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Line 981: − + − + − • If vata aggravation is there then alternate niruha & unctuous enema are indicated or in case of excess vata vitiation, physician can administer continuous two unctuous enema. 9 to 11 unctuous enema are indicated to combat vata disorder in general along with niruha in between.+ − • If kapha is agravated then 1-3 unctuous enema & if pitta is aggravated then 5-7 unctuous enema are indicated along with niruha in between. In such condition continuous three niruha type of medicated enema can be given so as to remove the vitiated kapha-pitta and then unctuous enema can be administered to combat vata aggravation.+
→Number and sequence of unctuous and niruha type of enema (verse 23-25)
After ''niruha'', type of medicated enema the unctuous enema is indicated on the same day in the evening for the pacification ''vata'' that is remained in the gut even after removal by ''niruha'' or to pacify ''vata'' that is produced due to possible overdose of ''niruha''. Also as per modern perspectives it is possible that due to ''niruha'' type of medicated enema the colon gets cleared providing minimal barrier for absorption and due to increased permeability on virtue of transient inflammation, the transmucosal entry of fats of unctuous enema is facilitated.
After ''niruha'', type of medicated enema the unctuous enema is indicated on the same day in the evening for the pacification ''vata'' that is remained in the gut even after removal by ''niruha'' or to pacify ''vata'' that is produced due to possible overdose of ''niruha''. Also as per modern perspectives it is possible that due to ''niruha'' type of medicated enema the colon gets cleared providing minimal barrier for absorption and due to increased permeability on virtue of transient inflammation, the transmucosal entry of fats of unctuous enema is facilitated.
==== Number and sequence of unctuous and niruha type of enema (verse 23-25) ====
==== Number and sequence of unctuous and ''niruha'' type of enema (verse 23-25) ====
After niruha, unctuous enema is indicated. Also the minimum unctuous enema required for a patient also depends upon aggravated dosha.
After ''niruha'', unctuous enema is indicated. Also the minimum unctuous enema required for a patient also depends upon aggravated ''dosha''.
Thus,
Thus,
*If ''vata'' aggravation is there then alternate ''niruha'' and unctuous enema are indicated or in case of excess ''vata'' vitiation, physician can administer continuous two unctuous enema. 9 to 11 unctuous enema are indicated to combat ''vata'' disorder in general along with ''niruha'' in between.
*If ''kapha'' is aggravated then 1-3 unctuous enema and if ''pitta'' is aggravated then 5-7 unctuous enema are indicated along with ''niruha'' in between. In such condition continuous three ''niruha'' type of medicated enema can be given so as to remove the vitiated ''kapha-pitta'' and then unctuous enema can be administered to combat ''vata'' aggravation.
==== Benefits of niruha type of medicated enema (verse 27-28) ====
==== Benefits of niruha type of medicated enema (verse 27-28) ====