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vetti yastena matimAn bastikarmANi kArayet||19||  

vetti yastena matimAn bastikarmANi kArayet||19||  

An intelligent physician who learns the dōshā of nētra, basti and praṇēta properly along with management shall practice basti. (19)

An intelligent physician who learns the dōshā of nētra, basti and praṇēta properly along with management shall practice basti. (19)

Tattva vimarsha: 

 

=== ''Tattva Vimarsha'' ===

 

• The basti netra (nozzle), basti putaka (bladder/enema pot) should be non-defective to avoid complications of basti therapy.  

• The basti netra (nozzle), basti putaka (bladder/enema pot) should be non-defective to avoid complications of basti therapy.  

• Basti therapy should be administered with utmost care by well trained, skilled and experienced praneta (administrator). If this is not followed, complications can occur in basti therapy.  

• Basti therapy should be administered with utmost care by well trained, skilled and experienced praneta (administrator). If this is not followed, complications can occur in basti therapy.  

Vidhi Vimarsha:

 

=== ''Vidhi Vimarsha'' ===

The knowledge on apt instruments to be used in respective procedure is vital in ensuring the procedure effect. In the case of basti (procedure), the knowledge on properly designed nētra and basti is essential for physicians. Also, Inappropriate appliance of nētra in the procedure leads to vyāpad and needs to be managed by the physician. Hence, this aspect is being dealt further in the chapter.

The knowledge on apt instruments to be used in respective procedure is vital in ensuring the procedure effect. In the case of basti (procedure), the knowledge on properly designed nētra and basti is essential for physicians. Also, Inappropriate appliance of nētra in the procedure leads to vyāpad and needs to be managed by the physician. Hence, this aspect is being dealt further in the chapter.

Research works have proved the importance of instruments and technique of administration which influences the total procedure and thereby its effect on the body. Usage of proper netra and basti in the procedure had influenced the time taken for administration by the maintenance of uniform pressure and gradual squeezing of the content during administration of nirooha  (decoction type of enema) 1. Also, it influenced the extent of reach of medication in the colon and its quantity. Usage of animal bladder for preparation of bastiputaka (bag or vessel) was possible and justified in earlier days, however, is not feasible and practical today. As an alternative, a plastic bag of 50 microns thickness and having 1.5 l capacity has been reported recently and is disposed of after single use.2

Research works have proved the importance of instruments and technique of administration which influences the total procedure and thereby its effect on the body. Usage of proper netra and basti in the procedure had influenced the time taken for administration by the maintenance of uniform pressure and gradual squeezing of the content during administration of nirooha  (decoction type of enema) 1. Also, it influenced the extent of reach of medication in the colon and its quantity. Usage of animal bladder for preparation of bastiputaka (bag or vessel) was possible and justified in earlier days, however, is not feasible and practical today. As an alternative, a plastic bag of 50 microns thickness and having 1.5 l capacity has been reported recently and is disposed of after single use.2

Verse 19

Verse 19

As discussed earlier, with the knowledge of siddhi one acquires not only routine practice but expertise in prevention, identification, rectification and management of complications related to the respective karma.

As discussed earlier, with the knowledge of siddhi one acquires not only routine practice but expertise in prevention, identification, rectification and management of complications related to the respective karma.

Glossary :

 

=== Glossary ===

Basti netra (बस्तिनेत्र) – Nozzle made of various metals designed for administering basti in anal route

Basti netra (बस्तिनेत्र) – Nozzle made of various metals designed for administering basti in anal route

Basti (बस्ति) – Enema / Also some time used to mention the bladder used for Bastikarma for filling the ingredients   

Basti (बस्ति) – Enema / Also some time used to mention the bladder used for Bastikarma for filling the ingredients   

Basti doshah (बस्तिदोष) – Defects enema bladders

Basti doshah (बस्तिदोष) – Defects enema bladders

Pranetru doshah (प्रणेतृदोषाः) – Administration errors

Pranetru doshah (प्रणेतृदोषाः) – Administration errors

References:

 

=== References ===

 

1. Gundeti MS, Raut AA, Kamat NM. Basti: Does the equipment and method of administration matter?. J Ayurveda Integr Med 2013;4:9-12

1. Gundeti MS, Raut AA, Kamat NM. Basti: Does the equipment and method of administration matter?. J Ayurveda Integr Med 2013;4:9-12

2. Nampoothiri MR, Mahadevan L. Principles and Practice of Vasti. 1st ed. Derisanamcope: Y. Mahadeva Iyer’s Sri Sarada Ayurvedic Hospital; 2007. p. 49.

2. Nampoothiri MR, Mahadevan L. Principles and Practice of Vasti. 1st ed. Derisanamcope: Y. Mahadeva Iyer’s Sri Sarada Ayurvedic Hospital; 2007. p. 49.