Changes

*''Shirovirechana'' (purification of head and supraclavicular region) is mainly indicated in ''dosha'' dominant diseases of all organs present in supraclavicular region including brain.

*''Shirovirechana'' (purification of head and supraclavicular region) is mainly indicated in ''dosha'' dominant diseases of all organs present in supraclavicular region including brain.

=== Vidhi Vimarsha ===

=== ''Vidhi Vimarsha'' ===

==== Chapter authority ====

==== Chapter authority ====

''Asthapana basti'' is considered the best therapy in ''vatika'' disorders. [25] It is given in disorders caused by other ''dosha''. ''Basti'' can be administered in the vitiation of ''vata, pitta, kapha, samsarga'' (vitiation of two ''dosha''), ''sannipata'' (vitiation of all the three ''dosha'') and even in vitiation of ''rakta'' (blood) also.[26]  Application of first ''asthapana basti'' removes or purifies ''vata'', second ''basti'' removes or purifies ''pitta'' and third to ''kapha dosha'' [27] , purification of three ''dosha'' should be understood of either occlusion or association of ''vata'' with other ''dosha''. Different applications of ''asthapana basti'' show that by processing and combination with different medicines, it exerts many effects such as ''samshodhana'', ''samshamana'', ''samgrahana'', ''vajikarana, brimhana, karshana, vayahsthapana'' [28]  etc. Type of ''basti'' depends upon the nature of disease such as ''basti'' given in the condition of ''vata-mala sanga'' will be different in comparison to ''basti'' given in ''shuddhatisara, basti'' applied in the case of ''bala kshaya, mamsa kshaya'' and ''retas kshaya'' will be of different composition in comparison to ''basti'' administered in ''krimikoshhtha''. In ''vatika'' disorders also, only ''asthapana basti'' is not given for longer duration that’s why ''karma basti, kala basti'' and ''yoga basti'' have been discussed by ancient sages for the rational use of the therapy. In all these types, ''asthapana'' and ''anuvasana basti'' are administered in a particular sequence for the better efficacy.

''Asthapana basti'' is considered the best therapy in ''vatika'' disorders. [25] It is given in disorders caused by other ''dosha''. ''Basti'' can be administered in the vitiation of ''vata, pitta, kapha, samsarga'' (vitiation of two ''dosha''), ''sannipata'' (vitiation of all the three ''dosha'') and even in vitiation of ''rakta'' (blood) also.[26]  Application of first ''asthapana basti'' removes or purifies ''vata'', second ''basti'' removes or purifies ''pitta'' and third to ''kapha dosha'' [27] , purification of three ''dosha'' should be understood of either occlusion or association of ''vata'' with other ''dosha''. Different applications of ''asthapana basti'' show that by processing and combination with different medicines, it exerts many effects such as ''samshodhana'', ''samshamana'', ''samgrahana'', ''vajikarana, brimhana, karshana, vayahsthapana'' [28]  etc. Type of ''basti'' depends upon the nature of disease such as ''basti'' given in the condition of ''vata-mala sanga'' will be different in comparison to ''basti'' given in ''shuddhatisara, basti'' applied in the case of ''bala kshaya, mamsa kshaya'' and ''retas kshaya'' will be of different composition in comparison to ''basti'' administered in ''krimikoshhtha''. In ''vatika'' disorders also, only ''asthapana basti'' is not given for longer duration that’s why ''karma basti, kala basti'' and ''yoga basti'' have been discussed by ancient sages for the rational use of the therapy. In all these types, ''asthapana'' and ''anuvasana basti'' are administered in a particular sequence for the better efficacy.

==== Contraindications of anuvasana basti ====

==== Contraindications of ''anuvasana basti'' ====

Anuvāsana basti is not advised in kaphaja-disorders, medo-vṛddhi and ama-dosha. Contraindications given in the text are as per general rule. Exceptional instructions are also found in the text considering the need of therapy in particular stage of disease such as in the patient suffering from piles if patient comes with associated symptoms like udāvarta, excessive dryness of the body, abnormal movement of vāta and pain, then anuvāsana basti is advised. [29] Anuvāsana is contraindicated in the patients suffering from kṛmikoṣhṭha also because initially he should not be treated with this type of basti as it will increase the disease.  In the patient of kṛmikoṣhṭha, initially asthāpana basti followed by vamana and virechana should be applied and when koṣṭha is completely purified, anuvāsana basti with viḍanga-oil can be administered. [30]     

''Anuvasana basti'' is not advised in ''kaphaja'' disorders, ''medo vriddhi'' and ''ama dosha''. Contraindications given in the text are as per general rule. Exceptional instructions are also found in the text considering the need of therapy in particular stage of disease such as in the patient suffering from piles if patient comes with associated symptoms like ''udavarta'', excessive dryness of the body, abnormal movement of ''vata'' and pain, then ''anuvasana basti'' is advised. [29] ''Anuvasana'' is contraindicated in the patients suffering from ''krimikoshtha'' also because initially he should not be treated with this type of ''basti'' as it will increase the disease.  In the patient of ''krimikoshtha'', initially ''asthapana basti'' followed by ''vamana'' and ''virechana'' should be applied and when ''koshtha'' is completely purified, ''anuvasana basti'' with ''vidanga'' oil can be administered. [30]     

                                                                                                            

                                                                                                            

==== Indications of anuvasana basti ====

==== Indications of ''anuvasana basti'' ====

Anuvāsana-basti and asthāpana basti are considered the best therapy in vātika disorders.[ 31] It has been stated that patients suitable for asthāpana basti are suitable for anuvāsana basti  is general instruction, because kṛmikoṣṭhī and patient suffering from heaviness in the body are suitable for asthāpana basti but not for anuvāsana basti. In kṛmikoṣṭhī, first of all asthāpana-basti is administered, then vamana and virechana to purify the koṣṭha. When koṣṭha is purified, then anuvāsana basti is advised as it is discussed in Vimānasthāna. So it should be accepted that instructions given in the text are applicable in most cases, but not in all cases.    [19]

Anuvāsana-basti and asthāpana basti are considered the best therapy in vātika disorders.[ 31] It has been stated that patients suitable for asthāpana basti are suitable for anuvāsana basti  is general instruction, because kṛmikoṣṭhī and patient suffering from heaviness in the body are suitable for asthāpana basti but not for anuvāsana basti. In kṛmikoṣṭhī, first of all asthāpana-basti is administered, then vamana and virechana to purify the koṣṭha. When koṣṭha is purified, then anuvāsana basti is advised as it is discussed in Vimānasthāna. So it should be accepted that instructions given in the text are applicable in most cases, but not in all cases.    [19]