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Vaitarana (view source)

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Vaitaranabasti is a therapeutic enema. It is effective in diseases like amavata, katishoola (lumbago), gridhasi (sciatica), klaibya (sexual dysfunction), vishamajwara(fever) etc. The description is available in ayurveda texts likeChakradutta, Vrandhamadhava, Vangasenasamhita.In current scenario, it is used in ~~amavatapatients~~ as a safe, innocuous & custodian therapy for the patient. It is also useful in amadosha predominant conditions like anaha (abdominal distension),shotha (swelling),shula (pain). It has vata-~~kaphapacifying~~ properties and helps in removing avarana of vata by kapha. The present chapter describes advantages and practical aspects of vaitaranabasti.

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Vaitaranabasti is a therapeutic [[Basti|enema]]. It is effective in [[Vyadhi|diseases]] like [[Amavata|amavata]], katishoola (lumbago), gridhasi (sciatica), klaibya (sexual dysfunction), vishamajwara(fever) etc. The description is available in [[Ayurveda|ayurveda]] texts likeChakradutta, Vrandhamadhava, Vangasenasamhita. In current scenario, it is used in [[Amavata|amavata]] patients as a safe, innocuous & custodian therapy for the patient. It is also useful in amadosha predominant conditions like anaha (abdominal distension), [[Shvayathu Chikitsa|shotha (swelling)]], shula (pain). It has vata-kapha pacifying properties and helps in removing [[Avarana|avarana]] of [[Vata dosha|vata]] by [[Kapha|kapha]]. The present chapter describes advantages and practical aspects of vaitaranabasti.

</div>

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== Etymology and derivation ==

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According to Padma Purana, Vaitarana means ‘Vai’ (meaning truly) to ‘tarana’ (means saving). Vaitarana is called so because the enema is said to prevent many diseases. It means to donate, go across, to leave which helps to expel the dosha. Vaitarana is the name of river, which can bring back the dead to live.It is meant to cross a river, transporting (a departed spirit) over the river that flows between earth and the lower regions [Monier-Williams Sanskrit-English Dictionary, 1899]. Hence, this basti is so powerful that it can bring back life of a person, who is about to die.

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According to [https://en.wikipedia.org/wiki/Padma_Purana Padma Purana], Vaitarana means ‘Vai’ (meaning truly) to ‘tarana’ (means saving). Vaitarana is called so because the [[Basti|enema]] is said to prevent many [[Vyadhi|diseases]]. It means to donate, go across, to leave which helps to expel the [[Dosha|dosha]]. Vaitarana is the name of river, which can bring back the dead to live. It is meant to cross a river, transporting (a departed spirit) over the river that flows between earth and the lower regions [Monier-Williams Sanskrit-English Dictionary, 1899]. Hence, this [[Basti|basti]] is so powerful that it can bring back life of a person, who is about to die.

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The first reference regarding vaitaranibasti is probably found in the Siddhayogaor Vrindamadhava ; narrated as separate section as this formulation does not satisfy inclusion in description ~~ofniruhabasti~~.The critical edition of Vrindha Madhava by Dr.Premavati Tiwari and Dr. AshaKumari reports a variant reading where gudais replaced by Hingu.<ref>Vrindha. Vrindha madhava/sidhayogah Part 2. First edition. ByDr. Premvati Tiwari & Dr. Asha Kumari.Varanasi; ChaukambhaSanskrit Sansthan; 2006.p.938.</ref>

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The first reference regarding vaitaranibasti is probably found in the Siddhayogaor Vrindamadhava ; narrated as separate section as this formulation does not satisfy inclusion in description of niruhabasti. The critical edition of Vrindha Madhava by Dr.Premavati Tiwari and Dr. AshaKumari reports a variant reading where gudais replaced by Hingu.<ref>Vrindha. Vrindha madhava/sidhayogah Part 2. First edition. ByDr. Premvati Tiwari & Dr. Asha Kumari.Varanasi; ChaukambhaSanskrit Sansthan; 2006.p.938.</ref>

</div>

The basic difference in niruha and vaitaranabasti as follow-

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! VAITARANA BASTI (Vaitarana enema)

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| Contents- Makshika (honey), Lavana (salt), Sneha(oil), Kalka(paste), &Kwatha(decoction)<ref>Vagbhata. Ashtanga Hridaya. With Commentaries SarvangaSundari of Arunadatta and Ayurvedarasayana of Hemadri.Varanasi; Chaukambha Sanskrit Sansthan; 2012. p.269. [A.H.SU19/45].</ref>.

