Home Blog Page 51

Dhoomapaana (Medicated Smoking) in Ayurveda

Dr Shameen Salim
-
0
Dhoomapaana (Medicated Smoking) in Ayurveda

Dhoomapaana (Medicated Smoking)

 

 

Prakaara Paribhaashaa:

  • The inhalation of medicated smoke through mouth is termed as Dhoomapaana.

Types:

  1. Praayogika / S`hamana
  2. Snaihika
  3. Vairechanika
  4. Kaasaghna
  5. Vaamaneeya / Vaamaka
  6. Snigdha
  7. Madhyama
  8. Teekshn`a

Pradhaanakarma:

  • The procedure should be done after
  1. Meal
  2. Yawning
  3. Defecation
  4. Micturition
  5. Sexual act
  6. S`hastrakarma
  7. Laughing
  8. Danta Dhaavana
  • The patient should sit erect on a seat comfortably.
  • He should be advised to look downwards and inhale the smoke.
  • The smoke should be inhaled through mouth initially and then through nose.
  • It should always be exhaled through mouth and never through nose because there is a likelihood of harm to the vision.
  • Smoking can be done by following two methods –
  1. The Dhoomavarti should be kept inside the distal opening of Dhoomanetra and ignited. The smoke should be inhaled through the proximal end.
  2. The hollow Dhoomavarti should be ignited at one end and smoke is inhaled by keeping the other end inside mouth directly without the Dhoomanetra.
  • The Kaasaghna and Vaamaneeya type of Dhooma should be inhaled by following method – The medicine is put over the glowing embers taken inside a flat earthen utensil. When adequate amount of smoke is formed then the previous utensil is covered by another one having a hole in it. The Dhoomanetra is attached to the hole and smoke is inhaled.
  • The Vairechanika and Praayogika types of smoke should be inhaled by nose
  • The Snaihika type of smoke can be inhaled by nose or by mouth.
  • The Kaasaghna and Vaamaneeya types of smoke should be inhaled through mouth only.
  • Madhyama Dhoomapaana is indicated in:

o Vaata Kaphaja Vyaadhi

o Kshut Pas`hchaat

o Jrumbita Pas`hchaat

o Vit Tyaaga Pas`hchaat

o Mootra Tyaaga Pas`hchaat

o Maithuna Pas`hchaat

o Shastra Karma Pas`hchaat

o Haasya Pas`hchaat

o Dantadhaavana Pas`hchaat

o Nis`haa kaala

o Bhojana Pas`hchaat

o Nasya Pas`hchaat

  • Teekshn`a Dhoomapaana is indicated in:

o Kaphaja Vyaadhi

o Nidraa Pas`hchaat

o Nasya Pas`hchaat

o Anjana Pas`hchaat

o Snaana Pas`hchaat

o Vamana Pas`hchaat

 

Other Description:

  • If Kaphaja Pratis`hyaaya, Pootinasya, Naasaa Sraava and Apeenasa are associated with Kan`d`oo then they should be treated with Dhooma of Kat`u Dravya.

 

Basthi Karma/Enema in Ayurveda

Dr Shameen Salim
-
0

Prakaara Paribhaashaa

  • The procedure in which medicine is administered inside the rectum with the help of bladder of any animal is termed as Basti.

Description:Kaala/Vaya/Ahoraatra/Ritu/Bhukta

  • The time of administration should be decided according to the type of Basti.

Poorvakarma (Prerequisites):

  • This should be done according to the type of Basti.

Classification of Basti:

