9,091
edits
Changes
Jump to navigation
Jump to search
Line 932:
Line 932: − + + + − Atiyoga (excessive response) complication of basti is seen when patients of mridukostha (sensitive GI tract) had undergone sneha & sveda which further sensitize the GI tract when administered with basti, prepared out of ushna & tikshna (high potent/irritant drugs), leads to hyper stimulation of intestinal tract, excessive elimination of bodily fluids, thus results in electrolyte imbalance and dehydration. The signs and symptoms mentioned are related to dehydration & electrolyte imbalance. + − The drugs and other mediums used for management of atiyoga are rich in drava guna , also having characteristics like balya (promotive of strength) brumhana (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 =====+ + + − 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. −
→Etiology, clinical manifestation and management of basti complication-atiyoga
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'' ====
''
Atiyoga'' (excessive response) complication of basti is seen when patients of ''mridukostha'' (sensitive GI tract) had undergone ''sneha'' and ''sveda'' which further sensitize the GI tract when administered with ''basti'', prepared out of ''ushna'' and ''tikshna'' (high potent/irritant drugs), leads to hyper stimulation of intestinal tract, excessive elimination of bodily fluids, thus results in electrolyte imbalance and dehydration. The signs and symptoms mentioned are related to dehydration and electrolyte imbalance.
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 =====
''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''.
''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 obtruction if any), sukshma (which can reach easily at cellular level), srushtamala (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]
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.
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.