessed in cases of shukragata vata. The patients treated with protocol of yapana basti and akarkarbhadi yoga showed considerable improvement (55.35%) in premature ejaculation.<ref name="ref1">Mangalasseri Prakash (2002): A clinical study of shukragata-vata w.s.r. to premature ejaculation and its management with akarakarabhadi yoga and yapana basti, Department of Kayachikitsa, IPGT &RA, Jamnagar.</ref></p>

			=== Effect of yapana basti in shukra dushti ===
			<p style="text-align:justify;">In a clinical study, the effect of yapana basti was assessed in case of shukra dushti. The patient treated with protocol of yapana basti and vajikarana yoga showed considerable improvement in semen volume (32%), sperm viability(14.6%) and sperm count(42.58%).<ref name="ref2">Gupta, S.K., Prasad, N.K., Shukla, V.D., & Thakar, A. (2016). Effect of Baladi Yapana Basti and Vajikarana Yoga in the management of Oligoasthenozoospermia. Department of Panchakarma, IPGT &RA, Jamnagar.</ref></p>

			=== Effect of yapana basti in pakshaghata ===
			<p style="text-align:justify;">In clinical study, the effect of yapana basti was assessed in case of pakshaghata. The patient treated with protocol of yapan basti and karm basti showed considerable improvement in speech (100%), facial expression (44.44%), and drooping wrist (21.42%).<ref name="ref3">Gajanana Kulkarni.(2007). A Comparative Study of Role Of Yapana Basti And Karma Basti In The Management Of Pakshaghata (CVA). Department of Panchakarma, IPGT &RA, Jamnagar.</ref></p>

			=== Effect of yapana basti in kampavata ===
			<p style="text-align:justify;">In a clinical study, the effect of yapana basti was assessed in case of kampavata. The patient treated with protocol of yapan basti showed considerable improvement in kampa (tremors) (41.17%), stambha (stiffness) (46.15%), in gati vikriti (movements) (60%), in vak vikriti (abnormal speech)(50%) and smriti (memory)(33.33%). <ref name="ref4">Vinay Chaudhary. (2007) Clinical Study Of Standardization Of Yapan Basti In The Management Of Kampavata. Department of Panchakarma, IPGT &RA, Jamnagar.</ref></p>

			=== Effect of yapana basti in katigraha ===
			<p style="text-align:justify;">In a clinical study, the effect of yapana basti was assessed to study its efficacy in katigraha (lumbago with stiffness). The patient treated with protocol of erandmuladi yapana basti and erandabeeja kshirapaka showed considerable improvement in katigraha (lumbago with stiffness) (70%), kati shula (pain in waist) (70.97%), sparsha asahatwa (tenderness) (91.11%).<ref name="ref5">Damayanthie Fernando KP, Thakar AB, Shukla VD. Clinical efficacy of Eranda Muladi Yapana Basti in the management of Kati Graha (Lumbar spondylosis). Ayu. 2013 Jan;34(1):36-41. doi: 10.4103/0974-8520.115444. PMID: 24049403; PMCID: PMC3764877</ref></p>

			=== Effect of yapana basti in cervical spondylosis ===
			<p style="text-align:justify;">In a clinical study, the effect of yapana basti was assessed in case of cervical spondylosis. The patient treated with protocol of bruhatyadi yapan basti and patrapinda sweda showed considerable improvement in spine, like flexion (81.82%), extension (67.74%), lateral rotation (82.93%), numbness (91.30%), tingling sensation (80.95%).<ref name="ref6">Rani Sangeeta Ishwar Singh, A Randomized Clinical Trial On Brihatyadi Yapana Basti And Patra Pinda Sweda With Aaditya Paka Guggulu In The Management Of Cervical Spondylosis W.S.R. To Asthigata Vata
			https://ctri.nic.in/Clinicaltrials/pdf_generate.php?trialid=13976&EncHid=&modid=&compid=%27,%2713976det%27
			</ref></p>

			=== Effect of yapana basti in vandhyatva (infertility) ===
			<p style="text-align:justify;">In a clinical study, the effect of yapana basti was assessed in cases of vandhyatva. The patient treated with protocol of brihtyadi yapana basti and shivalingi beej churna showed considerable improvement in effect on ovulation (80% ) and follicular size.<ref name="ref7">Balat, Gaurav et al. “Effect of Brihatyadi Yapana Basti and Shivalingi (Bryonia laciniosa Linn.) seed powder in the management of female infertility (Vandhyatva) due to anovulatory factor: An open-labelled randomized clinical trial.” Ayu vol. 40,4 (2019): 216-222. doi:10.4103/ayu.AYU_123_18
			https://pubmed.ncbi.nlm.nih.gov/33935438/
			</ref></p>

			These preliminary studies show positive effects of yapana basti in various conditions. More focused research can be helpful in understanding effect of yapana basti in chronic and critical conditions.

