Pichcha Enemas (Picacha Basati)
Medically Reviewed by Ayuveda Clinical Team (Lead Medical Reviewer: Dr. Nitin Mohite, BAMS, MBA • Medical Logic Developer, UK • Clinical Profile • LinkedIn).
Treatment for excessively administered decoction enemas
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.
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.
Published by formulations.directory