In this study, Katu- Guduchi was administered to. Sometimes it also includes deeper skin lesions that are lesions consist of open comedones, close comedones, inflammatory papules, papulo- pustules and cystic lesions.
It came frequently on the cheeks but also involves forehead, chin, and nose, on It is more common during teenage years but is known to happen across all age. Adult acne is becoming increasingly popular. These are shalmali thorn like erup- tions due to vitiation of Kapha, Vata and Rakta According to Sushruta, Basti is useful in treatment of vata, pitta, kapha and in derangement of rakta dhatu and it is also effective in combination of two doshas or all the three doshas Basti karma is a type of shodhana, in which vitiated doshas are expelled through Adhomarga.
Basti Karma has got a wide range of indications, in- cluding various skin disorders because of its capacity to act over all the three doshas and lays a very impor- tant role to purify the blood. Case Report: The present case study is successful Ayurvedic man- agement of a case of Mukhadushika Acne vulgaris. History of present illness: The patient was said to be apparently normal 3 years back. He gradually developed acne associated with pain, itching and burning sensation and blackish spots after few days.
Patient has undergone treatment by contemporary systems of medicine, but there was no complete relief in the symptoms except the number of acnes reduced. Treatment plan: Patient was treated on IPD basis for 10 days. Most of the Acharyas have highlighted Kapha, Vata and Rakta as the causative factors of this disease, while Bhavprakasha mentions Mukhadushika as a Savbhavaja roga. Modern science has postulated the role of hormonal imbalance which causes the block- age in the oil glands and ducts.
Acharyas have stressed the importance of Vamana, Virechana, Nasya, Rakta- mokshana for Mukhadushika along with Samana chikitsa and local applications. Bri- hatrayees and Laghutrayees have not mentioned about Basti chikitsa in the management of Mukhadushika.
Acharya Susruta has told that the virya of basti drug reaches all over the body through the srotas in the same way as the water poured at the root of the plant reaches up to leaves. He has further explained that even though basti drugs quickly comes out with mala, but its virya acts all over the body by the action of apanaadi Pancha Vatas. The action takes place just like sun draws moisture from earth. Panchanimba is Kushtahara and vranahara; Guduchi is jawaraghna, rasayana, amahara, dahahara, kushtaghana and dee- pana; Haridra is raktashodhaka, twakadoshara, shothara, deepana pachana, vishaghana, vranahara and kapha hara; Katuki is bhedaniya, deepana, hridhya, kapha-pittahara, jwarahara, dahahara, kushtahara, antibacterial, srotoshodhaka and does prasadana of dhatus11,12,13, Chapter Pages I hope the Vaidyas will become efficient by applying the therapies and formulations described in this book after accurate diagnosis of disease, its type, stage and examining Dashavidha, Ekadasha and Ashtavidha Pareeksha.
As you know, your body accumulates and stores hundreds of toxins from the environment and the foods you eat. You also accumulate impurities from the Actor Steve Collins went through panchakarma when his wife gave him a one- week treatment as a surprise birthday gift. Nasya Nasal drops Can anyone have Panchakarma treatment?
Except a few categories of people like too elderly people, children, pregnant woman, anyone can have Panchakarma treatments. Can a normal person without any diseases have In simple words this book is at hand to make the grade in Panchakarma practice and an ideal reference at smart pace. The area of Ayurveda known as Panchakarma is a comprehensive system of knowledge and practices to purify the body of toxins and restore it to balance with natural law.
The second section delves more deeply into the Ayurvedic understanding and how to treat it. This section begins with an elaboration of six stages of disease formation and then systematically unfolds the knowledge of Panchakarma, the science of rejuvenation. This book will help complementary health practitioners in understanding the principles and practices of Panchakarma therapy. All the procedures are explained vividly in easily perceivable manner with scientific reasoning.
Designed to be used at the juncture of the seasons, each transition has specific dietary programs. You must be logged in to post a review. Type to search and hit enter.
