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siddhisthAne bastisiddhirnAma dashamo~adhyAyaH||10||

siddhisthAne bastisiddhirnAma dashamo~adhyAyaH||10||

Thus, completes the tenth chapter entitled as successful therapeutic enema of siddhisthāna of the treatise compiled by Agnivēśa, revised by Caraka and supplemented by Dr̥ḍhabala because of its non-availability. [10]

Thus, completes the tenth chapter entitled as successful therapeutic enema of siddhisthāna of the treatise compiled by Agnivēśa, revised by Caraka and supplemented by Dr̥ḍhabala because of its non-availability. [10]

Tattva Vimarsha:

 

=== ''Tattva Vimarsha'' ===

 

• In order to attain curative effects, basti should be properly administered in accordance to the strength of the patient, dosha, time, nature of the disease and constitution of the person by using the specific group of drugs prescribed for the treatment of the respective diseases.  

• In order to attain curative effects, basti should be properly administered in accordance to the strength of the patient, dosha, time, nature of the disease and constitution of the person by using the specific group of drugs prescribed for the treatment of the respective diseases.  

• Basti (trans rectal drug administration through enema) is the fast acting and comfortable cleansing therapy that any other therapeutic procedures. It can lead to immediate depletion and replenishment.  

• Basti (trans rectal drug administration through enema) is the fast acting and comfortable cleansing therapy that any other therapeutic procedures. It can lead to immediate depletion and replenishment.  

• Cleansing basti (shodhana asthapana basti) is contraindicated in the persons who are suffering from consumption, phthisis, debility, fainting, emaciation, dehydration of the body, as well as in those whose life is sustained due to retention of dosha itself.

• Cleansing basti (shodhana asthapana basti) is contraindicated in the persons who are suffering from consumption, phthisis, debility, fainting, emaciation, dehydration of the body, as well as in those whose life is sustained due to retention of dosha itself.

• The specific liquid media for preparing basti solution, drugs for preparing formulations and additives shall be decided as per dosha dominance and disease specificity. Basti formulation can be made more potent and suitable to particular dōsha or condition by adding appropriate drugs to the main formulation like adding ghee and milk to achieve more aphrodisiac effect.  

• The specific liquid media for preparing basti solution, drugs for preparing formulations and additives shall be decided as per dosha dominance and disease specificity. Basti formulation can be made more potent and suitable to particular dōsha or condition by adding appropriate drugs to the main formulation like adding ghee and milk to achieve more aphrodisiac effect.  

Vidhi Vimarsha:

 

=== ''Vidhi Vimarsha'' ===

 

Apart from selection of basti for treating vāta, it should be selected in accordance to the disease (3).  

Apart from selection of basti for treating vāta, it should be selected in accordance to the disease (3).  

The concept described in verse 4 can be explained with the example that the kṣāra basti indicated in the treatment of āmavāta may not be suitable if the patient is devoid of bala, with the dominance of vāta dōṣa, vāta prakr̥tī, and in griṣhma rutu (4).

The concept described in verse 4 can be explained with the example that the kṣāra basti indicated in the treatment of āmavāta may not be suitable if the patient is devoid of bala, with the dominance of vāta dōṣa, vāta prakr̥tī, and in griṣhma rutu (4).

During emergency where immediate cleansing or rapid nourishment is required without much preparation basti can be safely used (5).

During emergency where immediate cleansing or rapid nourishment is required without much preparation basti can be safely used (5).

Virēchana drugs are unpalatable and may produce some sort of discomfort and not suitable in children and aged people, whereas basti can be given in all age groups and capable of producing all type of action. When the drug is unpalatable, oral administration of medicine is difficult and rectal administration can be easily done. virēchana may result in severe fluid loss and electrolyte imbalance causing dehydration and subsequent complications hence should be avoided in weak persons like children and aged on the other hand basti may not cause such severe fluid loss or electrolyte imbalance hence it is safe to use basti in any age group; moreover any desired effect can be achieved by basti like by using lekhana basti one can cause lekhana ( weight reduction), by using vr̥ṣya basti (aphrodisiac) one can increase the virility.

Virēchana drugs are unpalatable and may produce some sort of discomfort and not suitable in children and aged people, whereas basti can be given in all age groups and capable of producing all type of action. When the drug is unpalatable, oral administration of medicine is difficult and rectal administration can be easily done. virēchana may result in severe fluid loss and electrolyte imbalance causing dehydration and subsequent complications hence should be avoided in weak persons like children and aged on the other hand basti may not cause such severe fluid loss or electrolyte imbalance hence it is safe to use basti in any age group; moreover any desired effect can be achieved by basti like by using lekhana basti one can cause lekhana ( weight reduction), by using vr̥ṣya basti (aphrodisiac) one can increase the virility.

When the oral root cannot be used for some reasons (e.g. Ca oesophagus, stomach) , basti can be a great help to maintain and nourish the patient  by giving yapana, brumhana types of basti. (6-8).  