  • Based on the site of administration of Basti:
  1. Pakvaas`hayagata Basti – The Basti is administered through anal orifice.
  2. Garbhaas`hayagata Basti – The Basti is administered through vaginal orifice. This is also called as Uttara Basti.
  3. Mootraas`hayagata Basti – The Basti is administered through urethral orifice. This is also called as Uttara Basti.
  4. Vran`agata Basti – The Basti is administered through wound opening to achieve Vran`a Ropan`a or Vran`a S`hodhana.
  • Based on the type of drug used to prepare the Basti medicine:
  1. Nirooha Basti – The active ingredient of Nirooha Basti is decoction.
  2. Anuvaasana Basti – The active ingredient of Anuvaasana Basti is any unctuous drug like Taila.
  • Based on the effect of Basti:
  1. S`hodhana Basti The effect of this type of Basti is mainly elimination of Dosha and Mala. This is again divided into two types i.e. Teekshn`a Basti and Mridu Bastibased on the drugs used for Basti.
  2. Lekhana Basti – The effect of this type of Basti is Lekhana. The Basti mainly affects Meda Dhaatu.
  3. Snehana Basti This Basti mainly comprises of Sneha Dravya.
  4. Utkles`hana Basti This Basti does Utkles`ha (precipitation) of Dosha and Mala. Thus there is aggravation and liquefaction of Dosha.
  5. Doshahara Basti This is a S`hodhana type of Basti.
  6. S`hamana Basti Pacifying Basti
  7. Brimhan`a Basti This Basti acts as Brimhan`a i.e. it is indicated in Kaars`hya.
  8. Karshan`a Basti This Basti acts as Karshan`a i.e. it is indicated in Sthaulya.
  9. Rasaayana Basti This Basti acts as Rasaayana.
  10. Vaajeekaran`a Basti This Basti acts as Vaajeekaran`a.
  11. Snehaneeya Basti – This Basti acts as Snehaneeya.
  12. Chakshushaya This Basti is helpful in improving health of eye.
  13. Samgraahee Basti This Basti acts as Pureesha Samgrahan`eeya.
  14. Varn`aprasaadana Basti This Basti acts as Varn`ya.
  • Based on the number of Basti to be administered consecutively as a course:
  1. Karma Basti This Basti course comprises of 30 Basti in total. The course should be started with Anuvaasana Basti. Then alternately 12 Aasthaapana and 12Anuvaasana Basti should be administered. Then 5 Anuvaasana Basti should be administered at the end.
  2. Kaala Basti This Basti course comprises of 16 Basti in total. The course should be started with Anuvaasana Basti. Then alternately 6 Aasthaapana and 6 Anuvaasana Basti should be administered. Then 3 Anuvaasana Basti should be administered at the end.
  3. Yoga Basti This Basti course comprises of 16 Basti in total. The course should be started with Anuvaasana Basti. Then alternately 3 Aasthaapana and 3 Anuvaasana Basti should be administered. Then 1 Anuvaasana Basti should be administered at the end.
  • In classical texts some more types of Basti are mentioned with specific names. These are as follows:
  1. Yaapana Basti This Basti can be administered at any time. Yaapana (prolonging) of life can be achieved by administration of this Basti.
  2. Siddha Basti The Basti which cure a certain disease are called as Siddha Basti.
  3. Prasrita Yaugiki Basti The Basti which should be administered in the dose of one Prasrita is called as Prasrita Yaugiki Basti.
  4. Dvaadas`ha Prasritikee Basti – The Basti which should be administered in the dose of twelve Prasrita is called as Prasrita Yaugiki Basti.
  5. Paadaheena Basti – The Basti which should be administered in the dose of nine Prasrita is called as Prasrita Yaugiki Basti.
  6. Teekshn`a Basti The Basti which contains Teekshn`a (penetrating) Dravya such as Kshaara, Mootra or other drugs having Ushn`a property. If the basti doesnt come out within indicated time then this type of Basti should be administered.
  7. Mridu Basti The Basti which contains Mridu (mild) Dravya such as Dugdha, Maamsarasa, Ghrita, etc.
  8. Pichchhaa Basti The Basti which contains drugs having Pichchhila (slimy) property is called asPichchhaa Basti. By administration of such type of Basti the flow of blood or flow of Pichchhaa out of body can be stopped. This has Samgraahee effect also.
  9. Rakta Basti Administration of blood of animals like goat is called as Rakta Basti. This type of Basti should be administered to compensate the Raktakshaya due to any cause.

 

Other Description:

  • Pichchhaa Basti should be administered in Atisaara associated with Alpaalpa Bahu Raktasraava, S`hoola and Vibaddha Vaayu.
  • Pichchhaa Basti should be administered in Atisaara associated with Apras`haamyanti Rujaa.
  • Pichchhaa Basti should be administered in Pravaahikaa if there is no Vyaadhi Upas`haya due to Langhana and Paachana Chikitsaa.
  • Pichchhaa Basti should be administered in Pittaja Atisaara if there is no Upas`haya due to all other measures.
  • Pichchhaa Basti should not be administered in Atisaara associated with Vibaddha Vaata, Vibaddha Varcha, Bahu S`hoola Pravaahikaa, Sarakta Pichchha and havingTrishn`aa.
  • Yaapana Basti should be administered in Vishama Jvara, Punaraavartaka Jvara, Pittaavrita Vaata.
  • Yaapana Basti should be administered in Haleemaka associated with Virikta Rugn`a.

 

 

Karna Vedhana Samskara/Ear lobule puncturing practice in Ayurveda

Dr Shameen Salim
-
0

 

Prakaara Paribhaashaa:

Ear lobule puncture of a baby.

 

Description: Kala/Vaya/Ahoraatra/Ritu/Bhukta

This procedure should be done in the 6th, 7th or 8th month after the birth of the baby.

The procedure should be conducted in S`heeta Ritu and that too in S`hukla Paksha.

 

Poorvakarma (Prerequisites):

Mangalaacharan`a, Svastivaachana

 

Patient preparation:

The baby should be held by the Dhaatree or the Kumaaradharaa in his or her lap.

The baby should be entertained with toys.

 

Medicine preparation:

Aama Taila (oil that oozes out after piercing a dry coconut), Apaamaarga Kaasht`ha, Nimba Kaasht`ha, KaarpaasaKaasht`ha

 

Pradhaanakarma:

The surgeon (Vaidya) should talk with the baby in lucid language just to distract him/her.

Then he should pull the pinna of the ear in the sunlight so that the Daivakrit Chhidra becomes visible (the thinnest part of the pinna where very few blood vessels are present).

The Vaidya should first apply ghee and then mark this point with Alaktaka.

He should puncture the pinna with the right hand at the midpoint of Karn`apeet`ha slightly towards the Gan`d`a.

For Tanu (thin) pinna, Soochee should be used whereas for a Bahala (thick) pinna Aaraa should be used.

He should puncture straight and in one prick.

If the baby is a male, physician should puncture right pinna initially and if the baby is a female, physician should puncture left pinna initially.

He should not puncture anywhere else than the point of Daivakrit Chhidra.

A suturing needle with thread soaked in oil or Aaraa with notch of a shoe-maker or a Kroshaa needle.