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| Contents- Makshika (honey), [[Lavana|Lavana]] (salt), Sneha(oil), Kalka(paste), &Kwatha(decoction)<ref>Vagbhata. Ashtanga Hridaya. With Commentaries SarvangaSundari of Arunadatta and Ayurvedarasayana of Hemadri.Varanasi; Chaukambha Sanskrit Sansthan; 2012. p.269. [A.H.SU19/45].</ref>.

| Contents- Saindhava (rock salt), Guda (jaggery), Chincha (tamrind), Taila (oil), &Drava Dravya (liquids).

|-

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! Contents

! Botanical /English name

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! Rasa (Taste)

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! [[Rasa|Rasa (Taste)]]

! Virya (Potency)

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! Vipaka (metabolic properties- after digestion)

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! [[Vipaka|Vipaka]] (metabolic properties- after digestion)

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! Guna

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! [[Guna|Guna]]

! Properties

! Chemical constituent

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* Shoola (pain),

* Anaha (gaseous distention),

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* Amavata (diseases due to Ama and Vata)

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* [[Amavata|Amavata]] (diseases due to Ama and Vata)

* Shopha of kati, uru, prushta(inflammation of upper or lower back)

* Urusthambha (specific diseaseof lower limb)

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* Erandtaila (castor oil)

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=== C)Procedure to formulate &give basti. ===

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=== C)Procedure to formulate & give basti. ===

'''Pre-procedure:'''

<br/>a) Preparation of patient

<br/>b) Preparation of basti.

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'''a) Preparation of patient:''' After the evacuation of bladder and bowels, local massage and fomentation on pelvic region shall be done.

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'''a) Preparation of patient:''' After the evacuation of bladder and bowels, local massage and fomentation on pelvic region shall be done.

<br/>'''b) Preparation of basti:''' Vaitaranabasti is prepared as per the classical method used for the preparation of niruhabasti. Jaggery (guda) is mixed uniformly with a small amount of lukewarm water. Saindhava is added to the above. Tilataila is added till the mixture become homogenous. Chinchakalka is prepared with warm water and added to the above mixture carefully. Gomutra is added slowly and mixing is continued so as to have uniform bastidravya. Finally, after filtering, bastidravyais made lukewarm by keeping it into hot water bath.

</div>

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'''Post procedure (pashchat karma):'''

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The basti instrument is removed from anus. Then gentle tapping on thigh & buttocks is done. Then the patient is asked to change posture to left lateral. If patient gets natural urge within 10 to 30 minutes, he will be advised to evacuate bowels.Clinical features of proper basti karma are observed. </div>

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The basti instrument is removed from anus. Then gentle tapping on thigh & buttocks is done. Then the patient is asked to change posture to left lateral. If patient gets natural urge within 10 to 30 minutes, he will be advised to evacuate bowels.Clinical features of proper [[Basti|basti]] [[Karma|karma]] are observed. </div>

'''Basti retention time (pratyagamana):'''Onemuhurta (48 minutes). <br/><br/>

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* Hrillasa (nausea)

* Maruta mutra sanga(retention of flatus & urine)

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* Shwasa (dyspnea).

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* [[Shwasa|Shwasa]] (dyspnea).

