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Kativasti ksr


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Kativasti ksr

  1. 1. VASTI IN DIFFERENT PARTS OF BODY KATI VASTI AND UROVASTI Dr. K. Siva Rama Prasad Kativasti in process in which medicatedoil in poured over kati pradesa I.e. lumbo sac-ral region and made to stay in particular tem-perature in a circular shape of instrument pre-pared out of black gram paste. This processshould be done for one hour daily for one weeksuitable medicated oil should be used depend-ing upon the condition of disease, Dosha, pa-tient, season. Etc., This process of Kativasti has not beenmentioned in any of the classical textbooks ofAyurveda. The authority of this treatment isChikitsa manjarian “ original work based on theexperience and written in mixed language ofSanskrit and Malayalam by an ancient physi-cian of Kerala. It is a modification of 2.Dravya bheda (medicinal preparation used)moordhataila Chikitsa where both snehana and 3.Sankhya bheda (number of vasties given)swedana will take place simultaneously. 4.Matra bheda (quantity of medicine used )Definition 5.Karma bheda (according to action)The word Vasti derived from the root vas+cit. Adhishtana bhedaVasu nivase means - residence 1 According to site of application, Vasti is mainlyVasu acchadane - that which gives covering classified intoVasu avrunoti mootram - that which covers the 1. Internalurine. 2. ExternalVasti - nabheradhobhaga sthana - that which Internallies just below umbilicus and is the collecting Pakwashaya gata Vasti - administration oforgan of urine-the urinary bladder. drug by ano-rectal route (guda marga), andIn the context of Panchakarma - the term Vasti its adhishtana is used in a different sense. Mootrashaya gata Vasti - administration of The term Vasti means - the bladder of medicine by urethral route, intended foran animal used as a device to administer the treatment of diseases of mootra marga (uri-medicaments hence the term vast is used as a nary tract) or mootrashaya (urinary bladder).name of Panchakarma therapy to designate Garbhashaya gata Vasti - administration ofthe process.2, 3 Vasti dravya by vaginal route (Yoni marga)Classification to Garbhashaya. Since Vasti is an important treatment The term Uttara Vasti is used to desig-process in Ayurveda, having varied therapeu- nate both Mootrashaya gata and Garbhashayatic applications and effects, it may be classi- gata vasties by ancient scholars as their routesfied in different ways and one cannot find any of administration are superior to the anal orificeuniformity in the classification of Vasti among in human body.the authors of classical texts. Generally the Vranagata Vasti - described by Susruta andterm Vasti has been used for all types of Vasti is intended for sodhana and ropana processkarma which include Nirooha, Anuvasana, of vranas. The drug in administered throughuttara Vasti etc. but Charaka used the term vranamukha by process of Vasti karma.Vasti exclusively for Nirooha, similarly the term ExternalVasti also been referred to the process of Shiro In certain diseases medicated oil is kept overVasti, uro Vasti, vrana Vasti, Kativasti etc. the part of the body by making a cup with theConsidering various aspects the following clas- paste of black grams for prescribed period ofsifications are brought about. time. It is named after the site of application of1.Adhistana bheda (site of application) oil such as - 1
  2. 2. quality and intensity of the heat can be regu- lated. Swedana is to be administered by con- sidering the disease, condition of the patient, season and part of the body affected. Swedana is to be administered until the appearance of seating, and relief from the cold, stiffness and heaviness of the body 8. Vasti is the principal and specific treat- ment for Vata Vyadhi, because vayu is the mo- tive force behind all physiological and patho- logical states of the body. Acharya Susruta de- scribed that whether it is sarvanga or ekanga Vata vikara, Vasti is the single and most effec- tive method of sodhana therapy. Procedure Masha pisti is made into thick paste with 1. Shiro Vasti - over the scalp 4 water and rolled in circular shape with 3" in 2. Uro Vasti - over the chest height, 6" in diameter and 1/2 “ in thickness. 