 

Pas`hchaatkarma:

Aamataila Parisechana of Vran`a.

The Sootra size should be increased on every third day.

When symptoms like Jvara and S`hotha subside Vardhanaka (eg. Nimba Kaasht`ha) should be used to increase the size of the hole.

 

Chikitsaa Karma:

Baalaka Rakshaa. It is one of the acupuncture points and helps in maintaining good vision of the baby.

 

Samyak Yoga:

Absence of active bleeding.

Absence of pain.

Absence of redness around the punctured site

 

Aushadha Sevana Kaala/Medicine administration Time recommended in Ayurveda

Dr Shameen Salim
-
0

 

  • Introduction:

Kaala is one of the nine Kaaran`a Dravya, which are responsible for the origin (initiation) and maintenance of the Universe and hence for human life. Every event in the nature and in human life is deeply affected by Kaala. Ayurveda emphasizes on the manifold effects of Kaala on human life. Dominance of Kaala is revealed in all the events; such as birth, growth, formation of the seasons, management of diseases, collection of the drugs etc.

 

 

  • Types of Kaala:

For the simplification of understanding Kaala is divided into two major types. (C.Vi.8/84):

  1. A)Aavasthika Kaalais concerned with diseased state (C.Vi.1/22) and with the milestones of the life such as childhood, teenage, old age etc. This type is also useful in treatment. (C.Chi.30/296)

 

  1. B)Nityaga Kaalais in relation with Maasa, Ritu, Samvatsara (C.Vi.8/125)

 

 

  • Aushadha Sevana Kaala:

Aushadha Sevana Kaala is the time for the administration of the drug. It is the type of Aavasthika Kaala. It impacts on efficacy of the drug. Drug exhibits different action when administered in different Aushadha Sevana Kaala. According to predominance of Dosha, at the various stages of the disease, same drug can be administered in different Aushadha Kaala to achieve desired effect. e.g. Gud`a Hareetakee given at Abhakta Kaala is useful in Ars`ha and at Praagbhakta Kaala it is useful in Udara Roga.(C. Chi. 13/78)

 

The medicines given at improper time are not useful. Actual aim of Aushadha Sevana Kaala is to provide the fulfillment towards desired action of drug administration in patient in order to produce Dhaatu Saamya.

 

Medicines are of two types i.e. S`hodhana and S`hamana. Aushadha Sevana Kaala is for S`hamana type of treatment. S`hamana Chikitsaa is of Dravyaroopa andAdravyaroopa types. Aushadha Sevana Kaala is for Dravyaroopa Chikitsaa.

  • Synonyms of Aushadha Sevana Kaala:

 

Synonyms Samhitaa
Bhaishajya Kaala Charaka Samhitaa
Aushadha Kaala Sushruta Samhitaa

Asht`aanga Hridaya

Kaas`hyapa Samhitaa
Aushadha Avacharan`a Kaala Asht`aanga Sangraha
Bhaishajya Grahan`a Kaala S`haarangdhara Samhitaa
Bheshaja Upakrama Kaala Haarita Samhitaa

  • Types of Aushadha Sevana Kaala:

Aushadha Sevana Kaala varies in the names and numbers as per Samhitaa. Aushadha Sevana Kaala according to Charaka, Sus`hruta, Vaagbhat`a are summarized in the following Chart:

 

No. Aushadha

Sevana Kaala

 

 Asht`aanga Sangraha

(A.S.Su. 23)

 Asht`aanga

Hridaya

(A.H.Su.13)

 Charaka

Samhitaa

( C.Chi.30)

 Sus`hruta

Samhitaa

(S.U. 64)
1 Abhakta P P P P
2 Praagbhakta P P P P
3 Madhyabhakta P P P P
4 Adhobhakta P P P P
5 Antaraabhakta P Ï Ï P
6 Muhurmuhu P P P P
7 Saamudga P P P P
8 Sabhakta P P P P
9 Sagraasa P P P P
10 Graasaantara P P P P
11 Nis`hi P P Ï Ï
  • Discussion of Aushadha Sevana Kaala in Samhitaa:

In all 11 Kaala are explained. Sus`hruta had explained 10. They are mainly related to food, like before food, after food or without food etc. So these are known asAavasthika Kaala. Nis`haa Kaala is only additional in Asht`aanga Sangraha, but it is also Aavasthika as Vaagbhat`a in Asht`aanga Hridaya explains it as Svapna Kaala. Charaka added two more Kaala other than above mentioned:

  1. Balavaana (Strong) patient should take the medicine in the morning, before consuming any food.
  2. Durbala (Weak) patient should consume the medicine with Pathyaahaara

S`haarangdhara had adopted a different method for explanation.

  • At sunrise, it includes Ananna.
  • Adhobhakta -Divasabhojane
  • Adhobhakta – Saayambhojane
  • Includes Muhurmuhu and
  • Includes Nis`haa Kaala.

