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Snehavyapat Siddhi (view source)

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{{#seo:

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|title=Snehavyapat Siddhi

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|titlemode=append

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|keywords=Impediments of sneha basti (unctuous enema), oleation therapy, abhuktapraneeta (empty stomach administration), annavrita (occluded due to food), kaphavrita ( occluded due to kapha), pittavrita (occluded due to pitta), pureeshavrita (occluded due to feces), snehabastivyapad, vatavrita (occluded due to vata)

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|description=Siddhi Sthana Chapter 4. Management of complications of unctuous enema therapy

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}}

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'''<big>[[Siddhi Sthana]] Chapter 4. Management of complications of unctuous enema therapy</big>'''

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===Sanskrit text, Transliteration and English Translation===

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अथातः स्नेहव्यापत्सिद्धिं व्याख्यास्यामः||१||

इति ह स्माह भगवानात्रेयः||२||

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athātaḥ snēhavyāpatsiddhiṁ vyākhyāsyāmaḥ||1||

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~~athātaḥ snēhavyāpatsiddhiṁ vyākhyāsyāmaḥ||1|~~

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iti ha smāha bhagavānātrēyaḥ||2||

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iti ha smAha bhagavAnAtreyaH||2||

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</div></div>

Now onwards we will describe chapter [[Snehavyapat Siddhi]] (chapter on complications of Unctuous enema and their successful management).

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==== Various formulations ====

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स्नेहबस्तीन्निबोधेमान् वातपित्तकफापहान्|

मिथ्याप्रणिहितानां च व्यापदः सचिकित्सिताः||३||

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snēhabastīnnibōdhēmān vātapittakaphāpahān|

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mithyApraNihitAnAM ca vyApadaH sacikitsitAH||3||

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</div></div>

Unctuous enema formulations for attenuation of ''vata, pitta'' and ''kapha'', possible complications arising from improper administration and their treatments will be discussed. [3]

==== Unctuous enema for ''vata'' disorders ====

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दशमूलं बलां रास्नामश्वगन्धां पुनर्नवाम्|

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अनुवासनमेतद्धि सर्ववातविकारनुत्|

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daśamūlaṁ balāṁ rāsnāmaśvagandhāṁ punarnavām|

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anuvAsanametaddhi sarvavAtavikAranut|

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</div></div>

{| class="wikitable" style="width: 100pt;"|

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The decoction of above mentioned drugs should be prepared using four ''drona'' (approx. 49 liters) of water, boiling till 1 ''drona'' ( approx. 12.2 liters) of liquid remains. To this decoction paste of above mentioned herbs, 1 ''adhaka'' (approx. 3.07 liters) sesame oil and milk should be added. The oil prepared with this method can be used successfully in all ''vata'' disorders in ''anuvasana'' form. [4-7]

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आनूपानां वसा तद्वज्जीवनीयोपसाधिता||७||

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ānūpānāṁ vasā tadvajjīvanīyōpasādhitā||7||

AnUpAnAM vasA tadvajjIvanIyopasAdhitA||7||

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</div></div>

''Anuvasana basti'' prepared from ''vasa'' i.e. muscle fat of animals inhabiting marshy land, boiled with drugs of ''jivaniya gana'' i.e. ''jivaka, rishabhaka, meda, mahameda, kakoli, kshirakakoli, mudgaparni, mashaparni, jivanti, madhuka'' cures ''vata'' disorders. [7]

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शताह्वायवबिल्वाम्लैः सिद्धं तैलं समीरणे|

सैन्धवेनाग्नितप्तेन तप्तं चानिलनुद्धृतम्||८||

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śatāhvāyavabilvāmlaiḥ siddhaṁ tailaṁ samīraṇē|

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saindhavenAgnitaptena taptaM cAnilanuddhRutam||8||

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</div></div>

Oil cooked with ''shatahva, yava, bilva'' and sour liquids is also useful for ''anuvasana'' in ''vata'' disorders. ''Anuvasana'' of warm ghee prepared by immersing hot rock salt relieves diseases caused by ''vata''. [8]

==== Unctuous enema for ''pitta'' disorders ====

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जीवन्तीं मदनं मेदां श्रावणीं मधुकं बलाम्|

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तैलपादं घृतं सिद्धं पित्तघ्नमनुवासनम्||१२||

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jīvantīṁ madanaṁ mēdāṁ śrāvaṇīṁ madhukaṁ balām|

