Decoction Enema (Niruh)

Modern description

Niruh, or decoction enema, is a classical Ayurvedic treatment primarily used to pacify aggravated Vata dosha and eliminate accumulated toxins through the colon.

Purpose

Administer Niruh (decoction enema) along with Anuvasana (oil enema)

Indications

• Constipation
• Vata disorders
• Lower back pain
• Sciatica
• Abdominal distension
• Muscle spasms
• Arthritis (especially osteoarthritis)
• Neurological disorders related to Vata imbalance

Classical indications

• Vata-Pinas (rhinitis due to Vata)

Karma

• Vatahara (Balances Vata)
• Shoolahara (Relieves Pain)
• Malabhedana (Clears Feces)
• Deepana (Appetizer)
• Pachana (Digestive)
• Anulomana (Promotes Downward Movement)

Key ingredients

• Dashamoola
• Madhu
• Saindhava Lavana
• Tila Taila
• Warm Water
• Shatavari
• or specific herbs based on the individual's doshic imbalance.

Adult dose

The volume of the Niruh Basti varies depending on the individual's age, body weight, digestive capacity, and the specific condition being treated. Generally, the volume ranges from 600 ml to 1200 ml for adults. This is best determined by a qualified Ayurvedic practitioner.

Pediatric dose

Administered as an enema, volume varies.

Preparation steps

• Prepare a decoction of the prescribed herbs (e.g., Dashamoola).
• Strain the decoction to remove any solid particles.
• Add sesame oil or other suitable oil as prescribed.
• Mix in rock salt and honey to the decoction.
• Warm the mixture to body temperature.
• Administer using a Basti Yantra (enema apparatus).

Safety contraindications

• Acute inflammatory conditions of the bowel
• Bleeding per rectum
• Pregnancy
• Children under 5 years of age