Changes

Considering aetiology, signs & symptoms and management, ''hritghattana'' may be understood as epigastric discomfort. The air present in the ''basti'' may cause obstruction. The management is also aimed to stimulate gastrointestinal secretions, and intestinal motility to relieve colic.  

Considering aetiology, signs & symptoms and management, ''hritghattana'' may be understood as epigastric discomfort. The air present in the ''basti'' may cause obstruction. The management is also aimed to stimulate gastrointestinal secretions, and intestinal motility to relieve colic.  

In the management ''amla'' and ''lavana rasa'' is prefered over other ''rasa'', because of its ''anulomana'' (downward direction) action. Furthermore ''amla rasa'' is known for its specific function related to ''vata'', as ''moodhavatanulomana'' (brings about ''vata'' doing abnormal movement to its normal movement). In this ''vyapat'' as ''hridaya'' is involved ''amla''  which is best among ''hridya'' articles (Ch. Su. 25/40) is a natural choice. [30-31]

In the management ''amla'' and ''lavana rasa'' is prefered over other ''rasa'', because of its ''anulomana'' (downward direction) action. Furthermore ''amla rasa'' is known for its specific function related to ''vata'', as ''moodhavatanulomana'' (brings about ''vata'' doing abnormal movement to its normal movement). In this ''vyapat'' as ''hridaya'' is involved ''amla''  which is best among ''hridya'' articles [Cha. Sa.[[Sutra Sthana]] 25/40] is a natural choice. [30-31]

The management is done by ''shodhaniya'' and ''anulomika basti''. ''Anulomika basti'' is to be given by ''ksheera'' (milk) ''ikshurasa'' (sugarcane juice). Here milk, ''ikshurasa'' etc is ''brimhana'', which acts as ''vatashamana'', at the same time it induces ''shodhana'' due to its ''sara guna''. This can be understood by  opinion of Arundatta at Ash.Hru.Su 14/7, where he says that in case of ''vata'' and ''vata-pitta, brimhana'' like milk etc. acts as ''shodhana''.[40-42]

The management is done by ''shodhaniya'' and ''anulomika basti''. ''Anulomika basti'' is to be given by ''ksheera'' (milk) ''ikshurasa'' (sugarcane juice). Here milk, ''ikshurasa'' etc is ''brimhana'', which acts as ''vatashamana'', at the same time it induces ''shodhana'' due to its ''sara guna''. This can be understood by  opinion of Arundatta <ref>Arunadatta, Vagbhata. Sutra Sthana, Cha.14 Dvividhopakramaneeyam Adhyaya verse 7. In: Harishastri Paradkar Vaidya, Editors. Ashtanga Hridayam. 1st ed. Varanasi: Krishnadas Academy;2000.p.4.</ref>where he says that in case of ''vata'' and ''vata-pitta, brimhana'' like milk etc. acts as ''shodhana''.[40-42]

The treatment goes in a very methodical way with application of oil with salt for countering ''vata'' vitiation, followed by ''nasya'' in form of powders blown in to nostrils and ''dhoom'' medicated fumes made to inhale, acts for elimination of ''doshas'' that are present in the head. This is followed by food which is ''tikshna'' in property and ''anulomika'' which helps to regulate ''vata'' in its normal direction, followed by ''anuvasana basti''. This takes care of agitated ''vata'' having taken the course of head to go out through anus which is its normal root of elimination.[43-46]

The treatment goes in a very methodical way with application of oil with salt for countering ''vata'' vitiation, followed by ''nasya'' in form of powders blown in to nostrils and ''dhoom'' medicated fumes made to inhale, acts for elimination of ''doshas'' that are present in the head. This is followed by food which is ''tikshna'' in property and ''anulomika'' which helps to regulate ''vata'' in its normal direction, followed by ''anuvasana basti''. This takes care of agitated ''vata'' having taken the course of head to go out through anus which is its normal root of elimination.[43-46]