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tailapAdaM ghRutaM siddhaM pittaghnamanuvAsanam||12||

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</div></div>

{| class="wikitable"

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==== Unctuous enema for ''kapha'' disorders ====

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सैन्धवं मदनं कुष्ठं शताह्वां निचुलं वचाम् |

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तैलं कफहरैर्वाऽपि कफघ्नं कल्पयेद्भिषक्||१७||

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saindhavaṁ madanaṁ kuṣṭhaṁ śatāhvāṁ niculaṁ vacām |

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tailaM kaphaharairvA~api kaphaghnaM kalpayedbhiShak||17||

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</div></div>

{| class="wikitable"

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''Anuvasana basti'' prepared with above mentioned ingredients cures ''kaphaja'' disorders, ''bradhna'' (inguinal enlargements), ''udavarta''(reverse movement of ''vata''), ''gulma''(abdominal lumps), ''arsha'' (haemorrhoids), ''pliha'' (spenic disorders), ''meha'' (urinary disorders), ''adhyavata'' (disease due to ''vata'' occluded by excess ''meda''), ''anaha''(distension of abdomen), ''ashmari'' (calculus).[13-17]

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विडङ्गैरण्डरजनीपटोलत्रिफलामृताः|

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प्रयुक्तं प्रणुदत्याशु पानाभ्यङ्गानुवासनैः||२२||

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viḍaṅgairaṇḍarajanīpaṭōlatriphalāmr̥tāḥ|

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prayuktaM praNudatyAshu pAnAbhya~ggAnuvAsanaiH||22||

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</div></div>

{| class="wikitable"

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==== Effects of ''sneha basti'' ====

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व्याधिव्यायामकर्माध्वक्षीणाबलनिरोजसाम्|

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जनयेदप्रजानां च प्रजां स्त्रीणां तथा नृणाम्||२४||

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vyādhivyāyāmakarmādhvakṣīṇābalanirōjasām|

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janayedaprajAnAM ca prajAM strINAM tathA nRuNAm||24||

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</div></div>

''Sneha basti'' gives strength to those who are emaciated due to disease, excessive exercise, labor, excess walking, loss of ''oja'' (vital essence) and semen. It gives great strength to feet, calves, thighs, back, shoulders and lumbar region. It is useful to procreate off springs for sterile men and women. [23-24]

==== Six complications of ''sneha basti'' (unctuous enema) ====

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वातपित्तकफात्यन्नपुरीषैरावृतस्य च|

अभुक्ते च प्रणीतस्य स्नेहबस्तेः षडापदः||२५||

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vātapittakaphātyannapurīṣairāvr̥tasya ca|

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abhukte ca praNItasya snehabasteH ShaDApadaH||25||

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</div></div>

''Sneha Basti'' causes following six complications:

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==== Factors responsible for complication of ''sneha basti'' ====

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शीतोऽल्पो वाऽधिके वाते पित्तेऽत्युष्णः कफे मृदुः|

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अभुक्तेऽनावृतत्वाच्च यात्यूर्ध्वं तस्य लक्षणम्||२७||

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śītō'lpō vā'dhikē vātē pittē'tyuṣṇaḥ kaphē mr̥duḥ|

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abhukte~anAvRutatvAcca yAtyUrdhvaM tasya lakShaNam||27||

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</div></div>

*If ''basti'' preparation is too cold or less than therapeutic dose and given in ''vata'' dominant patient,

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==== Symptoms of impediment by ''vata'' and its management ====

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अङ्गमर्दज्वराध्मानशीतस्तम्भोरुपीडनैः |

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ताभ्यामेव च तैलाभ्यां सायं भुक्तेऽनुवासयेत्||३०||

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aṅgamardajvarādhmānaśītastambhōrupīḍanaiḥ |

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tAbhyAmeva ca tailAbhyAM sAyaM bhukte~anuvAsayet||30||

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</div></div>

Malaise, fever, ''adhmana'' (flatulence), ''sheeta'' (feeling of cold), ''stambha'' (stiffness), ''uru-pidana'' (pain in the thighs) and ''parshva-veshtana'' (cramps in the sides of chest) are symptoms from which a physician should come to know that ''basti'' is occluded due to ''vata''.

