Role of Lekhan Basti on sign and symptoms of …...Basti maintains health and longevity the effect of basti is comprehensive. Basti is the best chikitsa (treatment) for vaata vyadhes,

ISBN 978-93-5173-179-3 ISSN 2320-7329

http://www.ayurlog.com Vol. 3 Special issue*- 1st Feb. 2015

Ayurlog: National Journal of Research in Ayurved Science A Web based quarterly online published Open Access peer reviewed National E-journal of Ayurved

1

Role of Lekhan Basti on sign and symptoms of Sthoulyaroga

________________________________________________________________

Sonwane Ramesh Dnyanoba*1

___________________________________________________________________________

1. Associate Professor, Panchakarma Department, C.S.M.S.S. Ayurved Mahavidyalaya,

Kanchanwadi, Aurangabad – 431001. (M.S.) India.

* Corresponding Autthor

Email –id- [email protected]; Mob. - 09822794937

___________________________________________________________________________

ABSTRACT:

Several studies were done in

Ayurveda and modern Medicine for the

control of obesity (Sthoulyaroga). In

Ayurvda, Basti has a very important role to

play in management of Sthoulyaroga.

Caraka Samhita has included Sthoulyaroga

in ashtonindiya chapter. Whiele treating

patients of Sthoulyaroga lakhan basti is not

only advised by also given special emphasis

in today’s era, Sthoulyaroga is seen widely

distributed in society and has affected huge

population. Myocardial infarction, Ischemic

heart diseases, atherosclerosis, hypertension,

diabetes, osteoarthritis, impotency and

mental disorder are some of the

complication which are seen to have serious

effects on the society than the disease itself.

Various research scholars have already

studied the condition in depth but no

standard treatment has yet been evolved.

Considering this lacuna, above study was

undertaken with a view to study the effect of

lekhan basti panchakarma treatment on the

sign and symptoms of Sthoulyaroga.

KEYWORDS:

Lekhan Basti, Sthoulyaroga, Sign,

Symptoms.

INTRODUCTION:

The word basti s named so because

the urinary bladder of animals (Cow,

Buffalo, Goat and Sheep etc.) is used to

mailto:[email protected]

ISBN 978-93-5173-179-3 ISSN 2320-7329



2

inject or administration of medicated oils or

decoctions into the rectum of the body to

produce some effect. “Bastnaadeeyate Eti

Basti” 1

“Bastibhirdeeyagte yasmat

Bastiritosmrutah”2.

The uword basti is derived from

“Bastik-Vasteh Aavrinoti Mootra | Vasha-

tich naabheradhobhage | Mootra dhaare

sthaane (masculine) | oushadha daanarthe

dravyabhede”. The word basti used in the

following meaning to dwell, to inhibit, to

live, to stay, to abide, to reside, or to

produce effect of aromatic drugs etc. The

word basti is a place where the urine is

collected. “Vas” is formed by the tich

Pratyaya. It belongs to masculine gender. It

lies below the umbilicus and which is used

to administration the contents of the basti

through it. Basti contents will stay in the

pakwaashaya for a specific period3.

The very important role of

panchakarma chikitsa in ayurved chikitsa

while the treatment of many disorder. Carak

used the basti term for nirooha basti. In

siddhisthaana where in the chikitsa of

nirooha basti (Vayapad) has been

mentioned4.

Susruta has mentioned the procedure

of giving basti to varnas (Wounds ulcers)5.

Trimala that is mala (Purisha),

sweda(sudation), mootra(urine), pitta etc are

excreted or secreted or transported by the

body due to the vaayu. Aama or vayadhis in

the body will be made to move from are part

of the body to another with the help of

vaayu only. The pitta and kapha are pangu

(lame) so vaata will be an active force to

derive them from one place to another vaayu

not only causes samvahana but also

stambhana. Hence that is why same

achaarya call it full chikitsa (treatment) and

same achaarya call half chikitsa (treatment)6.

Basti maintains health and longevity

the effect of basti is comprehensive. Basti is

the best chikitsa (treatment) for vaata

vyadhes, so also for pitta vyadhes, kapha

vyadhes, rakta (blood) in samsarga and

sannipata doshaas7.

Sthoulyaroga is the most common

metabolic disorder and is one of the oldest

documented vyadhes. An individual whose

increased med and mas dhatu makes his

hips, abdomen and breasts pendulous and

whose vitality is much less than his body

size is obses8.

