25/03/09 25/03/09 ICARE PODAR ICARE PODAR Basti- Practical aspects Basti- Practical aspects Vd.Manohar S Gundeti Vd.Manohar S Gundeti M.D.(Ayu) M.D.(Ayu) YMT'S Ayurvedic Medical College and YMT'S Ayurvedic Medical College and Hospital,Kharghar, Navi Mumbai Hospital,Kharghar, Navi Mumbai [email protected][email protected]919292342819 919292342819
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25/03/0925/03/09 ICARE PODARICARE PODAR
Basti- Practical aspectsBasti- Practical aspects
Vd.Manohar S GundetiVd.Manohar S GundetiM.D.(Ayu)M.D.(Ayu)
YMT'S Ayurvedic Medical College and YMT'S Ayurvedic Medical College and Hospital,Kharghar, Navi MumbaiHospital,Kharghar, Navi Mumbai [email protected]@rediffmail.com
Ekanga vataEkanga vata Retention of flatus,urine,stools,semenRetention of flatus,urine,stools,semen VibandhaVibandha KrimiKrimi 80 types of vatavyadhi80 types of vatavyadhi Loss of sensation,tremor,convulsionsLoss of sensation,tremor,convulsions And many………And many………
Indications and contraindi are treated Indications and contraindi are treated as only guidelines. According to cond. as only guidelines. According to cond. of disease and patient it is done. of disease and patient it is done. (Dashavidha pariksha)(Dashavidha pariksha)
When kalka not mentionedWhen kalka not mentioned AjmodaAjmoda MadanphalaMadanphala BilvaBilva KushthaKushtha VachaVacha MishreyaMishreya MustaMusta PippaliPippali10 gm each10 gm each
Pre of pt.- selection,examination Pre of pt.- selection,examination (p/bp..) (p/r),pt education,consent(p/bp..) (p/r),pt education,consent
Selection of drug/ quantitySelection of drug/ quantity After snehapana/anuvasan After snehapana/anuvasan Preparation of basti- sequence..Preparation of basti- sequence.. Abhyanga/ hot water bath/ swedanAbhyanga/ hot water bath/ swedan Bladder,bowel evacuationBladder,bowel evacuation In vata kala- In vata kala-
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ProcedureProcedure
PradhankarmaPradhankarma PositionPosition Lubrication of lt. index finger, anus, Lubrication of lt. index finger, anus,
nozzlenozzle Administration of drug-300matra Administration of drug-300matra Particular/gradual force, without Particular/gradual force, without
interruptioninterruption Pt asked to count no./take breath helps Pt asked to count no./take breath helps
to entrance of drugto entrance of drug
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ProcedureProcedure
PaschatkarmaPaschatkarma Supine positionSupine position No massage/ tadanNo massage/ tadan Time of retention- 100 matra-1muhurtaTime of retention- 100 matra-1muhurta
PaschatkarmaPaschatkarma Rest Rest Warm water bathWarm water bath Food- mansa rasa/ milk / yushaFood- mansa rasa/ milk / yusha No sansarjan kramNo sansarjan kram Anuvasan same day or next dayAnuvasan same day or next day
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PariharParihar
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ComplicationsComplications
Wrong assessment of pt.Wrong assessment of pt. Wrong preparation of basti dravyaWrong preparation of basti dravya Wrong position of pt.Wrong position of pt. Wrong insertion methods (pranidhan Wrong insertion methods (pranidhan
Asthimajjagatvata Asthimajjagatvata Osteoporosis/osteomyelitis / pots spineOsteoporosis/osteomyelitis / pots spine To increase height/ to reduce hairfallTo increase height/ to reduce hairfall For strength of teeth For strength of teeth Amlapitta Amlapitta
Change can be done in ingradients & doseChange can be done in ingradients & dose Vatarakta- Daha pradhan (pitta) vataraktaVatarakta- Daha pradhan (pitta) vatarakta R.A.- nirama avashtaR.A.- nirama avashta Jirna jvara,madatyaya,gulna,halimak,pittodarJirna jvara,madatyaya,gulna,halimak,pittodar HypertensionHypertension
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Yapana bastiYapana basti
Samshaman bastiSamshaman basti Increase longevityIncrease longevity In all seasonsIn all seasons In pts ( Immuno-compromised In pts ( Immuno-compromised
conditions) and healthyconditions) and healthy Mrudu dravyasMrudu dravyas No vyapatNo vyapat
Katigat vat- Guggulutiktak gtmKatigat vat- Guggulutiktak gtmDry cough- Tila tailaDry cough- Tila tailaSciatica- Vishagarbha tailaSciatica- Vishagarbha tailaMutrashmari/ colic- Tila tailaMutrashmari/ colic- Tila tailaPakshaghat- mahamasha tailaPakshaghat- mahamasha tailaParkinson- kapikachu sidha taila/kshirParkinson- kapikachu sidha taila/kshirDowns baby, delayed milestones-Downs baby, delayed milestones-Stress-Stress-
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Conditions/rulesConditions/rules
Pts condition (serious diseases)Pts condition (serious diseases) Brimhan / lekhana vyatyasBrimhan / lekhana vyatyas Basti and snehapana in any form shouldn’t be given Basti and snehapana in any form shouldn’t be given
simultaneouslysimultaneously After 7days of virechanaAfter 7days of virechana Parihara (uccha bhashan etc.) kala should be double Parihara (uccha bhashan etc.) kala should be double Niruha should be avoided after foodNiruha should be avoided after food Anuvasana shouldn’t be on empty stomachAnuvasana shouldn’t be on empty stomach In all niruha bastis madhu/saindhava should be usedIn all niruha bastis madhu/saindhava should be used In anuvasana saindhava/shatapushpa/sunthi should be used In anuvasana saindhava/shatapushpa/sunthi should be used Oil should be murcchitOil should be murcchit