Matra vasti, which if translated is the medicated retention type enema , is the most successful panchakarma procedure which can be adopted in day to day clinical practice.

2. Guided by
Presented by

3. •“Vastireva vaate cha pitte cha kaphe cha
rakte cha sesyate samsarge sannipaate
cha vastireva hitaa sada”
•“.......matra vasti sadaa mataah. Yatheshthahara
chesthasya sarvakalam niratyayaah”
•Especially it is a boon to the unmarried women to
restore their hormonal balance.

4. Objectives of the presentation:
•To search and compile different medicated oils and ghritas
used for vasti in common gynic problems.
•To analyze the classical references of different oils useful
to present day gynic problems.
•To study and compile the probable mode of action of
vasti.

5. Materials :
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Sterile gloves
Sterile swab
Khalwa yantra
Utensils
Satapushpa churna
Saindhava lavana
Enema bag/glycerin
syringe.
Medicated oil.

8. •Patient is advised to take the
left lateral position with left limb
straight and right limb flexed at
both knee and hip on the table.
•Then, anal area is cleaned with a
sterile swab and then smeared
with oil.
•Now, the drug in the glycerine
syringe is slowly pushed into the
anal canal with in 1min

9. Post operative
•Buttocks are to be patted.
•Legs are to be raised from cot for three times
•Abdomen is to be massaged in reverse
direction for a period of 2 to 3 minutes.

10. Oils and ghees
Practical Indications
1.Satavari tail
Infertility, Anovulation.
2.Bala tail
Postnatal, peri menopausal conditions.
3.Lasuna tail
Dysmenorrhoea, infertility.
4.Amritadi tail
Peri and post menopausal conditions,
Immunological disturbances.
5.dhanvantari tail
Infertility.
6.ksheera bala tail
Peri and post menopausal conditions like
osteoporosis, post natal conditions.

11. 1.Ashoka ghritas
Bleeding conditions of uterus,
dysmenorrhoea, Infertility.
2.kalyana ghritas
Infertility
3.phala ghritas
Infertility due to hormonal
disturbance, Anovulation.
4. Laghu phala ghrita
Infertility
5.sukumara ghritas
Urogenital infections seen in
women.

12. •Vasti is a sreshta vatahara chikitsa.
•Because of vasti, anulomana of apana
vata takes place..
• Because of sukshma, vyavayi and
vikasi gunas of the taila it reaches
minute channels in the body and
corrects the vata dosha(cell-lipid layer).
•Pachana of the medicated oil takes
place there because of dhatvagni and
act accordingly.
•Even disturbance of hypothalamopituatary-ovarian axis can be pranaapana vata avarodha.
VASTI

13. Continution…..
•Drug crosses rectal mucosa.
•In left lateral position, because of anatomical slope, the drug
passes easily into rectum.
•From the lower rectal mucosa drug drains into middle &
inferior haemorrhoidal vein and gets absorbed into Systemic
circulation
•from Upper rectal mucosa drug reaches Superior haemorrhoidal
vein, then gets absorbed into Portal circulation.
•Hypo-osmotic, so gets absorbed into the circulation
•Improves local circulation to sacrum, pelvis, uterus etc
•The ENS and CNS communicate with each other through
neurotransmitters,

14. VASTI
LIPOPHILICITY

16. •Even though it is said that it has no restrictions,
extremes are always contraindicated.
•It has a very little role to play in conditions where
structural changes take place for example in
uterine fibroids etc
•Patients with fissure, fistula, constipation and
local anal pathology should not be given matra
vasti.

17. Most of the common gynaecological
conditions , can be managed by simple, cost
effective matra vasti.
But, indepth study on the concept of vasti and
the way it affects the hormones when various
drugs are used is a topic of interest for further
study and future research.