Decoction Enema (Niruha Vasti)
Medically Reviewed by Ayuveda Clinical Team (Lead Medical Reviewer: Dr. Nitin Mohite, BAMS, MBA • Medical Logic Developer, UK • Clinical Profile • LinkedIn).
Part of a treatment regimen. Administered based on dosha.
Modern description
Decoction enemas are used to eliminate toxins, balance doshas, and treat various conditions, particularly those related to Vata imbalance.
Purpose
Part of a treatment regimen. Administered based on dosha.
Indications
- Vata disorders (especially those affecting the lower abdomen), constipation, lower back pain, sciatica, abdominal distension, bloating, loss of appetite, ama accumulation, stiffness in the lower limbs, menstrual disorders associated with Vata imbalance.
Classical indications
- Vata disorders
- Constipation
- Lower back pain
- Sciatica
- Abdominal distension
- Bloating
- Loss of appetite
- Ama accumulation
- Stiffness in the lower limbs
- Menstrual disorders associated with Vata imbalance
Karma
- Vatahara
- Kapha-Vatahara
- Shothahara
- Deepana
- Pachana
Key ingredients
- Shalaparni
- Prishnaparni
- Dashamula
- Agnimantha
- Shyonaka
- Patala
- Gambhari
- Brihati
- Kantakari
- Gokshura
- Water
Adult dose
Typically 120-200ml, administered via an enema bag.
Pediatric dose
Dosage should be determined by an Ayurvedic practitioner based on the child's age, weight, and condition.
Preparation steps
- Prepare a herbal decoction (Kashaya) by boiling prescribed herbs in water.
- Strain the decoction and allow it to cool to a lukewarm temperature.
- Add honey, rock salt, and medicated oil (e.g., sesame oil) to the decoction.
- Mix all ingredients thoroughly to ensure a homogenous mixture.
Toxic ingredients
- ['Poorly administered enema', 'Excessively administered enema']
Safety contraindications
- ['Poorly administered enema', 'Excessively administered enema', 'Acute diarrhea', 'Pregnancy', 'Serious illnesses', 'Severe debilitation']
Related formulations
Classical & Scientific References
- Classical source treatise: Sushruta Samhita.
- Ayurvedic Formulary of India (AFI), Part I & II, Ministry of AYUSH, Government of India.
- Bhaishajya Ratnavali, Sharangadhara Samhita, and Sahasrayogam clinical guidelines.
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