Changes

=== Introduction ===

=== Introduction ===

The former chapter dealt with the management strategies for snēhabastivyāpat and therefore this chapter elucidates the vyāpat (complications) related to the instrumentation involved in either kind of basti. Netra (nozzles designed for enema) and basti (bag designed for enema) that are to be avoided in procedures and vyapad (complications) arising due to inappropriate appliance of nētra along with their management are explained in the chapter. Even though the title of the chapter encompasses the term nētra and basti; vyāpat caused by praṇēta are also dealt in here. It is supposed that a physician’s skill is usually tested when he enters the arena of basti practice. Lot of factors apart from clinical and theoretical knowledge are involved in a proper conduct of basti. Instrumentation and technique are two such important factors cited here. Instrumentation whilst the days of Charaka were based on the most suitable and available material and hence such descriptions are expounded here. However, scientific advancement based on safety, feasibility and practicality in the present era has resulted in recent innovations such as use of metallic syringe in mātrābasti, use of plastic bags replacing animal urinary bladders, nozzles made of disposable materials etc. The fact remains that such innovations need to be put into practice protecting the essence as well as the fundamental principles behind basti procedure and not interfering or rather limiting its effect in relation to the technique. Much criticism has been made on the use of enema cans (as in Naturopathy) instead of conventional basti, as it hinders the technique.

The preceding chapter ([[Snehavyapat Siddhi]]) dealt with the management strategies for ''snehabastivyapat'' and therefore this chapter elucidates the ''vyapat'' (complications) related to the instrumentation involved in either kind of ''basti''. ''Netra'' (nozzles designed for enema) and ''basti'' (bag designed for enema) that are to be avoided in procedures and ''vyapat'' (complications) arising due to inappropriate appliance of ''netra'' along with their management are explained in the chapter.

 

Even though the title of the chapter encompasses the term ''netra'' and ''basti''; ''vyapat'' caused by praṇēta are also dealt in here. It is supposed that a physician’s skill is usually tested when he enters the arena of basti practice. Lot of factors apart from clinical and theoretical knowledge are involved in a proper conduct of basti. Instrumentation and technique are two such important factors cited here. Instrumentation whilst the days of Charaka were based on the most suitable and available material and hence such descriptions are expounded here. However, scientific advancement based on safety, feasibility and practicality in the present era has resulted in recent innovations such as use of metallic syringe in mātrābasti, use of plastic bags replacing animal urinary bladders, nozzles made of disposable materials etc. The fact remains that such innovations need to be put into practice protecting the essence as well as the fundamental principles behind basti procedure and not interfering or rather limiting its effect in relation to the technique. Much criticism has been made on the use of enema cans (as in Naturopathy) instead of conventional basti, as it hinders the technique.

Preventing complications while the procedure reflects two aspects of a physician; the extent of theoretical knowledge regarding basti and his expertise in the procedure. Identifying specific complications is made possible as a part of regular event evaluation irrespective of manifestation of any complications. Rectification of mistakes committed in technique are of immense value with respect to development of a standard operative procedure. Management of complications with respect to acute and chronic events is also an important aspect in siddhi.

Preventing complications while the procedure reflects two aspects of a physician; the extent of theoretical knowledge regarding basti and his expertise in the procedure. Identifying specific complications is made possible as a part of regular event evaluation irrespective of manifestation of any complications. Rectification of mistakes committed in technique are of immense value with respect to development of a standard operative procedure. Management of complications with respect to acute and chronic events is also an important aspect in siddhi.