 

  • Aushadha Sevana Kaala and Diseases:

 

No. Aushadah Sevana Kaala Diseases

 
1. Abhakta Kapha Roga,

Vyaadhi Bala and Rugn`a Bala is more
2. Pragbhakta Apaana Pradoshaja Vyaadhi,

Diseases of lower extremity,

Krishikarn`aartha
3. Adhobhakta After lunch– Vyaana Prakopajanya,

After Dinner– Udaana Prakopajanya,

Sthoolikaran`aartha
4. Madhyabhakta Samaana Prakopajanya,

Pittaja Roga,

Kosht`aashrita Vyaadhi
5. Samabhakta Diseases spread all over body

In Arochaka

In Baala and Vridhha

Aushadha Dveshee
6. Antaraabhakta Vyaana Prakopajanya
7. Saamudga Kampa

Aakshepaka

Hikkaa

Dosha spread upper and lower part of body
8. Muhurmuhu S`hvaasa, Kaasa, Chardi, Trishn`aa, Visha
9. Sagraasa Agnideepana andVaajikaran`a
10. Graasaantara Hridroga

Praan`a Prakopajanya

Roga
11. Nis`hi Urdhvajatrugata Roga

  • Description of Aushadha Sevana Kaala:

o Abhakta Kaala /Ananna Kaala:

In the morning, when the previous food is digested but the person is not hungry, drug gets easily distributed all over the body. As stomach is empty, drug remains unmixed with the food and its Veerya remains Anupahata i.e. unimpaired.Such drugs with Anupahata Veerya, cures the diseases quickly.

 

In Baala, Vriddha, Stree and emaciated person precautions should be taken while administering the drug.

Abhakta Kaala is in morning, which is Kapha dominating Kaala. The drugs having Tikta and Kat`u Rasa, Teekshn`a Gun`a, Ushn`a Veerya are well tolerated.

 

This Kaala is also known as Rasaayana Kaala. e.g. Braahma Rasaayana (C. Chi. 1-1/41-57) should be given at this Kaala in S`hvaasa.

 

o Praagbhakta / Annaadau:

In this Kaala, drug is administered just before food, when the person is hungry; the previously consumed food is completely digested. Drug given in this Kaala gets digested quickly. As it is covered by food, it is safe in children, old patients.

 

Drug given in this Kaala is followed by meal. Food covers the drug from upper side. This prevents Urdhva Gati of drug and enhances Adhara Gati. This helps drug to reach at site of Apaana.

Though Sthaulya is Kaphaja Naanaatmaja Vikaara(C. Su.21) the Vaata and the Agni are main factors in its pathogenesis and are restricted in the Kosht`ha. Drug administered in Praagbhakta Kaala pacifies the Vaata and Agni is controlled which leads to control Kshudhaa. So medicines for Krishikarn`a are given at this Kaala

o Madhyabhakta:

Madhya means halfway through the meal. In this Kaala drug is administered in between the meal. As drug is given in between the food it is covered by the food. It affects Urdhva as well as Adhara Gati of Drug. Gati of Samaana is also towards Koshtha; which prevents Tiryak Gati of drug. Sushruta has explained it in term ofAvisaaribhaavaat. Avisaaribhaava is nature of dispersion. This term shows that the drug given in Samaana Kaala is limited to Kosht`astha organs due to itsAvisaaribhaava.

 

Site of Samaana is Grahan`ee. So the drugs given in this Kaala directly comes in contact with Agni and Samaana Vaata. Then it cures the diseases of Agni andSamaana Vaayu.

 

Paachaka Pitta is needed for digestion. Drugs; given in this Kaala act on Paachaka Pitta and increases digestion power.

 

o Adhobhakta / Bhojanaante / Bhuktaante :

This Kaala comes immediately after the food. Here drugs are administered after food. This prevents Adhara Gati of drug. Drug can spread with Urdhva and Tiryak Gati.

Vyaana Kaala is after lunch. In day time, Rasavaha Srotas and its Moolasthaana i.e. heart is in Vikasita Avasthaa. Hence drugs given in this Kaala acts on the heart as well as Vyaana Vaayu.

Udaana Kaala is after dinner. When the drugs given at night-after the dinner, act on Udaana Kaala and the diseases due to Udaana Prakopa.

 

Site of Kapha is also at upper part of the body. Hence the drugs given in this Kaala are useful in Kapha Roga. Drugs, which have Brihan`a Karma used forSthoolikaran`a, are used at this Kaala.

 

o Sabhakta:

 

Administration of drugs with the food is called as Sabhakta. Those drugs, which dont have the pleasant taste and odor are mixed with the food and then administered. This Kaala is ideal in the children and the persons who refuse the medicine.

 

The drugs given in this Kaala mixed in Rasa Dhaatu and spreads all over the body in Urdhva, Adhara and Tiryak Gati, therefore useful in those diseases, which are spread all over the body.

 

o Antaraabhakta:

Antaraabhakta means in between meals. When the process of the digestion of the lunch is completed, drug should be administrated; again after digestion of drug dinner should be consumed. This Kaala is useful in the disease of Vyaana.

 

o Saamudga:

Drug administered just before meal and immediately after meal. This enables Urdhva as well as Adhara Gati of Drug.

 

o Muhurmuhu:

 

It means repeated or frequent administration. This Kaala is advised in S`hvaasa, Kaasa, Hikkaa, Trishn`aa, Chhardee, Visha and Praan`a related diseases. These are the diseases in which Dosha are in Sanchaya and Vegavasthaa is observed. Muhurmuhu drug administration pacifies Dosha and Vegavasthaa can be prevented.

 

o Sagraasa:

 

Drugs administered with each Graasa (moracel) of meal. This Kaala is for the diseases of Hridya and Praan`a. Annagrahan`a is the function of Praan`a. Drug administered in this Kaala directly acts on Praan`a and cures diseases of Praan`a. Drugs for Agnideepana and Vaajeekaran`a are administered in this Kaala.

