As the name suggest, Panchkarma means Pancha Karma i.e. Five Methods or Five Operation in Ayurvedic Medicinal System. These are:
Anuvasan vasti is generally given by the method as follows
The maximum dosage is six pals (300ml) and minimum is four pals (200 ml) {1 pal = 50 ml}. The ghee or the oil used for the purpose may be mixed with the saindhav lavan (rock salt) and sataahwa powder each to be powdered and mixed in 6,4 and 2 masha (64 masha =1 pal) respectively for the above doses. Ghee or medicated oil with the following herbs may also be administered. These are.
- Dashmoola
- Roots of errand (castor tree)
- Punarnava
- Yav (barley)
- Khulthi dal (horse gram)
- Badara fruit
- Guduchi
- Madan phala
- Palash
- Saindhav lavan (rock salt)
The medicated oils or the pure oil mixed with the rock salt is to be rectally, injected slowly and it is to be retained in the intestines by the patient for sometimes. The patient may sleep after this procedure. Do not let him expel out the medicine which has been inserted. To an estimate, medicine should be retained in for nine hours. If it gets absorbed in the intestines and there is no urge, let another day pass. On the day of administration of anuvasan vasti let the patient take abhayang (massage). After giving him the rectal injection, then patient’s legs are to be massaged for some times. The potion in of the bed which bears the legs of the patient should be raise for some time and the position of the bed is again brought to normal. This is to be done for three times. This process is adapted so as to make sure that all the medicines is absorbed and lubricate the intestines. If after 24 hours, it does not come out of the feces then nirooh vasti is to be given. On the other hand if the oil comes out with the faeces with out producing any symptoms like heaviness in abdomen, loss of apatite, heavy sensation in body etc , it should be considered that the anuvasan vasti has got to its place to produce desired result. Patient after this allowed taking his meals which are light and easily digestible. If heaviness, dullness occurs then he should not eat any thing at night. Instead he should be given decoction of sunthi (dried ginger) and dhania (coriander) the next morning.
Anuvasan vasti is to be repeated on the third day after the previous vasti. But if the person is healthy and is habitual of taking these vasti then he can be administered with the anuvasan vasti everyday. In such a condition the dose should be lessened. If the sneh vasti is taken daily it is called matra vasti. 3 to 4 anuvasan vasti are enough to make a parsons body lubricated. He should also be given nirooh vasti so as to along with anuvasan vasti so as to counter the vata and its allied doshas. If the anuvasan vasti soon comes out then another vasti is to be given soon.
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