Dr B S Prasad

Principal
KLEU’s Shri BMK Ayurveda Mahavidyalaya
Belgaum, Karnataka
Standardization of UB procedure

o Standard guidelines for the practice of UB in

present days
o Guidelines for the development of standard
methods of UB on the basis of well structured
research
This presentation includes
 Standard guidelines for the practice of Uttara Basti
procedure in present days
 Guidelines for research on Uttara Basti through
which standards may be developed
Standard
guidelines for
Uttarabasti
UTTARBASTI
 INDICATED
 Urological conditions
 Andrological conditions
 Gynaecological conditions`
ADMINISTRATION
 UB in males
ADMINISTRATION
 UB in females
Application of UB

Urological (male & female)

Application of UB

Andrological (males):
• Sexual dysfunctions
• Infertility
 APPLICATION OF UB AT THE LEVEL OF VAGINA:

 Vaginal infections
 Vaginal mucosal defects
 Vaginal milieu pH
 Vaginal secretions
 Inflammations of vaginal wall
APPLICATION OF UB AT THE LEVEL OF CERVIX
 Cervical erosions
 Cervical mucus quantity
 Cervical mucus pH
 Cervical mucus disorders
APPLICATION OF UB AT THE LEVEL OF ENDOMETRIUM

 To improve endometrial thickness

 To improve endometrium quality
 Endometriosis
APPLICATION OF UB AT THE LEVEL OF FALLOPIAN TUBES

 Inflammations of fallopian tubes

 Hydrosalpinx

 Tubal block
Intra vesicle administration
 Requirements:
 Cleaning agents like Savlon, Betadine etc.
 Sponge holding forceps and artery forceps
 Sterile gauze, surgical towel & towel clips
 Sterile gloves
 Anesthetic jelly
 Urinary rubber / disposable catheter No.6-8
 Aspiration syringe, 30 ml capacity (disposable)
 Steel bowl of 30-50 ml capacity
 Kidney tray-1
 Medicated oil or decoction or ksheerapaka selected
according to the condition
 Autoclave facility
Female reproductive tract route
 Uttara basti yantra
 Medicine
 Lithotomy Table
 Kelley’s Pad
 Hole towel
 Tray
 Cuscus Speculum
 Tampon
 Sponge Holding Forceps
 Gauze pieces
 Xylocaine Jelly
 Cleaning agents
Treatment plan in general

Day 1 Day 2 Day 3 Day 4 Day 5 Day 6

Niruha Niruha Niruha UB UB UB

(OR)

TIMING Day 1 Day 2 Day 3

MORNING Niruha Niruha Niruha
EVENING UB UB UB
Guidelines for Research
on
Uttarbasti
INDICATIONS
 UB indicated in - Urological, Andrological and
Gynecological problems
 Wide range of single drugs as well as compound
preparations are indicated for the management of
these disorders
 Efficacy of these drugs are to be established with
exact clinical condition
Absorption of Uttarbasti Dravya
 Is there any absorption of UB dravya?
 Clinically local as well as systemic effects are
noticed
 Studies are to be planned with Radio isotope
markers
FORM OF MEDICINE
 Different forms of medicines are indicated
for the administration of UB
 Required to establish which form is most
suitable and having more absorption
 Is any form of medicine is totally non-
absorbable and non-effective?
Dose & Duration
 What is the ideal dose of UB?
 Presently:
 Intra vesicle – 30ml
 Intra uterine – 10ml

 Suitable dose is essential to exert osmotic

pressure to facilitate absorption
Number

 Number per day???

 How many days???

 When to repeat???
In case of UB female Reproductive Route
 Is it intra vaginal?
 Is it intra uterine?
 Or both?

 Standards may be developed as per the indications

and site where action required
Ideal time of Administration of
UB in respect to Menstrual Cycle
 Required to develop standard guidelines depending
on the object of treatment
 Local action
 Induction of ovulation
 Tubal block etc.
Niruha & Anuvasana
 General principle of Basti:
 Niruha & Anuvasana are to be administered alternatively

 More retention / absorption of UB dravya noticed

after Niruha (rectal)
 Whether general guidelines of Basti are to be
adopted or not
 If to be adopted how?
 Identify separate institutes for each broad areas of
indication
 Provide specialized infrastructure
 Well structured longitudinal studies
 Collaboration
 Identify the investigators and train thoroughly
 Group of investigators
 Clinician
 Pharmacologist
 Clinical pathologist
 Clinical research qualified personnel
 Preparation of standard guidelines on the basis of
results of these dedicated research centers
 Orientation programmes to spread the knowledge &
skills
 Feed back from the users
 Reconsideration in further research studies