IJRAP International Journal of Research in Ayurveda and Pharmacy 2277-4343 Moksha Publishing House DOI: 10.7897/2277-4343.1104119 IMPORTANCE OF KOSHTHA SHODHANA PRIOR TO BASTI KARMA: A REVIEW Divyarajsinh Gadhavi * Mahesh MP K B Roy Armeda Malang 11 -0001 212 214 Koshtha Shodhana means Shuddhi of the Koshtha; elimination of Doshas and Malas from the Koshtha. There are different views about Koshtha. Generally, we consider Amashaya and Pakwashaya as a Koshtha. Acharya Charaka has mentioned that Koshtha is Sharira Madhya bhagam. So Amashaya and Pakwashaya can be considered as a Sharira Madhya Bhaga or Koshta. Shodhana of that Koshtha in the form of Mridu Virechana or Sadhyo Vamana is very essential for other treatments like Basti, Snehapana, Nasya, etc Koshtha Shodhana acts as a booster for other Panchakarma treatments. Koshtha Shodhana removes Malavarodh and removes Doshas from Amashaya and Pakwashaya. Koshtha Shodhana clears the pathway of Basti Dravyas. Koshtha Shodhana prior to Basti Karma will give desire effects. Here Koshtha Shodhana does not mean the classical Shodhana but only the Shodhana of Koshtha that is mainly Pakwashaya and Amashaya. This is a sincere effort made to understand the importance of Koshtha Shodhana in the context of Basti Karma. Koshtha Shodhana Mridu Virechana Basti.