'''Excess dose'''

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* Kapha pitta kshaya (reduction of kapha& pitta)

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* Kapha pitta kshaya (reduction of [[Kapha|kapha]] & [[Pitta|pitta]])

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* Anil prakopa (increment of vata)

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* Anil prakopa (increment of [[Vata dosha|vata]])

* Angamarda (body pain)

* Klama (fatigue)

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* Nidra-balaabhava(absence of sleep & strength)

* Tamapravesha(blackouts)

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* Hikka(hiccup)

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* [[Hikka Shwasa Chikitsa|Hikka(hiccup)]]

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* Unmada (insanity)

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* [[Unmada Chikitsa|Unmada (insanity)]]

* Adhmana(bloating)

* Parikartika(fissure)

* Stambha(stiffness)

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* Kamala(jaundice)

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* [[Kamala|Kamala(jaundice)]]

=== D)Time of administration ===

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== Mode of action of basti ==

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Basti introduced into the rectum (pakwashaya)acts upon the whole body and on every system of the body. It draws out impurities from head to toe by its potency just as the sun evaporates water from the earth by its heat. [Cha.Sa.Siddhi Sthana 7/64]

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Basti introduced into the rectum (pakwashaya)acts upon the whole [[Sharira|body]] and on every system of the [[Sharira|body]]. It draws out impurities from head to toe by its potency just as the sun evaporates water from the earth by its heat. [Cha.Sa.Siddhi Sthana 7/64]

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As the cloth absorbs the dye from water mixed with kusumba(safflower) plant, in the same way

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As the cloth absorbs the dye from water mixed with kusumba(safflower) plant, in the same way Basti eliminates the [[Mala|mala]] from the [[Sharira|body]] which have undergone liquefaction due to snehana and svedana. [A. Hru. Sutra Sthana 19]

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Basti eliminates the mala from the body which have undergone liquefaction due to snehana and svedana. [A. Hru. Sutra Sthana 19]

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The bastidravya churns and collects the accumulated dosha and stool (shakrut) from umbilical, hypogastric and pelvic region (nabhi, kati, parshwa and kukshi pradesha), causes oleation (snehana) to the body and expels out the dosha.[Cha. Sa. Siddhi Sthana1/40]

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The bastidravya churns and collects the accumulated [[Dosha|dosha]] and stool (shakrut) from umbilical, hypogastric and pelvic region (nabhi, kati, parshwa and kukshi pradesha), causes oleation (snehana) to the [[Sharira|body]] and expels out the [[Dosha|dosha]].[Cha. Sa. Siddhi Sthana1/40]

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Note: The pharmacological properties of ingredients after their rectal administration are not yet studied. The properties of ingredients after oral administration are studied and presented here for reference.

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'''Saindhava lavana (rock salt):''' Saindhava lavanais the purest form of rock salt, considered the best among all varieties of salt and advisable for daily consumption. It possesses 85% NaCl and 15% trace materials, whereas anothersaltcontains 97% NaCl.It is salty and slightly sweet in taste; madhuravipaka (sweet post digestive effect), sheetaveerya (cold potency), light to digest and unctuous in nature. In bastitherapy, rock salt is added to prepare an emulsion. It helps to dissolve and expel dosha from the intestines.<ref>Sarker A, Ghosh A, Sarker K, Basu DJ, Sen DJ. Halite; the Rock Salt: enormous health benefits. World Journal of Pharmaceutical Research.2016;5(12):407-16.</ref><br/>The role of subtle (sukshma), unctuous (snigdha) and sharp (tikshna) properties are as below:

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'''Saindhava lavana (rock salt):''' Saindhava lavanais the purest form of rock salt, considered the best among all varieties of salt and advisable for daily consumption. It possesses 85% NaCl and 15% trace materials, whereas anothersaltcontains 97% NaCl. It is salty and slightly sweet in taste; madhuravipaka (sweet post digestive effect), sheetaveerya (cold potency), light to digest and unctuous in nature. In bastitherapy, rock salt is added to prepare an emulsion. It helps to dissolve and expel [[Dosha|dosha]] from the intestines.<ref>Sarker A, Ghosh A, Sarker K, Basu DJ, Sen DJ. Halite; the Rock Salt: enormous health benefits. World Journal of Pharmaceutical Research.2016;5(12):407-16.</ref><br/>The role of subtle (sukshma), unctuous (snigdha) and sharp (tikshna) properties are as below:

<dl>

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<dd>- By virtue of subtle (suskhmaguna),bastidravyareaches up to the molecular level. It helps to pass the drug molecule in systemic circulation through the mucosa.</dd>

