RATIONAL SELECTION OF NIRŪHA BASTI IN THE MANAGEMENT OF ĀMAVĀTA

Abstract

Āmavāta, described in Madhava Nidana, is a disorder caused by the accumulation of Āma along with vitiated Vāta, leading to joint pain, swelling, and stiffness. It is clinically comparable to rheumatoid arthritis. Nirūha Basti (Āsthāpana Basti) is considered highly effective in its management. According to Charaka Samhita, Basti is regarded as “Ardha Chikitsā” (half of the treatment), especially in Vāta disorders. Nirūha Basti helps in eliminating vitiated doṣas, digesting Āma, reducing inflammation, and restoring normal Vāta function. Thus, Nirūha Basti plays a key role in breaking the pathogenesis and providing symptomatic as well as systemic relief in Āmavāta.