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If the ''jwara'' does not subside by the therapies described before, then ''virechana'' (purgation) should be given for its alleviation provided, the patient is neither emaciated, weak, depleted of muscle tissue nor has reduced digestive power. [168-169]
 
If the ''jwara'' does not subside by the therapies described before, then ''virechana'' (purgation) should be given for its alleviation provided, the patient is neither emaciated, weak, depleted of muscle tissue nor has reduced digestive power. [168-169]
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==== Indications of niruha (enema with decoction) ====
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==== Indications of ''niruha'' (enema with decoction) ====
    
ज्वरक्षीणस्य न हितं वमनं न विरेचनम्||१६९||  
 
ज्वरक्षीणस्य न हितं वमनं न विरेचनम्||१६९||  
 +
 
कामं तु पयसा तस्य निरूहैर्वा हरेन्मलान्|  
 
कामं तु पयसा तस्य निरूहैर्वा हरेन्मलान्|  
 
निरूहो बलमग्निं च विज्वरत्वं मुदं रुचिम्||१७०||  
 
निरूहो बलमग्निं च विज्वरत्वं मुदं रुचिम्||१७०||  
परिपक्वेषु दोषेषु प्रयुक्तः शीघ्रमावहेत्|१७१| 
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परिपक्वेषु दोषेषु प्रयुक्तः शीघ्रमावहेत्|
 
पित्तं वा कफपित्तं वा पित्ताशयगतं हरेत्||१७१||  
 
पित्तं वा कफपित्तं वा पित्ताशयगतं हरेत्||१७१||  
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स्रंसनं त्रीन्मलान् बस्तिर्हरेत् पक्वाशयस्थितान्|१७२|  
 
स्रंसनं त्रीन्मलान् बस्तिर्हरेत् पक्वाशयस्थितान्|१७२|  
    
jvarakṣīṇasya na hitaṁ vamanaṁ na virēcanam||169||  
 
jvarakṣīṇasya na hitaṁ vamanaṁ na virēcanam||169||  
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kāmaṁ tu payasā tasya nirūhairvā harēnmalān|  
 
kāmaṁ tu payasā tasya nirūhairvā harēnmalān|  
 
nirūhō balamagniṁ ca vijvaratvaṁ mudaṁ rucim||170||  
 
nirūhō balamagniṁ ca vijvaratvaṁ mudaṁ rucim||170||  
paripakvēṣu dōṣēṣu prayuktaḥ śīghramāvahēt|171|  
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paripakvēṣu dōṣēṣu prayuktaḥ śīghramāvahēt|
 
pittaṁ vā kaphapittaṁ vā pittāśayagataṁ harēt||171||  
 
pittaṁ vā kaphapittaṁ vā pittāśayagataṁ harēt||171||  
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sraṁsanaṁ trīnmalān bastirharēt pakvāśayasthitān|172|  
 
sraṁsanaṁ trīnmalān bastirharēt pakvāśayasthitān|172|  
    
jvarakShINasya na hitaM vamanaM na virecanam||169||  
 
jvarakShINasya na hitaM vamanaM na virecanam||169||  
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kAmaM tu payasA tasya nirUhairvA harenmalAn|  
 
kAmaM tu payasA tasya nirUhairvA harenmalAn|  
 
nirUho balamagniM ca vijvaratvaM mudaM rucim||170||  
 
nirUho balamagniM ca vijvaratvaM mudaM rucim||170||  
paripakveShu doSheShu prayuktaH shIghramAvahet|171|  
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paripakveShu doSheShu prayuktaH shIghramAvahet|
 
pittaM vA kaphapittaM vA pittAshayagataM haret||171||  
 
pittaM vA kaphapittaM vA pittAshayagataM haret||171||  
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sraMsanaM trInmalAn bastirharet pakvAshayasthitAn|172|  
 
sraMsanaM trInmalAn bastirharet pakvAshayasthitAn|172|  
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Neither vamana (emesis) nor virechana (purgation) is useful for patients emaciated by fever. It is thus desirable to remove their malas by the administration of milk or niruha (ununctuous type of medicated enema prepared by decoctions etc.)  
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Neither ''vamana'' (emesis) nor ''virechana'' (purgation) is useful for patients emaciated by fever. It is thus desirable to remove their malas by the administration of milk or ''niruha'' (ununctuous type of medicated enema prepared by decoctions etc.)  
Niruha basti administered when the dosha are in paripakwa stage immediately promotes the strength and the power of digestion, alleviates fever and causes happiness and brings relish for food.
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Purgation (stransana) eliminates kapha or kapha pitta dosha from the pittashaya (lower portion of the stomach and small intestine). Basti eliminates all the three dosa lodged in the pakwashaya.(169-170)
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''Niruha basti'' administered when the dosha are in ''paripakva'' stage immediately promotes the strength and the power of digestion, alleviates fever and causes happiness and brings relish for food.
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Purgation (''stransana'') eliminates ''kapha'' or ''kapha pitta dosha'' from the ''pittashaya'' (lower portion of the stomach and small intestine). ''Basti'' eliminates all the three ''dosha'' lodged in the ''pakwashaya''.[169-170]
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==== Indication of anuvasana (unctuous enema) ====
 
==== Indication of anuvasana (unctuous enema) ====