Elements, Technique of Preparation, Advantages

Article by Dr Raghuram Y.S. MD (Ay) & Dr Manasa S, B.A.M.S

Koshatakyadi Basti

Reference – The reference of this decoction enema is from Charaka Samhita – Siddhi Sthana, Chapter 3, verse 56-57. It’s the 10th Niruha Vasti – decoction enema defined on this chapter.

Identify evaluation & mode of motion

That is an enema recipe ready with numerous elements led by Koshataki – Luffa acutangula as the primary ingredient talked about within the preparation. The naming of the recipe additionally follows the norm of nomenclature of preparations, formulations or recipes by their first or most essential ingredient within the mixture.

–        Koshataki – Luffa acutangula

–        Adi – others

–        Basti / Vasti – enema

Koshatakyadi Basti = enema ready with Koshataki and different herbs (talked about beneath).

Motion – Phalashruti – i.e. checklist of indications of this recipe level in the direction of this recipe being ‘one of the best one’ for all kapha issues and particularly for these having mandagni – weak digestion fireplace and energy and anna dwesha – aversion in the direction of meals.

Kind of Vasti – Koshatakyadi Vasti is a kind of Niruha or Asthapana Vasti during which the natural decoction ready with Koshataki and different elements is run as enema.

Koshatakyadi Asthapana / Niruha Vasti (Basti)

कोषातकारग्वधदेवदारुशार्ङ्गेष्टमूर्वाकुटजार्कपाठाः |
पक्त्वाकुलत्थान्बृहतींचतोयेरसस्यतस्यप्रसृतादशस्युः||५६||
तान्सर्षपैलामदनैःसकुष्ठैरक्षप्रमाणैःप्रसृतैश्चयुक्तान्|
फलाह्वतैलस्यसमाक्षिकस्यक्षारस्यतैलस्यचसार्षपस्य||५७||
दद्यान्निरूहंकफरोगिणेज्ञोमन्दाग्नयेचाप्यशनद्विषेच|

Elements

1. For the preparation of Kashaya / Kwatha – decoction

10 Prasrtha – 4 palas (1 prasrtha = 2 palas = 96 grams) i.e. 960 grams of Kashaya ought to be ready utilizing the beneath talked about elements, every taken in equal amount (the ultimate ready Kashaya ought to be 10 prastha).

–        Koshataki – Luffa acutangula

–        Aragvadha – Cassia fistula

–        Devadaru – Cedrus deodara

–        Sarngesta / Gujna – Abrus precatorius

–        Murva – Marsdenia tenacissima

–        Kutaja – Holarrhena antidysenterica

–        Arka – Calotropis gigantea

–        Patha – Cissampelos pareira

–        Kulattha – Dolichos biflorus – Horse gram

–        Brhati – Solanum indicum (Kantakari – Solanum xanthocarpum)

1. For preparation of Kalka – paste

Paste ought to be ready with 1 aksha – 12 grams every of the beneath talked about elements –

–        Sarsapa – Brassica juncea / Brassica campestris – mustard seeds

–        Ela – Elettaria cardamom – cardamom

–        Madana – Randia dumetorum

–        Kustha – Saussurea lappa

1. For Sneha

1 prasrta – 2 pala – 96 grams every of the beneath talked about oils ought to be taken

–        Phala or Madanaphala Taila – oil ready from fruits of Randia dumetorum

–        Sarsapa Taila – mustard oil

1. Saindhava Lavana – Rock salt ought to be taken as talked about within the classics – 1 karsha = 12 grams amount.

1. Madhu / Maksika – Honey – Honey ought to be taken in a amount of 1 prasrta = 2 pala = 96 grams.

1. For Avapa – Kshara – alkali ought to be taken in amount of 1 prasrta = 2 pala = 96 grams.

Technique of preparation of Koshatakyadi Vasti

Going by the amount of elements talked about by Acharya Charaka within the preparation of Koshatakyadi Vasti, the general amount of the preparation sums as much as greater than 12 prasrta which is the usual most dose of Kashaya / Asthapana / Niruha Vasti. The amount, as a rule, mustn’t exceed 12 Prasrta.

So, a smart doctor ought to put together this recipe by following Acharya Charaka’s directions whereas proportionally decreasing the talked about elements in such a approach that the ultimate product obtained is 12 prasrta.