Log In. Type to search books and hit enter. Flip to Back Look Inside. A Textbook on Panchakarma Dr. Language English Author Dr. The retention time is, till the patient gets the urge to defecate. The subject is advised to consciously wait for that. It is not the time to hold vasti. Effect of excessive administration of kashaya vasti is aggravation of vaata and that of anuvaasana and yaapana vasti is utklesa and Agni maandya.
These are nonspecific to drugs used in it. The post operative procedure of kashaya vasti also aims at evacuation rather than retaining; whereas in anuvaasana aim is to divert the attention of patient by giving various stimuli, to prevent immediate evacuation and to retain it for some time.
The quantity of vasti material ranges from approximately 1. The quantity of the vasti material is one of the main factor directly proportional to the intensity of sodhana.
They seem to act like as a deep cleanser soap in a body friendly manner. A general guide line is given in the text regarding the proportion of ingredients of a vasti dravya. Even though the general law of preparing. In certain yogas, mamsa is added along with the drugs and reduced to a kwatha balaguluchyaadi vasti. Whereas in some, kwatha is prepared separately and into it prepared mamsarasa is added bala patolyaadi kashaya vasti. In some ksheera kashyam is prepared yashtyhvaadi vasti- AH 5.
Relevance of all these need study. It is a conventional practice to add samskruta tailam and ghrtam but not madhu? We dont find many references to add samskruta sneha in kashaya vasti, and not at all of madhu. Samskruta tailam is indicated only in anuvasana.
Kashaya vasti contains kashaya yoga and a kalka which are specifically formulated for certain specific condition or purpose. Adding another yoga in the form of taila or ghruta seems to be illogical and unnecessary. It is a vast area for detailed study. Drugs used as kalka have some specialty even though some of them enter into kashaya yoga also. Presumebly due to their bulk nature and fiber content they irritate the intestine for expulsion of the vasti material and fluids, but in a body friendly manner, due to their anti spasmodic property assignable to presence of volatile oils.
Acaryas have given examples of modulating the action of vasti by only changing kalka. In the base of madhutailika vasti if you replace satapushpa with vacha pippali and madana phala it is called yuktaradha vasti.
While adding vacha, satapushpa, hingu, devadaaru and rasna make it doshahara vasti, which is found to be effective in renal failure by the eminent physician Dr. K Rajagopalan. Energy input through shaking, stirring, homogenizing, or spraying is needed to form an emulsion. Honey is a good emulsifier that stabilizes an emulsion by increasing its kinetic stability.
Conventional manual mixing technique may be modified using the simple use It is very quick, effortless, and highly beneficial in getting a homogeneous emulsion of high quality, which is very tough to get by the manual way.
Advantages are -Unparalleled emulsion obtained in hardly one minute. This is very convenient for hospitals operating many vasti. No need of heating while mixing it will be sufficiently warm after mixing in it.
Mixing order may be followed. Fine pastes can be prepared out easily in chutney jar for kalka; so no need of filtering vasti mixture. Generally, jars can hold sufficient quantity of vasti material.
Whether we use manual or machine technique to mix, aim is to get an emulsion of good quality. So the ideal time for it is fixed in between kapha and pitta kaala. Anuvaasana is generally recommended in the day time but if the condition demands and satisfies, it is recommended in the night also.
To quote ashtanga samgraha kashaya vasti is lekhana and anuvaasana is brumhana by nature. Yapanavasti is a blend of both kashaya vasti and anuvaasana, so there is no need for anuvaasana in-between AS. This seems to be the reason for blending equal proportion of madhu and tailam, to accomplish the benefits and to ward off the disadvantages from both vasti. Our body faces many challenges, internal and external. These may be major or minor, like, changes in environment, food, breathing, activities, sleep, hunger, cognition etc.
In essence, all these are stimuli faced by the body. Body responds to the essential stimuli and tackles it with or without our will. These stimuli and response are those, which actually sustain us.
Health is the ability to withstand or cope up with these stimuli and disease, the inability. Optimum internal and external stimuli bestow wellness. Inconsistent internal and external stimuli trigger illness.
