Abstract
Basti, a crucial therapeutic modality in Ayurveda, holds significant importance in the treatment of various doshic imbalances, particularly Vata-related disorders. However, its efficacy extends to Pitta, Kapha, and Raktaja conditions as well as mixed doshic imbalances and systemic disorders. Rooted in ancient Ayurvedic texts including Vedas, Puranas, and Samhitas, Basti is often referred to as Ardhachikitsa or poornachikitsa, indicating its comprehensive therapeutic scope. Picchabasti, a specific type of Basti employing picchila dravyas (unctuous substances), is renowned for its anti-inflammatory, deepening, and digestive properties, particularly beneficial in addressing Apana Vata functions.
This paper reviews the formulations and therapeutic applications of Picchabasti as described in classical Ayurvedic texts. It explores various references in texts such as Charaka Samhita, Sushruta Samhita, and Sharangdhar Samhita, detailing the preparation methods and indications for Picchabasti in conditions like Pittatisara, Raktarsha, and Kaphatisara. The formulations often involve specific ingredients like Shalmali flower stalks, Yavasa, Kasha, and others, processed in various mediums such as milk, decoctions, or blood, depending on the condition being treated.
Additionally, the paper discusses the pharmacological properties and doshic effects of the ingredients used in Picchabasti formulations, elucidating their roles in balancing the doshas and promoting therapeutic outcomes. Despite some challenges regarding the practicality of certain ingredients, recent studies have validated the efficacy of Picchabasti in conditions like ulcerative colitis, emphasizing its relevance in contemporary clinical practice.
In conclusion, Picchabasti emerges as a potent therapeutic intervention with a diverse range of applications in Ayurvedic management. Its multifaceted approach, incorporating specific formulations tailored to individual imbalances and clinical presentations, underscores its adaptability and efficacy in addressing complex health issues. Further research and clinical trials can provide deeper insights into the mechanisms of action and optimize its utilization in integrative healthcare settings