Enema-Types of Enema

In the post ‘Enema-Types of Enema’, I shall be covering the meaning of Enema, uses, types, drugs-herbs that may be used for Enema and so on. The Procedure shall be covered in the next post.

Enema is simply a Colon Cleansing Procedure (& supposedly the best). Bad Lifestyle & Eating Habits lead to Poor Colon Health full of Toxins (AMA, resulting in severely Vitiated Vata-Vayu). This then is responsible for all sort of disorders in the body (Including Auto-Immune Disorders). Herein, an appropriate liquid is inserted via a tube into rectum, held there & ejected out (Detailed Procedure in Next Post). It is best to do fasting for a day before carrying out Enema.
Appropriate Liquid would imply using Bulk Promoting-Stimulating Enemas for cases of Depleted Doshas & Using Cleansing-Strong Enemas for Vitiated Doshas.
Enema is one of the Panchkarma Therapy where various liquids (such as Herbal Decoctions, Concoctions, Infusions, Oils (Sesame, Mustard, Coconut…), Milk…) are introduced into Genito-Urinary region via Rectum, Urethra or Vagina. Additives such as Honey or Rock Salt may be added as appropriate. Enema Fluids are then retained from 15-60 minutes as applicable.

Enema is especially useful in cases of Vitiated Vata (Vata-Vayu is predominant in the Colon region) (Although it has shown highly positive results even in Other Doshas Vitiated Conditions, if Medical Condition-Strength of Patient allows so). If applied properly with due consideration of strength, impurity, time, disease and constitution and prepared with respective drugs, Enema is effective on most Vata related disorders.  Enema is great for regaining overall body health and specifically for Nervous & Circulatory System.
Vata disorders (including chronic) would mostly signify diseases pertaining to extremities and much more such as (Tympanitits (Inflammation of Middle Ear), Contracture, Ankyloses (Stiffness, Rigidity of Bones/Joints, Dislocation & Joint Pains, Bowels Disorders, Anorexia, Disjunction & Conjunction of Faeces-Retention of Faeces or urine, Obstruction of Semen, Enlargement of Scrotum, Urinary Stones and so on…), Disorders which have arisen in Vital Organs (Chronic Fevers, Heart, Liver-Gall Bladder, Spleen, Kidneys etc. etc.) and so on.  Enema also has shown great results for Neural-Auto-Immune Disorders (Paralysis, Muscular Dystrophy, Hashimoto…). Enema is supposedly highly effective in such cases and is said as half or even full medicine by some.
The amazing Panchkarma has a naturalising effect on the body such as it would ‘Give strength to emaciated ones’, Give body mass to emaciated ones’, ‘Reduce excess weight of obese ones’…….

Enema-Types of Enema: The broad classification would be Unctuous, Non-Unctuous and Urethral (or Vaginal)…

  1. Anuvasana Enema (Unctuous): This signifies Enema with Medicated-Herbal Oils, Unctuous Herbal Decoctions, Milk, Butter-Milk, Ghee and so on… One such example would be ‘100 grams of oil + 1-2 Grams ach of Rock Salt & Fennel Seeds: Administered through Rectum & held in body for some time’ and/or 100 mL of Herbal Decoction + 25 mL Unctuous Dravya (Such as Sesame-Potency Warming or Coconut Oil-Potency Cooling as appropriate) and so on…

    The Unctuous Enema-Anuvasana is given to those, whose digestion is strong, have not been receiving Oleation, and are suffering from only Vata Ailments.
    This is not suitable (especially hot potency oils) for High-Vitiated Pitta-Kapha Cases (Such as Anaemia, Jaundice, Rhinitis, Fasting, Eye Disorders, Splenic Diseases, Lymphatic TB, Diabetes, Constipation, Enlarged Abdomen from Kapha Excesses, Obesity, Intestinal Parasites, Gout, Goitre, or have Consumed Poisons.
    It is done in the day during Cold-Winter & Spring days; and in the night during Summers, Rainy Season, and Mild Winter Days.
    After an Enema, light foods along with Ginger or Coriander Decoction may be drunk.