When the oral root cannot be used for some reasons (e.g. Ca oesophagus, stomach) , basti can be a great help to maintain and nourish the patient  by giving yapana, brumhana types of basti. (6-8).  

The above principle can be explained by these examples viz. raktapitta is due to excessive heat hence in the treatment cold basti is indicated on the other hand āmavāta is due to excessive cold hence in the treatment hot basti like kṣāra basti is indicated (10).  

The above principle can be explained by these examples viz. raktapitta is due to excessive heat hence in the treatment cold basti is indicated on the other hand āmavāta is due to excessive cold hence in the treatment hot basti like kṣāra basti is indicated (10).  

Always one should take a precaution before selecting the type of basti; cleansing basti should never be given in emaciated, debilitated or dehydrated persons because even mild loss of fluid and electrolytes may result in fall of blood pressure and subsequently shock, replenishing basti should never be given in obesity which may cause further increase in weight and adiposity (11-12).  

Always one should take a precaution before selecting the type of basti; cleansing basti should never be given in emaciated, debilitated or dehydrated persons because even mild loss of fluid and electrolytes may result in fall of blood pressure and subsequently shock, replenishing basti should never be given in obesity which may cause further increase in weight and adiposity (11-12).  

The use of specific āvāpa can be explained with examples viz. uṣakādi gana prativāpa is added in lekhana basti (Su. Ci. 38/82) to achieve more lekhana effect, māmsarasa is added in mustādi yāpana basti (Ca. Si. 12/16-1) to make it more suitable for vāta and to enhance its ability to nourish māmsa dhātū. Uṣṇa Jala is added in basti because it causes ṣrotośodhana and vātānulomana which are essential actions in basti karma apart from its suitability to all dōsha and dhātū (13-17).

The use of specific āvāpa can be explained with examples viz. uṣakādi gana prativāpa is added in lekhana basti (Su. Ci. 38/82) to achieve more lekhana effect, māmsarasa is added in mustādi yāpana basti (Ca. Si. 12/16-1) to make it more suitable for vāta and to enhance its ability to nourish māmsa dhātū. Uṣṇa Jala is added in basti because it causes ṣrotośodhana and vātānulomana which are essential actions in basti karma apart from its suitability to all dōsha and dhātū (13-17).

Daśamula basti for vāta disorders, yaṣṭimadhu kṣīrā basti for pitta disorders and lekhana basti prepared with triphalā, alkali and cow urine for kapha disorders are some of the common basti in practice for specific dosha.

Daśamula basti for vāta disorders, yaṣṭimadhu kṣīrā basti for pitta disorders and lekhana basti prepared with triphalā, alkali and cow urine for kapha disorders are some of the common basti in practice for specific dosha.

Vāta hara drugs are used along with fat and meat soup in preparing basti for vāta disorders,  pitta hara drugs are used along with fat and milk in preparing basti for pitta disorders and kapha hara drugs are used along with alkali, cow urine and little fat in preparing basti for kapha disorders (19 - 24).  

Vāta hara drugs are used along with fat and meat soup in preparing basti for vāta disorders,  pitta hara drugs are used along with fat and milk in preparing basti for pitta disorders and kapha hara drugs are used along with alkali, cow urine and little fat in preparing basti for kapha disorders (19 - 24).  

Mainly cleansing (both purgative and emetic) drugs are used in colon cleansing basti by effectively cleansing pakvāśaya which helps in regulating vāta dōsha, not only in pakvāśaya but all over the body (25-27).  

Mainly cleansing (both purgative and emetic) drugs are used in colon cleansing basti by effectively cleansing pakvāśaya which helps in regulating vāta dōsha, not only in pakvāśaya but all over the body (25-27).  

Mainly aphrodisiac and rejuvenating drugs and high protein substances are used in śukramāṁsalāḥ basti. Few researches were conducted at IPGT&RA, Jamnagar, India on śukramāṁsalāḥ basti by using some of these drugs to find out their effect on seminal parameters and sexual functioning. Positive effect was noted on both of these parameters (28-29). Ref.  

Mainly aphrodisiac and rejuvenating drugs and high protein substances are used in śukramāṁsalāḥ basti. Few researches were conducted at IPGT&RA, Jamnagar, India on śukramāṁsalāḥ basti by using some of these drugs to find out their effect on seminal parameters and sexual functioning. Positive effect was noted on both of these parameters (28-29). Ref.  

sāṅgrāhikā basti can be of use in chronic conditions of atisāra to arrest fluid loss and dehydration (30-31).  

sāṅgrāhikā basti can be of use in chronic conditions of atisāra to arrest fluid loss and dehydration (30-31).  

Both parisrāva and dāha are mainly due to pitta hence milk based basti are advised for these conditions further for effective management of dāha ghee is added and mainly pitta hara drugs are used (32-33).  

Both parisrāva and dāha are mainly due to pitta hence milk based basti are advised for these conditions further for effective management of dāha ghee is added and mainly pitta hara drugs are used (32-33).