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<p style="text-align:justify;">Madhutailika basti is one of the commonly practiced therapy in various clinical conditions. The chief ingredients of this [[Basti|basti]] are madhu (honey) and taila (oil). It is also known as padahina basti, yukta ratha basti and siddha basti. It is specially indicated for tender persons like children, aged persons. It possesses both properties like expelling [[Dosha|dosha]] (doshanirharana) as well as nourishing (brimhana). There are no such contraindications for madhutailika basti. Also, it is devoid of any kind of restrictions during its administration. It has wide spectrum of action such as vrishya (aphrodisiac), varnya (improves complexion) and balya (improves strength). It can be used in [[Meda dhatu|meda dhatu]] dushti vikara like medoroga (dyslipidemia) and [[Prameha Nidana|prameha]] (obstinate urinary diseases including diabetes). [Su.Sa. Chiktsa Sthana 35/3-4]
Madhutailika basti is one of the commonly practiced therapy in various clinical conditions. The chief ingredients of this basti are madhu (honey) and taila (oil). It is also known as padahina basti, yukta ratha basti and siddha basti. It is specially indicated for tender persons like children, aged persons. It possesses both properties like expelling dosha (doshanirharana) as well as nourishing (brimhana). There are no such contraindications for madhutailika basti. Also, it is devoid of any kind of restrictions during its administration. It has wide spectrum of action such as vrishya (aphrodisiac), varnya (improves complexion) and balya (improves strength). It can be used in meda dhatu dushti vikara like medoroga (dyslipidaemia) and prameha (obstinate urinary diseases including diabetes). <ref>[Su.Sa. Chiktsa Sthana 35/3-4]</ref>
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{{Infobox  
 
{{Infobox  
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|data1 = Concepts/[[Basti]]/[[Madhutailika Basti]]   
 
|data1 = Concepts/[[Basti]]/[[Madhutailika Basti]]   
 
|label2 = Authors  
 
|label2 = Authors  
|data2 = Kabra Diksha, Bhatted Santoshkumar <sup>1</sup>   
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|data2 = Kabra Diksha<sup>1</sup>, Bhatted Santoshkumar <sup>1</sup>   
 
|label3 = Reviewer  
 
|label3 = Reviewer  
|data3 = Basisht G.<sup>2</sup>,   
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|data3 = [[Gopal Basisht|Basisht G.]]<sup>2</sup>,   
 
|label4 = Editor  
 
|label4 = Editor  
|data4 = Deole Y.S.<sup>3</sup>  
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|data4 = [[Yogesh Deole|Deole Y.S.]]<sup>3</sup>  
 
|label5 = Affiliations  
 
|label5 = Affiliations  
|data5 = <sup>1</sup> Department of Panchakarma, All India Institute of Ayurveda, New Delhi, India  
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|data5 = <sup>1</sup> Department of Panchakarma, All India Institute of Ayurveda, New Delhi, India <br/><sup>2</sup> Rheumatologist, Orlando, Florida, U.S.A. <br/><sup>3</sup> Department of Kayachikitsa, G.J.Patel Institute of Ayurvedic Studies and Research, New Vallabh Vidyanagar, Gujarat, India  
<sup>2</sup> Rheumatologist, Orlando, Florida, U.S.A.  
  −
<sup>3</sup> Department of Kayachikitsa, G.J.Patel Institute of Ayurvedic Studies and Research, New Vallabh Vidyanagar, Gujarat, India  
   
|label6 = Correspondence emails  
 
|label6 = Correspondence emails  
|data6 = santoshbhatted@rediffmail.com,
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|data6 = santoshbhatted@rediffmail.com,<br/>carakasamhita@gmail.com  
carakasamhita@gmail.com  
   
|label7 = Publisher   
 
|label7 = Publisher   
 
|data7 = [[Charak Samhita Research, Training and Development Centre]], I.T.R.A., Jamnagar, India  
 
|data7 = [[Charak Samhita Research, Training and Development Centre]], I.T.R.A., Jamnagar, India  
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|data8 =November 14, 2022  
 
|data8 =November 14, 2022  
 
|label9 = DOI  
 
|label9 = DOI  
|data9 = In process
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|data9 = {{DoiWithLink}}
 