These days we’re not administering 12 prasrtas in a single sitting for enema as a result of the intestine doesn’t permeate or tolerate such a big amount. So, the full amount of vasti dravya i.e. enema liquid given in a single sitting is stored to lower than half of the optimum most amount. This depends upon the Yukti – situational understanding and expertise of the physicians and differs in the way in which every doctor plans the identical.

Alternatively, the vasti could also be ready as per directions by Acharya Charaka and the ultimate amount of preparation is split into 3-4 doses and administered as many occasions. This may reduce the issue of making ready the drugs each time, however then again the drugs might lose its freshness and therefore the way in which it acts. Due to this fact, it’s advisable to arrange the Vasti liquid each time however the arithmetic of the used elements ought to be proportionally diminished in order to convey the ultimate preparation to the specified dosage for one sitting.

For sensible functions

Under talked about calculations will be considered for making ready 12 prasrta vasti supreme for Kapha people or Kapha issues.

1.   Saindhava Lavana = 1 karsha = 12 grams roughly
2.   Makshika – honey = 3 Prasrta = 288 grams
3.   Sneha – Madanaphala and Sarsapa Taila collectively = 1 ½ Prasrta = 3 pala (1 ½ pala every) = 144 grams
4.   Kalka – paste of Sarsapa and many others herbs – 1 Prasrta = 96 grams
5.   Kashaya – Koshatakyadi Kashaya – 5 Prasrta = 480 grams or ml
6.     Avapa = Ksara = 1 ½ Prasrta = 144 grams

So, this sums as much as 12 prasrta normal dose and in addition as designed for Kapha people.

Half of this amount can be supreme for sensible functions. So, calculations ought to be completed accordingly.

For Kashaya – Koshataki and many others herbs ought to be taken in equal proportion. They need to be pounded and their coarse powder is obtained. 1 portion of this powder ought to be boiled with 8 elements of water and diminished to at least one eighth and filtered.

Advantages of Koshatakyadi Niruha Vasti

Koshatakyadi Niruha Vasti is alleged to bestow the beneath talked about advantages –

1. Kapha roga – it’s an unparalleled enema recipe for these affected by any Kapha roga. So, we are able to develop our thought course of to the vast spectrum of kapha issues. At any time when there may be morbid kapha predominance within the physique resulting in any kapha dysfunction, this enema could also be considered. Vamana – therapeutic emesis is one of the best remedy for kapha issues. However when Vamana is just not yielding higher ends in kapha issues, we might take into consideration involvement of vata within the course of and therefore Vasti will come into play. Whilst such, this enema can be efficient for kapha and kapha issues. We are able to additionally consider administering this vasti in kapha issues or kapha predominant individuals in whom vamana is contraindicated or they’re in a scenario whereby vamana can’t be administered.

Signs of Kapha improve as defined within the context of Kapha Vrddhi Lakshanas will be thought-about for administering this enema, like –

–        Agni sadana – diminution of digestive fireplace and therefore deterioration of digestion capability, resulting in mandagni associated issues

–        Praseka – extreme salivation, which is indicative of improve of kapha

–        Alasya – laziness, procrastination

–        Gourava – heaviness of the physique

–        Shvaitya – whitish discoloration of the physique elements

–        Shaitya – extreme and uncontrolled coldness within the physique

–        Shlatha angatva – looseness of the physique elements

–        Shvasa – dyspnoea, shortness of breath or ailments presenting with issue in respiration – like bronchial asthma, bronchitis and many others

–        Kasa – cough and ailments having cough as symptom

–        Atinidrata – extreme sleepiness

Different Kapha predominant metabolic / systemic issues like weight problems, diabetes, hypothyroidism, despair, metabolic syndrome and many others may additionally be thought-about.

It’s also a great enema recipe for all digestive issues and can be utilized for metabolic corrections.

2. Mandagni – This enema is extremely efficient in circumstances whereby one’s digestive fireplace could be very sluggish. This causes indigestion. And low digestive fireplace and indigestion, on future, are root sources for a lot of systemic illnesses. So, mandagni ought to by no means be uncared for. Mandagni will be brought on by all doshas however is predominantly brought on by elevated kapha within the abdomen. This indication additionally provides us a clue that mandagni can’t solely be tackled by oral drugs however will also be managed, manipulated and balanced by administration of Vasti.

