Kashaya means medicated decoction and Vasti refers to administration of medicines through rectum. Kashaya Vasti treatment involves enema using medicated decoction. The medicine for Kashaya vasti is prepared by mixing Honey, Rock salt, Oil, Herbal paste and decoction. First honey and rock salt are mixed in a vessel. Then oil is added and mixed well. This mixture is filled in a sac made of leather after warming a little by keeping in a hot water. The sac is then tied at the end of the vastiyantra (instrument of vasti). The patient’s body must be massaged with oil and abdomen should be warmed up. The nozzle of the instrument and anus of the patient are lubricated first by applying oil. The leather sac containing medicine is the pressed firmly once and medicine is injected into the rectum. A little of the medicine is left in the sac to prevent air entering into the rectum. Then the patient should lie down on his back after completion of vasti and then abdomen should be massaged gently. When urge to pass stool the patient can go to the toilet and evacuate. If he gets clear bowel movements then the treatment is successful. Afterwards he should take bath in warm water and have food.
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