Changes

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

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

There is debate in ayurveda community on action of basti i.e. whether basti have local action or systemic action. The example coated by acharya Charaka: ‘as sun located high in the sky dries up moisture of earth, in the same fashion basti situated in the pakvashaya due to its potency draws the doshas present in the entire body’ similarly, basti acts locally as well as systemically. To exert systemic effect the active ingredients of basti need to be absorbed. In general osmosis, pH difference, active absorption, facilitated diffusion, electrochemical gradient, micelles facilitated transportation etc. are the methods of intestinal absorption. Hence composition of basti need to be compounded in such a way so that the active ingredients of basti are absorbed by following any one of the principles as explained earlier. Further basti dravya also need to address intestinal motility related issues.  

There is debate in Ayurveda community on action of ''basti'' i.e. whether ''basti'' have local action or systemic action. The example coated by Charaka: "as sun located high in the sky dries up moisture of earth, in the same fashion ''basti'' situated in the ''pakvashaya'' due to its potency draws the ''doshas'' present in the entire body, similarly, ''basti'' acts locally as well as systemically". To exert systemic effect the active ingredients of ''basti'' need to be absorbed. In general osmosis, pH difference, active absorption, facilitated diffusion, electrochemical gradient, micelles facilitated transportation etc. are the methods of intestinal absorption. Hence composition of ''basti'' need to be compounded in such a way so that the active ingredients of ''basti'' are absorbed by following any one of the principles as explained earlier. Further ''basti dravya'' also need to address intestinal motility related issues.  

When we analyse the method of niruha basti preparation i.e kashaya, kalka, sneha, saindhavalavana etc. clearly indicates that basti kalpana is made very carefully to maintain desired pH, osmotic pressure, micelle formation etc.

 

In spite of taking care of yogya (suitable), ayogya(unsuitable) for basti and other aspects of basti dosha still there are chances of complications. All the factors leading to basti complications may be explained broadly under the headings of:

When we analyze the method of ''niruha basti'' preparation i.e ''kashaya, kalka, sneha, saindhavalavana'' etc. clearly indicates that ''basti kalpana'' is made very carefully to maintain desired pH, osmotic pressure, micelle formation etc.

• Factors related to basti composition, consistency & dose

 

• Factors related to basti administration

In spite of taking care of ''yogya'' (suitable), ''ayogya''(unsuitable) for ''basti'' and other aspects of ''basti dosha'' still there are chances of complications. All the factors leading to ''basti'' complications may be explained broadly under the headings of:

• Factors related to patients’ clinical condition

*Factors related to basti composition, consistency & dose

*Factors related to basti administration

*Factors related to patients’ clinical condition

The signs and symptoms described for various basti complications are broadly categorised under  

The signs and symptoms described for various basti complications are broadly categorised under  

• Intestinal motility related

• Intestinal motility related