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The drugs and other mediums used for management of ''atiyoga'' are rich in ''drava guna'', also having characteristics like ''balya'' (promotive of strength) ''brimhana'' (promotes growth) and ''jeevaniya'' (promotes life). These can help to make up for the loss of body fluids and other vital body elements that may be lost due to ''atiyoga'' of ''basti''. [12-14]
The drugs and other mediums used for management of ''atiyoga'' are rich in ''drava guna'', also having characteristics like ''balya'' (promotive of strength) ''brimhana'' (promotes growth) and ''jeevaniya'' (promotes life). These can help to make up for the loss of body fluids and other vital body elements that may be lost due to ''atiyoga'' of ''basti''. [12-14]
===== Management =====
====== Management ======
''Amashesha'' indicates incomplete digestion process. In such conditions ''mridu basti'' further suppress digestion. In case of indigestion we need to stimulate secretion of digestive juices and hence the management is to use measures which hasten the digestive process.
''Amashesha'' indicates incomplete digestion process. In such conditions ''mridu basti'' further suppress digestion. In case of indigestion we need to stimulate secretion of digestive juices and hence the management is to use measures which hasten the digestive process.
Management with ''pachana'' in conditions precipitated with presence of ''ama'' is very logical. ''Ama'' primarily accounts for ''agnimandya'' (lowers the digestive power) and action of ''pachana'' as told by Arundatta at Ash. Hru. Su.8/21-22, is removing causes of obstruction that come in the way of function of ''agni'', and ''ama'' is one of them, signifying role of ''pachana''.
Management with ''pachana'' in conditions precipitated with presence of ''ama'' is very logical. ''Ama'' primarily accounts for ''agnimandya'' (lowers the digestive power) and action of ''pachana'' as told by Arundatta at Ash. Hru. Su.8/21-22, is removing causes of obstruction that come in the way of function of ''agni'', and ''ama'' is one of them, signifying role of ''pachana''.
''Basti'' given in this ''avastha'' (condition) should be ''vyakta lavana'' (salt in profound quantity). Basic characteristics of ''lavana'' as told by Vagbhata in As. Hru, Su.6/144, are ''vishyandi'' (means one which helps to liquify and release the ''doshas'' from obstruction if any), ''sukshma'' (which can reach easily at cellular level), ''srishtamala'' (which accounts for easy elimination of mutra (urine) purisha (stool) etc. ama in present context), and mrudu (soft) in nature. These charactristics of lavana helps in releasing the obstruction caused by pitta kapha dosha along with ama.[15-20]
''Basti'' given in this ''avastha'' (condition) should be ''vyakta lavana'' (salt in profound quantity). Basic characteristics of ''lavana'' as told by Vagbhata in As. Hru, Su.6/144, are ''vishyandi'' (means one which helps to liquify and release the ''doshas'' from obstruction if any), ''sukshma'' (which can reach easily at cellular level), ''srishtamala'' (which accounts for easy elimination of ''mutra'' (urine) ''purisha'' (stool) etc. ''ama'' in present context), and ''mridu'' (soft) in nature.
These characteristics of ''lavana'' helps in releasing the obstruction caused by ''pitta kapha dosha'' along with ''ama''.[15-20]
Due to excess elimination of doshas from strong basti given to weak patient, vata prakopa takes place leading to upward movement of vitiated vata, as a result of which hikka, which originates from amashaya (stomach) is observed. Line of treatment of hikka along with brumhana is applied. Brumhana counters vata and at the same time will also increase dhatu which is in a debilitated state in this case.[27-29]
As already discussed, the ''basti'' should contain enough ''tikshanata'' to induce enough peristalsis as well as to stimulate secretion of digestive enzymes. In case of ''krura kostha'' naturally there will be alternate phases of ''samavastha'' and ''vishamagni''. Hence in ''krurakostha, mahadoshavastha'' drugs with less potency are administered which further decrease peristaltic movements thus leading to abdominal distension.
Due to doshas obstructing the path of ''vayu'' by covering it, resultant ''vata prakopa'' causes ''vimargagamana'' of ''vayu'' (''vayu'' changing its normal path) leading to ''adhmana'' (flatulance) which creates ''marmapida'' (pain in vital parts) making ''koshtha'' (abdomen) ''guru'' i.e. ''krura'' (which leads to constipating habits) or ''malapurna'' (due to inaction of ''vayu mala'' gets accumulated (as per Chakrapani commentary at Cha.Si. 7/7-11). [21-26]
Due to excess elimination of ''doshas'' from strong ''basti'' given to weak patient, ''vata prakopa'' takes place leading to upward movement of vitiated ''vata'', as a result of which ''hikka'', which originates from ''amashaya'' (stomach) is observed.
Line of treatment of ''hikka'' along with ''brimhana'' is applied. ''Brimhana'' counters ''vata'' and at the same time will also increase ''dhatu'' which is in a debilitated state in this case.[27-29]
Considering aetiology, signs & symptoms and management, hritghattana may be understood as epigastric discomfort. The air present in the basti may cause obstruction. The management is also aimed to stimulate gastrointestinal secretions, and intestinal motility to relieve colic.
Considering aetiology, signs & symptoms and management, hritghattana may be understood as epigastric discomfort. The air present in the basti may cause obstruction. The management is also aimed to stimulate gastrointestinal secretions, and intestinal motility to relieve colic.