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<dd>- By virtue of subtle (suskhmaguna), bastidravyareaches up to the molecular level. It helps to pass the drug molecule in systemic circulation through the mucosa.</dd>

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<dd>- Sharp (tikshnaguna) breaks down the morbid mala & dosha bondings (sanghata), hence helpful for the elimination of waste due to its irritant property.</dd>

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<dd>- Sharp (tikshnaguna) breaks down the morbid mala & [[Dosha|dosha]] bondings (sanghata), hence helpful for the elimination of waste due to its irritant property.</dd>

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<dd>- Unctuous (snigdhaguna)is capable of liquefying the ~~doshaand~~ breaking it into minute particles.</dd>

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<dd>- Unctuous (snigdhaguna) is capable of liquefying the [[Dosha|dosha]] and breaking it into minute particles.</dd>

</dl>

'''Chincha / Tamarind (Tamarindus indica L.) :'''<br/>

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Oral administration of chinchahasvata-kapha pacifying, dry (ruksha) and hot (ushna) properties. These are useful in management of amavata.Tamarind is rich in tartaric acid which is a potent antioxidant and is a good source of iron and thiamine. The ripe fruit of tamarind is madhura-amla (sweet-sour) in taste. It is heavy to digest (guru),dry (ruksha),and hot in potency (ushnaveerya) with sour (amla)post digestive effect (vipaka).

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Oral administration of chinchahasvata-kapha pacifying, dry (ruksha) and hot (ushna) properties. These are useful in management of amavata. Tamarind is rich in tartaric acid which is a potent antioxidant and is a good source of iron and thiamine. The ripe fruit of tamarind is madhura-amla (sweet-sour) in taste. It is heavy to digest (guru),dry (ruksha),and hot in potency (ushnaveerya) with sour (amla) post digestive effect (vipaka).

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Ripe fruit pacifies ~~vataand~~ pitta. It has appetizing, digestive, thirst suppressing liver stimulant, anti-inflammatory, diuretic, anti-toxic, bladder purifing, anti-fatigue actions. It is useful for fever, constipation, loss of appetite, wound, sunstroke, rheumatism, inflammation, and diabetes. Its fruit is laxative. Leaves are useful to destroy parasitic intestinal worms. It is used as a food and has culinary uses. It is made into a refreshing and cooling beverage particularly used in fever. It possesses antioxidant, antiinflammatory, anti-microbial, anti-fungal, anti-viral,hepato-protective, anti-nematodal, molluscicidal, antidiabetic, anti-cytotoxic activities.<ref>Caluwe ED, Halamova K, Damme PV. Tamarind (Tamarindus indica L.): A Review of Traditional Uses, Phytochemistry and Pharmacology. In: Juliani H, et al. African Natural Plant Products: New Discoveries and Challenges in Chemistry andQuality. Washington, DC: ACS Symposium Series, American Chemical Society; 2010. p. 85-110.</ref><ref>Pandey G. DravyagunaVijnan, Part-1. Varanasi: Krishna DasAcademy; 1998. p.119-128.</ref>

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Ripe fruit pacifies [[Vata dosha|vata]] and [[Pitta|pitta]]. It has appetizing, digestive, thirst suppressing liver stimulant, anti-inflammatory, diuretic, anti-toxic, bladder purifing, anti-fatigue actions. It is useful for fever, constipation, loss of appetite, wound, sunstroke, rheumatism, inflammation, and diabetes. Its fruit is laxative. Leaves are useful to destroy parasitic intestinal worms. It is used as a food and has culinary uses. It is made into a refreshing and cooling beverage particularly used in fever. It possesses antioxidant, antiinflammatory, anti-microbial, anti-fungal, anti-viral,hepato-protective, anti-nematodal, molluscicidal, antidiabetic, anti-cytotoxic activities.<ref>Caluwe ED, Halamova K, Damme PV. Tamarind (Tamarindus indica L.): A Review of Traditional Uses, Phytochemistry and Pharmacology. In: Juliani H, et al. African Natural Plant Products: New Discoveries and Challenges in Chemistry andQuality. Washington, DC: ACS Symposium Series, American Chemical Society; 2010. p. 85-110.</ref><ref>Pandey G. DravyagunaVijnan, Part-1. Varanasi: Krishna DasAcademy; 1998. p.119-128.</ref>

