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{{#seo:
|title=Basti Siddhi
|titlemode=append
|keywords=Anabolic enema, Basti vyapad, Jeevadana, Parisrava, Parikarta, Pravahana, Successful and efficacious therapeutic enema, Semenotropic,Tenesmus,Ayurveda, Indian system of medicine, charak samhita.
|description=Siddhi Sthana Chapter 10. Successful administration of therapeutic enema
|image=http://www.carakasamhitaonline.com/resources/assets/ogimgs.jpg
|image_alt=charak samhita
|type=article
}}
<big>'''[[Siddhi Sthana]] Chapter 10.Successful administration of therapeutic enema'''</big>
{{Infobox
{{Infobox
|title = Trimarmiya Siddhi
|title = Basti Siddhi
|label1 = Section/Chapter
|label1 = Section/Chapter
|data1 = [[Siddhi Sthana]] Chapter 6
|data1 = [[Siddhi Sthana]] Chapter 10
|label2 = Preceding Chapter
|label2 = Preceding Chapter
|data2 = [[Trimarmiya Siddhi]]
|data2 = [[Trimarmiya Siddhi]]
|label4 = Succeeding Chapter
|label4 = Succeeding Chapter
|data4 = [[Basti Siddhi]]
|data4 = [[Phalamatra Siddhi]]
|label5 = Other Sections
|label5 = Other Sections
|data5 = [[Sutra Sthana]], [[Nidana Sthana]], [[Vimana Sthana]], [[Sharira Sthana]], [[Indriya Sthana]], [[Chikitsa Sthana]], [[Kalpa Sthana]]
|data5 = [[Sutra Sthana]], [[Nidana Sthana]], [[Vimana Sthana]], [[Sharira Sthana]], [[Indriya Sthana]], [[Chikitsa Sthana]], [[Kalpa Sthana]]
|label6 = Translator and commentator
|data6 = Bhatted S., Bhojani M.
|label7 = Reviewer
|data7 = Panse A.
|label8 = Editors
|data8 = Thakar A. B., Mangalasseri P., [[Yogesh Deole|Deole Y.S.]], [[Gopal Basisht|Basisht G.]]
|label9 = Year of publication
|data9 = 2020
|label10 = Publisher
|data10 = [[Charak Samhita Research, Training and Skill Development Centre]]
|label11 = DOI
|data11 = [https://doi.org/10.47468/CSNE.2020.e01.s08.011 10.47468/CSNE.2020.e01.s08.011]
}}
<big>''' Abstract </big>'''
<p style='text-align:justify;'>This chapter deals with the effective formulations used as therapeutic enema in specific diseases by using disease specific drugs, considering the underlying factors in the disease and the patient. Therapeutic enema is a fast acting safe and effective therapy better than therapeutic purgation. Nourishing therapeutic enema is contraindicated in the diseases suitable for purification and depleting therapeutic enema is contraindicated in weak, emaciated and debilitated persons. Specific drugs can be added to the main recipe of therapeutic enema in accordance to the ''[[dosha]]'' etc. to make it more effective. In this chapter, three formulations for therapeutic enema each for ''[[vata]], [[pitta]]'' and ''[[kapha]]''; four formulations each for cleansing the colon, for enhancing semen and muscle and for astringent action; two formulations each for stopping excessive discharge, burning sensation, cutting pain in anal region, tenesmus, over action of therapeutic enema; Three formulations for excessive life threatening bleeding; two formulations for bleeding disorder and one formulation of therapeutic enema for excessive urination including diabetes are described. </p>
'''Keywords''' : Anabolic enema, ''[[Basti]] vyapad, Jeevadana, Parisrava, Parikarta, Pravahana'', Successful and efficacious therapeutic enema, Semenotropic,Tenesmus,Standard [[basti]],therapeutic enema.
== Introduction ==
<div style="text-align:justify;">
In the previous chapter various diseases particularly of vital organs like heart, brain and kidney are described. ''[[Vata]]'' is the main causative factor for these diseases of vital organs and ''[[basti]]'' is the best therapy for the effective treatment of ''[[vata]]'' thereby to maintain the health of vital organs. In the present chapter, effective ''[[dosha]]'' and disease specific ''[[basti]]'' formulations are described. ''[[Basti]]'' can be practiced as a rectal route of drug administration in any disease by using specific drugs in accordance to the strength of the patient, ''[[dosha]]'', season, disease and constitution of the patient. It is fast acting, easier and safe cleansing therapy can cause both nourishment and depletion effect on the body by using the specific drugs. It is better than therapeutic purgation as far as safety and palatability is concerned, can be used in all age groups and can produce any desired effect. Contraindications of nourishing enema and purifying enema shall be considered as per suitability of conditions during administration. Formulations of therapeutic enema for the treatment of specific ''[[dosha]]'' like ''[[vata]], [[pitta]]'' and ''[[kapha]]'' and disease like excessive discharge, burning sensation, cutting pain in anal region, tenesmus, complications due to over action of therapeutic enema, life threatening bleeding, bleeding disorder and excessive urination including diabetes, colon cleansing, astringent effect and to enhance semen and muscle tissue are described in this chapter.
Certain drugs should be added later on to the main formulation of ''[[basti]]'' in accordance to the ''[[dosha]]'' and desired effect to make it more effective. As a general rule ''[[basti]]'' prepared from strong drugs should be used in chronic and severe diseases and ''[[basti]]'' prepared from mild drugs should be used in mild diseases.
== Sanskrit text, Transliteration and English Translation ==
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अथातो बस्तिसिद्धिं व्याख्यास्यामः||१||
इति ह स्माह भगवानात्रेय||२||
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athātō bastisiddhiṁ vyākhyāsyāmaḥ||1||
iti ha smāha bhagavānātrēya||2||
athAto bastisiddhiM vyAkhyAsyAmaH||1||
iti ha smAha bhagavAnAtreya||2||
</div></div>
Now we shall expound the chapter "Basti Siddhi" (Successful administration of therapeutic enema). Thus said Lord Atreya. (1-2)
<div class="mw-collapsible mw-collapsed">
सिद्धानां बस्तीनां शस्तानां तेषु तेषु रोगेषु| <br />
शृण्वग्निवेश ! गदतः सिद्धिं सिद्धिप्रदां भिषजाम्||३||<br />
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siddhānāṁ bastīnāṁ śastānāṁ tēṣu tēṣu rōgēṣu| <br />
śr̥ṇvagnivēśa ! gadataḥ siddhiṁ siddhipradāṁ bhiṣajām||3||<br />
siddhAnAM bastInAM shastAnAM teShu teShu rogeShu| <br />
shRuNvagnivesha ! gadataH siddhiM siddhipradAM bhiShajAm||3||<br />
</div></div>
Listen, O Agnivesha, to the discourse on various highly fruitful and efficacious ''[[basti]]'' for specific diseases which successfully treats the disease and provides success to the physician.[3]
=== Disease specific actions and advantages of ''[[basti]]'' ===
<div class="mw-collapsible mw-collapsed">
बलदोषकालरोगप्रकृतीः प्रविभज्य योजिताः सम्यक् <br />
स्वैः स्वैरौषधवर्गैः स्वान् स्वान् रोगान्नियच्छन्ति||४||<br />
कर्मान्यद्बस्तिसमं न विद्यते शीघ्रसुखविशोधित्वात्| <br />
आश्वपतर्पणतर्पणयोगाच्च निरत्ययत्वाच्च||५||<br />
<div class="mw-collapsible-content">
baladōṣakālarōgaprakr̥tīḥ pravibhajya yōjitāḥ samyak <br />
svaiḥ svairauṣadhavargaiḥ svān svān rōgānniyacchanti||4|| <br />
karmānyadbastisamaṁ na vidyatē śīghrasukhaviśōdhitvāt| <br />
āśvapatarpaṇatarpaṇayōgācca niratyayatvācca||5|| <br />
baladoShakAlarogaprakRutIH pravibhajya yojitAH samyak <br />
svaiH svairauShadhavargaiH svAn svAn rogAnniyacchanti||4|| <br />
karmAnyadbastisamaM na vidyate shIghrasukhavishodhitvAt| <br />
