Pichcha Enemas (Picacha Basati)

Modern description

Enemas prepared using Pichcha (rice gruel) or mucilaginous herbs to counter the effects of excessively administered decoction enemas, reducing inflammation and soothing the digestive tract.

Purpose

Treatment for excessively administered decoction enemas

Indications

• Diarrhea (Atisara)
• Dysentery (Pravahika)
• Irritable Bowel Syndrome (IBS) with diarrhea predominance
• Colitis
• Inflammation of the colon
• Rectal prolapse (mild)
• Ulcerative colitis
• Crohn's disease

Classical indications

• Pittatisara
• Raktarsha
• Kaphatisara

Karma

• Grahi (absorbent)
• Vata-anulomana (downward moving)
• Kapha-shamana (pacifies Kapha)
• Pittahara (pacifies Pitta)
• Shothahara (anti-inflammatory)
• Deepana (appetizer)
• Pachana (digestive)

Key ingredients

• Kutaja bark powder
• Bilva fruit pulp
• Ativisha root powder
• Honey
• Sesame oil
• Warm water

Adult dose

60-120 ml

Pediatric dose

As directed by the physician.

Preparation steps

• Gather the necessary ingredients: Shalmali flower stalks, Yavasa, Kusha, Kasha, flowers of Semul, adventitious roots of Nyagrodha, Udumbara, and Ashwattha.
• Prepare a decoction using Yavasa, Kusha, Kasha, flowers of Semul, and adventitious roots of Nyagrodha, Udumbara, and Ashwattha by boiling in water until reduced.
• Alternatively, prepare a paste of green stalks of Shalmali using the Putapaka method.
• Mix the decoction or Shalmali paste with boiled milk.
• Add honey and rock salt (Saindhava).
• Incorporate sesame oil or medicated ghee (Jatyadi Ghrita or Nalpamaradi Keram) based on the patient's condition.
• Ensure the mixture is lukewarm before administration.

Safety contraindications

• Not recommended for patients with acute abdominal pain, intestinal obstruction, or severe rectal bleeding.