Several studies have suggested an important role of Basti treatment in the asthimajjagata Vatavyadhi like katigata vata.Even the use of Panchatiktaghritakshir basti in same has been studied & has proved best.But the use of Kal Basti(16 bastis) & that Anuvasana Basti of which with Panchatiktaghrita instead of oil has not been studied earlier.This study was aimed to find the combined effect of basti & Panchatiktaghrita in Asthimajjagata vatavyadhi like katigatavata (degenerative changes at lumbosacral region) together to give best results.