  2. Niruha or Asthapana (Non-Unctuous): Herbal Decoction mixed with milk and little (or none) oil. The ideal dose is around 300-500 grams. One such mixture would be: 1 cup of Dashmula Herbal decoction, 10-20 mL Sesame Oil, a Little Honey & a Pinch of Sendha Salt.
    The Non-Unctuous Enema-Niruha is given to those with Severe Vata or Pitta Vitiated Cases such as  Abdominal  Pain,  Distention,  Tumours,  Gout, Splenic Diseases, Diarrhoea (without other associated diseases), Chronic Fever, runny nose, Obstructed Semen, Gas, or Faeces; Enlarged Scrotum, Urinary Stones,  Amenorrhea…

    This is not suitable for special cases such as ‘Where excess Oleation has been administered such as after drinking Ghee’, ‘Pregnancy beyond onset of 7th Month’, ‘Traumatic Injuries-Accidents such as Coma-Chest/Lungs Injures’, ‘Severe Emaciation’, ‘Very Young or Very Old Subjects’, ‘Cases where two or more Doshas are Vitiated such as Severe Fatigue-Hunger-Thirst-Anger-Fright-Anxiousness-Drunkenness and/or Dyspnoea, Hiccups, ‘, ‘Pitta-Kapha Vitiated Disorders such as ‘Indigestion’, ‘Haemorrhoids, Anorexia, Diarrhoea with AMA or just developed after Purificatory Therapies (Including Nasya Therapy), Dysentery, Anaemia, Diabetes Mellitus, Oedema, Obesity, Genito-Urinary Disorders, Anal Inflammation, ’, ‘Pitta-Vitiated Skin Disorders’…
    It is also contraindicated for Kapha Vitiated disorders such as Asthma, Coughs, Salivation, Flatulence, Poor Digestion, Rectal Swelling, taken before food is digested, or with an enlarged abdomen due to intestinal obstructions.
    The Enema is never administered/attempted before the previous meals have been completely digested.   

  3. Uttarbasti: This is an upper-tract Enema and is used to handle problems associated with Urethra, Vagina and/or Other Genito-Urinary Disorders (Such as Infertility, Uterine prolapse, Urinary Obstruction, Excess-Scarce Menstrual Cycles…). The Enema is delivered through Urethral and/or Vaginal passages.
    The Process: The person clears out his/her system (Stool-Urine), Takes a Shower, Given Ghee (In Hot-Boiled Water + Pinches of hand Ground Black Pepper) to Drink and now ‘The Enema is administered’.
    Decoction Herbs include Long Pepper (Pippali), Black Salt, Apamarga, Mustard, Nirgundi, and Cane Sugar.

Enema-Types of Enema may be done using comparatively less amount of liquid (low volume) which would then clean the colon parts next to rectum (Sigmoid Colon). High volume cleaning is done/required for chronic disorders, wherein the tube is inserted deeper inside for removing heavy toxins/AMA deeper inside the colon. High Volume Enema (Deeper Insertion) is best avoided at home.
General Purpose Enematic Drugs-Herbs: Kushtha, Licourise, Vacha, Dashmula, Yava, Madhu and Lavana.

Using Cold and Warm Enemas: Those who are oppressed with heat should be given cold enema. Those who are oppressed with cold should be given warm enema. Thus one should administer enema in all cases distinguishing like this and adding with contrary drugs.
Usually, warm enemas (using lukewarm water) are the best.


  1. None, if done properly,
  2. Improperly done, it may injure anus or rectum,
  3. If done incomplete, it may lead to Headaches, Acidity, Cramps, Inflammations, Ulcerations and so on… and/or
  4. When done indiscriminately especially on people with medical conditions (such as chronic renal failure) could lead to electrolytic imbalance in the body & further complicate the medical condition.

The above information is not a Medico-Legal advice. The information above is not intended to diagnose-treat-cure… any disease and you may use the above information at any/which way at your own risk and with own responsibility.

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