}}  
 
}}  
 
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<div style='text-align:justify;'>
 
== Etymology and definition ==
 
== Etymology and definition ==
 
<div style='text-align:justify;'>
 
<div style='text-align:justify;'>
The term ‘Madhutailika’ is derived from two words viz. madhu (honey) and taila (oil). Basti prepared from madhu (honey) and taila (oil) in equal quantity is termed as ‘Madhutailika Basti’. <ref>www.wisdomlib.org. Madhutailika, Mādhutailika, Madhu-tailika: 3 definitions [Internet]. 2020 [cited 2022 Sep 2]. Available from: https://www.wisdomlib.org/definition/Madhutailika </ref>,  <ref>[Su.Sa. Chiktsa Sthana 38/114]</ref> Madhutailika basti is one of the asthapana Basti. It is also called as ‘padahina basti’ as its dose is 1/4th lesser than the highest dose of asthapana basti. <ref>[Su.Sa. Chiktsa Sthana 38/100]</ref>
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The term ‘Madhutailika’ is derived from two words viz. madhu (honey) and taila (oil). Basti prepared from madhu (honey) and taila (oil) in equal quantity is termed as ‘Madhutailika Basti’. <ref>www.wisdomlib.org. Madhutailika, Mādhutailika, Madhu-tailika: 3 definitions [Internet]. 2020 [cited 2022 Sep 2]. Available from: https://www.wisdomlib.org/definition/Madhutailika </ref>,  [Su.Sa. Chiktsa Sthana 38/114]  Madhutailika basti is one of the asthapana Basti. It is also called as ‘padahina basti’ as its dose is 1/4th lesser than the highest dose of asthapana [[basti]]. [Su.Sa. Chiktsa Sthana 38/100]
 
</div>
 
</div>
    
== Synonyms ==
 
== Synonyms ==
Yuktaratha basti, Siddha Basti. <ref>[Su.Sa. Chiktsa Sthana 38/115-116]</ref>
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Yuktaratha basti, Siddha Basti. [Su.Sa. Chiktsa Sthana 38/115-116]  
    
== Ingredients of Madhutailika Basti ==
 
== Ingredients of Madhutailika Basti ==
Following table shows ingredients of Madhutailika Basti and their proportion.  <ref>[Su.Sa. Chiktsa Sthana 38/100]</ref>
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Following table shows ingredients of Madhutailika Basti and their proportion.  [Su.Sa. Chiktsa Sthana 38/100]
 
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== Sharangdhara’s formulation<ref>[Sh.Sa. Uttara Khanda 6/28]</ref> ==
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=== Sharangdhara’s formulation [Sha.Sa. Uttara Khanda 6/28] ===
 
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Both formulations are almost the same. Only difference is between adding madanaphala. Sushruta’s formulation is practised widely.  
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Both formulations are almost the same. Only difference is between adding madanaphala. Sushruta’s formulation is practiced widely.
    
== Indications ==
 
== Indications ==
Madhutailika basti is indicated in following individuals according to their forbearance strength.<ref>[Su.Sa. Chiktsa Sthana 38/96]</ref>
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Madhutailika basti is indicated in following individuals according to their forbearance strength.[Su.Sa. Chiktsa Sthana 38/96]
 
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== Diseases wise indications<ref>[Sh.Sa. Uttara Khanda 6/29]</ref> ==
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=== Disease wise indications [Sha.Sa. Uttara Khanda 6/29] ===
 
