WO2023084539A1

WO2023084539A1 - An automated anuvasana basti / matra basti device

Info

Publication number: WO2023084539A1
Application number: PCT/IN2022/050989
Authority: WO
Inventors: DR H Pampanna GOUDA; Hirehal Neha; Hirehal Nayan
Original assignee: Gouda Dr H Pampanna; Hirehal Neha; Hirehal Nayan
Priority date: 2021-11-11
Filing date: 2022-11-10
Publication date: 2023-05-19

Abstract

An Automated Anuvasana Basti / Matra Basti device to treat humans which consists of the main unit (100), A Cartridge cylinder, Base unit. Wherein the cartridge cylinder is a 5,7 and 9 segmented and the cartridge cylinder is a reusable and environmentally friendly in nature, cost-effective treatment by reducing the wastage of medicine, workforce, overheads, monitors the quality of the procedure, hospitalization and thus reduces the overall cost of the treatment. Further the cartridge cylinders can accommodate variations in the quantity for the delivery as per the prefixed program. One of the objectives of the current invention is to design and develop reusable, economical and safe cartridges cylinder that fits into the stand with a push, carry a precise quantity of medicated Oil/ghee and enables the Anuvasana/Matra Basti liquid to heat, dissipate heat, dispense precise quantity and also help the thermal switch to sense the upper limit of heat to cease the functioning of the device at emergency.

Description

An Automated Anuvasana Basti / Matra Basti device APPLICANT(S): 1. Dr Hirehal Pampanna Gouda, #107/12 Near Kalmat, Reddy Street, Bellary-583101 Nationality: Indian 2. Dr Seema M B, #107/12 Near Kalmat, Reddy Street, Bellary-583101 Nationality: Indian 3. Hirehal Neha, #107/12 Near Kalmat, Reddy Street, Bellary-583101 Nationality: Indian 4. Hirehal Nayan, #107/12 Near Kalmat, Reddy Street, Bellary-583101 Nationality: Indian The following specification describes the invention and the manner in which it is to be performed. ^{TECHNICAL FIELD} [0001] The present invention relates to an automated Ayurveda device, more particularly, the present invention relates to an automated device to use preferably for Anuvasana Basti / Matra Basti to treat the human body. BACKGROUND OF THE INVENTION [0002] Over the years Ayurveda has devised not only therapeutical procedures but also used conventional medical devices/methods to aid the therapeutical procedures. These classical conventional methods need considerable investment, moreover, they are laborious procedures and even add up the overhead cost of technical personnel to perform the procedures. [0003] Basti is one of the major cleansing procedures of Ayurveda practised under Panchakarma. Basti is a procedure wherein medicine in the form of liquid is instilled into the anus. The close resemblance with enema. In Ayurveda, 2 types of Anal Bastis are mentioned based on the compositions of the enema material injected. The one done with medicated oil or ghee is called Matra Basti/Anuvasana Basti is retention enema, commonly below 100ml and it remains in the body for a considerably longer time, 9 to 12 hours. On the contrary, the Niruha Basti/Asthapana Basti is non- retention enema, an admixture of Honey, rock salt, Medicated oil/ghee, Paste, Kashaya (decoction based on the underneath pathology) etc.in prescribed proportions to a quantity of 500 ml to 1200 ml is administered. This Niruha Basti/Asthapana Basti is a non-retention enema just like a soap water enema. It hardly stays up to a few minutes to a maximum of 45 minutes and gets defecated. Usually, the Anuvasana and Niruha (retention and non- retention) are planned alternatively and form a set of 8, 15 and rarely practiced 30 bastis called Yoga, Kala and Karma bastis respectively. Matra Basti is only done with Medicated oil/ghee on consecutive days for a period of 7 to 9 days. Matra Basti or the set of Anuvasana and Niruha Basti forms first line of treatment for major neurological, Bones and joint, gut, metabolic disorders like gout, psychiatry etc disorders. It is also part of preventive medicine and in geriatrics treatments; simply by changing formulations of medicated liquid the scope of either types of Basti application expands. [0004] Though classical instrumentation (conventional art) for the administration of Basti comprises of a) the Basti Netra (a typical nozzle specially designed to get tied to a urinary bladder at its base in the grooves created by 2 circular kanrnikas (the ring-like projections at base) and b) the Basti Putaka (properly cleaned urinary bladder of different kind of animals principally meant to withhold liquids (Medicine) up to a capacity of 1200 ml. Such an medicine filled assembly after inserting the nozzle in to the anus; the Basti putaka is pressed evenly so that the medicine in Putaka gets injected through the nozzle into the anus. [0005] Nowadays instead of the above said Basti Netra and Basti Putaka the ‘enema syringe’ and ‘enema can’ (Present art) method is replaced for two types of Basti called Anuvasana Basti / Matra Basti and Niruha Basti respectively. For both, procedures hospitalization is a mandatory requirement. The combined cost of Basti medicine, Basti procedures and hospitalization adds up to skyrocketing cost of treatment beyond the reach of the common man. In this innovation both the procedural cost and hospitalization cost is addressed by developing dedicated automation medical device. [0006] The basic thought was to reduce the hospitalization cost considerably and limit the cost of the procedure, giving flexibility to the patient to get some part of the procedure done at home and turn to the hospital only for Niruha Basti. To facilitate these two objectives, it was conceptualized to bring out automation into the process of Basti, thereby reducing hospital stay by 100 % for Matra Basti/Anuvasana Basti. This Medical device is developed on the DIY (Do it yourself) principle and for only Niruha Basti i.e., 3 to 6 alternative days need to attend hospitals instead of 8 to 15 days respectively. Therefore, hospitalization dependency reduces by considerable 65 % for Niruha Basti too. [0007] In this innovation disclosure, the enema syringe method which comprising of Anuvasana Basti / Matra Basti types of Basti are worked out by translating the need of the procedure into electro-mechanical engineering and a unique electrical Medical device is conceptualized, addressing many benefits including hygiene issues. [0008] Assessment of precision in performing procedures as part of treatment is based on subjective assessment by technicians leaving enough room for human error like underperforming and at times even burning the patient anal region. This factor is also overcome in the design with proper sensors. The amount of time to administer was another major concern addressed in the innovation, by using programming to inject the precise quantity and over a predefined time hence the procedure gets standardized. [0009] Among the Panchakarma therapies, Basti is considered an agrani (foremost important) procedure. The etymology Basti also called as Vasti

