Changes

''Virechana'' treatments are of many types such as ''mridu virechana'', ''sukha virechana'' and ''tikshṇa virechana''. All the persons are not treated by the same medicines. So the application depends upon the nature of ''koshtha'', nature of the disease, strength of the person, age, season and many other considerable issues. ''Mridu virechana'' is not appropriate for the person having ''krurakoshtha'' and ''tikshna virechana'' is not suitable for ''mridu koshtha''. ''Tikshna virechana'' is advised in ''mrittika bhakshanajanya pandu roga'' and ''baddhodara'' in [[Charaka Samhita]] but it cannot be given to the patient suffering from the heart disease. ''Mridu virechana'' is advised in ''kamala roga'' . [17] ''Virechana'' given to the patients suffering from ''paittika'' disorders cannot be given to those suffering from ''pitta shlaishmika'' disorders. Again ''virechana'' medicines are of two types i.e. ''snigdha virechana'' and ''ruksha virechana''. ''Snigdha virechana'' is used in the person having dryness in the body and ''ruksha virechana'' is used in the persons who have unctuousness in the body. For example ''snighdha virechana'' is advised in ''vatodara''. [18] ''Tikshna vamana'' and ''virechana'', and other painful procedures are generally not advised in children and old, if required then ''mridu vamana'' and ''virechana'' should be administered .[19]  ''Virechana karma'' should be administered in ''Sharad ritu'' (autumn season) in healthy individuals because the aggravation of ''pitta-dosha'' takes place in this season naturally. Generally it should not be administered in peak of summer and peak of winter season as it may lead to ''atiyoga'' and ''ayoga'' respectively. [20]

''Virechana'' treatments are of many types such as ''mridu virechana'', ''sukha virechana'' and ''tikshṇa virechana''. All the persons are not treated by the same medicines. So the application depends upon the nature of ''koshtha'', nature of the disease, strength of the person, age, season and many other considerable issues. ''Mridu virechana'' is not appropriate for the person having ''krurakoshtha'' and ''tikshna virechana'' is not suitable for ''mridu koshtha''. ''Tikshna virechana'' is advised in ''mrittika bhakshanajanya pandu roga'' and ''baddhodara'' in [[Charaka Samhita]] but it cannot be given to the patient suffering from the heart disease. ''Mridu virechana'' is advised in ''kamala roga'' . [17] ''Virechana'' given to the patients suffering from ''paittika'' disorders cannot be given to those suffering from ''pitta shlaishmika'' disorders. Again ''virechana'' medicines are of two types i.e. ''snigdha virechana'' and ''ruksha virechana''. ''Snigdha virechana'' is used in the person having dryness in the body and ''ruksha virechana'' is used in the persons who have unctuousness in the body. For example ''snighdha virechana'' is advised in ''vatodara''. [18] ''Tikshna vamana'' and ''virechana'', and other painful procedures are generally not advised in children and old, if required then ''mridu vamana'' and ''virechana'' should be administered .[19]  ''Virechana karma'' should be administered in ''Sharad ritu'' (autumn season) in healthy individuals because the aggravation of ''pitta-dosha'' takes place in this season naturally. Generally it should not be administered in peak of summer and peak of winter season as it may lead to ''atiyoga'' and ''ayoga'' respectively. [20]

==== Contraindications of asthapana basti ====

==== Contraindications of ''asthapana basti'' ====

Āsthāpana basti is contra-indicated in the stage of ajīrṇa[21] or ama.  Āsthāpana and anuvāsana basti are indicated in the treatment of baddhodara[22], so baddhodara mentioned in the contra-indications of asthāpana should be read as baddhodarādhmāna means it is contraindicated in adhmāna due to baddhodara[23]. Āsthāpana basti is contraindicated in kuṣṭha-roga but in a particular stage of the disease, achārya has exceptionally indicated the asthāpana and Anuvāsana basti [24]. [14]  

''Asthapana basti'' is contra-indicated in the stage of ''ajeerna''[21] or ''ama''.  ''Asthapana'' and ''anuvasana basti'' are indicated in the treatment of ''baddhodara''[22], so ''baddhodara'' mentioned in the contra-indications of ''asthapana'' should be read as ''baddhodaradhmana'' means it is contraindicated in ''adhmana'' due to ''baddhodara''[23]. ''Asthapana basti'' is contraindicated in ''kushtha roga'' but in a particular stage of the disease, Charaka has exceptionally indicated the ''asthapana'' and ''Anuvasana basti'' [24]. [14]

==== Indications of asthapana basti ====

==== Indications of asthapana basti ====