AshvapatarpaNatarpaNayogAcca niratyayatvAcca||5||<br />
</div></div>
''[[Basti]]'' if properly administered in accordance to the strength of the patient, ''[[dosha]]'', time, nature of the disease and constitution of the person by using the specific group of drugs prescribed for the treatment of the respective diseases will cure those diseases. No other therapeutic procedure is equivalent to ''[[basti]]'' as far as its actions like rapid and comfortable cleansing, immediate depletion and replenishment and is devoid of complications. [4-5]
=== Advantages of ''asthapana [[basti]]'' (purification enema) over ''[[virechana]]'' (therapeutic purgation) ===
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सत्यपि दोषहरत्वे कटुतीक्ष्णोष्णादि भेषजादानात्| <br />
दुःखोद्गारोत्क्लेशाहृद्यत्वकोष्ठरुजा विरेके स्युः||६|| <br />
अविरेच्यौ शिशुवृद्धौ तावप्राप्तप्रहीनधातुबलौ| <br />
आस्थापनमेव तयोः सर्वार्थकृदुत्तमं कर्म||७|| <br />
बलवर्णहर्षमार्दवगात्रस्नेहान्नृणां ददात्याशु|८| <br />
<div class="mw-collapsible-content">
satyapi dōṣaharatvē kaṭutīkṣṇōṣṇādi bhēṣajādānāt| <br />
duḥkhōdgārōtklēśāhr̥dyatvakōṣṭharujā virēkē syuḥ||6|| <br />
avirēcyau śiśuvr̥ddhau tāvaprāptaprahīnadhātubalau| <br />
āsthāpanamēva tayōḥ sarvārthakr̥duttamaṁ karma||7|| <br />
balavarṇaharṣamārdavagātrasnēhānnr̥ṇāṁ dadātyāśu|8| <br />
satyapi doShaharatve kaTutIkShNoShNAdi bheShajAdAnAt| <br />
duHkhodgArotkleshAhRudyatvakoShTharujA vireke syuH||6|| <br />
avirecyau shishuvRuddhau tAvaprAptaprahInadhAtubalau| <br />
AsthApanameva tayoH sarvArthakRuduttamaM karma||7|| <br />
balavarNaharShamArdavagAtrasnehAnnRuNAM dadAtyAshu|8|<br />
</div></div>
Although ''[[virechana]]'' (therapeutic purgation) does eliminate the ''[[dosha]]'' but the drugs used for ''[[virechana]]'' are ''katu'' (pungent), ''teekshna'' (sharp) and ''ushna'' (hot) in nature, unpleasant in taste and causes ''duhkha'' (discomfort), ''udgara'' (eructations), ''utklesha'' (nausea) and ''koshtharuja'' (pain in gastro-intestinal tract). Children and aged person are unfit for ''[[virechana]]'', on account of former having not attained completely developed ''[[dhatu]]'' (tissues) and ''bala'' (strength) and the latter due to excessive diminution of ''[[dhatu]]'' and ''bala''. ''Asthapana'' type of ''[[basti]]'' (decoction based therapeutic enema) in both the cases is most suitable procedure and the one that can produce all the desired actions. This ''[[basti]]'' therapy instantaneously provides ''bala'', ''varna'' (complexion), ''harsha'' (exhilaration), ''mardava'' (softness) and ''sneha'' (unctuousness) to the body of the persons.[6-7½]
=== Three types of ''[[basti]]'' and its indications ===
<div class="mw-collapsible mw-collapsed">
अनुवासनं निरूहश्चोत्तरबस्तिश्च स त्रिविधः||८|| <br />
शाखावातार्तानां सकुञ्चितस्तब्धभग्नरुग्णानाम् | <br />
विट्सङ्गाध्मानारुचिपरिकर्तिरुगादिषु च शस्तः||९|| <br />
उष्णार्तानां शीताञ्छीतार्तानां तथा सुखोष्णांश्च| <br />
तद्योग्यौषधयुक्तान् बस्तीन् सन्तर्क्य विनियुज्यात्||१०||<br />
<div class="mw-collapsible-content">
anuvāsanaṁ nirūhaścōttarabastiśca sa trividhaḥ||8|| <br />
śākhāvātārtānāṁ sakuñcitastabdhabhagnarugṇānām | <br />
viṭsaṅgādhmānāruciparikartirugādiṣu ca śastaḥ||9|| <br />
uṣṇārtānāṁ śītāñchītārtānāṁ tathā sukhōṣṇāṁśca| <br />
tadyōgyauṣadhayuktān bastīn santarkya viniyujyāt||10||<br />
anuvAsanaM nirUhashcottarabastishca sa trividhaH||8|| <br />
shAkhAvAtArtAnAM saku~jcitastabdhabhagnarugNAnAm | <br />
viTsa~ggAdhmAnAruciparikartirugAdiShu ca shastaH||9|| <br />
uShNArtAnAM shItA~jchItArtAnAM tathA sukhoShNAMshca| <br />
tadyogyauShadhayuktAn bastIn santarkya viniyujyAt||10||<br />
</div></div>
The ''[[basti]]'' is of three types viz: ''anuvasana [[basti]]'' (enema with fatty substance like oil etc.), ''niruha [[basti]]'' (enema with herbal decoction, honey, rock salt, herbal paste and fatty substance) and ''uttara basti'' (trans- urethral/vaginal administration of medicine). The ''[[basti]]'' is beneficial for the patients who are suffering with the affliction of ''shakha'' (extremities) by ''[[vata]], sankuchita'' (contractures), ''stabdha'' (stiffness), ''bhagna'' (fractures), ''vitsanga'' (constipation), ''adhmana'' (gaseous distention of abdomen), ''aruchi'' (anorexia), ''parikartika'', (cutting pain in anal region), rug (pain) etc. ''ushnartanam'' (patients afflicted with heat) should be given cold ''[[basti]]'' and for ''sheetartanam'' (those who are afflicted with cold) should be given warm ''[[basti]]'' by using suitable drugs based on proper reasoning. [8-10]
=== Contraindications of ''asthapana'' and ''anuvasana [[basti]]'' ===
<div class="mw-collapsible mw-collapsed">
बस्तीन्न बृंहणीयान् दद्याद् व्याधिषु विशोधनीयेषु| <br />
मेदस्विनो विशोध्या येऽपि नराः कुष्ठमेहार्ताः||११|| <br />
न क्षीणक्षतदुर्बलमूर्च्छितकृशशुष्कदेहानाम्| <br />
युञ्जाद्विशोधनीयान् दोषनिबद्धायुषो ये च||१२||<br />
<div class="mw-collapsible-content">
bastīnna br̥ṁhaṇīyān dadyād vyādhiṣu viśōdhanīyēṣu| <br />
mēdasvinō viśōdhyā yē'pi narāḥ kuṣṭhamēhārtāḥ||11|| <br />
na kṣīṇakṣatadurbalamūrcchitakr̥śaśuṣkadēhānām| <br />
yuñjādviśōdhanīyān dōṣanibaddhāyuṣō yē ca||12|| <br />
bastInna bRuMhaNIyAn dadyAd vyAdhiShu vishodhanIyeShu| <br />
medasvino vishodhyA ye~api narAH kuShThamehArtAH||11|| <br />
na kShINakShatadurbalamUrcchitakRushashuShkadehAnAm| <br />
yu~jjAdvishodhanIyAn doShanibaddhAyuSho ye ca||12|| <br />
</div></div>
Nourishing type of ''[[basti]]'' (''[[brimhana]] anuvasana [[basti]]'') should not be given to the persons who are indicated for cleansing treatments and to the patients suffering with the diseases indicated for cleansing treatments like obesity, skin diseases and excessive urination including diabetes. Cleansing ''[[basti]]'' (''[[shodhana]] asthapana [[basti]]'') should not be given to the persons who are suffering from consumption, phthisis, debility, fainting, emaciation, dehydration of the body, as well as in those whose life is sustained due to retention of ''[[dosha]]'' itself.[11-12]
=== Specific liquid media for enema solution ===
<div class="mw-collapsible mw-collapsed">
वाजीकरणेऽसृक्पित्तयोश्च मधुघृतपयोयुक्ताः| <br />
शस्ताः सतैलमूत्रारनाललवणाश्च कफवाते||१३|| <br />
युञ्जाद्द्रव्याणि बस्तिष्वम्लं मूत्रं पयः सुरां क्वाथान्| <br />
अविरोधाद्धातूनां रसयोनित्वाच्च जलमुष्णम्||१४||<br />
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vājīkaraṇē'sr̥kpittayōśca madhughr̥tapayōyuktāḥ| <br />
śastāḥ satailamūtrāranālalavaṇāśca kaphavātē||13|| <br />
yuñjāddravyāṇi bastiṣvamlaṁ mūtraṁ payaḥ surāṁ kvāthān| <br />
avirōdhāddhātūnāṁ rasayōnitvācca jalamuṣṇam||14|| <br />
vAjIkaraNe~asRukpittayoshca madhughRutapayoyuktAH| <br />
shastAH satailamUtrAranAlalavaNAshca kaphavAte||13|| <br />
yu~jjAddravyANi bastiShvamlaM mUtraM payaH surAM kvAthAn| <br />
avirodhAddhAtUnAM rasayonitvAcca jalamuShNam||14|| <br />
</div></div>
For aphrodisiac effect and for the diseases caused by ''[[rakta]]'' (blood) and ''[[pitta]]'', the ''[[basti]]'' prepared with ''madhu'' (honey), ''ghrita'' (cow’s ghee), ''paya'' (cow’s milk) are recommended. For diseases caused by ''[[kapha]]'' and ''[[vata]]'', the ''[[basti]]'' prepared with ''tila taila'' (sesame oil), ''mootra'' (cow’s urine), ''aranala'' (sour rice gruel), ''lavana'' (rock salt) are recommended.
