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Some other considered fourth ''basti'' is advocated for ''rakta''. Some other considered that the fourth ''basti'' with ''madhura'' and ''sheeta dravya'' for ''daha nirvapana''.<ref>Dalhana,Sushruta. Chikitsa Sthana, Cha.38 Niruhakrama Chikitsitam Adhyaya verse 7. In: Jadavaji Trikamji Aacharya, Editors. Sushruta Samhita. 2nd ed. Varanasi:Chaukhamba Sanskrit Sansthan, Varanasi, 1996</ref>

Some other considered fourth ''basti'' is advocated for ''rakta''. Some other considered that the fourth ''basti'' with ''madhura'' and ''sheeta dravya'' for ''daha nirvapana''.<ref>Dalhana,Sushruta. Chikitsa Sthana, Cha.38 Niruhakrama Chikitsitam Adhyaya verse 7. In: Jadavaji Trikamji Aacharya, Editors. Sushruta Samhita. 2nd ed. Varanasi:Chaukhamba Sanskrit Sansthan, Varanasi, 1996</ref>

Some others opine that the ''utkleshana, shodhana'' and ''shamana basti'' should be formulated sequentially.<ref>Vagbhata, Ashtanga Hridaya, Sutrasthana, 19/61, Choukhambha Sanskrit Sansthan,  Varanasi, 2002</ref>

Some others opine that the ''utkleshana, shodhana'' and ''shamana basti'' should be formulated sequentially.<ref>Vagbhata. Sutra Sthana, Cha.19 Bastividhi Adhyaya. Verse 61 In: Harishastri Paradkar Vaidya, Editors. Ashtanga Hridayam. 1st ed. Varanasi: Krishnadas Academy;2000. p.1-23.</ref>

In case of ''sannipata dosha'' also three ''basti'' are enough as mentioned in order of ''dosha'' above. Hence, some other physicians do not desire a fourth ''basti'' as there is no fourth ''dosha'' for which ''basti'' is to be given.<ref>Vagbhata, Ashtanga Hridaya, Sutrasthana, 19/56, Choukhambha Sanskrit Sansthan,  Varanasi, 2002</ref>

In case of ''sannipata dosha'' also three ''basti'' are enough as mentioned in order of ''dosha'' above. Hence, some other physicians do not desire a fourth ''basti'' as there is no fourth ''dosha'' for which ''basti'' is to be given.<ref>Vagbhata. Sutra Sthana, Cha.19 Bastividhi Adhyaya. Verse 56 In: Harishastri Paradkar Vaidya, Editors. Ashtanga Hridayam. 1st ed. Varanasi: Krishnadas Academy;2000. p.1-23.</ref>

The physicians regard that there is no more than three ''basti'' should be given because there is no fourth ''dosha'' to give ''basti''.<ref>Vagbhata, Ashtanga Hridaya, Sutrasthana, 19/60, Choukhambha Sanskrit Sansthan,  Varanasi, 2002</ref>

The physicians regard that there is no more than three ''basti'' should be given because there is no fourth ''dosha'' to give ''basti''.<ref>Vagbhata, Ashtanga Hridaya, Sutrasthana, 19/60, Choukhambha Sanskrit Sansthan,  Varanasi, 2002</ref>

Vagbhata another context in the same chapter told that after self returning (''svayam nivritti'') second, third or fourth ''basti'' should be given or till ''samyak nirudha lakshana''.<ref>Vagbhata, Ashtanga Hridaya, Sutrasthana, 19/49-50, Choukhambha Sanskrit Sansthan,  Varanasi, 2002</ref>

Vagbhata another context in the same chapter told that after self returning (''svayam nivritti'') second, third or fourth ''basti'' should be given or till ''samyak nirudha lakshana''.<ref>Vagbhata. Sutra Sthana, Cha.19 Bastividhi Adhyaya. Verse 49-50 In: Harishastri Paradkar Vaidya, Editors. Ashtanga Hridayam. 1st ed. Varanasi: Krishnadas Academy;2000. p.1-23.</ref>

Arunadatta commenting on above verse, told that ''svayameva'' means, without stimulation by ''phalavarti'' etc. If by stimulus i.e. ''phalavarti, tīkshņa virechana'' etc. are used, then subsequent ''basti'' should not be given. Fourth, fifth ''basti'' etc. can be given till ''samyak nirudha lakshana'' are observed.<ref>Arunadatta, Commentator. Ashtanga Hridaya, Sutrasthana, 19/49-50, Choukhambha Sanskrit Sansthan,  Varanasi, 2002</ref>

Arunadatta commenting on above verse, told that ''svayameva'' means, without stimulation by ''phalavarti'' etc. If by stimulus i.e. ''phalavarti, tīkshņa virechana'' etc. are used, then subsequent ''basti'' should not be given. Fourth, fifth ''basti'' etc. can be given till ''samyak nirudha lakshana'' are observed.<ref>Arunadatta, Vagbhata. Sutra Sthana, Cha.19 Bastividhi Adhyaya verse 3. In: Harishastri Paradkar Vaidya, Editors. Ashtanga Hridayam. 1st ed. Varanasi: Krishnadas Academy;2000.p.4.</ref>

''Vaidya'' Kasture referring to the Sushruta’s view told that, one should not administer more than four ''basti'' in a day; otherwise it causes ''pakvashaya kshobha'' (irritation of colon).   

''Vaidya'' Kasture referring to the Sushruta’s view told that, one should not administer more than four ''basti'' in a day; otherwise it causes ''pakvashaya kshobha'' (irritation of colon).   

   

   

So the above discussion may be concluded that the second, third or fourth ''basti'' can be given after assessing the ''doshadi'' factors<ref>Charak, Charak samhita, Siddhi Sthana, 3/6, edited by Vaidya Jadavaji Trikamji Acharya, 2nd edition, Chaukhamba Sanskrit Sansthan, Varanasi, 1990</ref> in following conditions-

So the above discussion may be concluded that the second, third or fourth ''basti'' can be given after assessing the ''doshadi'' factors<ref>Charak. Siddhi Sthana, Cha.3 Bastsutriyam Siddhi Adhyaya verse 06. In: Jadavaji Trikamji Aacharya, Editor. Charak Samhita.2nd ed. Varanasi:Chaukhamba Sanskrit Sansthan, Varanasi, 1990</ref> in following conditions-

*After the self returning of first ''basti'' without any stimulation.

*After the self returning of first ''basti'' without any stimulation.

*If ''sunirudha lakshana'' are not observed  

*If ''sunirudha lakshana'' are not observed