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==== Symptoms of impediment by ''pitta'' and its management ====

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दाहरागतृषामोहतमकज्वरदूषणैः|

विद्यात् पित्तावृतं स्वादुतिक्तैस्तं बस्तिभिर्हरेत्||३१||

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dāharāgatr̥ṣāmōhatamakajvaradūṣaṇaiḥ|

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vidyAt pittAvRutaM svAdutiktaistaM bastibhirharet||31||

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</div></div>

Burning sensation, redness, excess thirst, unconsciousness, ''tamaka'' (entering into darkness) and fever are symptoms from which a physician should come to know that ''basti'' is occluded due to ''pitta''. This occlusion can be removed by administration of enema containing sweet and bitter ingredients. [31]

==== Symptoms of impediment by ''kapha'' and its management ====

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तन्द्राशीतज्वरालस्यप्रसेकारुचिगौरवैः|

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फलतैलयुतैः साम्लैर्बस्तिभिस्तं विनिर्हरेत्||३३||

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tandrāśītajvarālasyaprasēkārucigauravaiḥ|

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phalatailayutaiH sAmlairbastibhistaM vinirharet||33||

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</div></div>

Drowsiness, cold, fever, lethargy, salivation, anorexia, heaviness, fainting and depression are symptoms from which a physician should come to know that ''basti'' is occluded due to ''kapha''. This occlusion can be removed by administration of enema prepared from alcohol and cows urine by adding ''madanaphala taila'' along with astringent, pungent, ''tikshna'', hot and sour ingredients. [32-33]

==== Symptoms and treatment of impediment due to excess intake of food ====

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छर्दिमूर्च्छारुचिग्लानिशूलनिद्राङ्गमर्दनैः |

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विरेको मृदुरत्रामविहिता च क्रिया हिता||३५||

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chardimūrcchāruciglāniśūlanidrāṅgamardanaiḥ |

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vireko mRuduratrAmavihitA ca kriyA hitA||35||

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</div></div>

Vomiting, fainting, anorexia, depression, colic pain, excess sleep, malaise, signs of ''ama'' and burning sensation are symptoms from which a physician should come to know that ''basti'' is occluded due to intake of food in excess. This occlusion can be removed by ''pachana'' (therapy to improve digestion) with pungent and saline decoctions or powders, mild purgation and therapies prescribed for correction of ''ama''. [34-35]

==== Symptoms and treatment of impediment by stool ====

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विण्मूत्रानिलसङ्गार्तिगुरुत्वाध्मानहृद्ग्रहैः|

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निर्हरेद्विधिना सम्यगुदावर्तहरेण च||३७||

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viṇmūtrānilasaṅgārtigurutvādhmānahr̥dgrahaiḥ|

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nirharedvidhinA samyagudAvartahareNa ca||37||

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</div></div>

Obstruction to the passage of stool, urine and flatus, pain, heaviness, flatulence and cardiac spasm are symptoms from which a physician should come to know that basti is occluded due to stool. This occlusion can be removed by oleation, fomentation and ''phala-varti'' (medicated suppository) therapies. ''niruha basti'' prepared with ''shyama, bilva'' etc. followed by ''anuvasana'' should be given appropriately. ''udavarta'' (reverse movement of ''vata'') treatment principles should be followed. [36-37]

==== Ailments caused by administration of ''basti'' on empty stomach and their treatments ====

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अभुक्ते शून्यपायौ वा वेगात् स्नेहोऽतिपीडितः|

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छर्दिघ्नीभिः क्रियाभिश्च तस्य कार्यं निवर्तनम्||४०||

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abhuktē śūnyapāyau vā vēgāt snēhō'tipīḍitaḥ|

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chardighnIbhiH kriyAbhishca tasya kAryaM nivartanam||40||

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</div></div>

When ''anuvasana'' is given on empty stomach or on emptied bowel or if the enema fluid is injected with great force then it goes up speedily and comes out from the throat or through the orifices in the upper part of the body.

In this condition oil cooked with cow’s urine, ''shyama-trivrita, yava, kola'' and ''kulattha'' should be used for giving ''niruha'' and ''anuvasana''. If the enema fluid starts coming out of throat, then the patient should be given ''stambhana'' therapies, pressure should be applied over his throat and should be given purgatives and antiemetic therapies. [38-40]

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यस्य नोपद्रवं कुर्यात् स्नेहबस्तिरनिःसृतः|

सर्वेऽल्पो वाऽऽवृतो रौक्ष्यादुपेक्ष्यः स विजानता||४१||

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yasya nōpadravaṁ kuryāt snēhabastiraniḥsr̥taḥ|

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sarve~alpo vA~a~avRuto raukShyAdupekShyaH sa vijAnatA||41||

