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*Local anal inflammatory conditions
 
*Local anal inflammatory conditions
 
   
 
   
Complications of basti may result either due to errors in compounding it or consistency  basti, dose or temperature of basti dravya at the time of administration. However, these complications may result depending on body response to the above-mentioned factors. The responses may be explained under three headings viz. excessive response (atiyoga), poor/low/no response (ayoga) and faulty response (mithyayoga). [5-6]
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Complications of ''basti'' may result either due to errors in compounding it or consistency  ''basti'', dose or temperature of ''basti dravya'' at the time of administration. However, these complications may result depending on body response to the above-mentioned factors. The responses may be explained under three headings viz. excessive response (''atiyoga''), poor/low/no response (''ayoga'') and faulty response (''mithyayoga''). [5-6]
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==== Etiology, clinical manifestation and management of basti complication-ayoga ====
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==== Etiology, clinical manifestation and management of ''basti'' complication-''ayoga'' ====
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Ayoga (poor/low/no response) complication of basti may result either due to quality of dravya or due to patient condition or combination of both.  
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''Ayoga'' (poor/low/no response) complication of ''basti'' may result either due to quality of ''dravya'' or due to patient condition or combination of both.  
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===== Poor response due to quality of bastidravya =====
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===== Poor response due to quality of ''bastidravya'' =====
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Shitaguna causes sthambhana. Sthambhana means stationary or movement less. In this context decreased intestinal motility is to be considered. Decreased intestinal motility may result in abdominal distension.
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''Sheetaguna'' causes ''sthambhana. Sthambhana'' means stationary or movement less. In this context decreased intestinal motility is to be considered. Decreased intestinal motility may result in abdominal distension.
Sufficient quantity of lavana (salt – rock salt) is required to maintain optimum osmotic pressure so that ionic exchange takes place. If optimum osmolality is not attained the active ingredients which are supposed to be absorbed through osmotic pressure are not absorbed and thus desired efficacy may not be achieved.  
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Sufficient quantity of sneha (unctuous part - oil/ghee) is also important. Lipids in the form of sneha facilitate lipid mediated transportation. Insufficient quantity of sneha minimizes the lipid mediated transportation and thus desired efficacy is not achieved. Further salt present in basti helps in micelle (smallest particle of lipid) formation of lipids and facilitates absorption of lipids.  
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*Sufficient quantity of ''lavana'' (salt – rock salt) is required to maintain optimum osmotic pressure so that ionic exchange takes place. If optimum osmolality is not attained the active ingredients which are supposed to be absorbed through osmotic pressure are not absorbed and thus desired efficacy may not be achieved.  
 +
*Sufficient quantity of ''sneha'' (unctuous part - oil/ghee) is also important. Lipids in the form of ''sneha'' facilitate lipid mediated transportation. Insufficient quantity of ''sneha'' minimizes the lipid mediated transportation and thus desired efficacy is not achieved. Further salt present in ''basti'' helps in micelle (smallest particle of lipid) formation of lipids and facilitates absorption of lipids.  
    
===== Poor response due to patient condition =====
 
===== Poor response due to patient condition =====

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