What is uttara basti?

• A. Internal basti inserted in colon
• B. Internal basti inserted in vagina
• C. External oil massage
• D. Oral medication

Answer: (B)

Uttara basti is an internal basti delivered through the upper route, specifically via the vaginal canal in a female. The idea is to place medicated fluid into the upper reproductive/urinary tract so it can act on structures like the uterus and nearby organs, rather than delivering through the lower intestinal tract. That’s why it’s described as an internal basti performed through the vaginal route. This contrasts with rectal bastis that go into the colon, external oil massages (which are not basti), or taking medication by mouth (also not basti). In practice, uttara basti is used for certain gynecological and some urinary conditions, aiming to influence the upper organs directly through the vaginal route.