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Basti in Panchakarma (पंचकर्मसु बस्तिः ) (view source)
Revision as of 18:24, 17 December 2021
, 18:24, 17 December 2021no edit summary
* other medical conditions where purification or cleansing is recommended and not nourishing e.g worm infestation
* other medical conditions where purification or cleansing is recommended and not nourishing e.g worm infestation
== How basti is given in today's times ==
== How basti is given in today's times (Niruha basti or anuvasana basti) ==
Nowadays, except in some of the Vaidya traditions in Kerala, basti administration is often done using enema-can or douche-set. In the aforesaid classical procedure active pressure is expected to be given on the bastiputaka whereas, in conventionally used enema-can only passive or gravitational force plays a role.It can also be used in children as well but with utmost care under physician’s supervision.
Basti is known as the procedure there is rectal administration of medicated liquids. Thus technically it is somewhat similar to the enema procedure. However the instruments or tools used to administer basti have been described in depth in Ayurveda literature. Dimensions of catheter tube, quantity of total fluid to be administered have been described as per age and basti type. As described earlier the basti obtains its name from the fact that urinary bladders of animals (thoroughly cleaned and processed) were used as the bags to hold the fluid and push it through catheter inside the rectum. Nowadays, except in some of the Vaidya traditions in Kerala, basti administration is often done using enema-can or douche-set. In the aforesaid classical procedure active pressure is expected to be given on the bastiputaka whereas, in conventionally used enema-can only passive or gravitational force plays a role. It can also be used in children as well but with utmost care under physician’s supervision. The procedure of administering basti has been described in brief here.
* '''Purvakarma & Asana'''- The patient is advised to evacuate the bowel and bladder and lie down on the basti table.
* '''Abhyanga'''- Usually local oil massage to abdomen and low back is given with specific medicated massage oil advised by a vaidya.
* '''Swedana'''- Then on the same area hot fomentation is done with hot water bag or steam.
* '''Basti danam'''- As per the type of basti (Niruha or Anuvasana) the medicine to be administered is prepared and made warm. The patient is asked to turn and sleep on the left side. The left leg is to be kept straight while the right leg to be flexed/folded in the knee and pulled near chest. In this position the anal opening is better visible to the therapist who would then insert the appropriate catheter inside the anus. While doing so the patient is asked to take deep breaths very slowly. This is painless and catheter tube made up of rubber doesnt cause any injury to the body parts. Once the therapist fixes the catheter upto appropriate length medication of basti may it be oil or a suspension containing oil, decoction etc is pushed inside slowly and gently in one stroke by active pressure on piston or passive gravitational force. Once the complete dose of medication is pushed inside, the catheter is gently removed. The low back region is gently and slowly tapped few times and the patient is advised to rest on back for few minutes.
* '''Basti pratyagama'''- This refers to the return of basti drug after some time of giving basti. In case of Niruha basti where ususally the large amount of fluid in administered, the basti returns mostly within an hour. Whereas, in case of anuvasana or matra type of basti where small amount of oil or fluid is administered, the basti may be retained in the intestines for few hours or in rare cases it may not ever return.
* '''Bath, food intake'''- There are certain rules regarding when should the food be taken, when one can take a bath after basti etc. The consulting vaidya instructs these to the patient and all these rules need to be followed strictly so as to get maximum benefits and least adverse effects of the basti treatment.
== How basti is absorbed in body ==
== How basti is absorbed in body ==