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Agnivesha: /* Practical application and rationale behind using of yapana basti */

2023-09-20T12:01:14Z

Practical application and rationale behind using of yapana basti

← Older revision		Revision as of 12:01, 20 September 2023
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	<ol style="text-align:justify;"><li>Vata dosha rages very strongly (vayurdhatukshayatkopo). This overpowered vayu carries pitta and kapha dosha to different parts of body [Cha. Sa. Chikitsa Sthana 28/60] and gets obstructed by them. Once it gets obstructed there, vayu starts absorbing and emaciating the dhatu present there. [Cha.Sa.Chikitsa Sthana 28/61]		<ol style="text-align:justify;"><li>Vata dosha rages very strongly (vayurdhatukshayatkopo). This overpowered vayu carries pitta and kapha dosha to different parts of body [Cha. Sa. Chikitsa Sthana 28/60] and gets obstructed by them. Once it gets obstructed there, vayu starts absorbing and emaciating the dhatu present there. [Cha.Sa.Chikitsa Sthana 28/61]
	<br/>This extension in the pathology of original disease gives rise to more depletion of dhatu (dhatu kshaya) and causing new symptoms or disease.		<br/>This extension in the pathology of original disease gives rise to more depletion of dhatu (dhatu kshaya) and causing new symptoms or disease.
	<br/>It means that the original disease becomes more serious. If we look at these diseases like halimaka, vishama jvara etc., these all are fatal in nature, because such type of extended pathophysiology.</il>		<br/>It means that the original disease becomes more serious. If we look at these diseases like halimaka, vishama jvara etc., these all are fatal in nature, because such type of extended pathophysiology.</li>
	<li>Prolonged disease condition with extension of dosha in all over body involves all other systems in body in disease process. This makes the original disease multisystemic disorder, and this can cause critical condition of the patient. </il>		<li>Prolonged disease condition with extension of dosha in all over body involves all other systems in body in disease process. This makes the original disease multisystemic disorder, and this can cause critical condition of the patient. </li>
	<li>From the discussion, so far it is clear that the following things happen in all of the above mentioned diseases :</il>		<li>From the discussion, so far it is clear that the following things happen in all of the above mentioned diseases :</li>
	<ol type="a"><li>Great loss of body components in a progressive way</il>		<ol type="a"><li>Great loss of body components in a progressive way</li>
	<li>Very strong dominance of vata in pathogenesis due to dhatukshaya and avarana as well.</il>		<li>Very strong dominance of vata in pathogenesis due to dhatukshaya and avarana as well.</li>
	<li>Multi system involvement</il>		<li>Multi system involvement</li>
	<li>A huge fall in strength of body. (balaadhishthanam aarogyam) [Cha.Sa.Chikitsa Sthana 3]</il></ol></ol>		<li>A huge fall in strength of body. (balaadhishthanam aarogyam) [Cha.Sa.Chikitsa Sthana 3]</li></ol></ol>
	<p style="text-align:justify;">Now considering the treatment of these conditions, there needs to be a treatment that has, nourishment (brimhana), strengthening power (balya), pacifying vayu (vata shamana), anulomana and clearing the channels (srotoshodhan) property.		<p style="text-align:justify;">Now considering the treatment of these conditions, there needs to be a treatment that has, nourishment (brimhana), strengthening power (balya), pacifying vayu (vata shamana), anulomana and clearing the channels (srotoshodhan) property.
	<br/>Yapan basti hits all these criteria to treat these ailments surely.		<br/>Yapan basti hits all these criteria to treat these ailments surely.

Agnivesha at 11:59, 20 September 2023

2023-09-20T11:59:57Z

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	</span></li></ol>		</span></li></ol>

			=== Main procedure (pradhana karma) and post procedure (pashchat karma): ===
			<p style="text-align:justify;">The procedure for administration of yapana basti and post therapeutic protocol are same as like therapeutic enema (basti).
			<br/>Some clinical research suggests that average retention time of yapan basti is 92 minutes.(Gajanan Kulkarni) </p>

			=== Adverse effect and it’s management: ===
			<p style="text-align:justify;">The improper administration of yapana basti can lead to following adverse effects like oedema, loss of digestive power, anemia, pain, hemorrhoids, proctalgia/fissure in ano, fever, diarrhea.
			<br/>In such cases, patients are treated with medicinal formulations like arishta, kshira, sidhu. All the treatment planned should be aimed at increasing the power of digestion. [Cha.Sa. Siddhi Sthana 2/31]
			<br/>Sometime due to its mild nature (mrudutva), the yapana basti does not get eliminated out of body. Then immediately another asthapana basti with cow urine (gomutra) and other sharply acting agents (tikshna dravyas) should be administered.</p>

			=== Time of administration ===
			Yapana basti can be given at all times and after meal also.