meaning that ‘which stays’. The urinary bladder is called Vasti as it retains urine. The procedure of administering Basti, today an acronym to contemporary enema is twofold i) Making Basti ready to administer and ii) the procedure of administration. The Basti procedure’s instrumentation developed as early as 300 BC. The conventional procedure is done with a properly cleaned urinary bladder of animals; hence the procedure called Vasti/Basti

The bladder was used to withhold medicine in (lukewarm oil or ghee or the combinations of liquid in case of Niruha basti) in the form of liquids to be administered through anal orifices. A nozzle called Basti Netra is made out of metals, ivory, bamboo etc. carved to a tubular conical shape wider at the base (mula) similar to thumb size and taper by the front(agra); making a ‘V’ shaped grooves (2 Mula karnikas) at the mula, on which the filled basti/ basti-putaka is tied with the help of a thread so that no spillage happens when pressed and allows only to stream through the Basti Netra. The filled basti putaka with its Netra forms the Instrumentation. The Netra is inserted into the anus by greasing it with oil or ghee. The midway of the Basti Netra has a circular radial ring-like projection also called Kanika restrict further insertion into the anus

।. After retrieving the basti Netra; the person is

asked to attain supine posture and gentle tap hip on either side and 3 times semi flexion of the legs done; and shall be asked to rest with a pillow underneath the ankle. The other aspect is the types and quantity of Sneha (oil or ghee) to be used. Amidst controversies and practices, a gross generalization can be made. Generally accepted two procedures, Anuvasana and Matra Basti falls under the Sneha Basti wherein, medicated oil or ghee taken in an enema syringe is actively administered into the anal orifices as that of enema. Whereas enema is intended to evacuate the stool but the Sneha Basti is administered for the desired therapeutics. Both are recognized as retention enema differed by quantity and hence define their very use clinically. Anuvasana administered as such is a pre-requirement of Niruha Bast. These alternative administration of Anuvasana followed by Niruha is clinically identified as Yoga Basti, Kala and Karma Basti and done over a period of 8, 15 and 30 days. Niruha Basti usually performed with a liquid ranging from 500 ml to 1200 ml as per case merits. This Niruha Basti liquid in the majority is a combination of 1. Makshika (Honey), 2. Sindhava lavana (Rock salt), 3. Kalka (herbal Past) 4. Sneha (oil or ghee), Kwatha (Decoctions or ksheerapaka etc) and 6. Avaphya dravya to attain the desired physical consistency of the liquid. The Niruha Basti is a non- retention enema; implying the administered quantity of liquid shall come out as defecation within a short period of time (less than 45 mts). Whereas the Anuvasana is retention enema and it’s quantity ranging from 96 ml to 120 ml of either medicated oil or ghee is used, it brings desired unctuousness in the anus, rectum etc. and the follow-up Niruha Basti is meant for elimination of morbid doshas (toxins etc.). Both these Basti go hand in hand on alternate days. This type of administration of alternative Anuvasana and Niruha Basti is of 3 types and is done over a period of 8, 15 and 30 days called Yoga, Kala and Karma Basti. Karma Basti is seldomly used but Yoga and Kala Basti are the routinely practised ones. If represented Anuvasana with ‘A’ and Niruha Basti as ‘N’ over 15 days treatment procedure schedule can be represented as in the table.

