Changes

*''Yava'' (Hordeum vulgare Linn), ''kulattha'' (Dolichos biflorus Linn.), ''kola'' (Zizyphus jujube Lam.) and both types of ''panchamula'' i.e. ''Dashamula'' (as described in ''shloka'' no.37) added with two ''adhakha'' (12 kg. 228 g.) 13 of water and reduced to one-fourth. To this decoction add ''bilva'' (Aegle marmelos Carr.) ''taila'' and ''lavana''. This is to be given as ''niruha basti'' when it is warm. Patient is to be given assurance as well as ''avagahasveda'' (sudation therapy through tub-bath). When once the patient taken food ''anuvasana basti'' is to be given with ''bilwa-taila'' (Aegle marmelos Carr.) or ''yastimadhu'' (Glycyrrhizaglabra Linn.) ''taila''. [47-53]

*''Yava'' (Hordeum vulgare Linn), ''kulattha'' (Dolichos biflorus Linn.), ''kola'' (Zizyphus jujube Lam.) and both types of ''panchamula'' i.e. ''Dashamula'' (as described in ''shloka'' no.37) added with two ''adhakha'' (12 kg. 228 g.) 13 of water and reduced to one-fourth. To this decoction add ''bilva'' (Aegle marmelos Carr.) ''taila'' and ''lavana''. This is to be given as ''niruha basti'' when it is warm. Patient is to be given assurance as well as ''avagahasveda'' (sudation therapy through tub-bath). When once the patient taken food ''anuvasana basti'' is to be given with ''bilwa-taila'' (Aegle marmelos Carr.) or ''yastimadhu'' (Glycyrrhizaglabra Linn.) ''taila''. [47-53]

==== Complication of parikartika (fissure in ano) ====

==== Complication of ''parikartika'' (fissure in ano) ====

मृदुकोष्ठाल्पदोषस्य रूक्षस्तीक्ष्णोऽतिमात्रवान्|  

मृदुकोष्ठाल्पदोषस्य रूक्षस्तीक्ष्णोऽतिमात्रवान्|  

vinIya dugdhe bastiH syAt vyaktAmlamRudubhojinaH||57||  

vinIya dugdhe bastiH syAt vyaktAmlamRudubhojinaH||57||  

Etiology, clinical manifestation and management of parikartika basti complication:

===== Etiology, clinical manifestation and management of ''parikartika basti'' complication =====

Parikartika (anal pain due to proctitis) manifested when the patients of mridu koshtha, alpa dosha are administered with niruha basti of qualities -ruksha, tikshna or in higher dose.  

Clinical manifestations:-

Parikartika'' (anal pain due to proctitis) manifested when the patients of ''mridu koshtha, alpa dosha'' are administered with ''niruha basti'' of qualities -''ruksha, tikshna'' or in higher dose.  

• Toda (pricking type of pain) over low-back, groins and urinary bladder.  

 

• Ruja (pain) over lower umbilical region

====== Clinical manifestations ======

• Lekhana effect of basti may result in constipation and bowel evacuation in little quantities  

*''Toda'' (pricking type of pain) over low-back, groins and urinary bladder.  

Management:

*''Rija'' (pain) over lower umbilical region

• Basti prepared out of milk processed with drugs having madhura & sita properties for example ikshurasa (sugar cane juice); and by adding paste of yastimadhu (Glycyrrhiza glabra Linn.) & tila (Sesamum indicum Linn.) is to be administered.

*''Lekhana'' effect of ''basti'' may result in constipation and bowel evacuation in little quantities  

 

====== Management ======

 

*Basti prepared out of milk processed with drugs having madhura & sita properties for example ikshurasa (sugar cane juice); and by adding paste of yastimadhu (Glycyrrhiza glabra Linn.) & tila (Sesamum indicum Linn.) is to be administered.

• Patient is to be kept on milk diet.

• Patient is to be kept on milk diet.

• Administer basti prepared with milk by adding sarjarasa (Vateria indica Linn.), yastimadhu (Glycyrrhiza glabra Linn.), jingini (Lannea grandis Engi.), kardama (Nelumbium speciosum Willd.), anjana (Extract of Berberis asiatica - Roxb. ex DC)  The patient is to be kept on mridubhojana (soft diet) with amla rasa ( little sour in taste). (54-57)

• Administer basti prepared with milk by adding sarjarasa (Vateria indica Linn.), yastimadhu (Glycyrrhiza glabra Linn.), jingini (Lannea grandis Engi.), kardama (Nelumbium speciosum Willd.), anjana (Extract of Berberis asiatica - Roxb. ex DC)  The patient is to be kept on mridubhojana (soft diet) with amla rasa ( little sour in taste). (54-57)