 

o Graasaantara:

 

This drug is administered after every Graasa (moracel). It is useful in Praan`a, Vyaana and Udaana Prakopajanya Roga and Heart diseases.

o Nis`hi:

 

The drug administered just before sleep. This Kaala is useful in the Urdhvajatrugata Roga. Adhara Gati of drug is prevented by food. Drug spreads in Urdhava Gati.Hence cures the diseases of eye, ear, nose, throat, head etc.

 

S`haarangadhara Samhitaa explains this Kaala for Lekhana, Brihan`a, Paachana and S`hamana.

 

In Yonivyaapad Chikitsaa, Charaka has explained the factors which are very important for Chikitsaa. These are Des`ha, Kaala, Pramaan`a etc. (C.Chi.30/296)

Aushadha Sevana Kaala are explained on the basis of:

 

Dosha: As Vaata is only Chala, Dosha Aushadha Sevana Kaala, are explained according to Vaata and its subtype and not of Pitta and Kapha.

 

Dosha Sanchaya: Dosha are dominant at different time / stage of day, night, digestion and age. This thing is considered while deciding Aushadha Sevana Kaalae.g. Abhakta Kaala for Kapha Roga

Vyaadhi Sthaana and Avayava: When Dosha are accumulated in lower parts of body; medicine should be given before meal.

Diseases: Medicines given in specific Kaala can cure the disease or reduce the Bala and frequency of the Roga effectively. e.g. Muhurmuhu for S`hvaasa Vega.

 

In short,

  • Medicines administrated, have three Gati viz. Urdhva, Adhara and Tiryak.
  • Food provides a covering media, which enhances the expected direction of medicines.
  • In the process of digestion Rasa Dhaatu is formed which helps the drug to distribute in the body effectively.

 

 

 

Atisaara/Diarrhea Treatment in Ayurveda

Dr Shameen Salim
-
0

 

Reference:

Ch.Chi.19, N.R. Atisaara

 

Introduction:

Agnibalahaanee hampered digestion capacity is the main cause in the manifestation of Atisaara hence Agni should be targeted for treatment. Atisaara should be treated after examining the Hetu, Upas`haya and Dosha Vis`hesha Avasthaa.

 

Saamaanya Chikitsaa:

Generally, Langhana and Paachana are advised for Atisaara. Considering specific Avasthaa, appropriate treatment should be suggested. Stambhana is contraindicated inSaama Avasthaa, while it can be indicated in Niraama stage.

 

In all the types of Atisaara, Vaayu gets aggravated in the Pakvaas`haya, therefore it is necessary to pacify this aggravated Vaata. When all three vitiate, dominantDosha should be pacified first of the order should be as follows: Vaata Pitta Kapha.

 

Aavasthik Chikitsaa:

  • Aagantu Atisaara (Maanasa Atisaara)

Vaatahara Kriyaa

  • Bhayaja Atisaara:

Vaatahara Kriyaa

Aas`hvaasana

  • S`hokaja Atisaara Chikitsaa:

Vaatahara Kriyaa

Harshan`a

  • Aamaatisaara:

o Sangrahan`a is contraindicated, at the start of the treatment as Dosha get accumulated, if Sangrahan`a is given prematurely; Vibandha and other diseases likeDan`d`aalasaka, Aadhmaana, Grahan`ee, Ars`ha, S`hotha, Paan`d`u, Pleehaa, Kusht`ha, Gulma, Udara, Jvara could be manifested. Therefore, it is necessary to avoid Sangrahan`a when Utklisht`a Dosha are being flushed out naturally.

o Dosha are going out with difficulty due to Aama; Abhayaa should be given. It eliminates the Dosha smoothly after converting them, thus pacifying Atisaara. As a result the body becomes light (Laghu) and the Agni gets increased.

 

  • Madhya Dosha Avasthaa: Pramathyaa for intensifying Agni should be administered.

 

  • Alpa Dosha Avasthaa: –

o Langhana (fasting /restricted food in case of a Durbala Rugn`a) is to be observed till the Dosha get pacified.

o Patient should be given Laghu Aahaara (food which is light to digest), when patient feels hungry, which increases his Bala, Ruchi and Agni. Saatmya (habitual or suitable) food should be given. Aahaara which is Deepana (intensifying Agni), Graahee (which will arrest the hyperactivity of bowels) like Yavaagoo, Vilepee, Khad`a Yoosha, Rasaudana should be given.

o The food or drug should have attributes like Deepana, Paachana, Graahee, Balya, Rochana.

  • Vaataja Atisaara

o Vaataghna Upasevana

o Amla Sarpi

  • Pittaja Atisaara

o Langhana

o Paachana

  • Kaphaja Atisaara

o Langhana

o Deepana Deepana Gan`a

o Paachana Aamaatisaaraghna Gan`a

o Kaphaghna Aushadha

Pathya:

Rasa – Kashaaya

Gun`a Karma Deepana, Laghu, Mridu

Dhaanya – Jeern`a Shasht`eeka S`haalee

S`haaka – Kadalee Pushpa, Aardraka, S`hun`t`hee, S`haaluka, Chukra, Pippalee, Bhangaa, Jaateephala, Ahiphena, Jeeraka, Kut`aja, Dhaanyaka, Nimba, Bakula, Chaangeree, S`hataavaree, Balaa, Karchoora, Nootana Moolaka, Upodikaa, Vaastooka, Raajaadana, Baakuchee, Kaasamarda, Alaaboo, Braahmi, Lon`ikaa, Jeevantee

S`himbee – Mudga, Maasha, Tila

Maamsa – S`has`ha, Laava, Harin`a, Kapinjala, Maamsarasa, En`a, Kshudra Jhashaa, S`hringee,D`in`d`is`ha, Madhuraalikaa, Kukkut`a

Dugdha – Godugdha, Ajaa Dugdha, , Takra, Dadhi, Navaneeta, Ghrita,

Drava – Taila

Phala – Kapittha, Badara, Bilva, Tinduka, Daad`ima, Taala, Vat`a, Jamboo, Rambhaa, Kharbuja.