In the preparation of enema solution the ingredients like ''amla'' (sour substances), ''mootra'' (cow’s urine), ''paya'' (cow’s milk), ''sura'' (alcoholic beverages), and ''kvatha'' (herbal decoctions) are to be added, particularly hot water should be added as it is not antagonistic to ''[[dhatu]]'' and is source of ''[[rasa dhatu]]'' (nutrient fluid).[13-14]
=== ''Prakshepa'' (additives) to enema solutions ===
<div class="mw-collapsible mw-collapsed">
सुरदारुशताह्वैलाकुष्ठमधुकपिप्पलीमधुस्नेहाः| <br />
ऊर्ध्वानुलोमभागाः ससर्षपाः शर्करा लवणम्||१५|| <br />
आवापा बस्तीनामतः प्रयोज्यानि येषु यानि स्युः| <br />
युक्तानि सह कषायैस्तान्युत्तरतः प्रवक्ष्यामि||१६|| <br />
चिरजातकठिनबलेषु व्याधिषु तीक्ष्णा विपर्यये मृदवः| <br />
सप्रतिवापकषाया योज्यास्त्वनुवासननिरूहाः||१७||<br />
<div class="mw-collapsible-content">
suradāruśatāhvailākuṣṭhamadhukapippalīmadhusnēhāḥ| <br />
ūrdhvānulōmabhāgāḥ sasarṣapāḥ śarkarā lavaṇam||15|| <br />
āvāpā bastīnāmatḥ prayōjyāni yēṣu yāni syuḥ| <br />
yuktāni saha kaṣāyaistānyuttarataḥ pravakṣyāmi||16|| <br />
cirajātakaṭhinabalēṣu vyādhiṣu tīkṣṇā viparyayē mr̥davaḥ| <br />
saprativāpakaṣāyā yōjyāstvanuvāsananirūhāḥ||17||<br />
suradArushatAhvailAkuShThamadhukapippalImadhusnehAH| <br />
UrdhvAnulomabhAgAH sasarShapAH sharkarA lavaNam||15|| <br />
AvApA bastInAmatH prayojyAni yeShu yAni syuH| <br />
yuktAni saha kaShAyaistAnyuttarataH pravakShyAmi||16|| <br />
cirajAtakaThinabaleShu vyAdhiShu tIkShNA viparyaye mRudavaH| <br />
saprativApakaShAyA yojyAstvanuvAsananirUhAH||17||<br />
</div></div>
''Suradaru'' (Cedrus deodara), ''shatahva'' (Anethum sowa), ''ela'' (Elletaria cardamom), ''kushtha'' (Sassurea lappa), ''madhuka'' ( Glycerrhiza glabra), ''pippali'' (Piper Longum), ''madhu, sneha'' (unctuous substances like ghee/oil/muscle fat/bone marrow), ''urdhvanulomabhagah'' (drugs inducing vomiting, purgation), ''sarshapa'' (Brassica camprestris), ''sharkara'' (sugar), ''lavanam'' are to be added to the enema solution. Among these ingredients which are to be added in which kind of enema and with what kind of decoction will be described hereafter. In disease conditions which are chronic, obstinate and severe, ''anuvasana'' and ''niruha [[basti]]'' prepared with strong decoction and later added with strong ingredients should be used. While in opposite disease conditions (which are mild and of recent origin) ingredients having mild effects should be used. [15-17]
=== ''[[Vata dosha]]'' pacifying ''[[basti]]'' formulations ===
<div class="mw-collapsible mw-collapsed">
अर्धश्लोकैरतः सिद्धान् नानाव्याधिषु सर्वशः | <br />
बस्तीन् वीर्यसमैर्भागैर्यथार्हालोडनाञ्छृणु||१८|| <br />
बिल्वोऽग्निमन्थः श्योनाकः काश्मर्यः पाटलिस्तथा| <br />
शालपर्णी पृश्निपर्णी बृहत्यौ वर्धमानकः||१९|| <br />
यवाः कुलत्थाः कोलानि स्थिरा चेति त्रयोऽनिले| <br />
शस्यन्ते सचतुःस्नेहाः पिशितस्य रसान्विताः||२०||<br />
<div class="mw-collapsible-content">
ardhaślōkairataḥ siddhān nānāvyādhiṣu sarvaśaḥ | <br />
bastīn vīryasamairbhāgairyathārhālōḍanāñchr̥ṇu||18|| <br />
bilvō'gnimanthaḥ śyōnākaḥ kāśmaryaḥ pāṭalistathā| <br />
śālaparṇī pr̥śniparṇī br̥hatyau vardhamānakaḥ||19|| <br />
yavāḥ kulatthāḥ kōlāni sthirā cēti trayō'nilē| <br />
śasyantē sacatuḥsnēhāḥ piśitasya rasānvitāḥ||20||<br />
ardhashlokairataH siddhAn nAnAvyAdhiShu sarvashaH | <br />
bastIn vIryasamairbhAgairyathArhAloDanA~jchRuNu||18|| <br />
bilvo~agnimanthaH shyonAkaH kAshmaryaH pATalistathA| <br />
shAlaparNI pRushniparNI bRuhatyau vardhamAnakaH||19|| <br />
yavAH kulatthAH kolAni sthirA ceti trayo~anile|<br />
shasyante sacatuHsnehAH pishitasya rasAnvitAH||20||<br />
</div></div>
Listen to the comprehensive description of fruitful formulations of ''[[basti]]'' in different diseases, each one of which is described in half verse as follows:
These formulations contain the drugs which are harmonious to each other in potency and proportion and added with suitable drugs as ''alodana/avapa'' (drugs which are added later on to the main formulation).
Three formulations of ''[[basti]]'' for ''[[vata]]'' disorders:
#''Bilva'' (Aegle marmelos), ''agnimanthah'' (Premna mucronata roxb.) ''shyonakah'' (Oroxylum indicum vent.,) ''kashmaryah'' (Gmelina arboria linn.), ''paatali''(Stereospermum serveolens).
