Anuvasana (Sneha) vasthi
It
is used in two ways as a supportive treatment for asthapana(decoction enema) in
different protocols like yoga vasthi, kala vasthi, karmavasthi and as a kevala
snehavasthi in the form of matravasthi. Mainly used in conditions of vatha for
the purpose of snehana but in some cases like arsas, vasthi like Pippalyadi
Anuvasana can be given.
Indications of Anuvasana Vasthi
All the indications of decoction enema is also indicated for
Oil Enema
Persons having Ruksha (dry) body, having a strong agni and
suffering from only Vatik disorders (kevala vata) are also indicated for
Anuvasana vasthi
Contra-indications
of Anuvasana Vasthi
All the contraindications of decoction enema is also
contraindicated for Oil enema
a) Persons
on empty stomach
b) Suffering
from fever of recent origin (nava jwara)
c) Anaemia
(pandu)
d) Jaundice
(kamala)
e) Diabetes
(prameha)
f)
Heamorrhoides (Arsha)
g) Rhinitis
(peenasa, pratishyaya)
h) Splenic
disorders (pliha)
i)
Kaphaja udara
j)
Diarrhea (athisara)
k) Poisoned
state (Visha)
l)
Conjuctivitis of Pitta & Kapha (Abhishyanda Of
Pittaja & Kaphaja)
m) Filariasis
(Shleepada)
n) Cervical
lympadenitis etc…
Materials required:
1.
Plastic polythene cover/ traditional putaka with
vasthinetra
2.
Gloves
3.
Vessels
4.
Anuvasana taila / ghrita (chikkana paka) - 1/4th
of asthapana
5.
Hot water for warming the sneha.
Preoperative
procedure-
Food is given
just before Anuvasana as prescribed by the physician.
Procedure:-
·
After taking food patient should walk little
distance.
·
Then advice the patient to lie down on the left
lateral position with his
right leg flexed at knee and hip,
left leg kept straight and left hand below
the head.
·
Warmed sneha is taken in polythene cover.
·
Wearing the hand gloves, per rectal examination
is carried out to rule out
loaded rectum, or any other
obstruction.
·
Then the vasthinetra is carefully introduced
into the anal canal in the
direction of vertebral column.
·
Snehadravya should be pushed with uniform force
not too slow not too
fast.
·
A little amount of snehadravya should be
retained in the container and
vasthinetra is removed slowly.
Time of
administration:
Usually between 1-2pm.
(Just after lunch)
Post operative:-
·
Patient should lie supine.
·
Mild massage over abdomen is given.
·
Bend his legs at the knee, and buttocks are hit
by his heels.
·
Patient is allowed to lie with pillow under his
thighs.
·
Patient is advised to attend his urge.
·
For all purpose warm water should be used.
·
Till the sneha comes out, patient is not allowed
to eat anything.
·
Usually sneha comes out with faeces within 1-5
hours.
Complications:-
Abdominal
pain:
Rx: Hinguvachadi / ashta /vaisvanara choorna.