[00010] In general, the administration of Matrabasti requires less amount of medicated oil or ghee and being practices 30 ml to 75 ml per day once daily over a period of 7-9days and if happens to be repeated a rest of 7 days is advised and the procedure is repeated. This is preferred as it does not produce complications and can be employed across the age barrier wherever indicated. In either case, the Sneha (medicated oil or ghee) retains in the body over a period of 9 hours and if, stayed more than 24 hours without any untoward symptoms can easily be managed with simple ushnodaka (tipped warm water) to drink. In rare cases, interventions of another method of therapeutics like anal suppository etc. may be required and such conditions are seldomly encountered better explained as rarest of rarest cases. Leaving enough room for the development of an automation device for its repetitive tasks. Matra Basti accounts for 17 -20 % of overall Panchakarma procedures. [00011] Whereas, the Anuvasana differing from Matra Basti at the use of Sneha quantity; needs to be administered on every alternative day, moreover, the number of such administration depends on the type of Basti krama (Yoga/Kala Basti) adopted. As stated earlier the 8 Basti type called Yoga Basti krama is used when addressing superficial ailments, the same moderately involved disorders require Kala Basti which is a set of 15 bastis. But the deep-seated pathological context always required Karma Basti which is a set of 30 basti, which is seldomly put to use. That is the required Anuvasana in each of the above cases in order are 5, 9 and 18 Basti. This procedure only differs in the quantity, rest others remain same as that of Matra Basti hence by extending design to accommodate both these procedures are automated and brought under the scope of the same medical device. [00012] The Anuvasana and Matra Basti do have common preparatory procedures and administration including post-administration procedures. Generally cleaning of the gut by purgatives as koshta shodanartha – a) vedikotha Virechana (therapeutic purgative as per indications of some diseases) or b) koshta suddhyartha sadhyo virechana (commonly employed gut cleansing process); followed by resting day/s and such administration always is under the ambit of the subjective judgment of Ayurveda Vaidhya. But on the day of administration of Anuvasana and Matra Basti at around 10-11 am one has to consume a bland food of ¾ quantity of his regular food quantity and walk for 100 steps if, the urge of defecation or micturition arises is allowed to attend to them promptly. After which he/she shall be given a medicated oil massage and fomentation to low back region. Followed by administration of Basti and post-procedural protocols. [00013] Both the procedures have seen a change in conventional classical procedures, and procedure of syringing method is in practice (State of art which is prevailing in practice). Basti Netra is replaced with a nozzle and the Basti Putaka is with a syringe. Use of 150 ml enema syringe is in practice; made from Metals like nickel coated stainless steel or copper is used and nowadays even the plastic of medical-grade syringes is also in practice. The required amount of oil or ghee is heated on water bath to lukewarm and taken in the cylinder. The piston is fixed by screwing the cap. The person is aligned to the left lateral posture with extended left leg and semi flexed right leg, ensuring the foot of the right leg placed on left leg at knee. The syringe nozzle and anal orifice are lubricated with oil/ghee then passed the nozzle into the anus with a slow and genital push. In some hospitals and Institution nozzle is extended with affixing a rubber catheter to it hence ease the process of administration; in such cases instead of the nozzle, the catheter is lubricated. By pressing the piston, the oil is pumped/injected into the body as the process of administration of Basti. The post-administration procedures one has to attain the supine posture are taping the lower flanks and 3 semi flexions at the Knee and hip joint and resting with the pillow underneath the ankles. [00014] Having briefed the procedures of Anuvasana and Matra Basti both classically and conventional methods, certain pitfalls need to be overcome. A technically trained masseur is needed for performing the procedure. The heat of the oil or ghee is a subjective assessment as perceived by the masseur leaving enough room for overheating, cases of mild burning are commonly seen in the practice. The amount of oil or ghee is again a factor of concern, however strict SOPs are in place; it is observed that difference in quantity of medicine administered rather than the prescribed quantity. The speed of administration is another major concern. If used metal syringes need proper autoclave to ensure hygiene, but in the majority of institutions and clinical setups autoclave is seldom in practice, it is treated as utensils and cleaned. The plastic medical grade syringe /with rubber catheters solved the issue related to hygiene. The hospital stay for the procedure as an Inpatient, attender cost, procedural cost adds up the cost of the overall treatment. Addressing these procedural and economics underneath issues listed above and to make standard procedure, this automation device is conceptualized for Matra Basti / Anuvasana Basti. [00015] Prior Art - One of the publications patents filed with application number 421/MUM/2007 having title AUTO BASTI (ENEMA) APPARATUS is Granted Patent Number - 238078 on 20/01/2010, It is based on hydraulic pump induced pressure to pump the liquid. To date, it remained as conceptual success and never transformed to marketable device and never reached root level practice for several reasons. [00016] Hence, there is a need to develop a practical useable, ease of maintenances, get immersed into the system at an affordable cost, self-regulated for the set temperature and the set quantity of medicine, requires no additional workforce, save wastage of medicine, do not burn, have added benefits of hygiene. Yet portable works on the principle of DIY (Do-it-yourself) and ‘plugin and perform’. Safe to the extent that these procedures can be performed at remote clinical setups, at the bedside of hospitals or even at house with a little assistance, and only turn to hospitals for Niruha Basti. Implying the Matrabasti for 7 to 9 days he need not attend hospital and no procedural cost; can get done at home itself. For Niruha Basti which is done Yoga for (8 days), Kala (15days) and the Karma (30 days) Basti respectively need to come to the hospital for Kashaya/Niruha basti i.e., in Yoga one must come for 3 alternative days, Kala for 6 alternative days and the rarely performed Karma Basti for 12 alternative days. The dependency of hospitalization shall be zero for Matra Basti and Niruha Basti more than 65 percentage hospitalization shall be reduced and the procedural cost is reduced (not the medicinal cost) by 100 percent in Matra Basti and Niruha Basti by 80 percent (excluding the cost of medicine). [00017] A device so eases to operate with a smartphone by selecting the predetermined