Kritaanna – Vilepee, Laajaa Mand`a, Masoora, Aad`hakee Yoosha, Mand`a, Peyaa, Sh`d`anga Paaneeya, Tila Kalka, Mudga Kalka, Mudga Rasa, Dadhi Mand`a + Madhu, Kiraatatikta and Saarivaa Siddha Jala, S`hataavaree, Balaa, Maasha and Mudga Siddha Peyaa, Ksheera, Saktu Tarpan`a, Yavaagoo, Cooked Jujube ( Badara) + Gud`a+Taila, S`hunt`hee+ Gud`a+Dadhi+ Taila+Ghrita+Dugdha, Dadhi+Madhu.

Other – Maricha, Ajamodaa, Suraa, Draakshaasava, Kaanjika, Madhu

Apathya:

Rasa – Lavan`a, Amla

Gun`a – Guru, Snigdha, Ushn`a, Rooksha

Dhaanya – Nava Dhaanya, Godhuma

S`haaka – Vaastuka, Kaakamaachee, Nishpaava, S`higru, Alaaboo, Maayaphala, Rasona, Patra S`haaka

S`himbee – Maasha, Yava

Maamsa – Maamsa Sevana

Drava – Paryus`heeta Jala, Mastu

Phala – Aamra, Kushmaan`d`a, Badara, Pugaphala, Ikshu, Draakshaa, Amlavetasa, Aamalakee, Karkat`ee, Naarikela

Other – Madya, Gud`a, Punarnavaa, Kshaara, Snaana, Avagaaha, Abhyanga, Vyaayaama, Chintaa, Sveda, Anjana, Nasya, Dhoomapaana, Vegaavarodha, Krodha

Aasthaapana Basti/Niruha Basthi

Dr Shameen Salim
-
0

Prakaara Paribhaashaa:

  • The procedure in which medicine is administered inside the rectum with the help of bladder of any animal is termed as Basti. The type of Basti in which the medicine is predominantly decoction is termed as Nirooha Basti.
  • Since this procedure helps expulsion of Dosha out of the body it is termed as Nirooha Bastiand since it gives relief from diseases and prolongs life and stabilizes all the Dhaatu it is termed as Aasthaapana Basti.

 

 

Description:Kaala/Vaya/Ahoraatra/Ritu/Bhukta

  • Nirooha Basti should be administered in S`huklaPaksha / phase of ascending moon on an auspicious day. It should be administered after complete digestion of food and before next meal. This ensures the presence of the three Dosha in their sites in the alimentary canal and the Basti can exhibit its effect on them.
  • IfNirooha Basti is to be administered after Virechana it should be administered after on the 15th day after Virechana i.e. it should be administered afterAnuvaasana Basti.
  • Nirooha Basti can be administered to a patient of any age.

Poorvakarma (Prerequisites):

Patient Preparation:

  • Abhyanga (Oil massage) whole body massage particularly at S`hron`i, Ooru, Kat`ee, Sphig and Pakvaas`haya (lower back, thighs, buttocks and abdomen)
  • Application of local fomentation by Taapa Sveda or Pot`t`ali Sveda over above mentioned regions. These are mild fomentation and result in increasing circulation to the area and relaxing the abdominal wall and low back postural muscles. This ensures the stay of the Bastiin the colon for a longer period.
  • If Anuvaasana Basti isalso indicated it should also be administered before.

Pradhaanakarma:

  • Basti Pran`idhaana The Bastiput`aka should be attached to the Basti Netra tightly.The Bastiput`aka should be filled with the lukewarm prescribed medicine. The amount of medication should be enough to tie the bladder to the applicator easily and should leave no extra space within. The applicator is plugged securely with a cotton swab till administration to prevent leaks.
  • Yantran`aa (position of the patient) The patient is asked to lie down on his left side. He should keep his left hand below his head as pillow to support the head. His left leg should be stretched and right leg should be flexed at the knee and hip joint and should be in front of the abdomen, this relaxes the abdominal wall and the intestinal coils are in their natural position.
  • The anal opening and Basti Netra Mukha should be lubricated with ghee or oil.
  • Instead of the classical metal or wooden Basti Netranow-a-days rubber flatus tube is used.
  • The flatus tube or the Basti Netrashould be inserted slowly and steadily in the direction parallel to the vertebral column. If flatus tube is used then theBasti Netra should be connected to the tube. In that case a little more medicine than indicated is taken to counter the loss in the flatus tube and Basti Netra.
  • Then the Bastiput`aka should be held in left hand below with the thumb facing the patient and right hand above. Both together they should form a cup.
  • The patient should be advised to inhale deeply through mouth throughout the procedure.
  • The plug in the applicator should be deftly removed and re placed with left thumb.
  • Then the physician should squeeze the Bastiput`aka evenly and administer the medicine inside the Pakvaas`haya (rectum) steadily with a moderate speedin one stroke, there should be no strokes, tremors to the hand as it results in movement of the applicator in the rectum and might cause local injury.
  • Some of the medicine should be left in the bladder as it prevents entry of free air in the body which may aggravate the condition.
  • Then the physician should immediately remove the tube or Netra gently.
  • Then the patient is asked to lie down in a supine position with a pillow below his head for 30 Maatraa (nearly minute).
  • Then the patient should sit in a position of Utkat`aasana (squatting position) when he gets the urge to pass stools.
  • It is desired for the Basti to stay in the colon as long as possible in Balya, Vaajeekaran`a andBrimhan`a type of Basti. As colon is the site wherein maximum absorption takes place in shortest period of time. To facilitate this patient should be given a pillow under his lower back and buttocks. Head low position is given by raising the foot side of the bed, mild patting on the buttocks with legs flexed should also done. They help in retaining the Basti for a longer period.
  • The Basti medicine should normally return within 1 Muhoorta(48 minutes).
  • Following are some types of Nirooha Basti used in day to day practice
  1. Yaapana Basti This type ofBasti cause Yaapana (prolongation of life and support life).This can be administered any time. The effect of this type of Bastiis Balya, S`hukravardhaka and Maamsavardhaka. These Basti are Rasaayana as well as Vaajeekarn`a.
  2. Siddha Basti The Basti which cures particular disease is termed as Siddha Basti.
  3. Prasrita Yaugiki Basti The Basti which should be administered in the dose of one Prasrita is termed as Prasrita Yaugiki Basti.
  4. Dvaadas`ha Prasritiki Basti – The Basti which should be administered in the dose of twelve Prasrita is termed as Dvaadas`ha Prasritiki Basti. Maadhutailika Basti is also an example of this type of Basti.
  5. Paadaheena Basti – The Basti which should be administered in the dose of nine Prasrita is termed as Paadaheena Basti.
  6. Teekshn`a Basti The Basti which contains Kshaara, Mootra or hot and penetrating Dravya. These Basti can be included inS`hodhana type of Basti. ThisBasti should be administered when Basti Pratyaagama does not occur.
  7. Mridu Basti This type of Basti contains Ghrita, Maamsarasa, Dugdha or Dravya fromMadhura Skandha. These can be administered to children and aged people.
  8. Pichchhaa Basti This Basti contains Pichchhila Dravya (slimy). These Basti stop the passage of blood or Pichchhila Sraava outside the body. Act asSangraahee.
  9. Utkles`hana Basti These Basti cause Dosha Utkles`hana (precipitation).
  10. Doshahara Basti These Basti are Dosha pacifying.
  11. Brimhan`a Basti These Basti are strengthening to the body.

 

Pas`hchaatkarma:

  • If the Bastireturns immediately without signs of adequacy and feeling of fullness of abdomen persists another Basti then it is to be administered immediately which could be repeated till the signs of adequacy appear. As the Basti medicine is greater in volume and the condition for which Basti is given is occluding in nature there is chance that it would be aggravated, hence it is absolutely essential to ensure the return of Basti within 48 minutes.
  • After Pratyaagama of Basti the patient is asked to rest for a while.
  • Then the patient is asked to take bath with lukewarm water.
  • Then the patient is advised to consume food containing Dhanvamaamsa Rasa (meat soup of animals from dry and arid region), milk and Yoosha considering the strength of Agnee and Dosha.
  • Anuvaasana Basti should be administered in the evening, if signs of adequate Nirooha Basti Karma are seen.

 

  • Following things should be avoided during administrationof Basti Karma
  1. Atyaasana (sitting in one position for a long time.)
  2. Avasthaana (travelling for a long time in a fast moving vehicle.)
  3. Talking in high pitch persistently
  4. Sleeping in day time
  5. Indulgence in sexual act
  6. S`heetopachaara (contact with substances cold to touch and in effect e.g. drinking cold water. Staying in air conditioned climate etc.)
  7. Bathing with cold water
  8. Prolonged exposure to sun
  9. S`hoka (grieving)
  10. Rosha (anger)

 

Chikitsaa Karma (Benefits):

  • Vayasthaapana (retard aging and stabilize the effects of age comparable to the chronological age)
  • Ayuvardhaka (prolong the life span)
  • Agneevardhaka (improve digestive capacity so that digestion is better and chances of Aamaformation are reduced to a minimum)
  • Medhya (improves mental faculties and the intellect, grasp, memory, decision making etc.)
  • Svarya (beneficial for the voice improves quality, timber, pitch etc)
  • Varn`ya (beneficial for the skin colour, lustre, complexion etc.)
  • Sarvavyaadhihara (is indicated in almost all types of diseases and is beneficial in them to control, cure etc)
  • Vit`, S`hleshma, Pitta, Anila and Mootra S`hodhaka (it beneficial in cleansing the faecal matter, sticky Kapha, Pitta, Vaataand Urine.)
  • S`hareera Daard`hyakara (imparts stability and firmness to the body constituents as it gets rid of the excess fluid and Aamaform them.)
  • S`hukra Vardhaka (improves reproductive tissue substantially)
  • Balya (tones up the muscle tissue and improves physical power and efficiency.)
  • Doshachaya Nirasana (if administered in the accumulative stage of vitiated Doshait successfully eliminates them and nips the impending disease in the bud.)
  • Vaata Niyamana (as colon is the main site of Vaatait controls the abnormal activity of it.)
  • S`hamana (it is palliating in those persons who are not suited for purification processes by increasing digestive capacity, it renders the Doshaharmless.)
  • S`hodhana (it has purificatory action on Vaatapredominant Dosha combinations.)
  • Lekhana (it can cause weight loss and depletion in Kaphaand Pitta due to the medicines uses in it.)
  • Vaajeekaran`a ((improves sexual performance, erectile dysfunction, impotence etc)
  • Vayasthaapana
  • S`hareera Upachaya(it can act as tissue builder and cause weight gain.)
  • Netrya (beneficial to the eyes.)

