Changes

The concept of karma, kala and yoga basti denotes the use of basti therapy as per the severity of the disease. Generally diseases of vital organs like brain, heart, kidney etc. are considered more serious in nature and dosha vitiation is so severe that repeated medicated enema for long duration is a must hence karma basti is used in such instances. Another view suggests that 18 unctuous enema cause oleation of semen (Su. Chi. 37/71-74) Thus karma basti is meant for body elements which are far apart for the unctuousness to reach like shukra (semen), majja (bone marrow) etc. Yogabasti is the smallest duration or schedule that is required generally for healthy individuals doing cleansing according to particular season or in patients having disease newly diagnosed or of less severe nature. Kala basti is used in conditions which are in between the highly severe, chronic and less severe, newly diagnosed category.

The concept of karma, kala and yoga basti denotes the use of basti therapy as per the severity of the disease. Generally diseases of vital organs like brain, heart, kidney etc. are considered more serious in nature and dosha vitiation is so severe that repeated medicated enema for long duration is a must hence karma basti is used in such instances. Another view suggests that 18 unctuous enema cause oleation of semen (Su. Chi. 37/71-74) Thus karma basti is meant for body elements which are far apart for the unctuousness to reach like shukra (semen), majja (bone marrow) etc. Yogabasti is the smallest duration or schedule that is required generally for healthy individuals doing cleansing according to particular season or in patients having disease newly diagnosed or of less severe nature. Kala basti is used in conditions which are in between the highly severe, chronic and less severe, newly diagnosed category.

==== Shirovirechana (verse 50-53) ====

==== ''Shirovirechana'' (verse 50-53) ====

Shirovirechana comes in sequence of shodhana after vamana-virechana etc. It has direct cleansing effect on the part above the clavicle hence termed shirovirechana. As head is a vital part and eyes are to be avoided during any fomentation, only fomentation with the help of the palm is an ideal procedure before shirovirechana. Inappropriate administration may cause only irritation and not the removal of morbid matter that leads to increase in secretions as result of allergic reaction causing adhesion of sticky material in the throat, heaviness of the head etc. Excessive administration of shirovirechana may cause rupture of certain capillaries in the Little's area, lying in antero-inferior part of the nasal septum having rich vascularisation. This may results in cutting type of pain. Due to sudden entry of foreign bodies in the nasal cavity fainting occurs rarely which may be due to vagal shock.

''Shirovirechana'' comes in sequence of ''shodhana'' after ''vamana-virechana'' etc. It has direct cleansing effect on the part above the clavicle hence termed ''shirovirechana''. As head is a vital part and eyes are to be avoided during any fomentation, only fomentation with the help of the palm is an ideal procedure before ''shirovirechana''. Inappropriate administration may cause only irritation and not the removal of morbid matter that leads to increase in secretions as result of allergic reaction causing adhesion of sticky material in the throat, heaviness of the head etc. Excessive administration of ''shirovirechana'' may cause rupture of certain capillaries in the Little's area, lying in antero-inferior part of the nasal septum having rich vascularisation. This may results in cutting type of pain. Due to sudden entry of foreign bodies in the nasal cavity fainting occurs rarely which may be due to vagal shock.

==== Do’s and don’ts in panchakarma procedures (verse 54-55) ====

==== Do’s and don’ts in panchakarma procedures (verse 54-55) ====