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== Contraindications ==
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<div style='text-align:justify;'>
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There are no reported contraindications for madhutailika basti. According to general contraindications, it should not be administered in ajirna (indigestion), and other similar conditions having the dominance of ama (undigested material).
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</div>
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 +
== Duration and schedule of therapy ==
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<div style='text-align:justify;'>
 +
Sushruta describes that it can be administered according to niruha krama implemented in yoga basti or kala basti or karma basti krama. According to strength of [[Dosha|dosha]], patient and disease,  it can be administered daily or alternate with anuvasana basti. The minimum duration needed to observe some changes is 8 days. It can be administered up to 16 days according to conditions.
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</div>
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== Advantages of madhutailika basti == 
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Madhutailika basti has following advantages over other basti.[Su.Sa. Chiktsa Sthana 38/97-98-99]
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# It has broad spectrum of activity without any complications.
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# There are no restrictions for patients for travelling in vehicles, sexual act and diet.
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# It can be administered at any time according to willingness of patient.
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# It can be administered in all seasons.
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# It causes [[Dosha|dosha]] nirharana (elimination of dosha) and enhances [[Bala|bala (strength)]] and [[Varna|varna (complexion)]].
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# It can be administered in healthy person for ritushodhana (seasonal purification).
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# As it is mild in nature, it can be administered in tender persons, alpadoshayukta (having mild [[Dosha|dosha]] vitiation), mridukoshthi (soft bowel  person). 
 +
# It is applied for purification purpose as well as nourishing therapy. 
 +
# The single basti provides siddhi (success), so it is known to be the best [[Basti|basti]] among the [[Basti|basti]] therapy.
 +
 +
{| class="wikitable"
 +
|+ Table1: Pharmacodynamics of madhutailika basti:
 +
|-
 +
! Sr no
 +
! Content
 +
! Rasa
 +
! Guna
 +
! Virya
 +
! Vipaka
 +
! Karma
 +
|-
 +
| 1
 +
| Madhu (Honey)
 +
| Madhura rasa, Kashaya anurasa
 +
| Pichhila, Laghu, Ruksha, Sukshma
 +
| Sheeta
 +
| Madhura
 +
| Lekhana, Shodhana, Yogavahi, Ropana, Vranashodhana,Sandhana
 +
|-
 +
| 2
 +
| Saindhav (Rock salt)
 +
| Madhura Lavana
 +
| Laghu, Sukshma
 +
| Sheeta
 +
| Madhura
 +
| Deepana, Pachana
 +
|-
 +
| 3
 +
| Shatapushpa (Anethum Sowa Kurz)
 +
| Katu
 +
| Laghu Ruksha Tikshna
 +
| Ushna
 +
| Katu
 +
| Deepana Pachana Anulomaka
 +
|-
 +
| 4
 +
| Tila Taila (Sesame oil)
 +
| Madhura Kashaya Tikta
 +
| Sara, Guru Sukshma
 +
| Ushna
 +
| Madhura
 +
| Tridoshaghna Vatahara, Lekhana Balya
 +
|-
 +
| 5 
 +
| Erandamula (Root of Ricinus Communis Linn)
 +
| Madhura, Katu, Kashaya
 +
| Snigdha Teekshna Sookshma
 +
| Ushna
 +
| Madhura
 +
| Vedanasthapaka, Balya
 +
|-
 +
| 6
 +
| Madanphala (Randia dumetorum Linn)
 +
| Madhura Tikta
 +
| Laghu Ruksha
 +
| Ushna
 +
| Katu
 +
| Lekhana
 +
|-
 +
|}
 +
 +
== Probable mode of action ==
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<div style='text-align:justify;'>
