Abstract

Abstract

The postmenopausal phase marks a significant transition in a woman's life, characterized by the cessation of ovarian hormonal activity and the dominance of Vata dosha according to Ayurvedic principles. Anatomically and physiologically, this stage is accompanied by Estrogen withdrawal leading to systemic changes including osteoporosis, vaginal atrophy, neuro-degenerative disturbances, and cardiovascular risks. Ayurveda offers a holistic approach to managing these changes through Snehapan (internal oleation) and Basti Chikitsa (medicated enemas), particularly focusing on pacifying aggravated Vata dosha. Snehapan, administered with medicated ghee or oils, plays a crucial role in internal lubrication, nervous system nourishment, hormonal modulation, and preparation for detoxification procedures. Due to the lipophilic nature of ghee and its ability to cross the blood-brain barrier, it is particularly effective in managing neuropsychiatric symptoms like anxiety, insomnia, and memory decline.Basti Chikitsa is considered as the prime treatment for Vata disorders, directly impacts the colon-an organ closely related to Vata's seat-and regulates systemic functions through enteric and neurohormonal pathways. Medicated decoction (Niruha Basti) and oil enemas (Anuvasana Basti) help restore reproductive and musculoskeletal health, improve gut microbiota, and support emotional balance. When interpreted through anatomicophysiological lens, these therapies align with the modern understanding of lipid-based drug delivery systems, gut-brain axis, and hormonal regulation via the enteric nervous system. Thus, Snehapan and Basti Chikitsa provide a personalized, sustainable, and evidence-informed approach to managing postmenopausal health.