3. Kativasti - over the lumbo The patient should lie down in prone position, sacral area then the circular paste in gently transferred overPoorvakarma: to lumbo sacral region and it is totally made leakSnehana proof by using mashapista, where ever neces- Snehana means to oleate or to make sary.smooth. It is a process of inducing Oiliness to The selected medicated oil is madethe body with usage of the substances having warm by patrapaka and poured slowly in to thesnigdha guna. Sneha considered as the most brim made on the patient lumbar region (Kati).accustomed to the body by the virtue of its prop- It is regularly watched for the maintenance oferties. Ghrita, taila, vasa and majja are the temperature (which can be happily bearable bySnehana dravyas. patient, usually between 35° to 45° and it is C C) Sneha is divided into two according to maintained by changing the warm Oil in to brim.the mode of application. External administra- The total procedure is continued for 10,000tion is by the application of the sneha dravyas matra or 55 minutes (approximately)9.externally i.e., Abhyanga. Moordha taila is an- Importance of Kativastiother form of external snehana, which include According to Gadanigraha andAbhyanga - (smearing oil and mild massage), Bhavaprakasha Vata vitiated either asseka (pouring oil in continuous stream) pichu kevalavata or along with other Doshas. Local-(keeping cloth soaked in oil), Shiro Vasti (mak- ized in Kati pradesha causing pain and stiffnessing the oil stand on head) and Kativasti (over of the katipradesha. This is named as Katishoolalumbo sacral region). or katigraha. According to Vagbhata katigrahaSwedana It is the second preparatory procedure,which follows Snehana, Swedana karma canbe defined as the act of sweating. It relievesstiffness heaviness and coldness of the body.Swedana also can be done as Shamanatherapy 5. In the context of Shodhana, Swedanais used an aid to liquefy the Doshas, so thatthey become convenient for expulsion 6 .Swedana causes the clearance of the srotases,restore the anuloma of vayu, and facilitate thedrainage of doshas towards the Koshta 7. A wide range of classification of Sweda,is described in Brihatrayi on the basis of me-dium used and mode of application, so that the 2
  3. 3. and trikagraha and mentioned as Pakwashayashrita vatakopa lakhsanas. From this description when vitiated Vata,localize in katipradesha. It causes pain and stiff-ness. The main seats of Vata are said asPakwashaya, Kati and sakti. In this contextkatipradesha is told as the region where verte-bral column join with hipbone on either sides;the lumbar, sacral and sacroiliac joint and re-lated structures sakti are the both lower limbs.These structures are related to each other andvitiation of Vata in anyone of this location showssymptoms of vitiation in all of the three sites Urovasti: the same procedure of Kativasti onand lead to Katishoola. Vasti is the main treat- uras is followed.ment for the vataja vikaras. Kativasti is the oneof important treatment among the types of vari-eties like treatments done at Kati pradesha. Here in the Kativasti vatahara taila isdirectly in contact and with its local action isenriched. The frank oil, especially tila taila canpacify Vata. In the case of Katishoola, taila withits medicinal values and snighdhatwa in con-tact with site of pain i.e. kati for the stipulatedperiod according to doshic involvement certainlyeffectively pacify the dosha at the local lesion. Its action at the local site can be accen-tuated as under. Initially taila with its snigdhatacreates local unctuousness and there after it issubjected to undergo paka under the influence References 1of Bhrajakapitta, which lie in the skin. The ab- Amarakosha II Manushya Varga 6/73 2sorbed medicated oil digested well and further Susruta Samhita Uttara 5/1 3assimilated under the influence of Bhootagni Astanga Hridaya Sutra 19/1 4paka. Then it will pacify respected dosha triad Astanga Hridaya Sutra 22/24 5in the usual course of pacification with non-ho- Charaka Samhita Sutra 22/11 6mologues gunas of medicine. Charaka Samhita Sutra 14/8 7 In case of Vata, a dosha, which causes Astanga Hridaya Sutra 17/29 8Katishoola, supposed to get pacified from its Charaka Samhita Sutra 14/13 9moola. The moola or stana of Vata has ascribed Chikitsa Manjarian - A Kerala Book ofby Samhita kara are Pakwashaya, Kati, sakti, PanchakarmaSrotra, Asti, Sparshanendriya. Out of thesePakwashaya has given more importance assuch Vata developed from there. Apart from itis enumerated that Vata is placed in Asti. Thusthe site of action of any Vata hara dravya startsfrom Asti dhatu to pacify Vata. Here in this con-text taila (medicated) will reach Asti not only byabsorption and assimilation but also throughlocal action and absorption. Thus it is in prac-tice to use the Kativasti in Vata Vyadhi espe-cially in kativata. 3