3. Annadwesha – There are lots of ailments during which the individual can have hatred or aversion in the direction of meals. The sufferers too is not going to know why they’re rejecting meals. However maintaining away from meals could be very unhealthy for well being because the physique and well being sustains solely on the meals we eat every day. In continual circumstances, in individuals who have undergone surgical procedures (many weeks or months after surgical procedure), those that are affected by illnesses like most cancers and many others or are on chemo and radiotherapy for a similar, these affected by circumstances like anorexia and many others can have ‘meals rejection’ as a part of their sufferings and signs complexes. This vasti will come in useful for these sufferers.

Motion on Doshas

As specified by Acharya Charaka, this vasti is one of the best in combating kapha imbalances, kapha aggravation and in successfully curing kapha issues. Since it’s a vasti, it ought to undoubtedly have a task in ‘vata balancing’. Because it kindles agni and is used for treating mandagni and bhakta dwesha, as described above, it additionally has a ‘pitta stimulating’ function.

Motion on Dhatus

By addressing morbid kapha and curing kapha issues, it is going to cleanse, reboot and resuscitate all of the tissues that are abodes of kapha i.e. rasa, mamsa, meda, majja and shukra. It additionally helps in cleaning and rejuvenating the srotas associated to those tissues.

By activating jatharagni, it additionally prompts dhatu agnis and helps in enhancing tissue metabolism by suggestions motion. This may assist in correct formation of all of the tissues and ojas. This may be thought-about because the Rasayana motion of this Vasti, although circuitously talked about within the texts.

Motion on Malas

Since Koshatakyadi Vasti, like several enema cleanses the colon, it helps in expelling purisha – faeces and adho vata – fart and maintaining the intestine wholesome. It expels kapha depositions from the colon and intestine and thus prompts these organs. On this approach it helps in balancing vata on the intestine degree. Purisha and Mutra are the abodes of Kapha. So, Koshatakyadi Vasti has a cleaning function on Purishavaha and Mutravaha Srotas. It’s a good recipe for gastrointestinal and urinary issues.

Possible Mode of Motion

The possible mode of motion has already been touched upon in bits and parcels within the above clarification and dialogue of Koshatakyadi Vasti.

To sum up, the principle motion of this vasti is exclusive. It tackles morbid kapha when administered within the type of enema in opposition to the traditional emesis remedy which is alleged to be one of the best for kapha issues.

Kapha is a supportive matrix and a buffer for each cell within the physique. It protects the physique in opposition to the wear and tear and tear which is brought on by hyperactivity of vata, pitta and agni. So, a web steadiness and gross steadiness of kapha could be very very important for well being. Elevated kapha will meddle with the core agni within the stomach, the jatharagni. This may trigger mandagni, aruchi, bhaktadwesha, ajirna and different associated issues. This may squeeze the motion of the dhatu agnis additionally.

Elevated kapha also can envelope vata and pacify pitta resulting in a big selection of metabolic and systemic issues like prameha, sthoulya, and many others and different santarpanottha rogas – ailments occurring resulting from over-nutrition.

Kapha may cause blocks and clogs within the physique and hamper many capabilities. It additionally has a depressive impact on the nervous system and causes many psychological issues.

Although vamana is one of the best treatment for kapha improve and the issues produced by the identical, many occasions both vamana is troublesome to manage or is contraindicated in lots of circumstances that are brought on by kapha or the affected person himself is not going to be match or snug sufficient to endure vamana remedy. In these circumstances, vasti can be another but efficient strategy to take care of these issues.

Koshatakyadi Vasti has superb elements which may successfully fight kapha and kapha issues. The benefit is that it has a stimulative motion on agni. Vasti is comparably protected and straightforward to manage compared to vamana.

Being enema, it additionally has intestine cleaning motion. So, it additionally purifies the vata seat. It’s an efficient approach of controlling agni from beneath.

Whereas correcting agni, Koshatakyadi Vasti may also right the core metabolism and tissue metabolism and is therefore an efficient recipe for metabolic issues. That is additionally a pathway of eradicating the blocks in cells and channels and in addition enabling their restoration and wholesome rebuilding.

So, all the therapeutic motion of Koshatakyadi Kashaya Vasti is by correcting the agni imbalances and expelling or destroying morbid kapha and therefore successfully curing the kapha issues.