program for Matra and Anuvasana Basti for a fixed quantity of liquid but also have open programming to deliver the required (x)ml of the quantity of liquid through digital input from the app through IoT based technology. The preciseness of both the Sneha Basti (Matra / Anuvasana) becomes a standard for a) Quantity, b) heat of the liquid and c) the time duration for injection. The pitfalls of the manual syringing method are overcome by these standards and enhancing the procedural hygiene within acceptable error limits of ±0.2 seconds, ± 0.1 degrees centigrade of liquid, and ± 3 ml of liquid respectively. All that needs to be done is with minimal human intervention changing of rubber catheter and a little help at the insertion of the rubber catheters (especially if obese patients, physically challenged or in senile patients) OBJECTIVE OF THE INVENTION [00018] To develop a portable Automation Device for Anuvasana/Matra Basti on the grounds of Do it for Yourself. [00019] To develop an Ayurveda device for performing Anuvasana/Matra Basti, complying with the precise set parameters for temperature, quantity and duration of administration. [00020] To add a secondary safety measure making the device foolproof, fit for human use. [00021] To come out with a device that renders cost-effective treatment by reducing the wastage of medicine, workforce, overheads, monitors the quality of the procedure, hospitalization and thus reduces the overall cost of the treatment. [00022] To design and develop reusable, economical and safe cartridges cylinder that fits into the stand with a push, carry a precise quantity of medicated Oil/ghee and enables the Anuvasana/Matra Basti liquid to heat, dissipate heat, dispense precise quantity and also help the thermal switch to sense the upper limit of heat to cease the functioning of the device at emergency. FIGURES [00023] Figure 1: ISO/ X-ray View of mounted Bigger Cartridge on the Base Instrument/main unit. [00024] Figure 2: Right lateral stand view of the Base Instrument /main unit. [00025] Figure 3: Top View of the Base Instrument /main unit [00026] Figure 4: Stepper end side view of the Base Instrument /main unit [00027] Figure 5: Nozzle end side view of the Base Instrument /main unit [00028] Figure 6: Assembly Bottom view of Stand of the Base Instrument /main unit [00029] Figure 7:Left side view of smaller cartridge with 7 segments marking [00030] Figure8: Right side view of smaller cartridge with 5 segments marking [00031] Figure 9: Left side view of the bigger cartridge with 9 segments marking [00032] Figure 10: Bigger Cartridge Piston inner view with 3 inner grooves [00033] Figure 11: smaller Cartridge Piston outer view with bearing at the center [00034] Figure 12: Cuboidal Stepper end depicting placements for electrical/electronic components [00035] Figure 13: Top view of Assembly [00036] Figure 14: Placement of Components ISO View of the smaller cartridge is mounted and Pellet Ceramic Magnet. [00037] Figure 15: Flow chart of the process for Matra Basti D^{ETAILED DESCRIPTION} [00038] Various features and embodiments of the present invention there will be discernible from the following further description thereof, set out hereunder. Further, in the following detailed description, reference is made to the accompanying drawings, which form a part hereof. In the drawings, similar symbols typically identify similar components, unless context dictates otherwise. The illustrative embodiments described in the detailed description, drawings, and claims are not meant to be limiting. Other embodiments may be used, and other changes may be made, without departing from the spirit or scope of the subject matter presented herein. It will be readily understood that the aspects of the present disclosure, as generally described herein, and illustrated in the Figures, can be arranged, substituted, combined, separated, and designed in a wide variety of different configurations, all of which are explicitly contemplated herein. [00039] In one of the embodiments, the hardware elements of the invention consist of the following Cartridge Heating element, Thermostat board (W1209), low RPM mini-AC synchronous motor with a horizontal magnet to its rotor, pellet ceramic magnet for stirring of the medicine in the cartridge liquid, 2 shape cartridge cylinders made of the same material the polypropylene as that of disposable syringe. Instead of a plunger, the ball screw is attached to a bush having a bearing attached to a disk on the outer side. Instead of a plunger seal, a piston of rubber having 3 grooves and a rectangular bottom projection made from polyisoprene (rubber) or Liquid silicone rubber etc. The Cartridge Cylinder is marked gradation to specify the quantity of liquid equal to the one-time procedure. The cartridge is preloaded with medicinal oil/ghee and gets mounted on the Matra Basti/Anuvasana Basti stand. The Base Stand/main unit is placed on a flat surface. It has two ends 1) the nozzle end has a disk of 15 cm diameter. At the center of this disk is attached to the Basti nozzle externally and internally an extended projection to a 45-degree centigrade bi-metal mechanical thermal switch having connected to the AC input to the device as second-line protection. Below the nozzle is attached to the cartridge heater projected internally and above to the nozzle has an internally projected thermal probe of W1209 thermostat attached. [00040] The Cartridge cylinder containing liquid and towards the nozzle end bares 3 membranes corresponding to the inner projection from the nozzle disk, such that on pressing the cartridge towards the nozzle end gets pierced by the three internal projection and with the help of the rubber washer of water proof of IP5X the fluid does not spill out at these sites of projection, ensuring the Bi-metal switch, Cartridge heater and heat sensing probe get immersed in the liquid to an optimal extent and perform their intended functions. [00041] Whereas the stand provides accommodation for the internally placed AC synchronous motor. Its rotor is facing upside and the base rests on the 2 rings on the 2 cylindrical rails that run through the length of the base stand. The left ring in particularly has a outward projection and perpendicular to the AC motor’s body that can be easily holed by thumb and index figure called jockey helping to the play horizontally movement of the AC synchronous motor. Having placed a magnet bar (placed horizontally) on its rotor facing upward. The horizontal move on to rails by moving jockey throughout the length of the stand help to catch hold of the pellet magnet placed inside the Cartridge Cylinder. When powered this pellet ceramic magnet being settled at the rectangular downward projection of the Cartridge cylinder containing medicine starts rotating to the external magnet spin of the bar magnet rotor of AC synchronous motor without any physical contact using force of attraction between the magnets; correspondingly the pellet magnet spin at the rotation of magnet of AC synchronous motor helping to stir the liquid inside the cartridge, helping to dissipate optimal heat from the cartridge heater throughout