Changes

*Followed by ''teekshna, anulomika, anuvasana basti''.[43-46]

*Followed by ''teekshna, anulomika, anuvasana basti''.[43-46]

==== Complication of anga-arti (body-ache) ====

==== Complication of ''anga-arti'' (body-ache) ====

अङ्गार्तिबस्ति व्यापत् हेतु-लक्षण-चिकित्सा

अङ्गार्तिबस्ति व्यापत् हेतु-लक्षण-चिकित्सा

yaShTImadhukatailena bilvatailena vA bhiShak ||53||

yaShTImadhukatailena bilvatailena vA bhiShak ||53||

Etiology, clinical manifestation and management of angarti basti complication:

===== Etiology, clinical manifestation and management of ''angarti basti'' complication =====

Angarti (body ache) occurs when doshas are eliminated in excess.  

 

When basti having guru (heavy to digest) & tikshna (Sharply acitng)  properties is administered in patient who have not undergone proper purvakarma (sneha & sveda), the doshas are eliminated in excess and thus angarti is resulted.

''Angarti'' (body ache) occurs when ''doshas'' are eliminated in excess.  

Due to excessive elimination there will be stabdha (dullness of abdomen) & avrita koshthata (intestinal obstruction/ intussusception) and the vata gets affected.  

 

Pain over body parts is produced due to upward movement of vata.  

When ''basti'' having ''guru'' (heavy to digest) & ''tikshna'' (Sharply acting)  properties is administered in patient who have not undergone proper ''purvakarma'' (''sneha'' & ''sveda''), the ''doshas'' are eliminated in excess and thus ''angarti'' is resulted.

 

Due to excessive elimination there will be ''stabdha'' (dullness of abdomen) & ''avrita koshthata'' (intestinal obstruction/ intussusception) and the ''vata'' gets affected.  

 

Pain over body parts is produced due to upward movement of ''vata''.  

 

Signs & Symptoms:

Signs & Symptoms:

• Gatra vesthana, (somatic pain)

 

• Nistoda, (pricking pain)

*''Gatra vesthana,'' (somatic pain)

• Bheda (piercing type of pain)

*''Nistoda,'' (pricking pain)

• Sphurana (fasciculations)

*''Bheda'' (piercing type of pain)

• Jrimbhana (yawning) are also seen.

*''Sphurana'' (fasciculations)

Management:

*''Jrimbhana'' (yawning) are also seen.

• Abhyanga with lavanataila followed by sprinkling of hot water all over body.  

 

• Prastara sweda through eranda patra kwatha (decoction of leaves of Ricinus communis Linn.).  

===== Management =====

• Yava (Hordeum vulgare Linn), kulattha (Dolichos biflorus Linn.), kola (Zizyphus jujube Lam.) and both types of panchamulai.e. Dashamula (as described in sloka no.37) added with two adhakha (12 kg. 228 g.) 13 of water and reduced to one-fourth. To this decoction add bilva (Aegle marmelos Carr.) taila and lavana. This is to be given as niruha basti when it is warm. Patient is to be given assurance as well as avagahasveda (sudation therapy through tub-bath). When once the patient taken food anuvasana basti is to be given with bilwa-taila (Aegle marmelos Carr.) or yastimadhu (Glycyrrhizaglabra Linn.) taila. (47-53)

 

*''Abhyanga'' with ''lavanataila'' followed by sprinkling of hot water all over body.  

*''Prastara sweda'' through ''eranda patra kwatha'' (decoction of leaves of Ricinus communis Linn.).  

*''Yava'' (Hordeum vulgare Linn), ''kulattha'' (Dolichos biflorus Linn.), ''kola'' (Zizyphus jujube Lam.) and both types of ''panchamula'' i.e. ''Dashamula'' (as described in ''shloka'' no.37) added with two ''adhakha'' (12 kg. 228 g.) 13 of water and reduced to one-fourth. To this decoction add ''bilva'' (Aegle marmelos Carr.) ''taila'' and ''lavana''. This is to be given as ''niruha basti'' when it is warm. Patient is to be given assurance as well as ''avagahasveda'' (sudation therapy through tub-bath). When once the patient taken food ''anuvasana basti'' is to be given with ''bilwa-taila'' (Aegle marmelos Carr.) or ''yastimadhu'' (Glycyrrhizaglabra Linn.) ''taila''. [47-53]

==== Complication of parikartika (fissure in ano) ====

==== Complication of parikartika (fissure in ano) ====