Sthoulyaroga is due to alimentary

factors like overeating, heavy eating, sweet,

oily foods, having cold potency lack of

ISBN 978-93-5173-179-3 ISSN 2320-7329



3

exercise, sleeping during daytime, leading

life, which is without any stress and strain

and hereditary predisposition. It can be due

to other disorder of pituitary, thyroid,

adrenals, gonads, pancreas and

hypothalamus9.

Derangement of agni or digestive

power leads to production of aama, which

disturbs dhatu agni of med dhatu and blocks

the proper formation of further dhatu.

Improperly formed med dhatu accumulates

in the body causing Sthoulyaroga.

Accumulated med causes disturbance to the

movement of vata, which in turn increases

appetite. Patients therefore eat more and the

entire food is than converted into improper

med dhatu. Creating a vicious circle10

.

Accumulation of med dhatu on the

abdomen, dyspnoea on execration

(Swaskashtra) , lethargy and perspiration

apart from the sign. Such person develops

excessive hunger (Suddha Aaddhayaka) and

thirst, weakness, loss of vitality, loss of

sexual power (maithun ashamartha),

excessive sweating with bad or foul smelling

odor, and dyspnoea on mild execration. All

the dhatu in the bodya are not properly

formed which result in reduction of

longevity, premature aging and mental

confusion11

.

The deposition of excess med takes

place on the abdomen and breasts of women,

hence they become big and move during

walking. Due to excess weight such people

suffer from lethargy and loss of strength. If

the condition of sthoulyaroga is not properly

treated, various kinds of complication like

ischemic heart diseases, hypertension,

hyperlipidemia, diabetes, arthritis, fistula,

hyperacidity and kidney infection are

produced12

.

MATERIALS AND METHODS:

Drugs used in lekhan basti were given

below.

Thiphala (Amalaki, haritaki,

Bibhitaki fruits), gomootra (Cow urine),

honey, yavakashara, shilajit, tutha, hing and

saindhav.13, 14, 15

.

Perfect dose of nirooha basti

mentioned in sharangadhara samhita and

bhavaprakasha purvakhanda.16, 17

.

Uttam matra – 960ml (11/4

prastha)

Madham matra – 640ml (1

prastha)

ISBN 978-93-5173-179-3 ISSN 2320-7329



4

Hin matra – 480ml (1

kudav that is 48 tole)

Lekhan basti is the combination of triphala

decoction, gomootra (Cow Urine), honey,

yavakashara and ingredients of ushakadi

gana 18,19,20,21

.

Materials and dose of lekhan basti 22,23,24

.

Drug

Used

Uttam Matra

(dose)

Madham Matra

(dose)

Hin Matra

(dose)

Triphala kwath 320 ml 160 ml 120 ml

Gomootra 160 ml 100 ml 80 ml

Honey 160 ml 100 ml 80 ml

Saindhav 3 gm 2 gm 2 gm

Yavakshara 3 gm 2 gm 2 gm

Extract of

Ushakadi gana 12gm 8 gm 6 gm

Rout of administration of Lekhan Basti:

Basti are administrated through anal

route, in the same way lekhan basti was

administered through anal route with emoty

stomach. Lekhan basti is the type of nirooha

basti hence it should be given like yaga basti

that is alternate days of anuvasan and

nirooha (lekhan basti) for eight days25

.

Expermental Design:

Prepared lekhan basti is given in

alternate days for eight day’s in the first

setting26

.

Second setting was done after 16th day

because basti parihar kal is double of

given period27

.

In this study, selection of sample and

sample size of patients were done with

special care. These patients were

selected from OPD and IPD of Shri

ISBN 978-93-5173-179-3 ISSN 2320-7329



5

Aurved Mahavidyalaya and Akhil

Bhartiya Ayurveda anusandhan santhan

and pakwasa samanvaya Rugnalaya

mahal, Nagpur, (M.S.) india.

Criteria of Measuring the Parameters: 28

1. Weight in kilogram.

2. Body mass Index = weight in

kilogram / Height in meter squared.

Body Mass Index =

(weight in kilogram /

Height in meter) 2

Underweight < 18.5

Normal weight 18.5-24.9

Over weight 25.0-29.9

Obese 30.0-39.9

Extremely Obese >40

3. Sing and symptom of Sthoulyaroga.

In this study every patient were

examination done for the purpose of

Sthoulyaroga chikitsa. Different

kinds of sign and symptoms were

observed in Sthoulyaroga because

of Medsanchati. Description of sign

and symptoms of Sthoulyaroga

were written in Ayurved Samhita.