Naturally, regulated internal and external stimuli restore healthiness. A working example vomiting as a natural urge or optimum stimulus, act as a health protective mechanism, whereas uncontrolled vomiting, turn out as an illness. Obviously, induced but regulated vomiting or emesis operates as a therapy. A stimulus can be excitatory or inhibitory. This is applicable to vasti also. The basic principle of treatment in Ayurveda is to assist the body in self healing.
Every therapy acts as a stimulus to reveal the healing capabilities of body. Ayurveda aspire that each therapeutic stimulus must, never be contradictory to the complementary factors or they are also considered, and be at the same time specific for a given condition. To be precise, it should be holistic in out look. As a reflex, body responds to this challenge. A positive reflex restores the functional balance physiology. Samyak lakshana or the success signs of the procedures represent optimum stimulation and optimum response.
If continued, they may end up in complications. So every therapy in Ayurveda is a specific regulated stimulation. Specificity with respect to dosha, stage of disease, tissue affected, therapeutic procedure, medicines and many variables need consideration. Koshta alimentary tract is the primary site of vital functions like digestion, absorption and defecation, so also of doshas from where they operate chiefly mukhya sthaanam. For the same reason, the root cause of disease will also be the same site.
Purity of koshta is aimed by eliminative therapy; So that the purity of discrete parts gochara sthaanam which primarily depend on koshta is achieved. Ayurvedic unique and holistic approach adopts different techniques to help the body system to drain various waste products accumulated in the body thus providing a situation, conducive to the smooth functioning of the life process.
Correction of drainage system leads to lack of back pressure from the accumulated waste, which enhances nutrition. It is more action specific. As a procedure, basically action of vasti is to regain the Aanulomyam. Vasi is indicated in pathology by pakva dosha operating in pakvasaya pakvaasaya gata kapha pittam or from pakvasaya pakvaasayaat gatam.
A local action triggers systemic action through a chain cascade reaction. In general, kashaya vasti is indicated wherever the normal order of vaayu is lost due to a local or reactive response of kapha pitta from the pakvaasaya. For ex. Reactive arthritis following an enteric infection koshta to madhyamaroga maargam.
Anuvaasana is specifically indicated in kopa and praatilomyam of vaayu in pakvaasaya associated with severe kapha pitta kshaya tissue desiccation. Two complementary processes maintain our body, nutrition, and excretion, mediated by the principle of transformation-agni. These two processes are interdependent and the equilibrium maintained with in their limits of fluctuation by the controlling and regulatory phenomenon-vaayu.
Any derangement in one will alter the integrity of this complex system. Among the attributes of vaayu, two fundamental ones are dhaatusamyakgati and malapravartanam. Descend down of food from the mouth, its digestion, with assimilation followed by excretion of wastes downwards follows an ante grade movement. This in Ayurveda parlance is Aanulomyam in the grosser plane. A similar mechanism operates in the subtler level as well.
We may identify this as a functional pressure gradient, which facilitates the physiology. We are actually inducing certain properties in the organ, which transmit into the body to replicate. They optimize or fine-tune the procedure for a specific condition. The medium optimize the procedure for a specific condition guna vikalpam. Indication of, padmakaadi and aragvadhadi vasti in conditions of pitta and kapha is an example. Same drug may act differently in different routes of administration.
Amla varga drugs are generally ushna internally and seeta externally. Madanaphala added in vasti is not intending to induce vomiting and it is not acting so. Daamla ksheera indicated internally and externally, but not for the same context or action. The pichila vasti with rakta is not intended for blood transfusion but to induce the pichila guna of rakta by homology, in a condition where there is loss of picha - meaning mucus.
