Dr B S PrasadPrincipalKLEU’s Shri BMK Ayurveda MahavidyalayaBelgaum, 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

INDICATED

Urological conditions

Andrological conditions

Gynaecological conditions`

UTTARBASTI

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 6Niruha Niruha Niruha UB UB UB

TIMING Day 1 Day 2 Day 3MORNING Niruha Niruha NiruhaEVENING UB UB UB

(OR)

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