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Line 567: − + − 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). − 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). + − 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). + − + + + + + + +
→Vidhi Vimarsha
=== ''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 ''vata'', it should be selected in accordance to the disease (3).
The concept described in verse 4 can be explained with the example that the ''kshaara basti'' indicated in the treatment of ''amavata'' may not be suitable if the patient is devoid of ''bala'', with the dominance of ''vata dosha'', ''vata prakriti'', and in ''grishma ritu'' (4).
During emergency where immediate cleansing or rapid nourishment is required without much preparation ''basti'' can be safely used (5).
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).
''Virechana'' 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. ''Virechana'' 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 ''vrishya 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, brimhana'' 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 ''amavata'' is due to excessive cold hence in the treatment hot ''basti'' like ''kshara 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).
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).