Difference between revisions of "Yapana basti"

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== Method of preparation ==
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<ol type="A" style="text-align:justify;"><li>Material required in making basti</li>
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<ul><li>Basti putak (enema bag)</li>
 +
<li>Basti netra (nozzle)</li>
 +
<li>Gloves</li>
 +
<li>Cotton cloth</li>
 +
<li>Mortal & pastel</li></ul>
 +
<li>Ingredients of basti</li>
 +
<ol><li>In case of yapana basti, medicated milk (sidhdha ksheera) is used in place of kashaya (decoction)</li>
 +
<li>Honey, mamsa rasa, ghee are other major ingredients used in yapana basti.</li></ol>
 +
<li>Procedure to formulate & administration of basti:</li></ol>
  
 
+
=== Pre-procedure: ===
 
+
<ol type="A" style="text-align:justify;"><li>Preparation of patient</li>
 
+
<li>Preparation of basti.</li></ol>
 +
<ol type="A" style="text-align:justify;"><li style="font-weight: bold;">Preparation of patient: <br/><span style="font-weight: normal;">After the evacuation of bladder and bowels, local massage and fomentation on pelvic region shall be done.</span></li>
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<li style="font-weight: bold;">Preparation of basti:<br/><span style="font-weight: normal;">First of all, the dravyas soaked in warm water for overnight then next morning milk and water should be added with the measurement 1:8:16 and kept for boiling upto ashtamansh shoshit (..).
 +
<br/>This siddha ksheera is kept nearby. Then take morter and pestle and add lavan and triturate it properly then add makshik followed by sneh (ghrut/tail/vasa) followed by kalka (various aushadhi) and then sidhdh ksheera. Make homogenous mixture of it by continuous stirring of morter within pestle. The proportion of dravyas are as per classical list.
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</span></li></ol>
  
  

Revision as of 11:51, 20 September 2023

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The word ‘yapana’ means to sustain or to maintain. The therapeutic enema (basti) intended for sustaining life is termed as ‘Yapana basti’. It is indicated in chronic and critical conditions like urolithiasis (ashmari), insanity (unmada), obstinate urinary diseases (prameha), abdominal distension (adhmana), vatarakta.[Cha.Sa. Siddhi Sthana 12/16] It is used for providing instant nourishment and strength. In current practices, yapana basti is mainly used in disease of shukra and asthi dhatu like infertility and lumbar spondylosis etc.. The present chapter deals with specific indications of yapana basti and its utility in current practices.

Contributors
Section/Chapter/topic Concepts/Basti/Yapana basti
Authors Kulkarni Gajanan1,
Deole Y.S. 2
Bhatt Hemisha2
Reviewer & Editor Basisht G.3
Affiliations 1 Consultant, Ayurveda Clinic, Pune, India
2 Department of Kayachikitsa, G. J. Patel Institute of Ayurvedic Studies and Research, New Vallabh Vidyanagar, Gujarat, India
3 Rheumatologist, Orlando, Florida, U.S.A.
Correspondence emails ayurgk@yahoo.co.in,
dryogeshdeole@gmail.com,
carakasamhita@gmail.com
Publisher Charak Samhita Research, Training and Development Centre, I.T.R.A., Jamnagar, India
Date of publication: August 25, 2023
DOI 10.47468/CSNE.2023.e01.s09.146

Etymology and derivation

The word ‘Yapana’ is derived from combination of ya + nich + lyut. ‘Yapya’ means to be expelled or to be discharged. [Monnier-Williams Sanskrit-English Dictionary, 1899]

Synonyms

Following words are synonymous to yapana.

  • Dharanam – to maintain [Su. Sa. Nidana Sthana 1/12]
  • Poshanam – to nourish [Su. Sa. Nidana Sthana 14/30]
  • Rog-shamanam – to pacify disease [ Su. Sa. Chikitsa Sthana 6/13]
  • Yatrakara- supporting journey of life [ Cha. Sa. Sutra Sthana 18/39]
  • The basti which promotes longevity of life is ‘yapana basti’ [Chakrapani on Cha. Sa. Siddhi Sthana 12/17]
  • Pranadharana- sustain viatality [Arundatta A.Hr. Kalpa Sthana 14/29]

Difference in Yapana and Anuvasana basti

Table no.1: Difference in Yapana basti, Anuvasana Basti and Niruha  Basti
Yapan basti Anuvasana basti Niruha basti
Mild (mrudu) in nature It can be mild (mrudu) or sharp (tikshna) based on ingredients Sharp (Tikshna) in nature
It leads to purification (shodhana) and nourishment (brimhana) at same time. It mainly leads to nourishment (brimhana). Mainly for purification (shodhan) purpose.
Mamsa, asthi and majjagat dhatu related diseases are treated by giving yapana basti Vata vyadhi and depletion related disorders (apatarpanottha roga) can be treated by giving anuvasana basti Vata vyadhi and over nutrition related disorders (santarpanottha roga) are treated by giving niruha basti
Can be administered in healthy individual Can be administered in healthy individual by less dose Mostly can’t be given in healthy person
Single yapana basti is given Combination with niruha gives more results Always combine with anuvasana
Basti retention time is more than niruha Basti retention time is 3 hours Retention time is 48 minutes
Ingredient described in different context:
Charak Samhita(12) Sushrut Samhita(1) Ashtang hruday(2)
Jaggery (guda) Mustadi Rajyapan basti