Tamarind fruit has anti spasmolytic activity by blocking calcium channel has a laxative effect due to the presence of malic acid, tartaric acid and potassium and it prevents cardiovascular diseases and obesity due to the content of polyphenol and flavanoids in it.<ref>Kuru P. Tamarindus indica and its health-related effects. Asian Pacific Journal of Tropical Biomedicine. 2104; 4(9):676-681.</ref>

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'''A) Pre-requisites for formulation of basti:''' The following points should be in consideration to have good results;-

<dl>

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<dd>- Tamarind paste (Chinchakalka):The tamarind paste is prepared after removing fiber and seeds from it. Actual weight of this paste is measured. Tamarind (chicha) should be soaked in water(room temperature)overnight, then fibrous & seed part extracted & remaining portion should be filtered with the help of fine cotton cloth. In case of instant preparation, the tamarind can be used after soaking it in hot water for fifteen minutes. Tamarind (chincha) should be old (purana), blackish in texture; should not having whitish coated texture. </dd>

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<dd>- Tamarind paste (Chinchakalka):The tamarind paste is prepared after removing fiber and seeds from it. Actual weight of this paste is measured. Tamarind (chicha) should be soaked in water(room temperature) overnight, then fibrous & seed part extracted & remaining portion should be filtered with the help of fine cotton cloth. In case of instant preparation, the tamarind can be used after soaking it in hot water for fifteen minutes. Tamarind (chincha) should be old (purana), blackish in texture; should not having whitish coated texture. </dd>

<dd>- Jaggery: It should be use in melted form(semiliquid preparation). Jaggery should be added with 3-4ml hot water, mixed gently & then should be filtered out.It should not be grinned or rigorously stirred in any possible way. </dd>

<dd>- Cow urine: It should not have any turbidity in appearance or strong pungent smell. Foaming is observed when it is mixed with other contents. It ensures the fresh and qualitative aspect of cow urine. In absence of fresh cow urine, its extract (gomutraarka) is used after diluting it in 1:2 or 1:3 ratio with lukewarm water.</dd>

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'''B) Administration of basti to the patient:'''

<dl>

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<dd>- Vaitaranabasti should be administered at evening or in morning hours of day because during that time of a day pitta predominance is at its lower range or should say tikshnaguna effect is at its lowest peak </dd>

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<dd>- Vaitaranabasti should be administered at evening or in morning hours of day because during that time of a day [[Pitta|pitta]] predominance is at its lower range or should say tikshnaguna effect is at its lowest peak </dd>

<dd>- Per rectal examination should be done before administration to check any anorectal disease like pile mass, sentinel tag, inflammation, fissure etc.Vaitaranabastiis contraindicated in such conditions. </dd>

</dl> </div>

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| Vaitaranabastiis contraindicated in flatulence originated due to any space occupying lesion, Ileitis, Colitis, Pancreatitis, Hepatitis, Chronic Liver Disease, High Grade Fever, Crohn’s Disease, Ulcerative Colitis.

|-

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| Amavata

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| [[Amavata|Amavata]]

| Rheumatoid Arthritis,Osteoarthritis,Gout Arthritis,Ankylosing Spondylitis, Systemic Lupus Erythematous,Intervertebral Disc Prolapse,GreevagataVata,JanugataVata,Katigraha,Katishoola,Frozen Shoulder.

|-

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== Current research works ==

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* It is noticed that relief in sign and symptoms were found in patients when treated with vaitaranabasti and VatariGuggulu. Thus, it can be said that vaitaranabastiworks as a curative as well as purifying measure. Proper diet restrictions as per prakriti of a patient must be followed. This will provide a better and healthy life to Amavata patients.<ref>Virmani M, Kaushik AK, Virmani G. A Clinical Study Of Vaitarana Vasti andVatariGuggulu In Aamvata (Rheumatoid Arthritis). PARIPEX Indian journal of Research 2017;6(11):114-5.</ref>

