Changes

*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).

*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'' ===

verse 6:

==== Verse 6 ====

Ten fold examination is advised before the administration of basti. These examinations are slightly different from the dashavisha pareeksha explained in the vimana sthana.  

 

Basti should be administered after considering kāla (teekshna in sheeta kāla, mridu in ushna kāla), bala, dosha (teekshnadi basti in uttamadi bala of dosha), roga (teekshna, madhyama, mridu basti in uttamadi bala of dosha, teekshna in kapha-vāta, mridu in pitta-rakta, and madhyama in kapha-pitta).1

Ten fold examination is advised before the administration of ''basti''. These examinations are slightly different from the ''dashavisha pariksha'' explained in the [[Vimana Sthana]].  

Verse 7-9  

 

While describing the age of the patient as 6, 20 and 12, the sequence changed to emphasize the fact that before 6th year and after 20th year of age there should be no variation in the size of netra (nozzle). After the 6th year, the size of the netra should be increased 1/3rd angula every year. Thus for the 12th year of age, the size of the netra becomes 8 angula. After 12th year of age, the size should be increased ½ Angula every year. Thus for a patient of 20 year age the size of netra becomes 12 angula.  

''Basti'' should be administered after considering ''kala'' (''teekshna'' in ''sheeta kala, mridu'' in ''ushna kala''), ''bala, dosha'' (''teekshnadi basti'' in ''uttamadi bala'' of ''dosha''), ''roga'' (''teekshna, madhyama, mridu basti'' in ''uttamadi bala'' of ''dosha'', ''teekshna'' in ''kapha vata, mridu'' in ''raktapitta'', and ''madhyama'' in ''kaphapitta'').1

For 20 year old patient, the size of the calibre (diameter) of the opening in the nozzle should be of the diameter of a seed of karkandhu (karkandhu vāhi). This karkandhu is srigāla badari which is smaller in size. Keeping this in view Suśruta stated that the diameter of netra should allow the passage of kolāsthi (seed of kola). If, karkandhu is interpreted as brihad badari (big jujube fruit), then its size will be larger than the opening of netra and hence, In view of this contradiction, some vaidya interpret the term kola as the pulp inside the seed of fruit kolāsthi majjā which is obviously smaller in size.

 

The mouth of the netra is plugged with a varti to prevent foreign matter to enter into it when not in use.

==== Verse 7-9 ====

One of the karņikā fixed at level of 1/4th angula from the agrabhāga (anterior or rectal end) to limit the entry of netra beyond the guda vali. The other 2 karņikā placed at the mūla bhāga (posterior or puţaka end) will help in tying the basti puţaka.2

 

While describing the age of the patient as 6, 20 and 12, the sequence changed to emphasize the fact that before 6th year and after 20th year of age there should be no variation in the size of ''netra'' (nozzle). After the 6th year, the size of the ''netra'' should be increased 1/3rd ''angula'' every year. Thus for the 12th year of age, the size of the ''netra'' becomes 8 ''angula''. After 12th year of age, the size should be increased ½ ''angula'' every year. Thus for a patient of 20 year age the size of ''netra'' becomes 12 ''angula''.

For 20 year old patient, the size of the ''calibre'' (diameter) of the opening in the nozzle should be of the diameter of a seed of ''karkandhu'' (''karkandhu vahi''). This ''karkandhu'' is ''srigala badari'' which is smaller in size. Keeping this in view Sushruta stated that the diameter of ''netra'' should allow the passage of ''kolasthi'' (seed of ''kola''). If, ''karkandhu'' is interpreted as ''brihad badari'' (big jujube fruit), then its size will be larger than the opening of ''netra'' and hence, In view of this contradiction, some ''vaidya'' interpret the term kola as the pulp inside the seed of fruit ''kolasthi majja'' which is obviously smaller in size.

 

The mouth of the ''netra'' is plugged with a ''varti'' to prevent foreign matter to enter into it when not in use.