#''Shalaparni'' (Desmodium Gangeticum), ''prashniparni'' (Uraria Picta), ''brihati'' (Solanum indicum), ''kantakari'' (Solanum surattense), ''vardhamanaka'' (Ricinus communis)
#''Yava'' (Hordeum vugare), ''kulattha'' (Dolichos biflones Linn.), ''kola'' (Ziziphus mauritiana Linn.), ''sthira'' (Desmodium gangeticum)
These above three groups of drugs are to be used along with four types of unctuous substances (ghee, oil, muscle fat, bone marrow) and meat soup as ''[[basti]]'' in diseases caused by ''[[vata]]''. [18-20]
=== ''[[Pitta dosha]]'' pacifying ''[[basti]]'' formulations ===
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नलवञ्जुलवानीरशतपत्राणि शैवलम्| <br />
मञ्जिष्ठा सारिवाऽनन्ता पयस्या मधुयष्टिका||२१|| <br />
चन्दनं पद्मकोशीरं तुङ्गं ते पैत्तिके त्रयः| <br />
सशर्कराक्षौद्रघृताः सक्षीरा बस्तयो हिताः||२२||<br />
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nalavañjulavānīraśatapatrāṇi śaivalam| <br />
mañjiṣṭhā sārivā'nantā payasyā madhuyaṣṭikā||21|| <br />
candanaṁ padmakōśīraṁ tuṅgaṁ tē paittikē trayaḥ| <br />
saśarkarākṣaudraghr̥tāḥ sakṣīrā bastayō hitāḥ||22|| <br />
nalava~jjulavAnIrashatapatrANi shaivalam| <br />
ma~jjiShThA sArivA~anantA payasyA madhuyaShTikA||21|| <br />
candanaM padmakoshIraM tu~ggaM te paittike trayaH| <br />
sasharkarAkShaudraghRutAH sakShIrA bastayo hitAH||22||<br />
</div></div>
Three formulations of ''[[basti]]'' for ''[[pitta]]'' disorders:
#''Nala'' (Arundo donax), ''vanjula'' (Salix tetrasperma Roxb.), ''vaanira'' (Salix caprea Linn), ''shatapatrani'' (Rosa centifolia Linn), ''shaivalam'' (Ceratophyllum demursum Linn.)
#''Manjishtha'' (Rubia cordifolia Linn.), ''sariva'' (Hemidesmus indicus), ''ananta'' (Fagonia cretica Linn.), ''payasya'' (Ipomea batata), ''madhuyashthika'' (Glycerrhiza glabra).
#''Chandana'' (Santaluma album), ''padmak'' (Pranus cerasoides), ''usheeram''(Vetiveria zizanoidis), ''tungam''(Cocus nucifera).
These above three groups of drugs are to be used along with sugar, honey, ghee and milk as ''[[basti]]'' in diseases caused by ''[[pitta]]''. [21-22]
=== ''[[Kapha dosha]]'' pacifying ''[[basti]]'' formulations ===
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अर्कस्तथैव चालर्क एकाष्ठीला पुनर्नवा| <br />
हरिद्रा त्रिफला मुस्तं पीतदारु कुटन्नटम्||२३|| <br />
पिप्पल्यश्चित्रकश्चेति त्रयस्ते श्लेष्मरोगिषु | <br />
सक्षारक्षौद्रगोमूत्रा नातिस्नेहान्विता हिताः||२४||<br />
<div class="mw-collapsible-content">
arkastathaiva cālarka ēkāṣṭhīlā punarnavā| <br />
haridrā triphalā mustaṁ pītadāru kuṭannaṭam||23||<br />
pippalyaścitrakaścēti trayastē ślēṣmarōgiṣu | <br />
sakṣārakṣaudragōmūtrā nātisnēhānvitā hitāḥ||24||<br />
arkastathaiva cAlarka ekAShThIlA punarnavA| <br />
haridrA triphalA mustaM pItadAru kuTannaTam||23|| <br />
pippalyashcitrakashceti trayaste shleShmarogiShu | <br />
sakShArakShaudragomUtrA nAtisnehAnvitA hitAH||24||<br />
</div></div>
Three formulations of ''[[basti]]'' for ''[[kapha]]'' disorders are:
#''Arka'' (Calatropis procera R. br.), ''alarka'' (Calatropis gigantia Linn.) ''ekashthīla'' (Cissampelos pariera), ''punarnava'' (Boerhavia diffusa).
#''Haridra'' (Curcuma longa), ''triphala'' (fruits of three myrobelons viz: Embellica officinalis, Terminalia belerica, terminalia chebula), ''musta'' (Cypurus rotundus Linn.), ''peetadaru'' (Adina cardifolia), ''kuannatham'' (Oroxylum indicum).
#''Pippali'' (Piper longum) and ''chitraka'' (Plumbago zeylanica Linn.)
These above three groups of drugs are to be used along with ''kshara'' (alkali), honey, cow’s urine as ''[[basti]]'' in diseases caused by ''[[kapha]]''.[23-24]
=== ''Pakvashaya shodhaka [[basti]]'' (colon cleansing enema) ===
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फलजीमूतकेक्ष्वाकुधामार्गवकवत्सकाः | <br />
श्यामा च त्रिफला चैव स्थिरा दन्ती द्रवन्त्यपि||२५|| <br />
प्रकीर्या चोदकीर्या च नीलिनी क्षीरिणी तथा| <br />
सप्तला शङ्खिनी लोध्रं फलं कम्पिल्लकस्य च||२६|| <br />
चत्वारो मूत्रसिद्धास्ते पक्वाशयविशोधनाः| <br />
(व्यस्तैरपि समस्तैश्च चतुर्योगा उदाहृताः)||२७||<br />
<div class="mw-collapsible-content">
phalajīmūtakēkṣvākudhāmārgavakavatsakāḥ | <br />
śyāmā ca triphalā caiva sthirā dantī dravantyapi||25||<br />
prakīryā cōdakīryā ca nīlinī kṣīriṇī tathā| <br />
saptalā śaṅkhinī lōdhraṁ phalaṁ kampillakasya ca||26|| <br />
catvārō mūtrasiddhāstē pakvāśayaviśōdhanāḥ| <br />
(vyastairapi samastaiśca caturyōgā udāhr̥tāḥ)||27||<br />
phalajImUtakekShvAkudhAmArgavakavatsakAH| <br />
shyAmA ca triphalA caiva sthirA dantI dravantyapi||25|| <br />
prakIryA codakIryA ca nIlinI kShIriNI tathA| <br />
saptalA sha~gkhinI lodhraM phalaM kampillakasya ca||26|| <br />
catvAro mUtrasiddhAste pakvAshayavishodhanAH| <br />
(vyastairapi samastaishca caturyogA udAhRutAH )||27|| <br />
</div></div>
Four formulations of ''[[basti]]'' for ''pakvashayavishodhanah'' (colon cleansing):
#''Phala'' (Randia spinosa Poir.), ''jimutaka'' (Luffa echinata Roxb.), ''ikshvaku'' (Lageraria siceraria Mol.), ''dhamargava'' (Luffa cylindrical Linn.), vatsaka (Holarrhena antidysentrica linn.)
#''Shyama'' (Operculina turpethum Linn.), ''triphala''(fruits of three myrobelons viz: Embellica officinalis, Terminalia belerica, terminalia chebula), ''sthira'' (Desmodium gangeticum), ''danti'' (Baliospermum montanum), ''dravanti'' (Croton tiglium Linn.)
#''Prakeerya'' (Pongamia pinnata), ''udakeerya'' (Pongamia glabra), ''neelini'' (Indigofera tinctoria Linn.), ''ksheerini'' (Euphorbia hirta Linn.).
#''Saptala'' (Euphorbia dracunculoides Lamk.), ''shankhini'' (Ctenolepis Cerasiformis), ''lodhram'' (Symplocos racemosa roxb.), ''phalam'', ''kampillakasya'' (fruit of Mallotus philippinensis Muell arg.)
