Abstract

―A COMPREHENSIVE REVIEW ON UTTAR BASTI: AN AYURVEDIC APPROACH TO STREE ROGA MANAGEMENT‖

Dr. Vaishali Shripad Balwande*, Dr. Amruta Jagadish Rajenimbalkar, Dr. Shreya Avinash Jankar

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Abstract

Uttar Basti is a specialized Panchakarma procedure mentioned in Ayurveda for managing genitourinary and reproductive disorders, particularly in females. It is considered the best Vatashamaka therapy, effective in conditions such as infertility, menstrual irregularities, and uterine disorders. The procedure involves the administration of medicated Sneha (oil or ghee) or Kwatha (decoction) through the vaginal or urethral route, producing both local and systemic effects. This review highlights classical references, pharmacological rationale, indications, contraindications, and the modern relevance of Uttar Basti. Medicated preparations like Phala Ghrita, Shatavari Ghrita, and Kshara Taila play key roles in promoting ovulation, removing tubal blockages, and rejuvenating uterine tissues. The therapy regulates Apana Vata, restores hormonal balance, and enhances fertility by improving endometrial receptivity. When performed under aseptic precautions and during the appropriate phase (Ritukala), it ensures safety and efficacy. Integrating Ayurvedic wisdom with modern gynaecological concepts reveals that Uttar Basti acts through Sneha, Shodhana, and Rasayana principles, offering a holistic and non-surgical approach to women’s reproductive health. Future research on standardization and clinical validation can establish it as an evidence-based therapy in infertility.

Keywords: Infertility, Ayurveda, Uttar Basti, procedure SOP, Stree Roga, Ritukala, Reproductive health, non-surgical management.