Role of Ayurveda Basthi Karma (Enema) As A Geriatric Health Promotive Treatment (A Preliminary Review)

Abstract

Aging is a physiological phenomenon associated with the gradual decline of multisystem function at the cellular level. Musculoskeletal and neurological disorders are the most common conditions among the geriatric age group due to degenerative changes. According to Ayurveda, Vata dosha is the most prominent dosha in old age, and vitiation of Vata is the main causative factor for most disorders in the geriatric age. Ayurveda emphasizes a set of five therapies, probably for detoxification, purification, and rejuvenation purposes, known as Panchakarma. Among all five unique therapies, Basti karma (enema) is the most effective treatment for pacifying the vitiated Vata dosha (principle of movements). Basti karma means the medicated oil or herbal decoction is administered through the anal route. According to world statistics, by the year 2030, one in six people in the world will be aged 60 years or older; thereby, most people in old age should have access to better health care to maintain their physical, mental, and spiritual well-being. Hence, this study aimed to find the effect of Basti karma (enema) on managing common geriatric disorders through literature sources. According to the conclusions of the review, it is emphasized that Basti treatment acts more effectively in the management of a range of geriatric disorders through a balancing of specific doshas, and further, due to the broader therapeutic actions of Basti treatment, it acts as a rejuvenative, curative, and preventive therapy to improve the quality of life of the geriatric population. Keywords: Basti karma, Geriatrics, Ayurveda, Panchakarma, Vata dosha