These above four groups of drugs prepared with cow’s urine are to be used as ''[[basti]]'' for colon cleansing. These four groups of drugs can be used separately or jointly. [25-27]
=== ''[[Basti]]'' formulations for enhancing ''[[shukra]]'' and ''[[mamsa]]'' (semen and muscle tissue) ===
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काकोली क्षीरकाकोली मुद्गपर्णी शतावरी| <br />
विदारी मधुयष्ट्याह्वा शृङ्गाटककशेरुके||२८|| <br />
आत्मगुप्ताफलं माषाः सगोधूमा यवास्तथा| <br />
जलजानूपजं मांसमित्येते शुक्रमांसलाः ||२९||<br />
<div class="mw-collapsible-content">
kākōlī kṣīrakākōlī mudgaparṇī śatāvarī| <br />
vidārī madhuyaṣṭyāhvā śr̥ṅgāṭakakaśērukē||28|| <br />
ātmaguptāphalaṁ māṣāḥ sagōdhūmā yavāstathā| <br />
jalajānūpajaṁ māṁsamityētē śukramāṁsalāḥ ||29|| <br />
kAkolI kShIrakAkolI mudgaparNI shatAvarI| <br />
vidArI madhuyaShTyAhvA shRu~ggATakakasheruke||28|| <br />
AtmaguptAphalaM mAShAH sagodhUmA yavAstathA| <br />
jalajAnUpajaM mAMsamityete shukramAMsalAH ||29|| <br />
</div></div>
Four formulations of ''shukramamsalaah basti'' (for promotion of semen and muscle tissue):
#''Kakoli'' (Roscoea procera wall.), ''ksheerakakoli'' (Roscoea procera/Lilium polyphyllum), ''mudgaparni'' (Phaseolus trilobus Ait.), ''shatavari'' (Asparagus racemosus wild.).
#''Vidari'' (Pueraria tuberosa), ''madhuyashthi'' (Glycerrhiza glabra), ''shringathaka'' (Trapa natans Linn.), ''kasheruke'' (Scirpus grossus Linn.).
#''Atmaguptaphalam'' (fruit seed of Mucuna prurita Hook.), ''mashaah'' (Phaseolus mungo Linn.), ''godhuma'' (Triticum aestivum Linn.), ''yava'' (hordeum vulgare Linn.).
#''Jalajanupajam mamsam'' (meat of aquatic and marshy land inhibiting animals).
These above four groups of drugs are to be used as ''[[basti]]'' for promotion of semen and muscle tissue. [28-29]
=== ''Sangrahi basti'' formulations (astringent action) ===
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जीवन्ती चाग्निमन्थश्च धातकीपुष्पवत्सकौ| <br />
प्रग्रहः खदिरः कुष्ठं शमी पिण्डीतको यवाः||३०|| <br />
प्रियङ्गू रक्तमूली च तरुणी स्वर्णयूथिका| <br />
वटाद्याः किंशुकं लोध्रमिति साङ्ग्राहिका मताः||३१||<br />
<div class="mw-collapsible-content">
jīvantī cāgnimanthaśca dhātakīpuṣpavatsakau| <br />
pragrahaḥ khadiraḥ kuṣṭhaṁ śamī piṇḍītakō yavāḥ||30|| <br />
priyaṅgū raktamūlī ca taruṇī svarṇayūthikā| <br />
vaṭādyāḥ kiṁśukaṁ lōdhramiti sāṅgrāhikā matāḥ||31||<br />
jIvantI cAgnimanthashca dhAtakIpuShpavatsakau| <br />
pragrahaH khadiraH kuShThaM shamI piNDItako yavAH||30|| <br />
priya~ggU raktamUlI ca taruNI svarNayUthikA| <br />
vaTAdyAH kiMshukaM lodhramiti sA~ggrAhikA matAH||31||<br />
</div></div>
Four formulations of ''[[basti]]'' for ''saangraahika'' (astringent action):
#''Jeevanti'' (Leptadenia raticulata), ''agnimantha'' (Premna mucronata Roxb.), ''dhatakeepushpa'' (flower of Woodfordia fruticosa), ''vatsaka'' (Holarrhina antidysentrica).
#''Pragrahah'' (Cassia fistula), ''khadirah'' (Acasia catechu wild.), ''kushtham''(Sauserea Lappa), ''shami'' (Prosopis cineraria Druce.), ''pindeetak'' (Randia prunus), ''yava'' (barley).
#''Priyangu'' (Callicarpa macrophylla), ''raktamooli'' (Rubia cardifolia Linn.), ''taruni'' (rosa centifolia Linn.), ''svarnayoothika'' (Jasminum auriculatum)
#''Vatadyaaha'' (Ficus bengalensis Linn. and similar trees having latex), ''kimshukam'' (Butea monospermia), ''lodhra'' (Symplocos racemosa Roxb.)
These above four groups of drugs are to be used as ''sangrahika basti''. [30-31]
=== ''[[Basti]]'' formulations in ''parisraava'' (excessive secretions from the body) ===
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परिस्रावे शृतं क्षीरं सवृश्चीरपुनर्नवम्| <br />
आखुपर्णिकया वाऽपि तण्डुलीयकयुक्तया||३२|| <br />
<div class="mw-collapsible-content">
parisrāvē śr̥taṁ kṣīraṁ savr̥ścīrapunarnavam| <br />
ākhuparṇikayā vā'pi taṇḍulīyakayuktayā||32||<br />
parisrAve shRutaM kShIraM savRushcIrapunarnavam| <br />
AkhuparNikayA vA~api taNDulIyakayuktayA||32||<br />
</div></div>
Two formulations of ''[[basti]]'' for arresting ''parisraava'' (excessive secretions from the body):
#Milk boiled with ''vrishcheera'' (Trianthema portulacastrum) and ''punarnavam'' (Boerhavia diffusa Linn.).
#Milk boiled with ''akhuparnika'' (kidney leaved ipomea) and ''tanduliyaka'' (prickly amaranth).[32]
=== ''[[Basti]]'' formulations in ''daha'' (burning sensation in the body)===
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कालङ्कतककाण्डेक्षुदर्भपोटगलेक्षुभिः | <br />
दाहघ्नः सघृतक्षीरो द्वितीयश्चोत्पलादिभिः||३३||<br />
<div class="mw-collapsible-content">
kālaṅkatakakāṇḍēkṣudarbhapōṭagalēkṣubhiḥ | <br />
dāhaghnaḥ saghr̥takṣīrō dvitīyaścōtpalādibhiḥ||33||<br />
kAla~gkatakakANDekShudarbhapoTagalekShubhiH | <br />
dAhaghnaH saghRutakShIro dvitIyashcotpalAdibhiH||33||<br />
</div></div>
Two formulations of ''[[basti]]'' for reducing ''daha'' (burning sensation):
#''Kalankataka'' (Cassia saphora), ''kandekshu'' (Sacharum spontaneum), ''darbha'' (Desmostachya bipinnata), ''potagal'' (Arundo donax Linn.), ''ikshu'' (sugar cane).
#''Utpaladibhih'' (blue water lily and other aquatic plants of its group)
These above two groups of drugs along with milk and ghee used as ''[[basti]]'' relieve ''daha''. [33]
=== ''[[Basti]]'' formulations in ''parikartika'' (fissure in ano) ===
<div class="mw-collapsible mw-collapsed">
कर्बुदाराढकीनीपविदुलैः क्षीरसाधितैः| <br />
बस्तिः प्रदेयो भिषजा शीतः समधुशर्करः||३४|| <br />
परिकर्ते तथा वृन्तैः श्रीपर्णीकोविदारजैः| <br />
(देयो बस्तिः सुवैद्यैस्तु यथावद्विदितक्रियैः)||३५||<br />
<div class="mw-collapsible-content">
karbudārāḍhakīnīpavidulaiḥ kṣīrasādhitaiḥ| <br />
bastiḥ pradēyō bhiṣajā śītaḥ samadhuśarkaraḥ||34|| <br />
parikartē tathā vr̥ntaiḥ śrīparṇīkōvidārajaiḥ| <br />
(dēyō bastiḥ suvaidyaistu yathāvadviditakriyaiḥ)||35||<br />
karbudArADhakInIpavidulaiH kShIrasAdhitaiH| <br />
bastiH pradeyo bhiShajA shItaH samadhusharkaraH||34|| <br />
parikarte tathA vRuntaiH shrIparNIkovidArajaiH| <br />
(deyo bastiH suvaidyaistu yathAvadviditakriyaiH )||35|| <br />
</div></div>
Two formulations of ''[[basti]]'' for treating ''parikartika'' (cutting pain in anal region):
#Milk cooked with ''karbudara'' (Bauhania variegate Linn.), ''adhaki'' (Pigeon pea), ''neepa'' (Anthrocephalus indicus), ''vidula'' (Barringtonia acutangula) and added with honey and sugar should be given as cold ''[[basti]]'' in ''parikartika'' by the physician.