(su.chi.38/103)

Honey (Madhu)
Ghee (ghrita) Medicinal decoction (mustadi kwath) Oil (Tail)
Oil (taila), medicated paste (kalka) Milk (ksheera) Meat soup(mamsa rasa)
Honey (kshaudra) Meat soup(mamsa rasa) Ghee (ajya)                                                        
Medicated milk

(siddha ksheera)

Medicated paste (kalka) Medicated paste (ghana kalka)
Meat soup (mamsa rasa) Musle fat    (Vasa)(prasut)
Amlakanji (sour fermented liquid)
Pharmacological property of different ingredients of yapana basti:
Sr no Contents Sanskrit name Rasa

(taste)

Veerya (potency) Vipaka

(post digestion effect)

Guna

(properties)

Chemical constituents
1 Milk Kshira Madhura (sweet) Sheeta

(cold)

Madhura

(sweet)

Snigdha (unctuous)

Sara (moving)

Lactose

Lipid

Lieolinic acid

Palmitic acid

2 Honey Madhu Madhur

Kashay

Sheeta Madhura Sheeta,

Laghu,

Shukshma,

Vishada,

Ropana,

Glucose

Lactose

Vanallic acid

Pinobanksin

Galangin

3 Meat soup Mamsa

rasa

Madhura Madhura Guru 75% of water, 25% of solids. Solids:

20% of proteins, 5% of organic substances

4 Ghee Ghruta Madhura Sheet Madhura Alpa

Abhishyandikari

Leonalic acid,

Beutenolic acid,

Lanosterol,

5 Rock salt Saindhav Lavan sheet madhur Laghu

Snigdha

Sukshma

Nacl
6 Oil Taila As per its source Ushna As per its source Tikshna,

Vyavayi,

Sukshma


Lipid

Folic acid, nicotinic acid, planteose, pentosan

7 Jaggery Guda Madhura Ushna Madhur Laghu,

Unabhishyandi

Sucrose

Fat

Protein

Ash

8 Fermented alcohol based formulation Amla kanji Amla ushna Amla Laghu,

Tikshna

Fermented chemicals

Indications

Yapana basti is indicated for purification (shodhana), nourishment (brimhana) with proper functioning of vayu (vata anulomana). These are mridu basti. [Cha. Sa. Siddhi Sthana 12/29], hence these are indicated in diseases due to vata pitta vitiation and depletion of shukra and mamsa dhatu (ksheena).
It is indicated in following conditions:

  1. Vishama jvara [Cha. Sa. Chikitsa Sthana 3/302]
    Visham jwara is a condition where both strength (bala) of dosha and dhatu are diminished. Hence these types of fevers come intermittently.
  2. Halimaka [Cha. Sa. Chikitsa Sthana 16/136]
    Halimaka is state where vata and pitta are excessively increased and have excessive bala – shukra kshaya, redering the patient in very critical condition.
  3. Avrutta vata [Cha. Sa. Chikitsa Sthana 28/240]
    Long standing conditions of avrutta vayu inevitabely lead to emaciation of dhatu (shosha). Here yapan is used to increase dhatu as well as to achieve sroto shodhana and vata anulomana.
  4. Jara sambhavaja klaibya [Cha. Sa. Chikitsa Sthana 30/203]
    Jara is a condition where rasa dhatu is unable to nourish all other dhatus
  5. Pain in lower half of body
    It eradicates pain from rectum, thighs, knee joints, scrotum and bladder. ( Payu janu uru vrushan basti shulnut) [Aas. Hru. Kalpa Sthana 4/29]

Sushruta Samhita advise yapan basti in following condition: [Su.Sa. Chikitsa Sthana 38/111]

  1. Vatrakta
  2. Meha
  3. Shopha
  4. Arsha
  5. Gulma
  6. Mutrakruchhha
  7. Chakshushya
  8. Visarp
  9. Jwara
  10. Raktapitta
  11. Balya
  12. Sanjeevan
  13. Shoolanashak
  14. Vrushya

Method of preparation

  1. Material required in making basti
    • Basti putak (enema bag)
    • Basti netra (nozzle)
    • Gloves
    • Cotton cloth
    • Mortal & pastel
  2. Ingredients of basti
    1. In case of yapana basti, medicated milk (sidhdha ksheera) is used in place of kashaya (decoction)
    2. Honey, mamsa rasa, ghee are other major ingredients used in yapana basti.
  3. Procedure to formulate & administration of basti:

Pre-procedure:

  1. Preparation of patient
  2. Preparation of basti.
  1. Preparation of patient:
    After the evacuation of bladder and bowels, local massage and fomentation on pelvic region shall be done.
  2. Preparation of basti:
    First of all, the dravyas soaked in warm water for overnight then next morning milk and water should be added with the measurement 1:8:16 and kept for boiling upto ashtamansh shoshit (..).
    This siddha ksheera is kept nearby. Then take morter and pestle and add lavan and triturate it properly then add makshik followed by sneh (ghrut/tail/vasa) followed by kalka (various aushadhi) and then sidhdh ksheera. Make homogenous mixture of it by continuous stirring of morter within pestle. The proportion of dravyas are as per classical list.


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References