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<p style="text-align:justify;">Asthapana basti or niruha basti (therapeutic decoction enema) is a prime treatment for disorders due to vitiation of vata dosha. It can expel out the increased dosha. [Cha.Sa. Siddhi Sthana 1/27]<ref name="ref1">Charak. Charak Samhita. Edited by Jadavaji Trikamji Aacharya. 1st ed. Varanasi: Krishnadas Academy;2000.</ref> Niruha basti (therapeutic decoction enema) can pacify vata at its root i.e. colon. Thus, it protects the whole body from diseases due to vata dosha. Both asthapana (therapeutic decoction enema) and virechana (therapeutic purgation) remove the doshas from the body through the colon. Asthapana basti (therapeutic decoction enema) has the advantage of eliminating dosha without causing difficulties like belching, pain in the heart region and koshtha (gut). [Cha.Sa. Siddhi Sthana 10/07]<ref name="ref1"/> Niruha (therapeutic decoction enema) can be administered in weak persons, where virechana is contraindicated. (therapeutic purgation) [Cha.Sa. Chikitsa Sthana 28/86]<ref name="ref1"/> Virechana (therapeutic purgation) is contraindicated in children and old people, whereas asthapana (therapeutic decoction enema) can be used for lifetime. [Cha.Sa. Siddhi Sthana 10/07]<ref name="ref1"/>This chapter focuses on the concept and practices of asthapana basti (therapeutic decoction enema).</p>
<p style="text-align:justify;">Asthapana basti or niruha basti (therapeutic decoction enema) is a prime treatment for disorders due to vitiation of vata dosha. It can expel out the increased dosha. [Cha.Sa. Siddhi Sthana 1/27]<ref name="ref1">Charak. Charak Samhita. Edited by Jadavaji Trikamji Aacharya. 1st ed. Varanasi: Krishnadas Academy;2000.</ref> Niruha basti (therapeutic decoction enema) can pacify vata at its root i.e. colon. Thus, it protects the whole body from diseases due to vata dosha. Both asthapana (therapeutic decoction enema) and virechana (therapeutic purgation) remove the doshas from the body through the colon. Asthapana basti (therapeutic decoction enema) has the advantage of eliminating dosha without causing difficulties like belching, pain in the heart region and koshtha (gut). [Cha.Sa. Siddhi Sthana 10/07]<ref name="ref1"/> Niruha (therapeutic decoction enema) can be administered in weak persons, where virechana is contraindicated. (therapeutic purgation) [Cha.Sa. Chikitsa Sthana 28/86]<ref name="ref1"/> Virechana (therapeutic purgation) is contraindicated in children and old people, whereas asthapana (therapeutic decoction enema) can be used for lifetime. [Cha.Sa. Siddhi Sthana 10/07]<ref name="ref1"/> This chapter focuses on the concept and practices of asthapana basti (therapeutic decoction enema).</p>
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== Etymology and derivation ==
<p style="text-align:justify;">Asthapana: The word asthapana is derived from aan, stha with lyut suffix in Sanskrit. This means to stay in one place (for longer time). Asthapana prevents the aging process by fixing the malfunctioning dosha.<ref name="ref2">www.wisdomlib.org. Asthapana, Āsthāpana: 7 definitions [Internet]. 2021 [cited 2023 July 31st]. Available from https://www.wisdomlib.org/definition/asthapana.</ref> <br/>Niruha: The word niruha is derived from nir (निर्) (privative)+ uha (ऊहा) (reasoning)+ karane (करणे घञ्). Thus, the word niruha stands for the treatment whose effect is beyond reasoning (or effective without any doubt). <br/><br/><b>Synonyms: </b>Asthapana basti, niruha basti, kashaya basti</p>
== Types of asthapana basti ==
<ol style="text-align:justify;"><li style="font-weight:bold">Based on veerya (potency):</li>
<ol type="a"><li style="font-weight:bold">Mridu asthapana basti (mild potency): <span style="font-weight:normal">The basti with mild potency is indicated in diseases of short duration, easy to cure, and having minimum strength.[Cha.Sa.Siddhi Sthana 10/15,16]<ref name="ref1" />. It is indicated in persons of inferior mental strength (avara sattva).[Su.Sa.Chikitsa Sthana 38/90]<ref name="ref3">20Sushruta. Sushruta Samhita. Edited by Jadavaji Trikamji Aacharya. 8th ed. Varanasi: Chaukhambha Orientalia;2005</ref>. It is indicated explicitly in old age and children.[Su.Sa.Chikitsa Sthana 35/10]<ref name="ref3"/>The basti becomes mild (mridu), when milk (ksheera) etc. are added to it.[Cha.Sa.Siddhi Sthana 7/63]<ref name="ref1" /> <br/>Prasrutika basti is an example of mridu basti (basti with mild potency), which is indicated for tender/delicate persons(sukumaras). There are chatur prasrutika, pancha prasrutika, shat prasrutika, sapta prasrutika and nava prasrutika bastis mentioned in prasruthayogika siddhi.</span></li>
<li style="font-weight:bold">Teekshna asthapana basti (strong potency): <span style="font-weight:normal">The basti with strong potency is indicated in diseases of prolonged duration, challenging to cure, and having maximum strength. It can be administered in persons having superior mental strength (pravara sattva). The basti will get sharpness (teekshnatvam), when it gets added with cow’s urine (gomutra), pilu (Salvadora persica Linn), Chitraka (Plumbago zeylanica), salt (lavana) and alkali (kshara).</span></li></ol>
<li style="font-weight:bold">Based on effect (karma): </li>
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