#Milk cooked with stalks of ''shriparni'' (Gmelina arboria) and ''kovidara'' (Bauhania purpuria) and added with honey and sugar should be given as cold ''[[basti]]'' in ''parikartika'' by the good physician who have a correct knowledge of therapeutics. [34-35]
=== ''[[Basti]]'' formulations in ''pravahika'' (tenesmus) ===
<div class="mw-collapsible mw-collapsed">
बस्तिः शाल्मलिवृन्तानां क्षीरसिद्धो घृतान्वितः| <br />
हितः प्रवाहणे तद्वद्वेष्टैः शाल्मलिकस्य च||३६||<br />
<div class="mw-collapsible-content">
bastiḥ śālmalivr̥ntānāṁ kṣīrasiddhō ghr̥tānvitaḥ| <br />
hitaḥ pravāhaṇē tadvadvēṣṭaiḥ śālmalikasya ca||36|| <br />
bastiH shAlmalivRuntAnAM kShIrasiddho ghRutAnvitaH| <br />
hitaH pravAhaNe tadvadveShTaiH shAlmalikasya ca||36|| <br />
</div></div>
Two formulations of ''[[basti]]'' beneficial in ''pravahan'' (Tenesmus):
Milk prepared with the stalk of ''shalmali'' (Shalmali malabarica) mixed with ghee and milk prepared with the resin of ''shalmali'' (Shalmali malabarica) mixed with ghee used as ''[[basti]]'' are beneficial in ''pravahan''.[36]
<div class="mw-collapsible mw-collapsed">
अश्वावरोहिकाकाकनासाराजकशेरुकैः| <br />
सिद्धाः क्षीरेऽतियोगे स्युः क्षौद्राञ्जनघृतैर्युताः||३७|| <br />
न्यग्रोधाद्यैश्चतुर्भिश्च तेनैव विधिना परः|३८|<br />
<div class="mw-collapsible-content">
aśvāvarōhikākākanāsārājakaśērukaiḥ|<br />
siddhāḥ kṣīrē'tiyōgē syuḥ kṣaudrāñjanaghr̥tairyutāḥ||37|| <br />
nyagrōdhādyaiścaturbhiśca tēnaiva vidhinā paraḥ|38|<br />
ashvAvarohikAkAkanAsArAjakasherukaiH| <br />
siddhAH kShIre~atiyoge syuH kShaudrA~jjanaghRutairyutAH||37|| <br />
nyagrodhAdyaishcaturbhishca tenaiva vidhinA paraH|38| <br />
</div></div>
Two formulations of ''[[basti]]'' for treating the complications due to over action of ''[[basti]]'':
#Milk prepared with ''ashvavarohika'' (Withania somnifera or Dipterocarpus turbinatus), ''kakanasa'' (Martynia annua Linn.), ''rajakasheruka'' (Scirpus tuberosus Desf.) mixed with honey, ''rasanjana'' (water extract of Berberis aristata) and ghee.
#Milk prepared with ''nyagrodh'' (Ficus bengalensis), ''udumbara'' (Ficus glomerata Roxb.), ''ashvattha'' (Ficus religiosa Linn.) and ''plaksha'' (Ficus lacor) mixed with honey, ''rasanjana'' (water extract of Berberis aristata) and ghee. [37-37½]
=== ''Jeevadana nashaka basti'' (life threatening bleeding) ===
<div class="mw-collapsible mw-collapsed">
बृहती क्षीरकाकोली पृश्निपर्णी शतावरी||३८|| <br />
काश्मर्यबदरीदूर्वास्तथोशीरप्रियङ्गवः| <br />
जीवादाने शृतौ क्षीरे द्वौ घृताञ्जनसंयुतौ||३९|| <br />
बस्ती प्रदेयौ भिषजा शीतौ समधुशर्करौ| <br />
गोऽव्यजामहिषीक्षीरैर्जीवनीययुतैस्तथा||४०|| <br />
शशैणदक्षमार्जारमहिषाव्यजशोणितैः| <br />
सद्यस्कैर्मृदितैर्बस्तिर्जीवादाने प्रशस्यते||४१|| <br />
मधूकमधुकद्राक्षादूर्वाकाश्मर्यचन्दनैः| <br />
तेनैव विधिना बस्तिर्देयः सक्षौद्रशर्करः||४२||<br />
<div class="mw-collapsible-content">
br̥hatī kṣīrakākōlī pr̥śniparṇī śatāvarī||38|| <br />
kāśmaryabadarīdūrvāstathōśīrapriyaṅgavaḥ| <br />
jīvādānē śr̥tau kṣīrē dvau ghr̥tāñjanasaṁyutau||39|| <br />
bastī pradēyau bhiṣajā śītau samadhuśarkarau| <br />
gō'vyajāmahiṣīkṣīrairjīvanīyayutaistathā||40|| <br />
śaśaiṇadakṣamārjāramahiṣāvyajaśōṇitaiḥ| <br />
sadyaskairmr̥ditairbastirjīvādānē praśasyatē||41||<br />
madhūkamadhukadrākṣādūrvākāśmaryacandanaiḥ| <br />
tēnaiva vidhinā bastirdēyaḥ sakṣaudraśarkaraḥ||42||<br />
bRuhatI kShIrakAkolI pRushniparNI shatAvarI||38|| <br />
kAshmaryabadarIdUrvAstathoshIrapriya~ggavaH| <br />
jIvAdAne shRutau kShIre dvau ghRutA~jjanasaMyutau||39|| <br />
bastI pradeyau bhiShajA shItau samadhusharkarau| <br />
go~avyajAmahiShIkShIrairjIvanIyayutaistathA||40|| <br />
shashaiNadakShamArjAramahiShAvyajashoNitaiH| <br />
sadyaskairmRuditairbastirjIvAdAne prashasyate||41|| <br />
madhUkamadhukadrAkShAdUrvAkAshmaryacandanaiH| <br />
tenaiva vidhinA bastirdeyaH sakShaudrasharkaraH||42|| <br />
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Three formulations of ''[[basti]]'' for treating the ''jeevadana'' (life threatening bleeding):
#Milk prepared with ''brihati'' (Solanum indicum Linn.), ''ksheerakakoli'' (Roscoea procera/Lilium polyphyllum), ''prishniparni'' (Uraria picta), ''shatavari'' (Asperagus racemosus) and mixed with ghee and ''rasanjana'' (water extract of Berberis aristata)
#Milk prepared with ''kashmarya'' (Gmelina arborea Linn.), ''badari'' (Ziziphus jujuba), ''doorva'' (Cynodon dactylon Pers.), ''usheera'' (Vetiveria zizanoidis Linn.), ''priyangavah'' (Callicarpa macrophylla) and mixed with ghee and ''rasanjana'' (water extract of Berberis aristata)
#''Madhuka'' (Madhuka indica), ''madhuka'' (Glycerrhiza glabra), ''draksha'' (Vitis vinifera Linn.), ''doorva'' (Cynodon dactylon Pers.),''kashmarya'' (Gmelina arborea Linn.) and ''chandana'' (Santalum album Linn.).
