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Dr B S PrasadPrincipalKLEU’s Shri BMK Ayurveda MahavidyalayaBelgaum, Karnataka
Standardization of UB procedure
o Standard guidelines for the practice of UB in present days
o Guidelines for the development of standard methods of UB on the basis of well structured research
This presentation includes Standard guidelines for the practice of Uttara Basti
procedure in present days Guidelines for research on Uttara Basti through
which standards may be developed
Standard guidelines for Uttarabasti
INDICATED
Urological conditions
Andrological conditions
Gynaecological conditions`
UTTARBASTI
ADMINISTRATION UB in males
ADMINISTRATION UB in females
Application of UB
Urological (male & female)
Application of UB
Andrological (males):• Sexual dysfunctions• Infertility
APPLICATION OF UB AT THE LEVEL OF VAGINA:
Vaginal infections
Vaginal mucosal defects
Vaginal milieu pH
Vaginal secretions
Inflammations of vaginal wall
APPLICATION OF UB AT THE LEVEL OF CERVIX
Cervical erosions
Cervical mucus quantity
Cervical mucus pH
Cervical mucus disorders
APPLICATION OF UB AT THE LEVEL OF ENDOMETRIUM
To improve endometrial thickness
To improve endometrium quality
Endometriosis
APPLICATION OF UB AT THE LEVEL OF FALLOPIAN TUBES
Inflammations of fallopian tubes
Hydrosalpinx
Tubal block
Intra vesicle administration Requirements:
Cleaning agents like Savlon, Betadine etc.
Sponge holding forceps and artery forceps
Sterile gauze, surgical towel & towel clips
Sterile gloves
Anesthetic jelly
Urinary rubber / disposable catheter No.6-8 Aspiration syringe, 30 ml capacity (disposable) Steel bowl of 30-50 ml capacity Kidney tray-1 Medicated oil or decoction or ksheerapaka selected
according to the condition Autoclave facility
Female reproductive tract route
Uttara basti yantra
Medicine
Lithotomy Table
Kelley’s Pad
Hole towel
Tray
Cuscus Speculum
Tampon
Sponge Holding Forceps
Gauze pieces
Xylocaine Jelly
Cleaning agents
Treatment plan in general
Day 1 Day 2 Day 3 Day 4 Day 5 Day 6Niruha Niruha Niruha UB UB UB
TIMING Day 1 Day 2 Day 3MORNING Niruha Niruha NiruhaEVENING UB UB UB
(OR)
Guidelines for Research on
Uttarbasti
INDICATIONS
UB indicated in - Urological, Andrological and
Gynecological problems
Wide range of single drugs as well as compound
preparations are indicated for the management of
these disorders
Efficacy of these drugs are to be established with
exact clinical condition
Absorption of Uttarbasti Dravya
Is there any absorption of UB dravya?
Clinically local as well as systemic effects are
noticed
Studies are to be planned with Radio isotope
markers
FORM OF MEDICINE
Different forms of medicines are indicated
for the administration of UB
Required to establish which form is most
suitable and having more absorption
Is any form of medicine is totally non-
absorbable and non-effective?
Dose & Duration
What is the ideal dose of UB?
Presently:
Intra vesicle – 30ml
Intra uterine – 10ml
Suitable dose is essential to exert osmotic
pressure to facilitate absorption
Number
Number per day???
How many days???
When to repeat???
In case of UB female Reproductive Route Is it intra vaginal? Is it intra uterine? Or both?
Standards may be developed as per the indications and site where action required
Ideal time of Administration of UB in respect to Menstrual Cycle
Required to develop standard guidelines depending
on the object of treatment
Local action
Induction of ovulation
Tubal block etc.
Niruha & Anuvasana
General principle of Basti:
Niruha & Anuvasana are to be administered alternatively
More retention / absorption of UB dravya noticed
after Niruha (rectal)
Whether general guidelines of Basti are to be
adopted or not
If to be adopted how?
Identify separate institutes for each broad areas of indication
Provide specialized infrastructure
Well structured longitudinal studies
Collaboration
Identify the investigators and train thoroughly
Group of investigators Clinician
Pharmacologist
Clinical pathologist
Clinical research qualified personnel
Preparation of standard guidelines on the basis of results of these dedicated research centers
Orientation programmes to spread the knowledge & skills
Feed back from the users Reconsideration in further research studies