the liquid. Having sensed the set value of the liquid inside the cartridge cylinder by the Thermal probe of the W1029 Thermostat. The power to the Heating and Stirring is stopped by the relay on the W1029 thermostat board after getting input from the thermal probe acts as a primary thermal switch for both the Heating and Stirring mechanism. [00042] The next function is pushing the piston rubber by direct coupling stepper motor. Then the functioning of the Push of the piston by stepper motor having direct coupling with its ball screw is attached to the base of the piston of the Cartridge cylinder at the barring. Through the controlled angular movement of the stepper rotor; based on the precise input of steps by SoC programming the required lateral displacement of the piston is achieved which translates to injecting a precise amount of liquid at a predetermined speed. The pressure exerted by the piston on the liquid helps to inject the liquid from the nozzle gets pushed into the anus. The pulse to stop is also as per the program selected i.e., the stepper motor with its precise stepping makes rotates the ball screw of the rotor which pushes the piston base in the cartridge thereby a predetermined liquid gets injected into the anus. [00043] All these therapeutical interventions are done on humans and to protect from more than expected upper heat limit, a secondary temperature safety control is enabled by the 45-degree centigrade bi-metal mechanical thermal switch. Even in the extreme situation of the W1029 thermostat failure (Mal-functioning) and the heating is continued, the liquid on reaching 45 degrees centigrade the heated liquid triggers the Bi-metal mechanical thermal switch attached to the nozzle internally projected in to the liquid sense this high temperature. The bi-metal mechanical thermal switch opens the input power stopping or ceasing the system till the liquid temperature falls to 38-degree centigrade. This overheat-protective mechanism helps save the patient from burns. [00044] The mechanism involved in the current invention is described as follows: The device is of two pieces A) THE MAIN UNIT /STAND UNIT, and B) MOUNTABLE CARTRIDGE CYLINDER CONTAINING MEDICINE RESERVOIRS OF TWO SIZES. The main unit/stand unit having dimensions of (Length)250mm X(Breadth)100mm X(Height)225 mm at the base is rested on the surface by 4 Rubber stoppers fixed at the corners of the bottom surface. Structurally it is an elongated platform to lodge the cartridge containing medicinal liquids. The stand can be divided into three parts. i) Nozzle end which is an upward projection like a disk and lodges the cartridge of 2 sizes and has an outer and inner projection for the functions of heating, secondary safety, thermal probe, nozzle and the rectangle vent for the rectangular front projection of cartridge cylinder. ii) the base of the stand has a moveable stirring mechanism by the magnet facing upwards attached to the rotor of an AC synchronous motor. This AC synchronous motor can be slide horizontally inside the stand with a jockey like projection attached to it. To facilitate this horizontal movement the AC synchronous motor is rested on the rings placed over the 2 round rails running along the length of the stand. The very purpose of these components is to catch hold of the pellet magnet in the Cylindrical cartridge stalled along with the rectangular projection of the Cylindrical cartridge. Having caught the pellet magnet by the magnet attached to the AC Synchronous motor rotor by just moving the jockey and to lodges towards the Nozzle plate. Mechanism to stabilize the further movement of AC synchronous motor at this place are put in place. This assembly on passing the power makes rotational movements of the Pellet magnet due to the magnetic force between the Pellet magnet and the AC Synchronous motor. The purpose is to stir the medicinal liquid in the Cartridge cylinder thoroughly to dissipate the heat produced by the cartridge heater. iii) The stepper end is a cuboidal structure having critical electrical, electronic and Mechanical parts for controlling and pushing the piston of the Cartridge cylinder. [00045] On this cuboidal structure is placed the NIMA 17 stepper motor with direct coupling to the ball screw with T₁₄ pitch. When driven by Stepper drive through SoC the piston pushed in a calibrated lateral push of the piston of the Cartridge cylinder resulting to inject a calculated amount of liquid out of the nozzle; thereby the required quantity of liquid is pushed into the anus completing the process of Basti. The Cartridge cylinder comes with different types of medicine and the physician prescribes them based on the case basis. Some of them are Grithas (ghee) and the others are Tailas (oil) and both at a given temperature of 41 degrees centigrade have an approximately similar density of 0.9kg/ml; hence the same pressure is required for the stepper motor to pump the unit volume of the liquid. This similarity in density enables the same calculation of steps of the stepper motor for a given unit time for a particular quantity of either liquid gets injected into the anus. Hence the same program fits for both the types of liquids used in the cartridge cylinder. [00046] The Cartridge cylinder containing medicine has 2 sizes to perform Matra Basti and Anuvasana Basti. By keeping one of the dimension constants; in particular the length is kept fixed same for both the Cartridge cylinders as 10 cm thereby to accommodate the same stand usable in both the Cartridge cylinders. The other dimension the inner diameter of the Cartridge cylinders is kept at 8 cm and 11 cm to produce a volume of 500 ml and 900 ml and designated as smaller and bigger Cartridge cylinders respectively. To help the process of heating, nozzle and thermal sensing, 3 openings are made at the nozzle end plate of the Cartridge and with an IP5X rubber washer (gasket washer) mechanism on the outer surface to prevent spillage of liquid in between the Nozzle plate and Cartridge cylinder. At these openings, the liquid inside is guarded by a thin membrane and 3 pull out cover lids. Such that on removing the outer lids and pressed against the nozzle disk the 3- inner projection of the Nozzle plate, the cartridge heater, part of the nozzle with Bi- metal switch and thermal sensor probe gets pierced the membrane moreover get enough suspension into the liquid of cartridge cylinder bringing their function as expected. The outer rectangular projection on the bottom side gets lodged into the nozzle disk at the rectangular vent, beside the 2 stands of the cartridge cylinder (downward) in the grooves to provide extra support for the firm holding of the Cartridge well stamped into the stand. One more support for the firm withholding is by the flat barring attached to the piston with the bush allowing free rotation of the ball screw to provide equal pressure on all sides of the piston at the time of its rotor spin to displace the piston. This bush of bearing shall have a push and rotate mechanism for fixing the ball screw. The Cartridge cylinder by all the 3 means of inner projections (Nozzle, Cartridge heater and thermal sensor