Mediums and drugs often does not intend for absorption in vasti therapy. Therefore, we cannot expect all the attributes of a drug to act, when used as vasti. At the same time, few of its actions are common and some are peculiar and cannot occur in the other way. One therapeutic effect can be accomplished through various modalities and they are not the same in action. So the effect of vasti is not to by pass the oral or any other route of drug administration. It is very specific. To quote an example-the effect chakshushyam can be accomplished by observing daily and seasonal regimes and disciplines, specific food varieties, medicines of wide range, murdha tailam, wearing chapels and using umbrella, ocular therapeutics, specific and general sodhana virecana, raktamoksha, nasya, and anjana and specific vasti etc.
They act in different planes to accomplish the same purpose according to the given condition. We cannot substitute one for another. Each one has its own limitations and benefits. Administration of vasti seems not on symptomatic basis. It restores the basic physiology vaatanulomyam by helping the body to regain a specific and basic operating pathology called vaata praatilomyam. Action and optimization of the procedure and the drugs may correlate to bathing soaps.
We have soaps with an array of attributes like moisturizing, scrub, oil control, conditioner, protecting, skin softening, cooling, and with the goodness of fruits, nuts, milk, herbs, vegetables. However, these only modulate the basic purpose of soap i. Obviously, the additives neither are absorbed nor intend to be absorbed.
Vasti as a procedure induces evacuation in the koshta lower alimentary canal with an intention of producing a negative pressure. The media used for it regulates and modify the quantity and quality of the evacuation. One of the ingredients of soap is oil but it can be used to remove it; in the same way vasti act.
This exemplifies the action of various drugs used in vasti. We should not ignore the basic. Through kashaya vasti we are challenging the body with two stimuli; a mechanical stimulus with a bulk of emulsion, and a functional stimulus with a hyper tonic emulsion. The bulk of vasti material distends the intestine and the body by reflex evacuates it, restoring the negative pressure gradient.
The second stimulus is a hypertonic solution to which body respond by trying to neutralize it by draining more body fluids towards koshta from the discrete parts.
As the permeability of the body is increased with preparatory procedures like sneha sveda, this process is made easy. In this process of washing out of the system, we accomplish elimination of waste products. This will be having a dialysis like action on the whole body. We see an explanation having this idea in carakasamhita and ashtanga samgraham.
They say that, by correcting apaana vaayu with vasti, lead to restoration of samaana and consequently regaining physiology of other vaayu also. They in turn regulate all the factors named under pitta and kapha which lead to total restoration of the physiology. And the drugs selected modify the effect and accomplish specificity indirectly. Regarding the significance of drugs in vasti we may think that they act locally on different pathways triggering a cascade of similar response elsewhere in the body, like receptors.
As indicated in intricate disease conditions the prescription also cannot be on a oneto-one basis. So the action of vasti is designed with medium that have a collective effect samudaaya prabhava. Being an internal stimulus kashaya vasti may cause complications by excess draining of body fluids. To prevent this, an external stimulus to reverse this internal stimulus advised in the form of hot water bath as a post regimen; So that the bodys concentration is reversed from core to periphery.
Aim of kashaya vasti is elimination of kapha and pitta without vitiating vayu. Absorption or retention of the emulsion is not its intention the success signs indicate this , rather its elimination, after a while in a body friendly and tissue specific manner.
This action may be correlated to dialysis like toxic radical scavengering. Contrary to this, the demulcent anuvaasana by retaining sneha induces snigdha guna snehana locally and body tissues, membranes and glands there and elsewhere regain their tonicity and integrity due to homology.
In a dehydrated condition, body responds to a stimulus of retaining sneha by regaining its tone and secretions. When this become optimum the body eliminate it and we see the success signs.
Thus, these complementary proceedings regain the homoeostasis. The action of uttaravasti which is also is in the same lines but more specific to a system. Generally, done with sneha preceded by two or three asthapana vastis.
From the length of the yantra recommended for uttaravasti, it doesnt seem that the intention is to introduce medicine into the uterus or urinary bladder for absorption. It aims at the restoration of membranes and glands of genito urinary system.
No wonder vata being a phenomenon, the ultimate treatment for it, Vasti also remain Phenomenal. But this doesnt prevent us from its deep study of principles and practice, as our seers appeal for We have accepted, based on its effect, even some unconventional vastis like kshaara and vaitharana introduced later by innovators.
