Matra basti

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Matra basti is a type of unctuous enema (sneha basti), in which small amount of sneha (unctuous substance/ medicated fat) is administered through rectum. The name itself suggests that here the matra (dose) of sneha (fat) is less.[Cha.Sa. Siddhi Sthana 4/52-23], [A.Hri. Sutra Sthana 19/67] It is specially designed to avoid complications. It is suitable to all and at all times.

Contributors
Section/Chapter/topic Concepts/Basti/Matra basti
Authors Bhatted Santoshkumar 1, Shende Harshali 1
Reviewer Basisht G.2,
Editor Deole Y.S.3
Affiliations

1 Department of Panchakarma, All India Institute of Ayurveda, New Delhi, India

2 Rheumatologist, Orlando, Florida, U.S.A.

3 Department of Kayachikitsa, G. J. Patel Institute of Ayurvedic Studies and Research, New Vallabh Vidyanagar, Gujarat, India
Correspondence emails santoshbhatted@rediffmail.com, carakasamhita@gmail.com
Publisher Charak Samhita Research, Training and Development Centre, I.T.R.A., Jamnagar, India
Date of publication: September 30, 2023
DOI 10.47468/CSNE.2023.e01.s09.154

Dose

The dose of matra basti is half of dose of anuvasana basti i.e. one and half pala. (72 ml) [Su.Sa. 37/55-56] Charak and Vagbhata state that dose of matra basti is same as lowest dose of internal oleation (hrasva matra of snehapana).[1] It is the dose which gets digested in 6 hrs duration. However, it depends on strength of digestion of person (agni bala) and it is individual specific. Hence, for general administration purpose, the standard dose of matra basti might have been fixed as 1 ½ pala [72 ml approximately] . In current practices, 60 to 70 ml oil is administered in matra basti.

Special attributes of matra Basti

It promotes strength. It leads to easy elimination of mala (stool) and mutra (urine), and it performs brimhana (nourishment) in the body. It cures diseases due to vata dosha. It can always be administered in all seasons and is devoid of adverse effects.[2]

Diet & code of conduct

Vriddha Vagbhata has restricted day sleep after being treated with matra basti.[3]

Benefits and types of sneha used in matra basti

The unctuous substances (sneha dravya) include ghrita (ghee), taila (oil), vasa (muscle fats) and majja (bone marrow). Each of these have specific properties, and accordingly it yields its beneficial effects. Sneha in general is vatahara (pacifying vata), mridukara (produces softness in the channels and tissues, in turn helps for easy elimination of waste substances) and removes the obstruction of channels produced by the mala (waste products). [4]

Diet regimen before administration of matra basti

Matra Basti should not be given after heavy food intake and snigdha ahara (unctuous food) because fat intake by both routes simultaneously gives rise to mada (stupor) and murchha (altered conscious state). Before matra basti, the patient should avoid intake of excessively dry food (ruksha ahara), because it causes depletion of bala (strength) and varna (colour).[5]
Therefore, before matra basti, patients should be given a diet with less fats. . The patient should be given yusha (soup of vegetables and/or pulses), ksheera (milk), mamsrasa (soup prepared with meat) or any diet which is suitable to patient in less quantity i.e.3/4th of routine diet.[5]

Indications

Matra basti is nurishing (brimhana) in nature. It is best in vata disorders. It is especially used for paediatric and geriatric age group, tender and delicate individuals etc. where other forms of basti is contraindicated.

Special indications of matra basti

  1. Vyayama karshita- those who have become weak due to excessive exercise.
  2. Karma karshita-people who are debilitated due to excessive work, strenuous work
  3. Bhara karshita- people who are debilitated due to excessive lifting of weights
  4. Adhwa karshita- people who are debilitated due to excessive walking
  5. Yana karshita-people who are debilitated due to excessive travelling
  6. Stree karshita-people who are debilitated due to excessive indulgence in sexual intercourse
  7. Durbala-excessive weakness
  8. Vatabhagneshu- people who are suffering from diseases caused due to vata vitiation

Contraindications

There are no specific contraindications mentioned for matra basti, but it has similar contraindications as that of anuvasana basti and ama induced conditions.

Probable mode of action

Matra basti normalizes vata leading to proper elimination of flatus, faeces, urine, etc. and causes better physiological functioning of vata dosha. Basti dravya spreads all over the body, pacifies the aggravated vata dosha. Basti works on the whole body after entering pakvashaya (large intestine) or guda (anus). Guda (anus) is said to be the root of body (sharira mula) having sira (veins) and dhamani (arteries), which spreads all over the body.[6] It exerts local as well as systemic effects. Basti regulates vata and clears the bowel by eliminating accumulated faecal matter thus improving its physiological function.
The veerya (potency) of basti drug, first reaches the functional area of apana vayu and nourishes it. After that it acts on samana vayu and vyana vayu. It acts on udana vayu and prana vayu and nourishes them. All five of these, vata subtypes support health when they reach their typical condition. When pitta and kapha are brought into normalcy and are given sustenance, the veerya (potency) of basti medication causes changes in the body.
Thus, basti in general and matra basti in particular regulates vata dosha which in turn regulates body physiology thus helps restore the state of homeostasis.[7]


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References

  1. Kaviraj Atrideva Gupta, Vidhyotini Hindi commentary on Asthangahridhya of Maharshi Vagbhata Sutra Sathna Chapter 19/ 67. Varanasi Chaukhambha Prakashan, reprinted V.S., 2073; 169.
  2. Pandey Gangasahay, editor. Pt. Kashinath Sastri Vidhyotini Hindi commentary on Charaka Samhita of Agnivesha, Siddhi Sthan Adhyaya 4/54. Varanasi: Chaukumba Bharti Academy, 2015; 1013.
  3. Prof. Ravidatta Tripathy, Ashtanga Samgraha, sutrasthanam, published by Chaukhambha Sanskrit Pratisthan, Delhi, 2018 ed, P.No. 503, (A.S. Su. 28/8)
  4. Agnivesha, Charak Samhita, Siddhisthan1/7, Vol -2, editor Brahmanand Tripathi, Chaukhamba Surbharati Prakashan, Varanasi 2007. pp. 26–28.
  5. 5.0 5.1 Kaviraj Ambikadutta Shastri, Ayurveda Tattva Sandipika, Hindi commentary on Sushruta Samhita of Maharshi Sushruta, Chikitsa Sthana Chapter 37/55-56-57. Varanasi, Chaukhambha Sanskrit Sansthan, Reprinted, 2015; 2015
  6. Pandey Gangasahay, editor. Pt. Kashinath Sastri Vidhyotini Hindi commentary on Charaka Samhita of Agnivesha, Siddhi Sthan Adhyaya 1/31. Varanasi: Chaukumba Bharti Academy, 2015.
  7. Shastri L, editor. Siddhidsthana. 1st ed. Baidyanath Ayurved Bhavan Pvt. Ltd; 1989. Ashtanga Samgraha with Sarvanga Sundari Vyakhya; p. 1105.