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|keywords=Anabolic enema, Basti vyapad, Jeevadana, Parisrava, Parikarta, Pravahana, Successful and efficacious therapeutic enema, Semenotropic,Tenesmus

|keywords=Anabolic enema, Basti vyapad, Jeevadana, Parisrava, Parikarta, Pravahana, Successful and efficacious therapeutic enema, Semenotropic,Tenesmus

|description=Siddhi Sthana Chapter 10.Standard basti (therapeutic enema)

|description=Siddhi Sthana Chapter 10. Successful administration of therapeutic enema  

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<big>'''[[Siddhi Sthana]] Chapter 10.Standard ''basti'' (therapeutic enema)'''</big>

<big>'''[[Siddhi Sthana]] Chapter 10.Successful administration of therapeutic enema'''</big>

<big>''' Abstract </big>'''

<big>''' Abstract </big>'''

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.         

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.         

'''Keywords''' : Anabolic enema, ''Basti vyapad, Jeevadana, Parisrava, Parikarta, Pravahana'', Successful and efficacious therapeutic enema, Semenotropic,Tenesmus.

'''Keywords''' : Anabolic enema, ''Basti vyapad, Jeevadana, Parisrava, Parikarta, Pravahana'', Successful and efficacious therapeutic enema, Semenotropic,Tenesmus,Standard basti,therapeutic enema.

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We shall now expound the chapter entitled “The successful therapeutic enema” thus said Lord Atreya. (1-2)

Now we shall expound the chapter "Basti Siddhi" (Successful administration of therapeutic enema). Thus said Lord Atreya. (1-2)

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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]

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'' ====

=== Disease specific actions and advantages of ''basti'' ===

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''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]

''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) ====

=== Advantages of ''asthapana basti'' (purification enema) over ''virechana'' (therapeutic purgation) ===

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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]

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 ====

=== Three types of ''basti'' and its indications ===

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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]

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'' ====

=== Contraindications of ''asthapana'' and ''anuvasana basti'' ===

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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]

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 ====

=== Specific liquid media for enema solution ===

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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]

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 ====

=== ''Prakshepa'' (additives) to enema solutions ===

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''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]

''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 ====

=== ''Vata dosha'' pacifying ''basti'' formulations ===

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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]

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 ====

=== ''Pitta dosha'' pacifying ''basti'' formulations ===

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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]

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 ====

=== ''Kapha dosha'' pacifying ''basti'' formulations ===

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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]

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) ====

=== ''Pakvashaya shodhaka basti'' (colon cleansing enema) ===

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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]

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) ====

=== ''Basti'' formulations for enhancing ''shukra'' and ''mamsa'' (semen and muscle tissue) ===

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These above four groups of drugs are to be used as ''basti'' for promotion of semen and muscle tissue. [28-29]

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) ====

=== ''Sangrahi basti'' formulations (astringent action) ===

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These above four groups of drugs are to be used as ''sangrahika basti''. [30-31]

These above four groups of drugs are to be used as ''sangrahika basti''. [30-31]

==== ''Basti'' formulations in ''parisraava'' (excessive secretions from the body) ====

=== ''Basti'' formulations in ''parisraava'' (excessive secretions from the body) ===

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#Milk boiled with ''akhuparnika'' (kidney leaved ipomea) and ''tanduliyaka'' (prickly amaranth).[32]

#Milk boiled with ''akhuparnika'' (kidney leaved ipomea) and ''tanduliyaka'' (prickly amaranth).[32]

==== ''Basti'' formulations in ''daha'' (burning sensation in the body)====

=== ''Basti'' formulations in ''daha'' (burning sensation in the body)===

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These above two groups of drugs along with milk and ghee used as ''basti'' relieve ''daha''. [33]

These above two groups of drugs along with milk and ghee used as ''basti'' relieve ''daha''. [33]

==== ''Basti'' formulations in ''parikartika'' (fissure in ano) ====

=== ''Basti'' formulations in ''parikartika'' (fissure in ano) ===

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#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]

#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) ====

=== ''Basti'' formulations in ''pravahika'' (tenesmus) ===

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#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]

#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) ====

=== ''Jeevadana nashaka basti'' (life threatening bleeding) ===

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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]

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) ====

=== ''Basti'' formulations in ''rakta-pitta'' (bleeding disorders) and ''prameha'' (excessive urination including diabetes mellitus) ===

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#Decoction of ''somavalka'' (Acacia farnisiana wild.). [43]

#Decoction of ''somavalka'' (Acacia farnisiana wild.). [43]

==== ''Basti'' formulations in various diseases ====

=== ''Basti'' formulations in various diseases ===

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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]

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 ====

=== Summary ===

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''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).

''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).

=== Glossary ===

=== Further reading ==

 

 

=== Books referred ===

#Caraka Samhitā, English version published by Gulabkunverba Ayurvedic society, Jamnagar, india, 1949

#Caraka Samhitā, English version published by Gulabkunverba Ayurvedic society, Jamnagar, india, 1949