Changes

Thus ends the chapter [[Bastisutriyam Siddhi]]

Thus ends the chapter [[Bastisutriyam Siddhi]]

=== Tattva Vimarsha ===

=== ''Tattva Vimarsha'' ===

• Careful examination of dosha (vitiating factors), aushadha (potency of drugs), desha (place of living and body of patient), kala (season and time of administration), satmya (accustom), agni (factor responsible for process of digestion and metabolism), sattva (mind), oka (accustom due to continuous use), vaya (age) and bala (strength) is essential for success of basti therapy (enema). [Verse 6]

 

• The size, shape of enema apparatus should be decided as per patient’s ano-rectal dimensions.  

*Careful examination of ''dosha'' (vitiating factors), ''aushadha'' (potency of drugs), ''desha'' (place of living and body of patient), ''kala'' (season and time of administration), ''satmya'' (accustom), ''agni'' (factor responsible for process of digestion and metabolism), ''sattva'' (mind), ''oka'' (accustom due to continuous use), ''vaya'' (age) and ''bala'' (strength) is essential for success of ''basti'' therapy (enema). [Verse 6]

• The sequence of adding madhu (honey), saindhava (rock salt), then sneha followed by kalka (paste of herbs), kashaya (decoction) and avapa (additional powdered medicine) is important to prepare a basti formulation.  

*The size, shape of enema apparatus should be decided as per patient’s ano-rectal dimensions.  

• Basti shall always be administered when the patient is lying in left lateral position.  

*The sequence of adding ''madhu'' (honey), ''saindhava'' (rock salt), then ''sneha'' followed by ''kalka'' (paste of herbs), ''kashaya'' (decoction) and ''avapa'' (additional powdered medicine) is important to prepare a ''basti'' formulation.  

• Incorrect insertion of nozzle into anal canal, falty enema pot, incorrect administration of basti may lead to complications.   

*''Basti'' shall always be administered when the patient is lying in left lateral position.  

• Penetration and distribution of basti drugs increases as the number of consequently given basti increases. The first enema helps in the elimination of vata dosha from its own site i.e. from large intestine; the second enema helps in the elimination of pitta dosha from its site i.e. small intestine and duodenum, and the third enema helps in the elimination of kapha from its site i.e. stomach and upper gastro-intestinal tract.

*Incorrect insertion of nozzle into anal canal, faulty enema pot, incorrect administration of ''basti'' may lead to complications.   

• The follow-up diet and lifestyle instructions are important to be followed by patient in order to achieve maximum efficacy of basti.

*Penetration and distribution of ''basti'' drugs increases as the number of consequently given ''basti'' increases. The first enema helps in the elimination of ''vata dosha'' from its own site i.e. from large intestine; the second enema helps in the elimination of ''pitta dosha'' from its site i.e. small intestine and duodenum, and the third enema helps in the elimination of ''kapha'' from its site i.e. stomach and upper gastro-intestinal tract.

• The proportion of decoction in preparation of basti formulation shall be decided as per dosha dominance.

*The follow-up diet and lifestyle instructions are important to be followed by patient in order to achieve maximum efficacy of ''basti''.

• The dose of basti differs according to age of patient. The minimum dose for patient of one year is half prasruta (approximately 40 ml) and maximum dose from age 18 years to 70 years is twelve prasruta (approximately 960 ml).  

*The proportion of decoction in preparation of ''basti'' formulation shall be decided as per ''dosha'' dominance.

*The dose of ''basti'' differs according to age of patient. The minimum dose for patient of one year is half ''prasrita'' (approximately 40 ml) and maximum dose from age 18 years to 70 years is twelve ''prasrita'' (approximately 960 ml).

=== Vidhi Vimarsha ===

=== Vidhi Vimarsha ===