Background: sedentary lifestyles, occupational stress, and incompatible dietary habits (viruddha ahara) impair jatharagni, leading to mandagni and the formation of ama. Accumulated ama obstructs bodily channels (srotas-avarodha), resulting in vata dosha vitiation and the manifestation of both musculoskeletal and visceral disorders. Basti karma is regarded in ayurveda as Ardha chikitsa and is considered the most effective therapy for vata related diseases. Case presentation: a 20-year-old male presented with a two-month history of lower back pain, bilateral hip pain, cervical stiffness, generalized muscle spasms, anxiety, and chronic constipation. Clinical examination revealed marked restriction of cervical and lumbar movements. Ultrasonography demonstrated active colitis, congestive non-infectious prostatitis, mild cystitis with increased post-void residual urine volume, and mild splenomegaly. Management: treatment was conducted in two phases. Deepana-pachana therapy was administered for three days using Hingvashtaka churna, Sutshekhar rasa, and Gandharva Haritaki churna. This was followed by an 8-day classical Yoga basti regimen comprising alternating anuvasana basti with Sahacharadi taila and Niruha basti prepared with Erandamooladi kwatha. Results: significant clinical improvement was observed following treatment. Cervical and lumbar mobility normalized, muscle spasms resolved, and bowel habits returned to normal. Follow-up ultrasonography confirmed complete resolution of colitis, cystitis, prostatitis, and splenomegaly, with normalization of post-void residual urine volume. Conclusion: this case suggests that a classical yoga basti protocol may effectively manage concurrent musculoskeletal and visceral manifestations of vata imbalance, resulting in substantial clinical and radiological recovery.
Meghana Liman1*, Snehalata Pawar2, Vaishali Chaudhari3, Rutuja Bodake4 (Tue,) studied this question.