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saralAmaradArubhyAM siddhaM caivAnuvAsanam||26||  

saralAmaradArubhyAM siddhaM caivAnuvAsanam||26||  

===== Etiology, clinical manifestation and management of basti complication - adhmana (distension of abdomen) =====

===== Etiology, clinical manifestation and management of ''basti'' complication - ''adhmana'' (distension of abdomen) =====

When basti compounded with drugs of less potency administered in patients having mahadosha, krurakostha, rukshasharira, the basti dravya undergo avarana by dosha leading to margavarodha thus obstructs vata. The vata undergo vimarga-gamana results in adhmana (bloating of abdomen) along with following signs & symptoms:

When ''basti'' compounded with drugs of less potency administered in patients having ''mahadosha, krurakostha, rukshasharira,'' the ''basti dravya'' undergo ''avarana'' by ''dosha'' leading to ''margavarodha'' thus obstructs ''vata''. The ''vata'' undergo ''vimarga-gamana'' results in ''adhmana'' (bloating of abdomen) along with following signs and symptoms:

• Marmapida (pain in vital parts) due to adhmana

*''Marmapida'' (pain in vital parts) due to ''adhmana''

• Vidaha (burning sensation) in guru koshtha

*''Vidaha'' (burning sensation) in ''guru koshtha''

• Guru koshtha (heaviness in abdomen)

*''Guru koshtha'' (heaviness in abdomen)

• Mushka-vankshana vedana (Pain over scrotum, groin)

*''Mushka-vankshana vedana'' (Pain over scrotum, groin)

• Hridayarodha & shula (heaviness over chest & pain)

*''Hridayarodha'' and ''shula'' (heaviness over chest and pain)

• Itacsha itacsha dhavati (restlessness)

*''Itacsha itacsha dhavati'' (restlessness)

===== Management =====

===== Management =====

Shyama etc (Trivrit -Operculina terpethum Silva mansa.), chaturangula –Aragvadha (Cassia fistula Linn.), tilvaka, Mahavriksha, saptala, shankhini, danti, dravanti);  

''Shyama'' etc. (''Trivrit'' -Operculina terpethum Silva mansa.), ''chaturangula –Aragvadha'' (Cassia fistula Linn.), ''tilvaka, Mahavriksha, saptala, shankhini, danti, dravanti'');  

phala etc (jimutaka, ikshwaku, dhamargava, kutaja (Holarrhena antidysenterica Wall.), kritavedana (drugs mentioned in kalpasthana for Virechana and vamanakarma ),  

''phala'', etc (''jimutaka, ikshwaku, dhamargava, kutaja'' (Holarrhena antidysenterica Wall.), ''kritavedana'' (drugs mentioned in [[Kalpa Sthana]] for ''virechana'' and ''vamanakarma'' ), along with ''kustha'' (Saussurea lappa C.B.Clarke), ''krishna'' (''Pippali''-Piper longum Linn.), ''lavana, sarshapa'' (Brassica campestris Var.''sarson'' Prain), ''grihadhuma, masha'' (Phsseolus mungo Linn.), ''vacha'' (Acorus calamus Linn.), kinva (surakitta), yava kshara are powdered and added with required amount of  jaggery to prepare the varti of karangusta (thumb of hand) size and of shape of ''yava'' (Hordeum vulgare Linn.).

This ''varti'' (suppository) is to be smeared with oil and inserted into lubricated anal canal of patient, who has initially undergone ''sneha'' and ''sweda''.

This varti (suppository) is to be smeared with oil and inserted into lubricated anal canal of patient, who has initially undergone sneha and sweda.

Suppositories may also be prepared by adding lavana, grihadhuma, siddharthaka (sarshapa- Brassica campestris Var.sarson Prain.).

Suppositories may also be prepared by adding ''lavana, grihadhuma, siddharthaka'' (''sarshapa''- Brassica campestris Var.sarson Prain.).

Patients may also be administered niruhabasti prepared with bilva (Aegle marmelos Carr.) etc. added with pilu (Salvadora persica Linn.), sarshapa (Brassica campestris Var.sarson Prain.) and gomutra (cow’s urine).  

 

Similarly anuvasanabasti (transrectal administration of unctuous formulations) may be administered with taila prepared with drugs of sarala (Pinus longifolia Roxb.), and amaradaru (Devadaru – Cedrus deodara Roxb.Loud.).[21-26]

Patients may also be administered ''niruhabasti'' prepared with ''bilva'' (Aegle marmelos Carr.) etc. added with ''pilu'' (Salvadora persica Linn.), ''sarshapa'' (Brassica campestris Var.sarson Prain.) and ''gomutra'' (cow’s urine).  

 

Similarly ''anuvasanabasti'' (transrectal administration of unctuous formulations) may be administered with ''taila'' prepared with drugs of ''sarala'' (Pinus longifolia Roxb.), and ''amaradaru'' (''Devadaru'' – Cedrus deodara Roxb.Loud.).[21-26]

==== Complication of hikka (hiccups) ====

==== Complication of hikka (hiccups) ====