As the name suggest, Panchkarma means Pancha Karma i.e. Five Methods or Five Operation in Ayurvedic Medicinal System. These are:

Nirooh Vasti

It is also known as astthapan vasti. As the anuvasan vasti imparts snigdh vasti, nirooh imparts Shodhana vasti i.e. it performs the function of clearance and purification. Hence it should always be kept in mind that before the administration of anuvasan vasti one should never ever administer nirooh vasti. It is given along with the anuvasan vasti to counter the vata disorder.

In persistent vata disorder nirooh is to be administered only after 3 to 4 anuvasan vasti. Following are the diseases that are to be administered with the nirooh vasti. As mentioned by both Maharishi charak and Maharishi sushurut.

It has to be kept in mind the nirooh vasti should never to be given after meals; it should only be administered before meals.

In the beginning the rock salt is mixed after grinding the salt with honey. (150 grams of honey mixed with 40 grams of rock salt). To this availed mixture Snehan (oil, ghee and animal fats) are being added and then it is homogenously mixed. Now the kalk of the herbs that are to be administered are being added in the form of decoction. The mixture is put in a vapor bath and used when it is comfortably warm.

If the patient fells that he is having natural urge then he should be allowed to evacuate his bowel. If the nirooh vasti does not come out even after 48 hours of the administration then a tikshan (stronger) vasti is being given like that of go mutra (cows urine) so as to expel it out of the body. A phala varti (suppository) may also be helpful in such a condition.

In the discharge after the vasti karma the fecal matter should appear first, then the pitta or the bile as we say in modern sciences and then the kapha i.e. the mucus. If the person feels relieved, light and strength then it is considered as the vasti has been doing right function in the body for which it has been administered. On an average 3 to 4 nirooh vasti are necessary to a person to get a relief. After it the person should be administered with the vasti he should be given hot water bath and then he should be given light meals

Nirooh vasti is still classified into three categories

These are:

1. Utklesh vasti
2. Dosha hara vasti
3. Saman vasti

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