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</div></div>

If due to impediments ''sneha basti'' is not removed completely or partially, but if no complications are observed then an expert physician can ignore the condition. [41]

==== Diet after ''anuvasana basti'' ====

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युक्तस्नेहं द्रवोष्णं च लघुपथ्योपसेवनम्|

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तस्मादुष्णोदकं देयं वातश्लेष्मोपशान्तये||४५||

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yuktasnēhaṁ dravōṣṇaṁ ca laghupathyōpasēvanam|

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tasmAduShNodakaM deyaM vAtashleShmopashAntaye||45||

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</div></div>

After proper ''anuvasana basti'', patient should be given liquid, hot, light, wholesome food. After intake of this food in appropriate quantity the patient may given ''anuvasana basti'' on every third day.

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==== Frequency of ''anuvasana basti'' ====

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रूक्षनित्यस्तु दीप्ताग्निर्व्यायामी मारुतामयी|

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अतोऽन्येषां त्र्यहात्प्रायः स्नेहं पचति पावकः||४७||

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rūkṣanityastu dīptāgnirvyāyāmī mārutāmayī|

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ato~anyeShAM tryahAtprAyaH snehaM pacati pAvakaH||47||

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</div></div>

Persons who are habituated to take dry food, having strong digestive capacity, those indulged in physical exertion, sufferers of ''vata'' disorders, whose pelvic and hip regions are afflicted with ''vata'' and who are suffering from ''udavarta'' should be given ''anuvasana'' every day. As the water falling on sand gets absorbed immediately, similarly the fat given to these patients gets immediately digested. In case of others the ''agni'' generally digests ''sneha'' in three days. [46-47]

==== Instructions before ''basti'' administration ====

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न त्वामं प्रणयेत् स्नेहं स ह्यभिष्यन्दयेद्गुदम्|

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उभयस्मात् समं गच्छन् वातमग्निं च दूषयेत्||४९||

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na tvāmaṁ praṇayēt snēhaṁ sa hyabhiṣyandayēdgudam|

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ubhayasmAt samaM gacchan vAtamagniM ca dUShayet||49||

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</div></div>

Advice regarding ''basti'' administration:

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==== Importance of alternate administration of ''sneha'' and ''niruha basti'' ====

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स्नेहबस्तिं निरूहं वा नैकमेवातिशीलयेत्|

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स्नेहशोधनयुक्त्यैवं बस्तिकर्म त्रिदोषनुत्||५१||

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snēhabastiṁ nirūhaṁ vā naikamēvātiśīlayēt|

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snehashodhanayuktyaivaM bastikarma tridoShanut||51||

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</div></div>

Either ''niruha'' or ''anuvasana'' should not be given continuously in excess as, continuous ''anuvasana'' causes ''utklesha'' (excitement of ''dosha'') and suppression of digestive power. Continuous excess ''niruha'' causes ''vata'' aggravation. Thus, after ''niruha basti'' the patient should be given ''anuvasana'' and after ''anuvasana basti, niruha'' should be administered. Thus, by giving ''anuvasana'' and ''niruha'' appropriately, ''basti'' therapy cures diseases caused by all the three ''doshas''. [50-51]

==== ''Matra basti'' ====

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कर्मव्यायामभाराध्वया(पा)नस्त्रीकर्षितेषु च|

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स्नेहमात्राविधानं हि बृंहणं वातरोगनुत्||५४||

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karmavyāyāmabhārādhvayā(pā)nastrīkarṣitēṣu ca|

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snehamAtrAvidhAnaM hi bRuMhaNaM vAtaroganut||54||

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</div></div>

''Matra basti'' is always useful for persons emaciated by excess activities, exercise, weight lifting, long way faring, riding vehicles or indulging in sexual intercourse and for person who are weak and afflicted with ''vatika'' disorders. While taking ''matra basti'', the person can take food and do the activities as per his liking and can be administered in any season. The dose of ''matra basti'' is equal to the minimum dose of oleation therapy. ''Matra basti'' promotes strength and can be administered easily. It helps in easy voiding of stool. It causes nourishment and cures diseases caused by aggravated ''vata''. [52-54]

==== Summary ====

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तत्र श्लोकौ-

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स्नेहबस्तिविधिश्चोक्तो मात्राबस्तिविधिस्तथा||५६||

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tatra ślōkau-

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snehabastividhishcokto mAtrAbastividhistathA||56||

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</div></div>

To sum up here-

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