 +
The main constituent of this madhutailika basti is honey (madhu) and sesame oil (tila taila). Madhu is yogavahi (drug carrier) in nature due to which it spreads to minute channels (sukshma srotasa) and increases potency of basti. Tila taila is snigdha (unctuous), madhura (sweet) and ushna (hot) in nature. It reduces laghu (light to digest) and ruksha (dry) properties of vata.  Saindhava has laghu, snigdha guna. It reaches micro channels and causes liquefaction of dosha. Erandamula is vata-kaphaghna in nature. The most of the contents of this [[Basti|basti]] are vata-kaphaghna in nature.
 +
 +
[[Prameha Chikitsa|Madhumeha]] is one of the [[Kapha|kapha]] and [[Kleda|kleda]] dominant [[Vyadhi|disease]] with vitiation of [[Mamsa dhatu
 +
|mamsa]], [[Meda|meda]], [[Rasa|rasa]], and [[Ojas|ojas]]. Madhutailika basti purifies the vitiated components with the help of honey and salt. It breaks the bondage of [[Dosha|dosha]] (doshasanghata) and purifies channels (srotoshodhana). It enhances [[Bala|strength (bala)]] and digestion ([[Agni|agni]]) leading to proper nourishment of [[Dhatu|dhatu]]. In medoroga, functions of [[Agni|agni]] are disturbed leading to improper formation of [[Dhatu|dhatu]] and only [[Meda dhatu|meda dhatu]] is excessively formed. Madhutailika [[Basti|basti]] owing to its vata-kaphaghna nature helps in medoroga as well as it cleans the channels. Madhu and tila taila are medohara in nature. Hence they help in breaking the pathogenesis. 
 +
 +
Also, [[Basti|basti]] improves functioning of [[Agni|agni]] and stimulates sequential formation of good quality [[Dhatu|dhatu]]. In Udavarta, there is reverse movement of [[Vata dosha|vata]], [[Basti|basti]] is the best treatment to provide natural direction to [[Vata dosha|vata dosha]]. This [[Basti|basti]] contains decoction of castor plant (Erandamula Kwatha), which is the best for pacifying [[Vata dosha|vata]]. As this [[Basti|basti]] reaches microchannels and does liquefaction of [[Dosha|doshas]], it produces balya , varnya , deepana and brimhana effects.
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</div>
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{| class="wikitable"
 +
|+ Table 2: Research works with their outcome on Madhutailika Basti:
 +
|-
 +
! Sr no
 +
! Title
 +
! Authors
 +
! Research Place and year
 +
! Conclusion
 +
|-
 +
| 1
 +
| Clinical study to evaluate the efficacy of Madhutailika Basti in the management of Madhumeha w.s.r. To Diabetes Mellitus. <ref>Pathak Mridula , Mhatre Ashish. Clinical study to evaluate the efficacy of Madhutailika Basti in the management of Madhumeha w.s.r. To Diabetes Mellitus. Journal of Ayurveda and Integrated Medical Sciences.2018;3(05), 21-26. Retrieved from https://www.jaims.in/jaims/article/view/488 </ref>
 +
| Dr. Mridula Pathak <br/>Dr. Ashish Mhatre
 +
| Dept of Kayachikitsa, OPD/IPD of D.Y.Patil school of Ayurveda , 2018.
 +
| Madhutailka basti was given for 8 days and it is found effective clinically as well as statistically  in  the  treatment  of Diabetes  Mellitus. Also, it gives significant results in blood sugar level and HbA1C which is used for diagnosis of DM.
 +
|-
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| 2
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| Role of Madhutailika Basti in infertility w.s.r. to anovulatory factor. <ref>Dhiman, Kamini & Pandya, Shachi & Dei, Laxmipriya. (2014). Role of madhutailika basti in infertility w.s.r. to anovulatory factor. Journal of Ayurveda & Holistic Medicine. 2. 19 - 26.</ref>
 +
| Dr.Kamini Dhiman, <br/>Dr. Shachi Pandya,<br/>Dr. L. P. Dei,<br/>Dr.Anup Thakar,<br/>Dr.K.S. Dhiman
 +
| OPD/IPD of S.R.P.T. Dept, I.P.G.T & R.A Jamnagar,2014.
 +
| The effect of basti was encouraging in reference to ovulation.