 

Samyak Yoga:

  • Prasrisht`a Vit`kataa (complete and easy evacuation of stool.)
  • Prasrisht`a Mootrataa (easy and complete voiding of urine)
  • Prasrisht`a Vaata (easy passage of flatus.)
  • Kramas`hah Visarjana of Mala, Pitta, Kapha andVaata (sequential passage of stool, Pitta ( multi coloured stool), Kapha ( sticky stool with mucus, strand or frank mucus)
  • Ruchi (imparts / improves taste of mouth and gustatory perception)
  • Agnee Vriddhi (improved digestive capacity and digestion.)
  • Aas`haya Laaghava (feeling of lightness especially in the abdomen and whole body)
  • Rogopas`hama
  • Prakritisthataa (reestablishment of normal functional equilibrium of Doshaand other constituents.)
  • Balya (improved strength and physical power, efficiency.)
  • S`hareera Laaghava (lightness of the body.)

 

Atiyoga:

  • Anga Supti (lack of touch sensation in the body, part gone to sleep.)
  • Angamarda (body ache)
  • Klama (with reluctance to any activity)
  • Kampa (tremor on attempted movement or even at rest due mainly to weakness.)
  • Nidraa (sleepiness due to fatigue.)
  • Daurbalya (weakness due to excessive fluid loss.)
  • Tamapraves`ha (syncope due to weakness and loss of fluid.)
  • Unmaada (mood disorder.)
  • Hikkaa (hiccough)

Heenayoga:

  • Guru Kosht`hatva (heaviness in the abdomen due to inadequate elimination of stool, Dosha.)
  • Vaata Graha (obstructed flatus)
  • Mootra Graha (obstructed urine output and flow.)
  • Mala Graha (constipation)
  • Naabhee Rujaa (peri umbilical paindue to adverse effect on Agnee.)
  • Basti Rujaa (pain in the bladder region due to obstructed passage.)
  • Daaha (subjective feeling of burning.)
  • Hrillepa (discomfort in the cardiac region with feeling of binding with a wet cloth.)
  • Guda S`hotha (rectal anal swelling.)
  • GudaKan`d`oo (anal itching, pruritis.)
  • Pid`akaa (blisters on the body as the non eliminated Doshamix in the main stream circulation and reach the skin to manifest as blisters.)
  • Vaivarn`ya (discoloration of the skin as the non eliminated Doshamix in the main stream circulation and reach the skin layers to manifest as discoloration)
  • Aruchi (tastelessness )
  • Agneemaandya (hypo function of Agnee, leading to generation of Aama.)
  • S`hira Rujaa (headache)
  • Hridaya Rujaa (pain in the cardiac region.)
  • Yoni Rujaa (vaginal pain.)
  • Pratis`hyaaya (with sneezing and watery secretions.)
  • S`hvaasakrichhra (breathlessness.)
  • Hrillaasa (nausea with excessive salivation.)

Vyapad:

These are a set of situations that can lead to potential complications of Basti at various stages of administration

  • Basti Netra Vyaapad:
  1. AtiHrasva Netra (too short applicator)
  2. Ati Deergha Netra(too long applicator)
  3. Tanu Netra (too thin applicator)
  4. Sthoola Netra (too thick applicator)
  5. Jeern`a Netra (old applicator)
  6. S`hithila Bandhana (loose applicator)
  7. Paars`hva Chhidra (applicator with opening in the side instead of in front)
  8. Vakra Netra (bent applicator)

  • Basti Put`aka Vyaapad (complications due to the bladder):
  1. Vishama Basti (malformed, irregularly shaped bladder)
  2. Maamsala Basti (muscular bladder)
  3. Chhinna Basti (broken, frail bladder)
  4. Sthoola Basti (thick bladder)
  5. Jaalika Basti (bladder with dense venation)
  6. Vaatala Basti (thin bladder)
  7. Snigdha Basti (oily, greasy bladder)
  8. Klinna Basti (wet bladder)

  • Bastipran`etri Vyaapad ( complications due to administrator):
  1. Savaata Basti (given with air in the end)
  2. Druta Pran`eeta Basti (fast administration)
  3. Tiryag Pran`idhaana (administering when the applicator is not is alignment with the vertebral column.)
  4. Ullupta Basti (administering with unsteady, tremulous hand.)
  5. Sakampa Basti (administering with unsteady, tremulous hand.)
  6. Atipran`eeta Basti (excess medicine)

 

1...505152...114Page 51 of 114
© Newspaper WordPress Theme by TagDiv