In Ayurveda enemas are called Basti (Vasti). Ayurvedic Bastis (Vastis) can be
very helpful in a variety of complaints.
Types of Ayurvedic Bastis (Vastis)
Contraindications and Complications
What to do after the ayurvedic Basti (Vasti)
Procedure for Ayurvedic Oil Enema (Anuvasana
Basti)
Related Links
This section is for general information only. As Ayurveda is a very complex
topic and includes diet and lifestyle changes please visit a Ayurvedic
practitioner or Vedya before attempting to administer an ayurvedic Basti.
"Basti" literally means bag/container/bladder. In ancient times, sterilized
urinary bladders of animals were used to instil the enema, hence the name of the
procedure is Basti Karma.
Ayurvedic Basti involves the introducing of liquids like medicated oils,
herbal concoctions and milk through the perineum (through the anus, urinary meatus or
vaginal orifice in women) in order to clean or heal the lower part of the
body (below umbilical part). The toxins (ama) accumulated in the lower part of
the body or the toxins pushed to the colon, urinary tract or
reproductive tract by previous ayurvedic procedures like Oil-therapy (snehan) or Sweat-therapy
(swedan) can be cleared with bastis.
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.
Types of basti:
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, per
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.
Contra-indications for Nirooha Basti
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.
Contra-indications for Anuvasan Basti
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.
Complications of Basti therapy
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.
To buy a Implant Kit (syringe and rectal tube) in Australia
click here
Related Links:
AYURVEDIC MEDICINE; preventive Indian herbal healing medicine
AYURVEDIC BODY TYPES; Vata Pitta Kapha Ratjas Tamas Sattva
AYURVEDIC DOSHA DIET PLAN; vata pitta kapha six tastes eating
plan
AYURVEDA TREATMENTS; ayurvedic marma point massage therapy
JALA NETI ayurvedic sinus cleanse
PANCHAKARMA Ayurvedic cleanse therapy
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