In Ayurved Samhita one thing are

observed that is sign and symptoms

of Sthoulyaroga in some samhita

simmler and some are different.

Description of Sthoulyaroga sign

and symptom in Laghutrayee and

bharatrayee that is difficulty in

work, difficulty due to sweating,

Breathing difficulty, bodyache,

Nidra, Shuddha Addhayaka,

difficulty in Maithun Karm.

Above sign and symptom were

taken in patients case paper for

observation purpose. In this study

this symptom were observed before

treatment and after treatment.

This sing and symptoms were

categories severe symptoms (+++),

Moderate symptoms (++), Mild

symptoms(+) and absent symptoms

(0) for the purpose of selection of

Patients , Diagnoses of

Sthoulyaroga and observed effects

of Lekhan basti.

Inclusive criteria:

Patients having clinical presentation

of Sthoulyaroga included in this

study.

Age: 30-60 years

ISBN 978-93-5173-179-3 ISSN 2320-7329



6

Gender: Both male and female

Exclusion criteria:

Hypertension

Hyperthyroidism

Angina Pectoris

Ischemic heart disease

Myocardial infraction

Pregnancy and lactation

Nephritic syndrome and renal

disorder

Diabetes mellitus

Obstructive Jaundice

Cushing’s syndrome

Acquired Immune Deficiency

syndrome

Froehlich’s syndrome

Multiple organ failure patients are

excluded in the study.

RESULTS AND DISCUSSION

Caraka samhita has included sthoulyaroga in

ashtonindaniya adhaya in sustrasthana. In

this chapter causes, sign, symptom (physical

and mental) of sthoulya roaga were given 29.

According to aurvedic and modern

medicine system diagnosis of stoulya roga is

confirmed and 30 patienes of stoulya roga

were randomly selected without any

discrimination of sex, religion, occupation

and socioeconomic status and effect of

lekhan basti on sign and symptom of

sthoulyaroga was observed as followed.

According to age of patients they

were divided into three groups that is 30-40

years, 40-50 years and 50-60 years. 19

(63.33% ) patients in 30-40 age group,

8(26.67%) patients in 40-50 age group and

3(10%) patients in 50-60 years groups were

found obese. Hence stoulyaroga is more

common in 30 – 40 years age group.

According to the weight of

sthoulyaroga patients, out of 30 patients in

30-40 years age group were 11(36.67%) in

70 -80 kg, 6(20%) in 81-90 kg , 1(3%) in

91-100kg and in 40-50 years group

5(16.67%) in 70-80kg , 3(10%) in 81-90kg,

0 patients in 91-100kg, and 51-60 years

group 2(6.67%) in 70-80kg, 1(3.33%) in

81-90kg and no patients in 91-100 kg and

above 100 kg were observed.

Before treatment of lekhan basti on

sthoulyaroga body mass index were 29.99±

2.627 and after treatment 28.29± 2.326 that

is after treatment of lekhan basti body mass

index was significant at p<0.001.

Patients were subjected for sign and

symptom before and after treatment. The

ISBN 978-93-5173-179-3 ISSN 2320-7329



7

data was statisfically analyzed by appling

one way Anova test and paired “t” test,

Difficulty in work (Asamarthata in work),

Difficulty due to sweating (kashta dueto

pasina ), Breathing difficulty (swas

kashrachata), Bodyaehe, Nidhra (Excessive

Sleep), Suddha Addhayaka, Difficulty in

Maithunkarma before treatment of lekhan

basic were found 2.233±0.626, 0.900±0.305,

2.233±0.626,2.167±0.648, 0.933±0.254,

0.867±0.346, 0.900±0.305 respectively.

After lekhan basti treatment for three month.

Diffcculty in work (Asamarthata in shram),

difficulty due to sweating (kashta due to

pasina), Breathing difficulty

(swaskashrachata), Bodyache, nikhra

(Excessive sleep), suddha addhayaka and

difficulty in maithunkarma were found to be

0.700±0.794, 0.400±0.498, 0.767±0.728,

0.467±0.104, 0.267±0.450, 0.367±0.490 and

0.467±0.507 respectively and was

significant. P<0.001.

