Enema is especially useful in the cases of Vitiated Vata. If applied properly with due consideration of strength, impurity, time, disease and constitution and prepared with respective drugs, they alleviate the concerned disorders.
The diseases pertaining to the extremities and bowels and also those arisen in vital parts, upper parts, general and localized parts have no cause other than V in their production. As V is responsible for disjunction and conjunction of faeces, urine, bile etc. with their receptacles, there is no remedy other than enema for pacification when it is aggravated severely. Hence enema is said as half medicine or even whole medicine by some.
Unctuous, Non-Unctuous and Urethral (or Vaginal). It is commended for those suffering from V in the extremities such as contracture, ankylosis (Stiffness, Rigidity of Bones/Joints), dislocation and pain, retention of faeces, tympanitits (Inflammation of middle ear), anorexia, cutting pain, diseases of the spleen, chronic fever, obstruction of semen, faeces & Flatus, Enlargement of scrotum, Urinary stone etc. Now, let us understand The Enema Types in Details:
- Anuvasana Enema (Unctuous): About 100 grams of oil is administered through the rectum, and held in the body for some time. Approximately 2 grams each of Sendha Salt and Fennel Seeds is added. If herbal decoction is used, oil of about 1/4th the quantity of the herbal decoction used, may be added to the decoction.
This is given to those, whose digestion is strong, have not been receiving Oleation, and are suffering from only Vata Ailments. Not suited for those who are unsuitable for Niruha, anaemia, jaundice, diabetes, rhinitis, fasting, splenic diseases, constipation, enlarged abdomen from Kapha Excesses, eye ailments, obesity, intestinal parasites, gout, goitre, lymphatic TB or have consumed poisons.
It is done in the day during the spring and on colder winter days; and in the night during the summer, the rainy season, and on milder winter days.
A day after such an Enema, Ginger or Coriander Decoction may be drunk.
- Niruha or Asthapana (Non-Unctuous): Herbal Decoction mixed with milk and little oil. The minimum dose is around 500 grams. One such mixture would be: 1 cup of Dashmula Herbal decoction, 20 grams sesame Oil, a little Honey, a pinch of Sendha salt.
Niruha is given to those with abdominal pain, distention, tumours, gout, splenic diseases, diarrhoea (without other associated diseases), chronic fever, runny nose, obstructed semen, gas, or faeces; enlarged scrotum, urinary stones, amenorrhea, or severe Vayu disorders.
This is not used for excess Oleation, chest injury, severe emaciation, and diarrhoea with AMA or the one which has just developed, just after Purifactory Therapies (Including Nasya Therapy). It is also contraindicated for asthma, coughs, salivation, gas, poor digestion, rectal swelling, taken before food is digested, or with an enlarged abdomen due to intestinal obstructions. This type of Enema should also not be used for those suffering from Skin Diseases, Diabetes Mellitus, or Pregnancy beyond the onset of 7th month. Also, this is best avoided, after drinking ghee, aggravated Doshas, when fatigued, hungry, Thirsty, angry, anxious, frightened, drunk, difficulty in breathing, hiccups, cholera, dysentery, urinary disorders, haemorrhoids, oedema, anaemia, anal inflammation, anorexia, coma, obesity, lung injury, very young or very old.
- Uttarbasti: This is an upper-tract Enema and is used to handle problems associated with The Urethra and The Vagina. This is delivered through the Urethral and the Vaginal passages.
After a meal (with ghee), and after a person has cleared his stool and urine, followed by a shower, this enema is given.
Decoction herbs include Pippali, black salt, Apamarga, mustard, Nirgundi, and cane sugar.
Enematic Drugs-Herbs: Kushtha, Licourise, Vacha, Dashmula, Yava, Madhu and Lavana.
Using Cold and Warm Enemas: Those who are oppressed with heat should be given cold enema. Those who are oppressed with cold should be given warm enema. Thus one should administer enema in all cases distinguishing like this and adding with contrary drugs.
Usually, warm enemas are the best.