Basti chikitsa is an Ayurvedic panchakarma therapy that uses medicated oils or herbal decoctions administered via the rectum to expel toxins and vitiated doshas from the body. There are two main types of basti - anuvasana which uses oils and ghee, and niruha which uses herbal decoctions. Both types are administered in a structured process involving pre-treatment, administration, and post-treatment steps to maximize benefits which include detoxification, pain relief, and balancing metabolism.

1. BASTI PROCEDURE
MADE BY :- SAGAR SANDIGADA N.

2. BASTI CHIKITSA
• Basti chikitsa is one amongst the Ayurvedic Panchakarma therapies which is used to expel
the vitiated dosha out of the body through the intestinal route.
• It is considered to be the best among the panchakarma therapies because of its ability to
pacify vata dosha which is the igniting factor for many disease process.

3. WHY BASTI ???
• Various toxins entering our body by food, air etc. get accumulated in
our gastrointestinal tract.
• As time passes these toxins tend to increase and get spread in all
channels of our body causing various diseases.
• These accumulated toxins in the form of dosha if expelled out at right
time can prevent the disease.

4. TYPES OF BASTI
• Basti can be given by two way.
 External
1. Janu basti
2. Kati basti
3. Manya basti
4. Vrana basti- Hridaya basti
 Internal
1. Aasthapan basti
2. Anuvasana basti
3. Matra basti
4. Uttar basti

5. EXTERNAL BASTI
• In this basti, warm medicated oil is pooled over specific parts of body
by a special arrangement for local pain relief.
• Janu , kati and manya basti can be used over knee, back and neck
region for corresponding conditions of pain.
• Vrana basti is used over wounds for relieving pain and for rapid
healing.

8. ANUVASANA BASTI
• The Vasti in which Sneha (medicated oils and or ghee) is used as the
main liquid medicine is called Anuvasana Basti.
• Sushruta has named it as ‘Snaihika Vasti’ (Sneha = Medicated fats,
mainly ghee and oil). Anuvasana Basti is said to be a type of Sneha
Vasti.

9. TYPES OF ANUVASANA BASTI
• Anuvasana Vasti is divided into 3 types.
• 1. Sneha Vasti – 6 Prasruta medicines is given
• 2. Anuvasana Vasti – ½ of Sneha Vasti 3 Prasruta medicines is given
• 3. Matra Vasti

10. ANUVASANA UPYOGI DRAVYA
• Anuvasanopaga Gana (Medicines which act as helpers to herbs used for
Anuvasana Vasti)
• Rasna – Pluchea lanceolate
• Devadaru – Cedrus deodara
• Madanaphala – Randia dumetorum
• Shatapushpa – Anethum sowa
• Rakta punarnava – Boerhavia diffusa
• Shweta punarnava – Trianthema portulacastrum
• Gokshura – Tribulus terrestris
• Agnimantha – Premna integrifolia / Clerodendrum phlomidis
• Bilwa – Aegle marmelos
• Shyonaka – Oroxylum indicum

11. PURVA KARMA PF ANUVASANA BASTI
• Purva karma (pre-treatment procedures)
• Abhyanga and Swedana (herbal oil massage and sudation) –The
patient should be given a thorough abhyanga (herbal oil massage)
before administration of Anuvasana vasti.
• Generally the massage is given so as to cover the abdominal area, the
pelvis, low back area, hips and thighs.
• General massage can also be given to the full body with special
emphasis to the abdominal area (tummy).

12. • After abhyanga, swedana should be done.
• The swedana (fomentation, sudation, steaming or sweat inducing
treatment) can be given in either of the
• Parisheka (sprinkling or showering or stream pouring of hot herbal
liquids) or
• avagaha (hot water tub bath) or
• tapa sweda (steaming with hot water bag or cloth dipped in hot
water) methods.

13. PRADHANA KARMA
• Pradhana karmaPradhana Karma (treatment proper or administration
of anuvasana vasti)
• The vasti pranidhana karma (method of administration of vasti) is
same as in Niruha Basti.

14. POSITION OF PATIENT
• Before administering Basti, the positioning of the patient is very essential.
• The patient should be made to sleep on his left lateral side, i.e. turning towards his or
her left hand side.
• The left upper limb folded (flexed) in such a way that his or her hand goes beneath the
side of the head forming the pillow.
• This means to tell that, the patient should lie on his lift side resting his head on his
hand.
• The left lower limb should be stretched straight.
• The right lower limb should be folded (flexed) at the knee joint and hip joint over the
left lower limb such that the right knee dips down across the left lower limb and
touches the table.
• In this position the anal orifice, butts and pelvis would be facing the physician or nurse
(or therapist) who would be administering enema.
• Taking a sterile pad of cotton dipped in medicated oil or ghee (example, Jatyadi taila oil,
padhmakadi taila oil, and other medicated ghee or plain ghee), the anal orifice should
be smeared to make it unctuous and lubricated.
• This facilitates easy entry of Basti netra (nozzle or catheter).

