Scientific Understanding of Prustha Basti and Its Application in Degenerative Disc Diseases by Oil Pulling: A Panchakarma Therapy

Background/Aim: Prustha Basti is an external Panchakarma procedure in which warm medicated oil is retained over the spinal region using a dough ring made of black gram flour. Degenerative Disc Disease (DDD) is a progressive condition commonly associated with Vata aggravation, leading to chronic pain, stiffness, and reduced spinal mobility. This review aims to understand the scientific basis and clinical relevance of Prustha Basti in the management of DDD, with supportive benefits from oil pulling therapy. Materials and Methods: The therapy involves the controlled application of warm oil for 45-50 min over the spine to facilitate deeper tissue penetration and promote local circulation. The oil is kept consistently warm by intermittent replacement. Classical Ayurvedic principles, along with published clinical evidence, were reviewed to analyse therapeutic effects. Focus was given to the mechanism of action, procedure protocol, safety measures, and outcomes related to musculoskeletal and neurological benefits in DDD. Results: Findings indicate that Prustha Basti effectively reduces pain, stiffness, swelling, and muscle spasms commonly associated with degenerative spinal conditions. The therapy nourishes vertebral structures, decreases inflammation, and supports nerve function by pacifying aggravated Vata Dosha. Improved mobility, reduced discomfort, and better quality of life are noted after treatment sessions. Oil pulling may offer additional systemic benefits by reducing oxidative stress and supporting musculoskeletal balance. Conclusion: Prustha Basti is a safe and beneficial Panchakarma therapy for degenerative disc disorders. It provides symptomatic relief and helps restore spinal function through its combined anti-inflammatory, analgesic, and strengthening effects. Integrating Prustha Basti with supportive Ayurvedic measures, such as oil pulling, may enhance therapeutic efficacy and contribute to holistic spinal care.