			== Practical application and rationale behind using of yapana basti ==
			<p style="text-align:justify;">Among all these diseases which are mentined above, there is obvious loss of one or more components (dhatu) of the body. Moreover, all these dieases are chronic in nature.
			<br/>The following phenomena appear in this type of diseases due to the damage to body components that has already taken place (dhatukshaya) and prolonged presence of the disease in the body.</p>
			<ol style="text-align:justify;"><li>Vata dosha rages very strongly (vayurdhatukshayatkopo). This overpowered vayu carries pitta and kapha dosha to different parts of body [Cha. Sa. Chikitsa Sthana 28/60] and gets obstructed by them. Once it gets obstructed there, vayu starts absorbing and emaciating the dhatu present there. [Cha.Sa.Chikitsa Sthana 28/61]
			<br/>This extension in the pathology of original disease gives rise to more depletion of dhatu (dhatu kshaya) and causing new symptoms or disease.
			<br/>It means that the original disease becomes more serious. If we look at these diseases like halimaka, vishama jvara etc., these all are fatal in nature, because such type of extended pathophysiology.</il>
			<li>Prolonged disease condition with extension of dosha in all over body involves all other systems in body in disease process. This makes the original disease multisystemic disorder, and this can cause critical condition of the patient. </il>
			<li>From the discussion, so far it is clear that the following things happen in all of the above mentioned diseases :</il>
			<ol type="a"><li>Great loss of body components in a progressive way</il>
			<li>Very strong dominance of vata in pathogenesis due to dhatukshaya and avarana as well.</il>
			<li>Multi system involvement</il>
			<li>A huge fall in strength of body. (balaadhishthanam aarogyam) [Cha.Sa.Chikitsa Sthana 3]</il></ol></ol>
			<p style="text-align:justify;">Now considering the treatment of these conditions, there needs to be a treatment that has, nourishment (brimhana), strengthening power (balya), pacifying vayu (vata shamana), anulomana and clearing the channels (srotoshodhan) property.
			<br/>Yapan basti hits all these criteria to treat these ailments surely.
			<br/>This clearing of channels (srotoshodhana), provides lubrication (snehana), vata anulomana, nourishment (brimhana) and strengthening power (balya). Yapan basti becomes a radical therapy there.</p>

			== Things to be avoided during yapan basti therapy ==
			Vyayama – exercise
			<br/>Maithuna – sexual activities
			<br/>Madya – alcoholic beverages
			<br/>Madhu – honey
			<br/>Shishira ambu –Intake of cold water
			<br/>Rath kshobha – travelling

			== Current researches ==

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Agnivesha at 11:51, 20 September 2023

2023-09-20T11:51:30Z

← Older revision		Revision as of 11:51, 20 September 2023
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	</div>		</div>

			== Method of preparation ==
			<ol type="A" style="text-align:justify;"><li>Material required in making basti</li>
			<ul><li>Basti putak (enema bag)</li>
			<li>Basti netra (nozzle)</li>
			<li>Gloves</li>
			<li>Cotton cloth</li>
			<li>Mortal & pastel</li></ul>
			<li>Ingredients of basti</li>
			<ol><li>In case of yapana basti, medicated milk (sidhdha ksheera) is used in place of kashaya (decoction)</li>
			<li>Honey, mamsa rasa, ghee are other major ingredients used in yapana basti.</li></ol>
			<li>Procedure to formulate & administration of basti:</li></ol>

			=== Pre-procedure: ===
			<ol type="A" style="text-align:justify;"><li>Preparation of patient</li>
			<li>Preparation of basti.</li></ol>
			<ol type="A" style="text-align:justify;"><li style="font-weight: bold;">Preparation of patient: <br/><span style="font-weight: normal;">After the evacuation of bladder and bowels, local massage and fomentation on pelvic region shall be done.</span></li>
			<li style="font-weight: bold;">Preparation of basti:<br/><span style="font-weight: normal;">First of all, the dravyas soaked in warm water for overnight then next morning milk and water should be added with the measurement 1:8:16 and kept for boiling upto ashtamansh shoshit (..).
			<br/>This siddha ksheera is kept nearby. Then take morter and pestle and add lavan and triturate it properly then add makshik followed by sneh (ghrut/tail/vasa) followed by kalka (various aushadhi) and then sidhdh ksheera. Make homogenous mixture of it by continuous stirring of morter within pestle. The proportion of dravyas are as per classical list.
			</span></li></ol>

