As the name suggest, Panchkarma means Pancha Karma i.e. Five Methods or Five Operation in Ayurvedic Medicinal System. These are:
Uttar vasti
It is a part of vasti karma in which vasti is administered in the vaginal cavity or in the urethra. The nozzle of the kale urethra is to be about 12 anguli. Now a day’s rubber catheter is being used. The nozzle of the vasti is of flexible material and the bag attached to it should be compressible. The nozzle is to be sterilized and the smeared with the ghee. The person who has to be administered with the Uttar vasti should previously be given with the nirooh and anuvasan vasti alternately. Now the person is to be seated on a stool or should lay on his back the nozzle of the tube should then be inserted. Only about seven anguli of the tube is to be passed inside the urethra and then the tube is gent ally withdrawn. The fluid may be allowed to remain for a while but retention for too longer time is not advisable.
Small pills made out of araghwadh leaves with Nirgundi juice, rock salt and cow’s urine is made of the size that of mustard seed and then it is introduced in the urethra in order to avoid the sneh coming out that has been introduced. The sneh that has to be given to the person has to be about 30 grams in a youth of age 25 years and 50 grams above the age of 25 years. Maharishi sushurut has advised that the u suppository Uttar vasti is to be carried out in the morning time and up to four Uttar vasti can be administered in a day, in this manner Uttar vasti can be given consecutively for three days. In case of any allergic reaction, a decoction prepared from Yastimadhu and honey and sugar and be used as Uttar vasti.
Uttar vasti is being advised in disease like mutrakritch (Dysurea), ashmari (Calculi), spermatorrhoea, pain in the bladder or in the groin region, disease of the bladder etc.
For women the Uttar vasti may be given in vagina or urethra in a thin tube of about 2 anguli. It should be introduced in the urethra. In virgins it should be only of one finger length.
It should be injected when the women are in supine position with her knees raised. The Uttar vasti is to be administered in the ritu kaalam (12 days commencement of the menstruation) only.
Uttar vasti is recommended in disease like of cervix, uterus, and vagina etc. as well as the diseases of the bladder.
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