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* It is noticed that relief in sign and symptoms were found in patients when treated with vaitaranabasti and VatariGuggulu. Thus, it can be said that vaitaranabastiworks as a curative as well as purifying measure. Proper diet restrictions as per [[Prakriti|prakriti]] of a patient must be followed. This will provide a better and healthy [[Ayu|life]] to [[Amavata|Amavata]] patients.<ref>Virmani M, Kaushik AK, Virmani G. A Clinical Study Of Vaitarana Vasti andVatariGuggulu In Aamvata (Rheumatoid Arthritis). PARIPEX Indian journal of Research 2017;6(11):114-5.</ref>

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* The study reveals that a patient has got significant result infunctional score and swelling. Patients had got very significant result in morning stiffness, pain, tenderness & grip. Since amavata is an autoimmune disease patients may require second course of the same pattern.<ref>Wadhava RS, Ghore JK. Efficacy of VaitaranaVasti and SimhanadGuggulu in Amavata. International journal of Applied Ayurveda Research 2015;II(II):230-5.</ref>

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* The study reveals that a patient has got significant result infunctional score and swelling. Patients had got very significant result in morning stiffness, pain, tenderness & grip. Since [[Amavata|amavata]] is an autoimmune disease patients may require second course of the same pattern.<ref>Wadhava RS, Ghore JK. Efficacy of VaitaranaVasti and SimhanadGuggulu in Amavata. International journal of Applied Ayurveda Research 2015;II(II):230-5.</ref>

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* It is noticed that relief in signs and symptoms of amavata was found in both groups. Comparatively, Valukasweda with Vaitarana Basti group showed better results.<ref>Pooja BA, Bhatted SK, Bhojani M. Role of ValukaSweda and Vaitarana Basti in the management of Amavata (Rheumatoid Arthritis). Int J Res Ayurveda Pharm. 2013;4(5):712-4.</ref>

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* It is noticed that relief in signs and symptoms of [[Amavata|amavata]] was found in both groups. Comparatively, Valukasweda with Vaitarana [[Basti|Basti]] group showed better results.<ref>Pooja BA, Bhatted SK, Bhojani M. Role of ValukaSweda and Vaitarana Basti in the management of Amavata (Rheumatoid Arthritis). Int J Res Ayurveda Pharm. 2013;4(5):712-4.</ref>

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* The clinical assessment of results proves the efficacy ~~ofvaitaranabastiwith~~ moderate improvement in symptoms.<ref>Mishra SC. A piloting study on GodugdhayuktaVaitarana Basti in Vataj Gridhrasi (Sciatica). Intenational Journal of Ayurveda and Pharmaceutical Chemistry 2014;I(1). Available from: http://ijapc.com/vol1/4.pdf</ref>

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* The clinical assessment of results proves the efficacy of vaitaranabasti with moderate improvement in symptoms.<ref>Mishra SC. A piloting study on GodugdhayuktaVaitarana Basti in Vataj Gridhrasi (Sciatica). Intenational Journal of Ayurveda and Pharmaceutical Chemistry 2014;I(1). Available from: http://ijapc.com/vol1/4.pdf</ref>

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* Vaitaranabasti can be used in the disease in which niruhabasti is indicated and which are caused due to Ama; vaitaranabastihave significant result in Sandhigatavata(Upastambhita).<ref>Chaudhari T, Karande L, Gahukar D. Evaluation of the effect of Vaitarana Basti in Sandhigata Vata (Upastambhit) w.s.r to inflammatory arthritis. AYUSHDHARA 2016;3(5):853-6.</ref>

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* Vaitaranabasti can be used in the disease in which niruhabasti is indicated and which are caused due to [[Ama|Ama]]; vaitaranabastihave significant result in Sandhigatavata(Upastambhita).<ref>Chaudhari T, Karande L, Gahukar D. Evaluation of the effect of Vaitarana Basti in Sandhigata Vata (Upastambhit) w.s.r to inflammatory arthritis. AYUSHDHARA 2016;3(5):853-6.</ref>