 

One of the ''karnika'' fixed at level of 1/4th ''angula'' from the ''agrabhaga'' (anterior or rectal end) to limit the entry of ''netra'' beyond the ''guda vali''. The other 2 ''karnika'' placed at the ''mula bhaga'' (posterior or ''putaka'' end) will help in tying the ''basti putaka''.2

Vriņa basti netra- 8 angula & mudgavahi srota at agrabhāga. 3  

Vriņa basti netra- 8 angula & mudgavahi srota at agrabhāga. 3  

Table showing measurements of Basti Netra4   

Table showing measurements of Basti Netra4   

samāna Grudhra pakshi nāďi samāna Ankurita kalāyavāhi 3 Angula from agrabhāga

samāna Grudhra pakshi nāďi samāna Ankurita kalāyavāhi 3 Angula from agrabhāga

Verse 10-11  

==== Verse 10-11 ====

In present practice enema can or pot are used for administering the niruha basti as it is having following advantages over the classical basti yantra.

In present practice enema can or pot are used for administering the ''niruha basti'' as it is having following advantages over the classical ''basti yantra''.

• Easy & simple to administer

*Easy & simple to administer

• Easy for cleaning

*Easy for cleaning

• Sterile and disposable and hence no chances of infection

*Sterile and disposable and hence no chances of infection

In olden days due to non availability of rubber, the use of metallic nozzle as basti netra was seen. Texts have have given freedom for the changes if better options are available. Some conservative Ayurvedic practitioners belive that basti given by basti netra provides better result than the methods that are used in current practice. Vaidya H.S.Kasture has disapproved this fact by saying that among the 17 lakh basti given using the enema pot and enema catheter by him (till 2005) he has observed same efficacy as that of classical basti yantra except for a very few complications due to the enema pot and catheter (lecture given at national seminar held in 2005 at Jamnagar). In a research work carried out by Juneja.Y et.al. (Jamnagar, 2008)5 have concluded work that basti administered by classical yantra and enema pot - rubber catheter provided same effect. Considering all these it can be concluded that the use of enema pot and catheter is simple, economical, safe, and free from complications.   

 

Verse 12 -13  

In olden days due to non availability of rubber, the use of metallic nozzle as ''basti netra'' was seen. Texts have have given freedom for the changes if better options are available. Some conservative Ayurvedic practitioners believe that ''basti'' given by ''basti netra'' provides better result than the methods that are used in current practice. Vaidya H.S.Kasture has disapproved this fact by saying that among the 17 lakh ''basti'' given using the enema pot and enema catheter by him (till 2005) he has observed same efficacy as that of classical ''basti yantra'' except for a very few complications due to the enema pot and catheter (lecture given at national seminar held in 2005 at Jamnagar). In a research work carried out by Juneja.Y et.al. (Jamnagar, 2008)5 have concluded work that ''basti'' administered by classical ''yantra'' and enema pot - rubber catheter provided same effect. Considering all these it can be concluded that the use of enema pot and catheter is simple, economical, safe, and free from complications.  

   

==== Verse 12 -13 ====

 

Shukla paksha of a lunar month is auspicious for initiating all good activities. Planning of basti according to paksha may not be practical in diseased. It may be ideally adopted in healthy.

Shukla paksha of a lunar month is auspicious for initiating all good activities. Planning of basti according to paksha may not be practical in diseased. It may be ideally adopted in healthy.

Hārita has described krishna paksha of lunar month is suitable for the basti prayoga because, all the diseases treated during this period get cured forever (radical cure) and the Gods appear during the shukla paksha where as demons as well as diseases appear during the krishna paksha. Therefore, according to Hārita, diseases should be treated during krishna paksha.)6  

Hārita has described krishna paksha of lunar month is suitable for the basti prayoga because, all the diseases treated during this period get cured forever (radical cure) and the Gods appear during the shukla paksha where as demons as well as diseases appear during the krishna paksha. Therefore, according to Hārita, diseases should be treated during krishna paksha.)6