Uttara Basti targets toward diseases of urinary and genital system.Uttara Vasti or Uttara Basti is one among Panchakarma treatments in which liquid medicines are administered through urethral or vaginal routes. The medicines may be in the form of Kwatha / Kashaya (herbal decoctions) i.e. Asthapana (niruha) Basti and Sneha (medicated ghee and oils) i.e. Anuvasana (sneha) Basti.
The vasti (enema) administered through the urinary passage (urethra) in men and women and through birth passage (vaginal tract) in women is called uttaravasti. It is the vasti which is given through uttara marga (passages present in the anterior portion of the body, i.e. in the front portion of the body i.e. urethral and vaginal passages) Uttara means ‘best’. Since uttaravasti imparts extraordinary benefits it is called Uttara Basti.
There are types of Uttara Basti stated as explained below
In this, the site of administration of Vasti medicine is Uterus (Garbhashaya) and the Basti is given through the vaginal orifice. This Vasti helps in expelling the morbid Doshas from the Garbhashaya or Uterus. This Basti helps in eradicating the morbidity and diseases related to the female uro-genital system.
In this, the site of administration of Basti medicine is Mutrashaya or Urinary Bladder and the Basti is given through the Mutra Marga or Urethra (the opening of the lower end of the muscular tube which is connected to the lower opening of Urinary Bladder and excretes the urine. This is given through the urinary passage or urethra in both men and women. This helps in curing the diseases related to urinary system and genital system.
Purvakarma or pre-operative methods of Uttara Vasti comprises of examination of patient and determining the dose of administration of the enema and the patient preparation.
To determine which vasti (niruha or sneha) should be administered respective to the symptoms, a thorough examination of the patient is done. This will help in categorizing the patients as those fit to undertake Niruha vasti or those fit to take Anuvasana or Sneha Vasti or those who are fit to receive both types of vasti. It will also help in identifying the patients who are unfit to receive the same.
Mutrashaya gata utar basti is indicated in the treatment of urinary disorders. Charaka has listed 13 types of mutraghata (obstructions to the passage of urine) and at the end has indicated uttara vasti as a remedy in all the cases.
The various types of Mutraghata explained above covers various conditions of uro-genital system in which there is obstruction to urination. The indications include inflammation of urinary bladder, recto-vesical fistula, prostate gland enlargement (BPH), and many more diseases. Mutra Krichra covers many diseases of urinary system which cause dysuria or difficulty in passing urine. It also covers dysuria caused due to stones, infection etc conditions.
The Mutraghata therapy benefits in many stone related diseases . Apart from the diseases of urinary tract Uttara Vasti in men can be administered in disorders like Shukra Dosha (morbidity of semen) which includes Shukra afflicted by morbid Vata, Pitta and or Kapha and diseases like klaibya (less semen) and dhwajabhanga (impotence) etc
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