These above three groups of drugs mixed with honey, sugar, milk of cow, sheep, goat or buffalo mixed with the paste of ''jeevaniya'' (life promoter) group of drugs and the fresh blood of rabbit, deer, chicken, cat, buffalo, sheep or goat and administered as cold ''[[basti]]'' is highly beneficial in ''jeevadana''. [38-42]
=== ''[[Basti]]'' formulations in ''rakta-pitta'' (bleeding disorders) and ''prameha'' (excessive urination including diabetes mellitus) ===
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मञ्जिष्ठासारिवानन्तापयस्यामधुकैस्तथा| <br />
शर्कराचन्दनद्राक्षामधुधात्रीफलोत्पलैः| <br />
रक्तपित्ते, प्रमेहे तु कषायः सोमवल्कजः||४३||<br />
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mañjiṣṭhāsārivānantāpayasyāmadhukaistathā| <br />
śarkarācandanadrākṣāmadhudhātrīphalōtpalaiḥ| <br />
raktapittē, pramēhē tu kaṣāyaḥ sōmavalkajaḥ||43|| <br />
ma~jjiShThAsArivAnantApayasyAmadhukaistathA| <br />
sharkarAcandanadrAkShAmadhudhAtrIphalotpalaiH| <br />
raktapitte, pramehe tu kaShAyaH somavalkajaH||43|| <br />
</div></div>
Two formulations of ''[[basti]]'' for treating the ''raktapitta'' (bleeding disorders):
#Decoction of ''manjishtha'' (Rubia cardifolia), ''sariva'' (Hemidesmus indicus), ''ananta'' (Fagonia cretica Linn.), ''payasya'' (Ipomea batata), and ''madhuka'' (Glycerrhiza glabra)
#Decoction of ''chandana'' (Santalum album Linn), ''draksha'' (Vitis vinifera Linn.), ''dhatriphala'' (fruit of embellica officinalis), ''utpala'' (blue lotus) mixed with sugar and honey.
One formulation of ''[[basti]]'' for treating the ''prameha'' (excessive urination including diabetes mellitus):
#Decoction of ''somavalka'' (Acacia farnisiana wild.). [43]
=== ''[[Basti]]'' formulations in various diseases ===
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गुल्मातिसारोदावर्तस्तम्भसङ्कुचितादिषु| <br />
सर्वाङ्गैकाङ्गरोगेषु रोगेष्वेवंविधेषु च||४४|| <br />
यथास्वैरौषधैः सिद्धान् बस्तीन् दद्याद्विचक्षणः| <br />
पूर्वोक्तेन विधानेन कुर्वन् योगान् पृथग्विधान्||४५||<br />
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gulmātisārōdāvartastambhasaṅkucitādiṣu| <br />
sarvāṅgaikāṅgarōgēṣu rōgēṣvēvaṁvidhēṣu ca||44|| <br />
yathāsvairauṣadhaiḥ siddhān bastīn dadyādvicakṣaṇaḥ| <br />
pūrvōktēna vidhānēna kurvan yōgān pr̥thagvidhān||45|| <br />
gulmAtisArodAvartastambhasa~gkucitAdiShu| <br />
sarvA~ggaikA~ggarogeShu rogeShvevaMvidheShu ca||44|| <br />
yathAsvairauShadhaiH siddhAn bastIn dadyAdvicakShaNaH| <br />
pUrvoktena vidhAnena kurvan yogAn pRuthagvidhAn||45|| <br />
</div></div>
In conditions of ''gulma'' (abdominal lumps), ''atisara'' (diarrhea), ''udavarta'' (upward movement of ''[[vata]]'' in abdomen), ''stambha'' (stiffness), ''sankuchita'' (contractures), ''sarvanga roga'' (paralysis of the whole body), ''ekanga roga'' (paralysis of one limb) and for such other diseases the discerning physician should administer fruitful ''[[basti]]'' prepared with the drugs appropriate for each disease condition by adopting the method described earlier. [44-45]
=== Summary ===
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तत्र श्लोकाः <br />
त्रिकास्त्रयोऽनिलादीनां चतुष्काश्चापरे त्रयः| <br />
पक्वाशयविशुद्ध्यर्थं वृष्याः साङ्ग्राहिकास्तथा||४६||<br />
परिस्रावे तथा दाहे परिकर्ते प्रवाहणे| <br />
सातियोगे मतौ द्वौ द्वौ जीवादाने तथा त्रयः||४७|| <br />
द्वौ रक्तपित्ते मेहे च एकत्रिंशच्च सप्त ते| <br />
सुलभाल्पौषधक्लेशा बस्तयो गुणवत्तमाः||४८||<br />
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tatra ślōkāḥ <br />
trikāstrayō'nilādīnāṁ catuṣkāścāparē trayaḥ| <br />
pakvāśayaviśuddhyarthaṁ vr̥ṣyāḥ sāṅgrāhikāstathā||46|| <br />
parisrāvē tathā dāhē parikartē pravāhaṇē| <br />
sātiyōgē matau dvau dvau jīvādānē tathā trayaḥ||47|| <br />
dvau raktapittē mēhē ca ēkatriṁśacca sapta tē| <br />
sulabhālpauṣadhaklēśā bastayō guṇavattamāḥ||48||<br />
tatra shlokAH <br />
trikAstrayo~anilAdInAM catuShkAshcApare trayaH| <br />
pakvAshayavishuddhyarthaM vRuShyAH sA~ggrAhikAstathA||46|| <br />
parisrAve tathA dAhe parikarte pravAhaNe| <br />
sAtiyoge matau dvau dvau jIvAdAne tathA trayaH||47|| <br />
dvau raktapitte mehe ca ekatriMshacca sapta te| <br />
sulabhAlpauShadhakleshA bastayo guNavattamAH||48||<br />
</div></div>
To sum up:
In this chapter, thirty seven excellent formulations of ''[[basti]]'' containing less number of ingredients, which are easily available and devoid of discomfort are described as follows:
*Three formulations of ''[[basti]]'' each for ''[[vata]], [[pitta]]'' and ''[[kapha]]'' diseases.
*Four formulations of ''[[basti]]'' each for cleansing the colon, for promotion of virility and for astringent action.
*Two formulations of ''[[basti]]'' each for excessive secretion, burning sensation, cutting pain in anal region, tenesmus, over action of ''[[basti]]''.
*Three formulations of ''[[basti]]'' for life threatening bleeding.
*Two formulations of ''[[basti]]'' for bleeding disorder and one formulation of ''[[basti]]'' for excessive urination including diabetes mellitus. [46-48]
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इत्यग्निवेशकृते तन्त्रे चरकप्रतिसंस्कृतेऽप्राप्ते दृढबलसम्पूरिते
सिद्धिस्थाने बस्तिसिद्धिर्नाम दशमोऽध्यायः||१०||
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ityagnivēśakr̥tē tantrē carakapratisaṁskr̥tē'prāptē dr̥ḍhabalasampūritē
siddhisthānē bastisiddhirnāma daśamō'dhyāyaḥ||10||
ityagniveshakRute tantre carakapratisaMskRute~aprApte dRuDhabalasampUrite
siddhisthAne bastisiddhirnAma dashamo~adhyAyaH||10||
</div></div>
Thus, completes the tenth chapter entitled as successful therapeutic enema of [[Siddhi Sthana]] of the treatise compiled by Agnivesha, revised by Charaka and supplemented by Dridhabala because of its non-availability. [10]
== Tattva Vimarsha (Fundamental Principles) ==
*In order to attain curative effects, ''[[basti]]'' should be properly administered in accordance to the strength of the patient, ''[[dosha]]'', time, nature of the disease and constitution of the person by using the specific group of drugs prescribed for the treatment of the respective diseases.
*''[[Basti]]'' (trans rectal drug administration through enema) is the fast acting and comfortable cleansing therapy that any other therapeutic procedures. It can lead to immediate depletion and replenishment.
*The ''[[basti]]'' is advantageous over ''[[virechana]]'' (therapeutic purgation) as it can be administered in children and old age with comfortable cleansing effect.
*''[[Basti]]'' is beneficial for the patients of affliction of ''[[vata]]'' disorders including conditions like ''sankuchita'' (contractures), ''stabdha'' (stiffness), ''bhagna'' (fractures), ''vitsanga'' (constipation), ''adhmana'' (gaseous distention of abdomen), ''aruchi'' (anorexia), ''parikartika'' (cutting pain in anal region), ''rug'' (pain) etc.
*''Ushnarta'' (patients afflicted with heat) should be given cold ''[[basti]]'' and for ''shitarta'' (those who are afflicted with cold) should be given warm ''[[basti]]'' by using suitable drugs based on proper reasoning.
*Nourishing type of ''[[basti]]'' (''[[brimhana]] anuvasana [[basti]]'') is contraindicated in the persons who are suitable for cleansing treatments and to the patients suffering with the diseases indicated for cleansing treatments like obesity, skin diseases and excessive urination including diabetes.