probe), outer external projection (rectangular bottom projection fixing getting lodged into the nozzle disk), the 2 stand (of the cartridge into the stand groove) and the ball screw fixing to the bush of the bearing withholds the cartridge firmly even at the time of injecting with stability. The cartridge on completion of the procedure gets empty and the same is reused after proper cleaning procedures, hence recyclable which saves cost of packing material and also helps the environmental pollution preventing disposing after use. [00047] Mechanism of functioning of the major components. On plugging into the domestic socket for power the heating and the stirring mechanism gets started channelizing through the relay of W1209 thermostat and reaches a set value of 41 degrees. At this temperature of 41-degree centigrade an input from the thermal sensor probe cuts of the power to heating and stirring mechanism i.e., the AC Cartridge heater and AC synchronous motor i.e., through the relay in W1209 thermostat playing a role of the electronic thermal switch. Thereby both the functions of the heating and stirring mechanism stops. This stoppage initiates the stepper motor mechanism to push the piston of the cartridge cylinder through the input of the program. The rotor of the stepper starts rotating as per the steps input by the SoC to the driver and from drive the stepper motor to a precise angular movement. The process has 4 commands in the form of 4 executable programs. Two for smaller cartridge cylinder accommodating Matra Basti and Anuvasana Basti. The other for bigger cartridge cylinder for Anuvasana Basti. The three programs allow a requisite amount of liquid to pass through the anus in a predetermined quantity. The SoC digital inputs given as a command from the dedicated app from the mobile phone allowing the precise speed and length (timed displacement) of the piston moved into the Cartridge cylinder containing medicine. Thereby a predetermined quantity of liquid is pushed by the piston out of the Cartridge cylinder containing medicine through the nozzle. Over all the quantity, time duration of injection and heat of the liquid shall be delivered more hygienically and in a standard manner is achieved. With the change of the rubber catheter attached to the nozzle; the device shall get ready for the next day procedure and if in a hospital to be administered to multiple patients one has to change the rubber catheter and carry on the process. [00048] Whereas the 4^th is a manual input of the values after selecting smaller or bigger cylinder from the menu; makes the device useable to any quantity per time use. In the open-end program, the only variation that differs the quantity of medicine per unit length displacement of the piston is the size of the cartridge. For the 8 and 11 cm diameter of the smaller and bigger cartridge respectively per mm drift in the piston pushes approximately injects 5 ml and 9 ml respectively and with an error of ± 0.2ml, likewise based on the amount of the liquid to be given as Matra or Anuvasana Basti the steps of the program gets self-calculated and as per the digital inputs, the lateral drift of the piston gets displaced in the multiples of the 1mm unit displacement injecting the required liquid quantity into the anus in precise time duration. This is a special feature of the in-built programming as the pan India quantity of Matra and Anuvasana Basti administered differs from one place to another places. This variation of practice is addressed with this open end programming option. [00049] According to the invention, the stand with its 4 Rubber stoppers shall hold the bottom surface of the device to the table/ any smooth surface firmly. The stand has two ends; the Nozzle end and the stepper motor end placed longitudinally to the stand. The stand has a horizontally movable AC synchronous motor placed such that by moving collects pellet ceramic magnet present inside the Cartridge cylinder containing medicine and lodges it at nozzle end. The rotor of the AC Synchronous motor has a horizontally placed magnet to its rotor which orient the pellet magnet present in the Cartridge cylinder containing medicine. On power supply to AC Synchronous motor’s rotor rotates the magnet, so does rotate the pellet inside the cartridge without any physical contact by magnet attraction force between them being nearby, this rotation of the pellet ceramic magnet with the rotor magnet present on AC Synchronous motor mix the liquid till the entire liquid gets heated for the set 41-degree centigrade. This arrangement is meant to stir the heat generated by the cartridge heater present on the fixed nozzle end disk. [00050] The Cartridge cylinder is a separate component of two sizes the smaller Cartridge cylinder is 8 cm in diameter and by 10 cm length filled with medical liquids as per case basis for Matra basti/ (Yoga) Anuvasana Basti to hold 500 ml. The Bigger Cartridge cylinder is having 11 cm in diameter and 10 cm in length filled with medical liquids as per the case basis for Kala Basti Anuvasana to hold 900 ml. Both these cartridges are made from the same material as that of disposal syringe i.e., Body (the cylinder barrel) is made from polypropylene and has a closing at the stepper end and only has an opening for the ball screw to pass through getting lodged on the bush of the outer surface of the Piston. Piston disk is ABS plastic over which a bearing and a centrally placed bush is attached. The piston head is made of polyisoprene (rubber)/ Liquid silicone rubber etc. This Liquid silicone rubber has 3 inner groves and a rectangular cuboidal bottom outer projection. [00051] At the bottom of the Cylindrical cartridge has a rectangular projection to lodge the Pellet Ceramic Magnet placed inside this cylinder. At the Nozzle end, this rectangular cuboidal bottom surface of the Cylindrical cartridge protrudes out as an extension to get lodged into the Nozzle disk. Thereby the pellet ceramic magnet, over the successive pushed by the rubber rectangular projection of the piston finally gets lodged into this rectangular projection when completely pressed. Similarly, the rubber end of the piston is grooved internally so, to accommodate the three-inner projection of the cartridge heater, the Nozzle and the thermal sensing probe at the full press by the piston or at a stage near-empty cylinder cartridge. The four projections are meant to minimize the wastage of medical liquid at its complete press. A small amount of liquid is retained in these groves hardly 5-10 ml and even this retaining some amount is mandatory compliance to be met with the classical text of Ayurveda recommendations; that some amount of liquid be retained to avoid the air getting pushed into the body. [00052] The gradation of the cartridge cylinder: the smaller cylindrical cartridge surface on one side (right) is marked with every 100 ml mark of five sections for Anuvasana Basti but on the other side (left) it is marked with 72 ml of 7 sections for Matra Basti. On the contrary, the Bigger cylindrical cartridge surface is marked only one side (right) with every 100 ml mark of 9 sections for Anuvasana Basti.