However vasti should not be degraded to a drug delivery system. We may develop an enteric drug delivery system in Ayurveda but let not name it as vasti. Principles and practice of Vasti is a novel field for detailed study and research, but do it without leaving its Ayurveda spirit.
This is the state of imbalance of three Doshas the three basic constituents of the living body. The measures undertaken to restore the Doshika equilibrium is called Chikitsa Ch. The ayurvedic approach to the treatment of a disease comprises of mainly two procedures. On the other hand Shamana is the conservative treatment as it doesnt eliminate vitiated Dosha but subside them. It is believed that there is no possibility of relapse of the disease cured by Shodhana Chikitsa while the disease cured by Shamana may recur.
According to Ayurvedic physiology Pitta and Kapha are dependant on Vata as it governs their functions. Basti eradication morbid Vata from the root along with other Dosha and in addition it gives nutrients to the body tissue A. Therefore, Basti therapy covers more than half of the treatment of all the disease Ch.
Therefore, Basti is considered the best remedy for morbid Vata, but according to Sushruta, it can also be used in Kaphaja and Pittaja disorders by using different ingredients Su.
Further it has both Samshodhana as well as Samshamana effects also. It performs the functions of restoration of semen, Brimhana in emaciated person, Karshana in obese person, improvement in vision, prevention of aging process improvement in lusture, strength and helpful longevity. Thus, Basti in its different forms has a very wide application.
In modern medicine, enema is mainly given to remove the faeces from the large intestine while in Ayurveda, Basti is given as a route of administration of the drugs for multiple action, which acts locally on large intestine as well as systematically on the body tissue. Importance of Vasti: Almost all the Acharyas consider Vasti as the atmost important Karma among all the treatments. This can be understood by the following versus; Upakramaanaam sarveshaam so agranee Ash.
Acharya Vruddha Vagbhata gives a detail explanation for considering Vasti as important one. He tells; Vasti does bring the normalcy of vitiated Vata, brings Brumhana etc effect very quickly without much discomfort, can be indicated to anyone like children, older, lean, obese, debilitated person, women, who is not having children, having less progeny. He considers Vasti as Pradhanatama karma.
He further explains; Vasti does multi-dimensional action by the various combinations used in preparation of Vasti. It helps in the recreation and growth of fresh semen, contributes to the building up and emaciated frame, reduces corpulence, invigorates eyesight, arrests premature, old age and tends to rejuvenate. A regular and proper use of Vasti tends to improve ones complexion and bodily strength, imparts longevity, contributes to the growth of the body, ensures the enjoyment of sound health and guards against the inroad of any disease whatever.
To explain how importance Vasti Karma he narrates the following phrases;. Vasti vate ca pitte ca kaphe rakte ca sasyate Samsarge sannipate ca vastireva hitah sadaa Su. He further clarifies that; There is none other than Vayu which is most important causative factor of So when Vata is getting vitiated severely there is no remedy other than Vasti for its alleviation.
Therefore Vasti is considered to be half of all the treatment procedures by the physicians. Some physicians even go to the extent of suggesting that Vasti represents the whole of the therapeutic measures. Charaka Uncomplicated. Charaka Basti can be administered at any age and at any stage of disorder after proper examination. It also can be given in normal persons too.
Provides better life, improves strength, digestive Power, voice and complexion. Perform all functions. Provide firmness. Corpulence quality. Restores normalcy.
Increases Relish. B Curative Aspect : Relieves Stiffness. Relieves contractions and adhesions. Effective in paralytic conditions. Effective in dislocation and fracture conditions. Relieves pain. Effective in disorders of GI tract. Effective in diseases of Shakha and Kostha. Effective in the diseases of vital parts, upper extremities and Localized or General part.
Beneficial to debilitated and weak persons. Arrest premature old age and the progress of C Preventive Aspects : Beneficial in constipation. Effective to purify various systems of the body. D Rejuvinative Aspect : Increases the quantity and quality of sperm.
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