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Line 927:
Line 927: − • Guru koshtha (hard bowel) is the condition where in the digestion process is delayed mostly due to sluggish intestinal motility. In such cases basti predominant of shitaguna further worsen the problem as shita does stambhana.+ − + − +
→Poor response due to patient condition
===== Poor response due to patient condition =====
===== Poor response due to patient condition =====
*''Guru koshtha'' (hard bowel) is the condition where in the digestion process is delayed mostly due to sluggish intestinal motility. In such cases ''basti'' predominant of ''sheetaguna'' further worsen the problem as ''sheeta'' does ''stambhana''.
Vata predominace in general or ruksha in particular both require lavana or sneha to counteract. If bastidravya is compounded with insufficient quantity of lavana & sneha, there will be further aggravation of vata or ruksha of vatadosha. In this case it should be understood that, there is already negative ionic gradient (both osmotic / lipid mediated) and hence sufficient quantity of lavana/sneha are required to convert it into positive ionic gradient so that active ingredients are transported through osmotic pressure or lipid mediated ionic transportation.
*''Vata'' predominance in general or ''ruksha'' in particular both require ''lavana'' or ''sneha'' to counteract. If ''bastidravya'' is compounded with insufficient quantity of ''lavana'' and ''sneha'', there will be further aggravation of ''vata'' or ''ruksha'' of ''vatadosha''. In this case it should be understood that, there is already negative ionic gradient (both osmotic / lipid mediated) and hence sufficient quantity of ''lavana/sneha'' are required to convert it into positive ionic gradient so that active ingredients are transported through osmotic pressure or lipid mediated ionic transportation.
The management is mainly aimed at inducing/increasing intestinal peristaltic movements. Dipana-pachana drugs stimulates gastro-intestinal tract secretions and increases intestinal motility. Anal suppository, virechana and basti also induces/increases intestinal motility. [7-11]
The management is mainly aimed at inducing/increasing intestinal peristaltic movements. ''Dipana-pachana'' drugs stimulates gastro-intestinal tract secretions and increases intestinal motility. Anal suppository, ''virechana'' and ''basti'' also induces/increases intestinal motility. [7-11]
==== Etiology, clinical manifestation and management of basti complication-atiyoga ====
==== Etiology, clinical manifestation and management of basti complication-atiyoga ====