* Vaitaranabasti is an effective treatment in the management of Amavata& it shows long lasting result. vaitaranabastican be administered without priorsnehapana, swedanaor virechana.<ref>Wanole RM, Chothe DS. Vaitarana Basti in – Amavata A pilot study. Europian Journal of Pharmaceutical and Medical Research 2016;3(11):379-82.</ref>

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* Vaitaranabastiand virechanakarma is an effective treatment in the management of amavata. Proper line of treatment gives better result in Ayurveda.<ref>Medi S, Wange D. Efficacy of Vaitaran Basti and Virechana Karma along with Shaman Chikitsa in the management of Amavata (Rheumatoid Arthritis) –Case Study. World Journal of Pharmaceutical Research 2017;6(14):478-87.</ref>

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* Vaitaranabastiand virechanakarma is an effective treatment in the management of [[Amavata|amavata]]. Proper line of treatment gives better result in [[Ayurveda|Ayurveda]].<ref>Medi S, Wange D. Efficacy of Vaitaran Basti and Virechana Karma along with Shaman Chikitsa in the management of Amavata (Rheumatoid Arthritis) –Case Study. World Journal of Pharmaceutical Research 2017;6(14):478-87.</ref>

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* In this single center, randomized, open clinical study total 30 patients diagnosed with ~~amavatawere~~ selected. In one group AlambushadiGhana Vati(each500 mg) two tablets thrice a day was given and in second group Alambushadi Ghana vati with Vaitaranabastion alternate day (15 days) was administered. The result shows that excellent relief in 20% patients, significant relief in 60% patients, moderate relief in 13.33% patients, whereas mild relief in 6.66% patients. Research study concluded that comparing the effect of two therapies(Alambushadighanavatialong with vaitaranabasti) provided better relief than (Alambushadi Ghana Vvti alone) in most of the signs and symptoms of the disease at significant level.<ref>Sasane P, Saroj UR, Joshi RK. Clinical evaluation of efficacy of Alambushadi Ghana Vati and Vaitarana Basti in the management of Amavata with special reference to rheumatoid arthritis.Ayu 2016;37(2):105-12.</ref>

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* In this single center, randomized, open clinical study total 30 patients diagnosed with amavata were selected. In one group AlambushadiGhana Vati(each500 mg) two tablets thrice a day was given and in second group Alambushadi Ghana vati with Vaitaranabastion alternate day (15 days) was administered. The result shows that excellent relief in 20% patients, significant relief in 60% patients, moderate relief in 13.33% patients, whereas mild relief in 6.66% patients. Research study concluded that comparing the effect of two therapies(Alambushadighanavatialong with vaitaranabasti) provided better relief than (Alambushadi Ghana Vvti alone) in most of the signs and symptoms of the disease at significant level.<ref>Sasane P, Saroj UR, Joshi RK. Clinical evaluation of efficacy of Alambushadi Ghana Vati and Vaitarana Basti in the management of Amavata with special reference to rheumatoid arthritis.Ayu 2016;37(2):105-12.</ref>

* Vaitaranabastiis one of the most effective and economical bastiwhich can be administered in a wide range of diseases.<ref>Aswani PS, Ratha KK, Dighe DP, Rao MM, Remya V. VaitaranaVasti - A Conceptual Study. Research Journal of Pharmacology and Pharmacodynamics.2018;10(1):45-50. doi: 10.5958/2321-5836.2018.00008.3 .</ref>

* The majority of the content drugs of vaitaranabastiare having laghu, ruksha, ushnaand tikshna properties which pacifies vatakapha dosha. Vaitaranabastishows significant effect in ama, shula and shotha avastha.<ref>Mukherjee A, Dwivedi OP, Dr. Jain J, Khuje SMR. Efficacy of Vaitarana Basti with respective to Ayurveda, Journal of Drug Delivery and Therapeutics. 2018;8(6-s):246-50 doi:http://dx.doi.org/10.22270/jddt.v8i6-s.2122.</ref>

Agnivesha

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