Ayurvedic Basti Enema

An Ayurvedic Basti has significant multiple effects and hence cannot be compared with contemporary enema, which is used for bowel cleansing or nutritive therapies. Though Basti practices directly affect the colon they are much more than a localized, symptomatic treatment. In administration, effects and intent the Basti differs significantly from Enema and Colonic treatments which only address the eliminative capacity of the colon.

The Basti procedure restores the balance of the body types (doshas) in particular VATA body type (there are 7 body types in Ayurveda). It increases weight in emaciated people, decreases weight in the obese, improves vision, prevents aging, brings back lustre and strength, and healthy longevity. It is specifically for vatic disorders. It relieves constipation, distention, 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.

Basti is effective for most of the digestive disorders like dry colon, dry rectum condition and the tendency towards constipation resulting from such conditions. It also provides relief in conditions like distention of abdomen, flatulence, spastic colon, dryness of digestive tract observed in chronic fever, etc. Body debility, senile debility, impaired immunity, muscular dystrophy and bed ridden conditions like paralysis can also be treated by Basti. Basti can also be used to give some energy supplementation to the body, as the mucous membrane of the rectal canal is a semi permeable membrane.

There are different types of internal Bastis (Pakwashaya):

* Anuvasana Basti - enemas with medicated oils, tonics, herbal milks

* Nirooha-asthapana Basti - enema of water based medical extracts or medicated water

* Uttar Basti - the vaginal douche, given with medicinal decoctions for various

gynecological complaints, such as uterine prolapsed, leucorrhoea, mennorhagia, urinary obstruction, habitual abortions, infertility, etc.

* Mutrashaya Basti - medicated fluids are introduced through the urethra (male)

* Vranagata Basti - medicated liquids are used to irrigate and heal deep wounds and abscesses

* Yoga Basti - a series of 8 treatments, beginning with Anuvasana Basti then followed by Nirooha basti. These two treatments are given on alternate days and the last two treatments are concluded with Anuvasana Basti

* Kala Basti - a series of 16 treatments, beginning with Anuvasana Basti then followed by Nirooha basti. These two treatments are given on alternate days and the last four treatments are concluded with Anuvasana Basti

* Karma Basti - a series of 30 treatments, beginning with Anuvasana Basti then followed by Nirooha basti. These two treatments are given on alternate days and the last six treatments are concluded with Anuvasana Basti

* Bruhan Basti - nutritional enema

Basti is given four to six hours after a meal or best in the mornings. Bowels and bladder must be evacuated prior to Basti treatment. It is best to provide a warm oil massage on the belly and back followed by fomentation of the abdomen (a warm water bottle on the belly for 10 minutes) before the treatment. If emesis (vomiting) and purgation treatments are to be given, they are best administered prior to Basti.

Medicated water enemas are to be retained for 48 minutes (minimum 15 minutes).

There are other external Bastis also used in Ayurveda which are not discussed here.

Basti is generally contraindicated in all types of diarrheas, dysenteries, rectal bleeding, diabetes, severe anaemia, hypoproteinaemia, breathlessness associated with any problem and pulmonary tuberculosis (raj-yakshma).

It is also contraindicated in infantile problems and senile debility.

Pregnancy (unless specified by physician), Children under 10 yrs, after meals, after sex, dysentery, internal obstruction, after vomiting or purging, if too tired, exhausted, serious skin disease, urinary disorder, intoxicated states, piles, anorexia, psychosis, dryness of throat, anal inflammation, oedema, malnourished, weak persons, or those suffering from tuberculosis, accumulation of fluid, peritonitis, diabetes.

Persons in whom Nirooha basti is contraindicated; anemia, jaundice, piles, fewer, diarrhea, poisoning, emaciation, enlargement of the spleen, chronic catarrhal inflammation of the nasal mucous membrane, fasting.

When Basti therapy is incomplete, spasmodic pains, burning sensation, anorectal itching and pain, anorexia, blockage of stools and wind are noticed. If given in excess, it causes anorectal inflammation and ulceration, fissure, weakness, and muscular cramps.

For pain in abdomen after Basti, massage the abdomen gently!

For headache experienced immediately after Basti, a gentle head and forehead massage followed by Ginger tea can be given. This can be followed by Nasya (special ayurvedic treatment to cleanse the sinus area).

If liquids are not expelled after 48 minutes another Basti treatment is prescribed with hot water (38C) and fomentation to the lower back and abdomen. Warm water can also be consumed. If complications arise fast acting purgatives (eg Castor oil with warm water or prune juice) must be administered immediately to expel loosened toxins from the colon.

A light diet should be taken after bastis for one day and the following activities should he avoided:

• sitting for a long duration
• standing for long duration
• excessive talking
• traveling
• sleeping during the day
• coitus
• exposure to cold
• too much sunlight
• sexual relationship
• anxiety
• anger
• untimely meals
• an incompatible diet
• suppression of natural urges (e.g. sneezing, farting, burping, elimination of faeces)

The oil enema will moisturize and rejuvenate your entire system. It is generally recommended if the body or any part of it feels dry.

Preparation:

This procedure is best done 4 to 6 hrs after a meal or in the morning. Bowel and bladder must be evacuated prior to the treatment. If possible give yourself a light belly massage with warm oil then put a hot water-bottle on your tummy for 10 minutes.

You will need a 60 ml syringe, a rectal tube, 50 ml of Black Sesame Oil

Directions for use:

* Pour 50 ml of lukewarm oil (preferably Black Sesame Oil) in a glass, suck the oil into the syringe by putting the tip into the oil and pulling on the syringe handle.

* Connect the rectal tube to the syringe.

* Turn the syringe and tube with the tip up and slowly push any air out of the tube.

* Lie on your left site with the left lower leg straight and the right leg flexed at the knee and at the hip joint.

* The Anus and the tip of the rectal tube should be lubricated with Black Sesame seed oil.

* Carefully insert the rectal tube (about 5 cm).

* Then slowly and steadily inject the oil.

* Stay lying on the side for 15 minutes before getting up.

The oil should be retained for 24 hours or more. This will happen naturally, more so if you do it at night time. It is recommended to wear a pad during the day, especially if you have a tendency to release wind.