15. PASCHAT KARMA
• Paschat karmaPaschat Karma (post-treatment procedures)
• Basti Pratyagamana (expulsion or return of administered Vasti):Just as in niruha
vasti, the medicine administered in anuvasana vasti also should come back after a
scheduled time of its stay in the pakwashaya (colon).
• The maximum limit for the anuvasana vasti medicine to return back is 3 yama i.e.
12 hours from the time of administration.
• The maximum benefits of anuvasana vasti can be obtained only if the medicine
stays in the pakwashaya for 12 hours.
• If the sneha (medicine) returns before this scheduled time, another anuvasana
vasti should be immediately administered.

16. KEY POINTS
• The key point to be noted is that, the anuvasana vasti given in
excessive dose will obviously come out quickly.
• Therefore it should be given in proper dose.
• If the vasti is administered without the patient having voided his
stools and urine, the medicine will come out in quick time due to the
pressure of stools and urine.
• These points should be taken care of during the treatment.

17. BENEFITS OF ANUVASANA BASTI
• Anuvasana Basti effectively reduces lower backache, and pain caused
by gout and rheumatism.
• De-Toxification.
• The medicated oil enemas help to expel the toxins out from the body.
• INGastric Problems such as constipation and flatulence can be treated
effectively using Sneha Vasti.
• Paralysis.
• PAIN management .

18. NIRUHA BASTI
• Niruh Vasti or Kashaya Basti or Asthapana Basti
• Niruha Vasti is a type of Vasti wherein Kashaya or herbal decoction is
used as a medication. from the bo
• It is also called Kashaya VastiSince this Basti eliminates (expels) the
morbid Doshas or diseases it is called Nirooha Vasti (Niruha = To
eliminate).

19. PROCEDURE
• ProcedureAdministration of Niruha Vasti (Asthapana Vasti or
evacuation enema)
• Like any other treatment process in Ayurveda, Vasti too is conducted
methodically in different stages.

20. PURVA KARMA OF NIRUHA BASTI
• Purva Karma (Pre-treatment procedures)Like any other treatment,
the success of Basti treatment also lies on the preparation done in the
Purvakarma (pre-treatment procedures).
• The below mentioned points should be seriously viewed and
reviewed to obtain successful results.

21. METHOD OF MIXING
• Method of mixing and preparing the Niruha Vasti dravyas or
medicinesBasti dravya or enema medicine is prepared by combining
many things.
• Interesting thing is that many things which basically are not easily
miscible and having different densities are mixed so as to make a
homogenous liquid.

22. BASIC INGREDIENTS
• The basic ingredients needed to prepare Vasti medicine are
• Saindhava lavana – rock salt
• Makshika or madhu – honey
• Sneha – medicated oil or ghee or both
• Kalkam – herbal pasteKashayam or kwatham
• decoction of herbs(In some vasti dravyas milk, meat soup etc are
mixed, the quantity of which is summed up in the quantity of kashaya
taken)

23. HOW TO MIX ALL INGREDIENTS
• First, the honey is mixed with rock salt and grinded in a mortar until
they mix up properly.
• Later the oil or ghee or both is added to the mixture and thoroughly
mixed.
• Later kalka is added and mixed and finally Kashaya is added to the
mixture and grinded well until they form a homogenous mixture.
• The whole mixture should be put in a transparent container and left
for few minutes.
• The contents should not be settled in different layers.
• This is the test for homogeneity.Now the vasti dravya is ready to be
administered.

24. PRADHANA KARMA
• Pradhana karmaActual procedure of Niruha BastI
• Pradhana Karma (Treatment proper – Method of administration of Niruha
Vasti)
• The main procedure of administration of Niruha Vasti is called Pradhana
Karma and it includes 3 steps
1. .Vasti pranidhana – The method of administering Vasti
2. Vasti Pratyagamana and Nireekshana – The return of Vasti medicine,
observations related to itYoga, Ayoga, Atiyoga lakshana
3. BASTI nireekshana - Observation of the symptoms of properly
administered, inadequately administered or excessively administered
Vasti medicines and management of complication

25. PASCHAT KARMA
• Paschat Karma (Post treatment procedures)
• All the measures taken after the administration of Basti falls under
the category of Paschat Karma or post treatment procedures.
• This includes taking an account of vasti pratyagamana and making
note of it (return of vasti medicine), planning proper diet and lifestyle
protocol for the patient, follow up etc.

26. BENEFITS OF NIRUHA BASTI
• Prevents aging of the body.
• Promotes happiness, longevity, strength, agni, intellect, voice and
complexion.
• Brings balance to the metabolism (cleanses dhatus)It helps in curing
all disease.
• It promotes a robust body.
• It enriches semen and ovum.
• Cleans ama from the channels of the body.