STATISITCAL ANALYSIS ON WEITHT, BODY MASS INDEX AND SIGN &

SYMPTOM AFTER STUDY OF LEKHAN BASTI

Parameters Before Treatment After Treatment

Weight 81.300±8.056 76.800±7.485*

Body mass index 29.990±2.627 28.290±2.326*

Difficulty in work

(Asamrthata in Sharama)

2.233±0.626 0.700±0.794*

Difficulty due to sweating

(Kashta due to pasina)

0.900±0.305 0.400±0.498

Breathing difficulty

(Swaskashrachata)

2.233±0.626 0.767±0.728*

Body ache (Angvedana) 2.167±0.648 0.467±0.104*

Nidhara (Excessive sleep) 0.933±0.254 0.267±0.450*

Suddha addhayaka 0.867±0.346 0.367±0.490*

ISBN 978-93-5173-179-3 ISSN 2320-7329



8

Diffculty in Maithunkarma 0.900±0.305 0.467±0.507*

*Value are significant at P <0.001.

Praveen kumar agrawal 2002 emerging

obesity in northern Indian states, A serious

threat for health, study suggests that because

of uncontrolled diet consumption and more

sedentary life, women are becoming

overweight and obese. This is the standard

of living. Which are continuously increasing

higher birth order and also plays an

important role in the overweight and

obesity30

.

Patil B.M. 2009 In comparative

clinical study of madutailik basti and navak

guggul in manegment of sthoulya. Navak

guggul provide better result in weight, body

mass index, circumference and biochemical

investigation but madhutailik basti group

quicker relief was seen in sign and symptom

compared to navak guggul group and lesser

adverse effect was seen on post Madhutailik

basti31

.

The negative sides and difficulties in

using lekhan basti are, not taking proper

decision regarding the selection of patient,

such as shareera bala, Agnibala, koshta,

Prakruti etc. preparation of patient, selection

of drug that is low less potency, old,

atiruksha, small dose or high dose, while

preparing medicines and preparation of the

patient, non co- operative patients during

treatment. May arise side effect that is nabhi

vedana, daha(burning), chest heaviness,

gudhbag soth, charadi(vomiting), shirsul

(Headache), Angvedna(bodyache).

CONCLUSION :

In this open clinical trial of lekhan

basti on sthoulya roga is studied on the basis

of statistic results obtained in this clinical

study it is concluded as follow.

Sthoulya roga is more common in

30-40 years age group that is 63.33%

Incidence of sthoulyaroga is more in

females, from the study lekhan basti

is statistically significant in the

chikitsa of sthoulya roga.

Lekhen basti provided very good

result in reducing weight, body mass

index.

ISBN 978-93-5173-179-3 ISSN 2320-7329



9

Lekhen basti provided very good

significant result on sign &

symptom’s of sthoulyaroga.

In this study incidences, deficiency

of vitamins, minerals etc are not

seen.

REFERENCES:

1) Vaidy yadunandana upadhyaya,

bastividhim chapter, kaviraja

aerideva gupta, Astanghradyam. 11th

edition, Varanasi (India),

Chaukhambha Sanskrit sansthan,

1993, Page no-120.

2) Shalaja shrivastav, bastividhi chpter,

sharangadhar samhita uttarkhand, 2nd

edition, varanasi (india),

chaukhambha orientalia, 1948, page

no. 349.

3) Taranatha bhattacharya,

Vachaspatyam page no. 4862-4864.

4) Rajeshwaradatta sastri, yodunandana

upadhyaya, Ganga Sahaya Pandeya,

Banarasidasa gupta.

Bastivyapadshitddhee chapter,

kashinath shatri, gorakhnath

chaturvedi, caraka samhita, 12th

edition, chaukhambha bharti

academy, 1994, page no. 1034.

5) Ayurveda- dattva sandipika,

bastinetra prahmahan

vibhagachikitsa, kaviraj ambikadutta

shatri, susruta samhita, 6th edition,

varansi (india), chaukhambha

Sanskrit sansthan, 1987, page

no.153.

6) Rajeshwaradatta shstri, yadunandana

upadhyaya, ganga sahaya pandeya,

banarasidasa gupta, kalpanashiddhee

chapter, kashinatha shastri,

gorakhnatha chaturvedi, carak

samhita, 12th

edition, Varanasi

(india), chaukhambha bharti



bastinetra prahmahan

vibhagachikitsa, kaviraj ambikadutta

shatri, susruta samhita, 6th edition,


Sanskrit sansthan, 1987, page

no.153.

8) Ganga sahaya pandeya,

ashtonindhniya chapter, kashinatha

sastri, caraka samhita, 8th

edition,varansi (india), chaukhambha

ISBN 978-93-5173-179-3 ISSN 2320-7329



10

Sanskrit sansthan, 2004, page no.

