Decoction Enema (Niruha)

Modern description

Niruha, or decoction enema, is a classical Ayurvedic treatment primarily used to pacify aggravated Vata dosha and eliminate accumulated toxins through the colon. It involves the administration of a warm herbal decoction into the rectum to promote bowel movement and detoxification.

Purpose

Administered along with Anuvasana for Vatika Gulma, while protecting Kapha and Pitta.

Indications

• Constipation
• Vata disorders (especially lower back pain, sciatica, arthritis)
• Abdominal distension
• Accumulation of Ama (toxins)
• Cleansing the colon
• Before Panchakarma (as a preparatory procedure)

Classical indications

• Vatika Gulma

Karma

• Vatahara
• Anulomana
• Shodhana
• Deepana
• Pachana

Key ingredients

• Dashamoola
• Madhu
• Saindhava Lavana
• Sneha
• Warm Water

Adult dose

Variable, typically 500ml to 1 liter, adjusted based on individual factors (age, strength, dosha imbalance). Administered by a trained Ayurvedic professional.

Pediatric dose

Administered as an enema, volume varies based on age and weight; consult with a qualified Ayurvedic practitioner.

Preparation steps

• Boil the prescribed herbs in water to prepare a decoction (Kashaya).
• Strain the decoction to remove any solid particles.
• Add honey, rock salt, and medicated oil (if indicated) to the decoction.
• Warm the mixture to body temperature.
• Administer the enema using a Basti Yantra (enema apparatus).

Safety contraindications

• Pregnancy
• Severe debilitation
• Acute diarrhea
• Active rectal bleeding
• Intestinal perforation