Substances, Methodology 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.

Title evaluation & mode of motion

That is an enema recipe ready with numerous components 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 necessary ingredient within the mixture.

–        Koshataki – Luffa acutangula

–        Adi – others

–        Basti / Vasti – enema

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

Motion – Phalashruti – i.e. record of indications of this recipe level in the direction of this recipe being ‘the perfect one’ for all kapha problems and particularly for these having mandagni – weak digestion hearth and power and anna dwesha – aversion in the direction of meals.

Sort of Vasti – Koshatakyadi Vasti is a sort of Niruha or Asthapana Vasti wherein the natural decoction ready with Koshataki and different components is run as enema.

Koshatakyadi Asthapana / Niruha Vasti (Basti)

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

Substances

1. For the preparation of Kashaya / Kwatha – decoction

10 Prasrtha – 4 palas (1 prasrtha = 2 palas = 96 grams) i.e. 960 grams of Kashaya must be ready utilizing the under talked about components, every taken in equal amount (the ultimate ready Kashaya must 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 must be ready with 1 aksha – 12 grams every of the under talked about components –

–        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 under talked about oils must be taken

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

–        Sarsapa Taila – mustard oil

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

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

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

Methodology of preparation of Koshatakyadi Vasti

Going by way of the amount of components 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, shouldn’t exceed 12 Prasrta.

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

These days we aren’t 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 whole 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 is dependent upon the Yukti – situational understanding and expertise of the physicians and differs in the best way 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 instances. This can reduce the problem of getting ready the drugs each time, however then again the drugs might lose its freshness and therefore the best way it acts. Subsequently, it’s advisable to arrange the Vasti liquid each time however the arithmetic of the used components must be proportionally diminished in order to carry the ultimate preparation to the specified dosage for one sitting.

For sensible functions

Beneath talked about calculations will be considered for getting ready 12 prasrta vasti supreme for Kapha people or Kapha problems.

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 so forth 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 commonplace dose and likewise as designed for Kapha people.

Half of this amount can be supreme for sensible functions. So, calculations must be accomplished accordingly.

For Kashaya – Koshataki and so forth herbs must be taken in equal proportion. They need to be pounded and their coarse powder is obtained. 1 portion of this powder must 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 under talked about advantages –

1. Kapha roga – it’s an unparalleled enema recipe for these affected by any Kapha roga. So, we are able to broaden our thought course of to the broad spectrum of kapha problems. Every time there may be morbid kapha predominance within the physique resulting in any kapha dysfunction, this enema could also be considered. Vamana – therapeutic emesis is the perfect remedy for kapha problems. However when Vamana will not be yielding higher leads to kapha problems, 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 problems. We are able to additionally consider administering this vasti in kapha problems 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 hearth and therefore deterioration of digestion capability, resulting in mandagni associated problems

–        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 so forth

–        Kasa – cough and ailments having cough as symptom

–        Atinidrata – extreme sleepiness

Different Kapha predominant metabolic / systemic problems like weight problems, diabetes, hypothyroidism, melancholy, metabolic syndrome and so forth may be thought-about.

Additionally it is enema recipe for all digestive problems and can be utilized for metabolic corrections.

2. Mandagni – This enema is extremely efficient in situations whereby one’s digestive hearth may be very sluggish. This causes indigestion. And low digestive hearth 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 offers us a clue that mandagni can’t solely be tackled by oral drugs however may also be managed, manipulated and balanced by administration of Vasti.

3. Annadwesha – There are lots of ailments wherein 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 preserving away from meals may be very dangerous for well being because the physique and well being sustains solely on the meals we eat each day. In continual situations, in individuals who have undergone surgical procedures (many weeks or months after surgical procedure), those that are affected by illnesses like most cancers and so forth or are on chemo and radiotherapy for a similar, these affected by situations like anorexia and so forth 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 the perfect in combating kapha imbalances, kapha aggravation and in successfully curing kapha problems. 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’ position.

Motion on Dhatus

By addressing morbid kapha and curing kapha problems, it’s 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 can assist in correct formation of all of the tissues and ojas. This may be thought-about because the Rasayana motion of this Vasti, although indirectly talked about within the texts.

Motion on Malas

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

Possible Mode of Motion

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

To sum up, the primary motion of this vasti is exclusive. It tackles morbid kapha when administered within the type of enema towards the standard emesis remedy which is alleged to be the perfect for kapha problems.

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

Elevated kapha may also envelope vata and pacify pitta resulting in a big selection of metabolic and systemic problems like prameha, sthoulya, and so forth and different santarpanottha rogas – ailments occurring as a result of over-nutrition.

Kapha could cause blocks and clogs within the physique and hamper many features. It additionally has a depressive impact on the nervous system and causes many psychological problems.

Although vamana is the perfect treatment for kapha improve and the problems produced by the identical, many instances both vamana is tough to manage or is contraindicated in lots of situations that are brought on by kapha or the affected person himself is not going to be match or snug sufficient to bear vamana remedy. In these situations, vasti can be another but efficient method to take care of these problems.

Koshatakyadi Vasti has superb components which might successfully fight kapha and kapha problems. The benefit is that it has a stimulative motion on agni. Vasti is comparably protected and simple to manage compared to vamana.

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

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

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