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|-
 +
| 3
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| Study of effect of Madhutailika Basti (rejuvenating enema containing honey and seasame oil) on fatigue index in premature ageing. <ref>Chavan S, Vedpathak S, Indapurkar K, Ghate U. Study of effect of madhutailika basti (rejuvenating enema containing honey and seasame oil) on fatigue index in premature ageing. 2018 Apr 25;7.</ref>
 +
| Dr.Santosh Chavan,<br/>Dr. Surendra M. Vedpathak,<br/>Dr.Kavita Indapurkar <br/>Dr. Umesh Shivajirao Ghate
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| O.P.D of B.V.M.F.S Bharti Ayurveda Hospital , Katraj,2018.
 +
| Madhutailika Basti shows positive effect on physical fitness (fatigue index) in premature aging patient.
 +
|-
 +
| 4
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| Pharmaceutical evaluation of Madhutailika basti formulation prepared by Classical and Modified Methods. <ref>Dr. Shruthi C.S., Prabhakara Upadhyaya Renjal, & Sujatha K. (2017). Pharmaceutical evaluation of Madhutailika Basti formulation prepared by Classical and Modified Methods. Journal of Ayurveda and Integrated Medical Sciences, 2(01), 85-91. Retrieved from https://www.jaims.in/jaims/article/view/101</ref>
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| Dr. Shruthi C.S.<br/>Prabhakara Upadhyaya Renjal Sujatha K.
 +
| Dept of R.S.B.K, S.D.M College of Ayurveda, Udupi,2017.
 +
| Samples prepared with Churner, those from mixer and edge runner mill can be considered as inferior respectively.
 +
|-
 +
| 5
 +
| A comparative clinical study of madhutailik kal-basti and udvartana with madhutailik kala basti in medoroga with special reference to obesity. <ref>Tomar D.P. A comparative clinical study of madhutailik kal-basti and udvartana with madhutailik kala basti in medoroga with special reference to obesity. 2015;10.</ref>
 +
| Dr.Prajkta Tomar
 +
| Panchakarma/ Kayachikitsa OPD of attached hospital with Sumatibai Shah Ayurveda Mahavidyalaya, Hadapsar, Pune, 2015.
 +
| In Group-A (madhultailik basti), the mean reduction in Sharir bhar (Weight) observed among patients was 3 kg. Body Mass Index was reduced by 1.3 kg/m<sup>2</sup> . While in Group-B, the mean reduction of weight was 4.20 kg and body mass index was reduced by 1.4 kg/m<sup>2</sup>.
 +
|-
 +
| 6
 +
| Study of Preparation and Standardization of 'Maadhutailika Basti' with special reference to Emulsion Stability. <ref>Savrikar SS, Lagad CE. Study of Preparation and Standardization of 'Maadhutailika Basti' with special reference to Emulsion Stability. Ayu. 2010 Jan;31(1):1-6. Doi: 10.4103/0974-8520.68190. PMID: 22131675; PMCID: PMC3215309.</ref>
 +
| S S Savrikar <br/>C E Lagad
 +
| Dept of R.S.B.K, Govt. Ayurveda College, Nanded,2010.
 +
| Maadhutailika basti is oil in water emulsion as proved by dilution, conductivity and dye test. The serial order of mixing the ingredients mentioned by classics should be maintained to get a homogenized emulsion.
 +
|-
 +
| 7
 +
| Effect of Madhu tailika basti And Shamana aushadhi In polycycstic ovarian diseases. <ref>M. Reddi, S., V, A., & Mishra, B. (2015). Effect of Madhu Tailika Basti and Shamana aushadhi in poly-cystic ovarian diseases. International Journal of Ayurveda and Pharma Research, 2(7). Retrieved from https://ijapr.in/index.php/ijapr/article/view/192</ref>
 +
| Shridevi. M. Reddi,<br/>Anupama. V,<br/>Baidyanath Mishra
 +
| O.P.D/I.P.D of Dept of S.R.P.T of SKAMCH & RC , Vijayanagar , Banglore,2014.
 +
| The trial drug was found to be highly significant in reliving PCOD.
 +
|-
 +
|}
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=== Abbreviations ===
 +
 +
Su.= Sushruta , Sha.= Sharangdhara , Sa.= Samhita
 +
 +
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