Agnivesha at 09:32, 18 September 2023

2023-09-18T09:32:38Z

@@ Line 276: / Line 276: @@
 |}
+== Indications ==
+<p style="text-align:justify;">Yapana basti is indicated for purification (shodhana), nourishment (brimhana) with  proper functioning of vayu (vata anulomana). These are mridu basti. [Cha. Sa. Siddhi Sthana 12/29], hence these are indicated in diseases due to vata pitta vitiation and depletion of shukra and mamsa dhatu (ksheena). <br/>It is indicated in following conditions: </p>

Agnivesha at 09:23, 18 September 2023

2023-09-18T09:23:21Z

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Agnivesha at 09:20, 18 September 2023

2023-09-18T09:20:44Z

← Older revision		Revision as of 09:20, 18 September 2023
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	}}		}}

			== Etymology and derivation ==
			The word ‘Yapana’ is derived from combination of ya + nich + lyut.
			‘Yapya’ means to be expelled or to be discharged. [Monnier-Williams Sanskrit-English Dictionary, 1899]

			== Synonyms ==
			Following words are synonymous to yapana.
			* Dharanam – to maintain [Su. Sa. Nidana Sthana 1/12]
			* Poshanam – to nourish [Su. Sa. Nidana Sthana 14/30]
			* Rog-shamanam – to pacify disease [ Su. Sa. Chikitsa Sthana 6/13]
			* Yatrakara- supporting journey of life [ Cha. Sa. Sutra Sthana 18/39]
			* The basti which promotes longevity of life is ‘yapana basti’ [Chakrapani on Cha. Sa. Siddhi Sthana 12/17]
			* Pranadharana- sustain viatality [Arundatta A.Hr. Kalpa Sthana 14/29]

			== Difference in Yapana and Anuvasana basti ==

Agnivesha at 09:18, 18 September 2023

2023-09-18T09:18:33Z

← Older revision		Revision as of 09:18, 18 September 2023
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	~~Under progress~~		{{CiteButton}}
			{{#seo:
			\|title=Yapana basti
			\|titlemode=append
			\|keywords=Yapana basti,niruha basti, carakasamhitaonline, charak samhita online, Kulkarni Gajanan, Deole Y.S., Bhatt Hemisha, Basisht G., Yapya meaning, Dharanam, Poshanam, Rog-shamanam, Yatrakara, Pranadharana, Ingredient for Yapana basti, Indications of Yapana basti, procedure for Yapana basti, yapan basti therapy,
			\|description=The word ‘yapana’ means to sustain or to maintain. The therapeutic enema (basti) intended for sustaining life is termed as ‘Yapana basti’.
			\|image=http://www.carakasamhitaonline.com/resources/assets/ogimgs.jpg
			\|image_alt=carak samhita
			\|type=article
			}}
			<p style="text-align:justify;">The word ‘yapana’ means to sustain or to maintain. The therapeutic enema (basti) intended for sustaining life is termed as ‘Yapana basti’. It is indicated in chronic and critical conditions like urolithiasis (ashmari), insanity (unmada), obstinate urinary diseases (prameha), abdominal distension (adhmana), vatarakta.[Cha.Sa. Siddhi Sthana 12/16] It is used for providing instant nourishment and strength. In current practices, yapana basti is mainly used in disease of shukra and asthi dhatu like infertility and lumbar spondylosis etc.. The present chapter deals with specific indications of yapana basti and its utility in current practices.</p>

			{{Infobox

			\|title = Contributors

			\|label1 = Section/Chapter/topic
			\|data1 = Concepts/[[Basti]]/[[Yapana basti]]

			\|label2 = Authors
			\|data2 = Kulkarni Gajanan<sup>1</sup>, <br/>Deole Y.S. <sup>2</sup> <br/>Bhatt Hemisha<sup>2</sup>

			\|label3 = Reviewer & Editor
			\|data3 = Basisht G.<sup>3</sup>

			\|label4 = Affiliations
			\|data4 = <sup>1</sup> Consultant, Ayurveda Clinic, Pune, India<br/><sup>2</sup> Department of Kayachikitsa, G. J. Patel Institute of Ayurvedic Studies and Research, New Vallabh Vidyanagar, Gujarat, India<br/><sup>3</sup> Rheumatologist, Orlando, Florida, U.S.A.

			\|label6 = Correspondence emails
			\|data6 = [mailto:ayurgk@yahoo.co.in ayurgk@yahoo.co.in], <br/>[mailto:dryogeshdeole@gmail.com dryogeshdeole@gmail.com], <br/>[mailto:carakasamhita@gmail.com carakasamhita@gmail.com]

			\|label7 = Publisher
			\|data7 = [[Charak Samhita Research, Training and Development Centre]], I.T.R.A., Jamnagar, India

			\|label8 = Date of publication:
			\|data8 = August 25, 2023

			\|label9 = DOI
			\|data9 = {{DoiWithLink}}
			}}
















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