*Cleansing ''[[basti]]'' (''[[shodhana]] asthapana [[basti]]'') is contraindicated in the persons who are suffering from consumption, phthisis, debility, fainting, emaciation, dehydration of the body, as well as in those whose life is sustained due to retention of ''[[dosha]]'' itself.
*The specific liquid media for preparing ''[[basti]]'' solution, drugs for preparing formulations and additives shall be decided as per ''[[dosha]]'' dominance and disease specificity. ''[[Basti]]'' formulation can be made more potent and suitable to particular ''[[dosha]]'' or condition by adding appropriate drugs to the main formulation like adding ghee and milk to achieve more aphrodisiac effect.
== Vidhi Vimarsha (Applied Inferences ) ==
Apart from selection of ''[[basti]]'' for treating ''[[vata]]'', it should be selected in accordance to the disease (3).
The concept described in verse 4 can be explained with the example that the ''kshaara basti'' indicated in the treatment of ''amavata'' may not be suitable if the patient is devoid of ''bala'', with the dominance of ''[[vata dosha]]'', ''[[vata]] [[prakriti]]'', and in ''grishma ritu'' (4).
During emergency where immediate cleansing or rapid nourishment is required without much preparation ''[[basti]]'' can be safely used (5).
''[[Virechana]]'' drugs are unpalatable and may produce some sort of discomfort and not suitable in children and aged people, whereas ''[[basti]]'' can be given in all age groups and capable of producing all type of action. When the drug is unpalatable, oral administration of medicine is difficult and rectal administration can be easily done. ''[[Virechana]]'' may result in severe fluid loss and electrolyte imbalance causing dehydration and subsequent complications hence should be avoided in weak persons like children and aged on the other hand ''[[basti]]'' may not cause such severe fluid loss or electrolyte imbalance hence it is safe to use ''[[basti]]'' in any age group; moreover any desired effect can be achieved by ''[[basti]]'' like by using ''lekhana basti'' one can cause ''lekhana'' ( weight reduction), by using ''vrishya basti'' (aphrodisiac) one can increase the virility.
When the oral root cannot be used for some reasons (e.g. Ca oesophagus, stomach) , ''[[basti]]'' can be a great help to maintain and nourish the patient by giving ''yapana, [[brimhana]]'' types of ''[[basti]]''. [6-8].
The above principle can be explained by these examples viz. ''raktapitta'' is due to excessive heat hence in the treatment cold ''[[basti]]'' is indicated on the other hand ''amavata'' is due to excessive cold hence in the treatment hot ''[[basti]]'' like ''kshara basti'' is indicated (10).
Always one should take a precaution before selecting the type of ''[[basti]]''; cleansing ''[[basti]]'' should never be given in emaciated, debilitated or dehydrated persons because even mild loss of fluid and electrolytes may result in fall of blood pressure and subsequently shock, replenishing ''[[basti]]'' should never be given in obesity which may cause further increase in weight and adiposity (11-12).
The use of specific ''avapa'' can be explained with examples viz. ''ushakadi gana prativapa'' is added in ''lekhana basti'' [Su.Sa.Chikitsa Sthana 38/82] to achieve more ''lekhana'' effect, ''mamsarasa'' is added in ''mustadi yapana basti'' [Cha.Sa.[[Siddhi Sthana]] 12/16-1] to make it more suitable for ''[[vata]]'' and to enhance its ability to nourish ''[[mamsa dhatu]]''. ''Ushna jala'' is added in ''[[basti]]'' because it causes ''shrotoshodhana'' and ''vatanulomana'' which are essential actions in ''[[basti]] karma'' apart from its suitability to all ''[[dosha]]'' and ''[[dhatu]]'' (13-17).
''Dashamula basti'' for ''[[vata]]'' disorders, ''yashtimadhu ksheera basti'' for ''[[pitta]]'' disorders and ''lekhana basti'' prepared with ''triphala'', alkali and cow urine for ''[[kapha]]'' disorders are some of the common ''[[basti]]'' in practice for specific ''[[dosha]]''.
''[[Vata]] hara'' drugs are used along with fat and meat soup in preparing ''[[basti]]'' for ''[[vata]]'' disorders, ''[[pitta]] hara'' drugs are used along with fat and milk in preparing ''[[basti]]'' for ''[[pitta]]'' disorders and ''[[kapha]] hara'' drugs are used along with alkali, cow urine and little fat in preparing ''[[basti]]'' for ''[[kapha]]'' disorders (19 - 24).
Mainly cleansing (both purgative and emetic) drugs are used in colon cleansing ''[[basti]]'' by effectively cleansing ''pakvashaya'' which helps in regulating ''[[vata dosha]]'', not only in ''pakvashaya'' but all over the body (25-27).
Mainly aphrodisiac and rejuvenating drugs and high protein substances are used in ''shukramamsalaḥ basti''. Few researches were conducted at IPGT&RA, Jamnagar, India on ''shukramamsalaḥ basti'' by using some of these drugs to find out their effect on seminal parameters and sexual functioning. Positive effect was noted on both of these parameters (28-29). Ref.
''Sangrahika basti'' can be of use in chronic conditions of ''atisara'' to arrest fluid loss and dehydration (30-31).
Both ''parisraava'' and ''daha'' are mainly due to ''[[pitta]]'' hence milk based ''[[basti]]'' are advised for these conditions further for effective management of ''daha'' ghee is added and mainly ''[[pitta]] hara'' drugs are used (32-33).
In ''parikartika'' to manage cutting pain and promote healing cold ''[[basti]]'' of medicated milk with honey and sugar is advised (34-35).
''Piccha basti'' is described for the treatment of ''pravahika'', one of the main ingredients of ''piccha basti'' is ''shalmali'' (Ca. Ci. 15/225-229); ''shalmali'' is rich in mucilage content which helps for wound healing. The disease ''pravahika'' is correlated with ulcerative colitis and in clinical practice ''piccha basti''is given in ulcerative colitis shown encouraging result in terms of reduction in symptoms like tenesmus and mucus and blood discharge with stool. ''Shalmali'' is rich in ''picchila'' (slimy) property which causes ''ropana'' (wound healing) and reduces pain hence used in ''pravahana'' in which there is painful mucus discharge with stool (36)
''Nyagrodh'' and similar plants are rich in tannin hence used as astringent to stop diarrhea. In ''atiyoga'' of ''[[basti]]'' there will be excessive diarrhea in order to stop it mainly ''grahi'' (astringent) drugs like ''nyagrodh'' etc. are used. ''Atiyoga'' accounts for depletion of ''[[dhatu]]'' as well as aggravation of ''[[vata]]''; to arrest elimination of ''[[dhatu]]'' astringent drugs are selected and they are administered through medium of milk which is nourishing and also pacifies ''[[vata]]'' (37-38).
Mainly ''[[rakta]] [[basti]]'' is prepared by using ''[[pitta]] shamaka'', ''jeevaniya'' drugs and fresh blood of animals. In ''jeevadana'' and ''raktapitta'' there is aggravation of ''[[pitta]]'' and excessive loss of blood from the body. Based on the principle of ''dravya samanya'' the fresh blood of specific animals is used along with other ''jeevaniya'' (life promoting) drugs as ''[[rakta]] [[basti]]'' to make up for severe blood loss, faster than any other remedial measures, it is a classical example of application of fundamental principle of ''samanya'' (38-43).
''[[Basti]]'' can be used as rectal route of drug administration in any disease by using specific drugs in accordance to the disease and disease specific ''[[basti]]'' can be designed. (44-45).
=== Further reading ===
# Charak,Charak Samhita, English version published by Gulabkunverba Ayurvedic society, Jamnagar, india, 1949
#Charak. Charak Samhita. Edited by R K Sharma and Bhagwan Das, VI th Volume, Varanasi: Chowkhambha Sanskrit series;2013. p.--.
#Chakrapani, Charak. In: Vaidya Jādavaji Trikamji Achārya, Editor. Charak Samhita.? ed. New Delhi: Munshiram Manoharlal publishers, 1992.
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