279-280.



sastri, caraka samhita, 8th edition,



279.






278-279.






279.






279.


ashtonindaniya chapter, kashinath

sastri, gorakhanatha chaturvedi,

caraka samhita, 11th edition, varansi

(india), chaukhambha Sanskrit

sansthan, 1979, page no. 347-348

14) Bramhashankara misra, raplalagi

vaisya panchkarmavidhi chapter,

bhavaprakas purvakhanda, 11th

edition, varansi (india),

chaukhambha Sanskrit sansthan,

2004, page no.878

15) Polepally yadaiaha, basti karma

chpter, clinical panchkarma, 1st

edition, Akola jaya publication,

2000, page no. 102-103.

16) Shailaja srivastava, niroohabasti

vidhi, sharangdhar samhita, 2nd



no. 375.






2004, page no.876.

18) Shailaja srivastava, niroohabasti

vidhi, sharangdhar samhita, 2nd



no. 385.

ISBN 978-93-5173-179-3 ISSN 2320-7329



11






2004, page no.878


niroohakarma chikitsatanam chapter,

susruta samhita, 11th

edition, varansi

(india), chaukhambha Sanskrit

sansthan, 1997, page no. 174

21) Ragivkumar roya, Ramkumar Roya,

bastikarmadhikar chapter, vangshen

samhita, 1st edition, varansi (india),

prachya prakashan, 1983, page no.

802.






2004, page no.879

23) Polepally yadaiaha, basti karma

chpter, clinical panchkarma, 1st

edition, Akola jaya publication,

2000, page no. 102-103.



Banarasidasa gupta. Bastisutriyaa

shiddha chapter, caraka samhita, 21th


chaukhambha bharti academy, 1994,

page no. 997.



Banarasidasa gupta. Bastisutriyaa

shiddha chapter, caraka samhita, 21th


chaukhambha bharti academy, 1994,

page no. 994.

26) yodunandana upadhyaya, Bastividhi

chapter, ashtangahradayam, 11th



1993, page no. 125.

27) Rajeshwaradatta sastri,

yodunandana upadhyaya, Ganga

Sahaya Pandeya, Banarasidasa

gupta. Kalpana shiddhyee chapter,

caraka samhita, 20th edition, varansi

(india), chaukhambha bharti


28) Nicholas A.Boon, Nicki R. colledge

brain R. walker, John A.A. Hunter,

Robert Britton, Presenting problems

of altered energy balance (obesity),

Davidson’s principles and practice of

medicine, 20th

edition, british library

ISBN 978-93-5173-179-3 ISSN 2320-7329



12

2.3331.867

1.167 0.767

0

1

2

3

B.T. F1 F2 F3

Figure 5 Mean of Difficulty in Breathing

Difficulty in Breathing

2.167

1.467

0.967

0.4670

0.5

1

1.5

2

2.5

B.T. F1 F2 F3

Figure 6 Mean of Bodyache

Bodyache

cataloging in publication,

Edingburgh londan New York, 2006,

page no. 112-113.

29) Ganga sahaya pandeya, yadavji

trikamji acharya, priyavrata Sharma,

kashinath sastri, astonindaniya

chapter, caraka samhita, 20th

edition,



278-279.

30) Praveen kumar agrawal, emerging

obesity in north India states. A

serious threat for health, IUSSP

conference, Bankik, June 10/12/2002

http://iussp.org/Bankok2002/57

agrawal. pdf.

31) Patil B.M. A comparative clinical

study of madhutailic basti in

management of sthoulya w.s.r. to

obesity at c.s.m.s.s. aurved college

kayachikitsa department,

Aurangabad.(ms) India, 2009, page

no. 175.

ACKNOWLEDGMENTS:

The authors are thankful to

department of panchakarma, Shri

Ayurved Mahavidayalaya, Nagpur-

9 India for providing Laboratory and

library facilities.

Cite this article:

Role of Lekhan Basti on sign and symptoms of Sthoulyaroga

RAMESH SONAVANE

Ayurlog: National Journal of Research in Ayurved Science-2014; 3(1): 1-12

http://iussp.org/Bankok2002/57

Documents

Role of Lekhan Basti on sign and symptoms of …...Basti maintains health and longevity the effect of basti is comprehensive. Basti is the best chikitsa (treatment) for vaata vyadhes,