Basti is one of the classical detoxification (Panchakarma) therapies and indicated in all vata disorders. Niruhanbasti or oil enema is a type of Basti, wherein medicated decoction of large quantity is used to administer as enema. It helps nourish lower gastrointestinal tract (large intestine)and cleans the colon and rejuvenates its function.
1. It starts with the application of Snehan in the form of Abhyanga (Oil Massage). Massage is done with an oil specific to the body type and pathogenesis of the disease.
2. Generally the massage is given to cover the abdominal area, pelvis, , low back area, hips and thighs but can be done to entire body for greater effects.
3. After Abhyanga, Swedna (Fomentation, sudation, steaming) should be done
4. Now the main prodeure of Basti giving medicated decoction through anal route is carried out in a very precise and identified position.
5. After the administration of Basti, tapping is done at the defined area to increase its absorption inside.
6. The patient has to follow the following restrictions for a period twice the duration of giving the bastis.
7. Avoid excessive traveling, loud speech, sleeping in the daytime, sex, Forceful obstruction of natural urges, ingesting cold substances, exposure to excess sunlight and wind, emotional aggravations.
There are Eight main types of basti, according to traditional texts, each with their own indications and contra-indications as listed below.
1. Anuvasana (oil enema) is used in pure vata disorders and when a person is having excess hunger or dryness related to vata imbalances.
2. Niruha-Asthapana (decoction enema) is used, among other conditions, for evacuation of vata, nervous diseases, gastro-intestinal vata conditions, gout, certain fever conditions, unconsciousness, certain urinary conditions, appetite, pain, hyperacidity and heart diseases.
3. UttaraBasti (through the urethra with men or vagina with women) is used for selected semen and ovulation disorders and for some problems involving painful urination or bladder infections. This is not to be used for someone with diabetes.
4. MatraBasti (daily oil enema) is used by someone emaciated by overwork or too much exercise, too much heavy lifting, walking too long a distance, too much sexual activity or someone with chronic vata disorders. It does not need to be accompanied by any strict dietary restriction or daily routine and can be administered, in the appropriate cases, in all seasons. It gives strength, promotes weight and helps elimination of waste products.
5. Karma Basti (schedule of 30 bastis),
6. Kala Basti (schedule of 15 bastis; 10 oil + 5 decoction)
7. Yoga Basti (schedule of 8 bastis; 5 oil + 3 decoction).
In karma, kala and yoga bastis, it is better to give both types of basti in combination and not oil and decoction separately. The conditions under which these are recommended are too detailed to be able to list in this article. In general, the indications and contra-indications that apply to basti also apply here.
8. BruhanaBasti (nutritional enema) is used for providing deep nutrition in select conditions. Traditionally, highly nutritive substances have been used, such as warm milk, meat broth, bone marrow soup and herbs like shatavari or ashwagandha.
It relieves constipation, distension, chronic fever, cold, sexual disorders, kidney stones, heart pain, backache, sciatica and other pains in the joints. Many other vata disorders such as arthritis, rheumatism, gout, muscle spasms and headaches may also be treated with basti