The Karma Basti is not in practice so the third size is not conceptualized. But as the required Anuvasana Basti in Karma Basti is 18 times over a period of 30 days one can use 2 bigger cartridge cylinders for the same as both put together serves 1800 ml at 100ml per Anuvasana dosage for 18 days. [00053] The direct coupling stepper motor: The NIMA 17 bi-polar permanent magnet stepper motor is attached to a ball screw of T14 Pitch one end of it is connected to the base of the piston of the Cartridge cylinder. It is driven by an appropriate driver connected to an SoC and programmed to deliver the liquid in either 72 ml or 100ml at one time input governing the flow rate as needed. The other optioning of the program is based on the selected type of Cartridge size; an open digital input of the required quantity of liquid is also facilitated into the system. [00054] The W1029 Thermostat’s thermal sensor probe is made to pierce the membrane and gets into the liquid of the Cartridge Cylinder and provides the inputs of the temperature every 0.05 seconds to the W1209 Board. The relay of the Board receives the AC power supply and supplies to the Cartridge heater and the AC synchronous motor. This relay acts as a primary thermal switch and opens the circuit once the optimal 41-degree centigrade set value is on the board as depicted by LED. Thereby the heating from the cartridge heater and the stirring of the liquid to dissipate heat evenly is achieved. [00055] The 45-degree centigrade rating Bi-metal mechanical thermal switch having attached to the inner projection of the Nozzle and connected in series to the main AC-current put off the power supply with its mechanical thermal switch by opening circuit on reaching the 45-degree centigrade, thereby no further current is supplied to the system. Thereby acts as a secondary safety thermal switch; in case the W1209 fails to regulate the set value of 41 degrees centigrade. The inner end of the nozzle that pierces the membrane of the cylindrical cartridge is the site where this thermal switch is installed, ensuring its sensory part is immersed into the oil appropriately. [00056] The rubber washers are permanent and fixed at the three sites on the nozzle disk of IP5X waterproof rating and placed in between the nozzle disk precisely at the inner projections. Their placement avoids any leak in the liquid during the pressure by the piston. [00057] According to the Invention, the Matra Basti/ Anuvasana Basti device is to facilitate the administration of Matra Basti/ Anuvasana Basti with self-help on the principles of DIY (Do-It-Yourself). As the 1) temperature, the 2) quantity of liquid to inject and 3) administration time has programmed the chances of complication is minimized and extra safety use of the Bi-metal thermal switch makes it fit to use in humans. The cartridge in two sizes enables both Matra Basti/ Anuvasana Basti; reducing the hospitalization considerably. Only the rubber catheter needs to be changed for every administration to ensure adequate hygienical measures also. [00058] Calculations A) Scaling the Gradation of the cylindrical barrel. i) Smaller Cylindrical Cartridge For the calculation the V connotes the volume, r the radius and the h for the length respectively. a) Matra Basti Calculation of the Smaller Cartridge barrel gradation With 4 cm as radius and length of the Cartridge barrel 10 cm. Every Matra Basti having ≈ 72 ml therefore; V = V=πr2h ⇒ h = V ÷ πr2 h ≈72.38229 ÷ πX42 h ≈1.44 cm Therefore, every 1.44 cm scale shall be constituted on the left side of the barrel of the Cartridge indicative of approximately 72 ml of oil. A total of 7 gradations shall be made Further every 1mm of the piston push 5 ml of liquid is pumped. This equation shall be used for the precise step calculation for ball screw pitch to move 1 mm. b) Calculation of the smaller cartridge barrel gradation of Anuvasana With 4 cm as radius and length of the Cartridge barrel 10 cm. Every Matra Basti has ≈ 100 ml, therefore. V = V=πr2h ⇒ h = V ÷ πr2 h ≈100 ÷ πX42 h ≈2 cm Therefore, every 2 cm scale shall be constituted on the right side of the barrel of the Cartridge indicative of approximately 100 ml of oil. Further every 1mm of the piston push 5 ml of liquid is pumped. This equation shall be used for the precise step calculation for ball screw pitch to move 1 mm. ii) Bigger Cylindrical Cartridge Calculation of the Bigger Cartridge barrel gradation for Anuvasana Basti 1. With 5.5 cm as radius and length of the Cartridge barrel 10 cms. Every Anuvasana Basti has ≈ 100 ml, therefore. V = V=πr2h ⇒ h = V ÷ πr2 h ≈100 ÷ πX5.52 h ≈1.05 cms Therefore, for every 1.05 cms scale shall be constituted on the right side of the barrel of the Cartridge indicating approximately 100 ml of oil. A total 0f 9 gradations shall be made. Further every 1mm of the piston push 9.5 ml of liquid is pumped. This equation shall be used for the precise step calculation for ball screw pitch to move 1 mm. Regarding the pressure, with a NIMA 17 bipolar stepper motor and having a holding torque of 4.2 Kg-cm it ideally matches the required pressure for both the types of Cartridge cylinders. [00059] List of Components used in the Invention:

Claims

Claims : I/We claim: 1. A Automated Anuvasana Basti / Matra Basti device consists of : (a) The main unit (100) (b) A Cartridge cylinder (c) Base Unit 2. The Automated Anuvasana Basti as claimed in claim 1, whereas the Main unit (100) further consists of Thermal sensor probe of W1029 Thermostat (101); 45-degree Bi-metal thermal-mechanical switch (102); Cartridge heater (103); Bar Magnet on the rotor of synchronous AC Motor(104); AC Synchronous Motor(105); Round Rails on which the AC Synchronous Motor is mounted with rings (106); Rings on Rails(107); Stepper motor drive extension board and drive shoe (108); SoC with Bluetooth and wi-fi modem (109); Direct coupling stepper motor(110)

3. The Automated Anuvasana Basti as claimed in claim 1, wherein Nozzle (111) is fixed to a Nozzle plate (112) which is supported by a base stand (113), it further consists of vent for a front extension of rectangular projection of Cartridge cylinder; and groves on the inner surface of the piston to lodge inner projections from the nozzle plate.

4. The Automated Anuvasana Basti as claimed in claim 1, wherein smaller cartridge cylinder consists of 5 and 7 segment gradations of smaller cartridge for Matra Basti/Anuvasana Basti and 9 segment gradations for bigger cartridge cylinder for Anuvasana Basti

5. The Automated Anuvasana Basti as claimed in claim 1, where in the cartridge cylinder is a reusable and environmentally friendly.

6. The Automated Anuvasana Basti as claimed in claim 1, where in the cartridge cylinders can accommodate variations in the quantity for the delivery as per the prefixed program and also accommodate open-end program with manual input.

7. The automated Anuvasana Basti as claimed in claim 1, wherein the main unit further comprises of Jokey to move the stirring mechanism (114) with in the stand ; in turn the stand is further connected to cuboidal stepper end (115); Aperture for thermal sensor probe(116); Aperture for Cartridge heater(118) on the nozzle plate and these aperture gets fixed by Thermal sensor probe of W1029 Thermostat (101); 45-degree Bi-metal thermal-mechanical switch (102); Cartridge heater (103) on the nozzle plate; Front rubber stopper(119); rare rubber stopper(201); Rubber washer of IP5X waterproof, membrane and cover lid for Thermal probe of W1029 thermostat(202); Rubber washer of IP5X waterproof, membrane and cover lid for nozzle(203); Rubber washer of IP5X waterproof, membrane and cover lid for cartridge heater (204); front extension of rectangular projection of Cartridge cylinder (205); cylindrical barrel(207); Bottom rectangular projection of Cartridge cylinder(208); stands of cartridge cylinder(209); groves on inner surface of piston to lodge Thermal probe of W1029 thermostat (302); groves on inner surface of piston to lodge nozzle (303); groves on inner surface of piston to lodge cartridge heater (304); Bottom Rectangular projection of rubber piston (305); Piston Disk (306); Flat Bearing (307); bush (308); W1209 Thermostat board (309); Finger printer sensor module (310); AC to DC Converter (401); DC to DC step down module (402); ball screw (404) and Placement of Pellet magnet inside the lower extension of the cartridge cylinder (405).

8. The automated Anuvasana Basti as claimed in claim 1, the mechanism for the device includes the following steps : a) Step 1: Preparation of Patient. b) Step-2:Preparation of MATRA BASTI / ANUVAANA BASTI DEVICE. 1. Aline the instrument near the back of the patient. 2. Affix a rubber catheter to the end of the nozzle. 3. Affix a proper Cartridge Cylinder by removing the 3 lids and pressing them against 3 inner projection and lower rectangular outer projection to the vent on nozzle disk; ensure the bush get lodged in the ball screw and the stand-in its groves in stand 4. lubricate the tip of the rubber chatterer with the oil/ghee c) Step-3: Procedure 1. Ask the patient to insert slowly the rubber catheter asking the patient to expel the air through the mouth. Or take some assistance. 2. Once the process of heating and stirring stops, slowly the stepper motor starts rotating and delivers the ghee/oil to the anus. 3. As indicated by LED after completion of the injecting process remove the catheter and discard it. Unplug the device from the power source 4. Ask the patient to get back to the supine position. d) Step -4 : Postprocedural measures