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== practical application ==
== practical application ==
The practical applied aspect of vaitaranibastiis described as follows:
The practical applied aspect of vaitaranibastiis described as follows:
<div style='text-align:justify;'>
'''A) Pre-requisites for formulation of basti:''' The following points should be in consideration to have good results;-
'''A) Pre-requisites for formulation of basti:''' The following points should be in consideration to have good results;-
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<dd>- Jaggery: It should be use in melted form(semiliquid preparation). Jaggery should be added with 3-4ml hot water, mixed gently & then should be filtered out.It should not be grinned or rigorously stirred in any possible way. </dd>
<dd>- Jaggery: It should be use in melted form(semiliquid preparation). Jaggery should be added with 3-4ml hot water, mixed gently & then should be filtered out.It should not be grinned or rigorously stirred in any possible way. </dd>
<dd>- Cow urine: It should not have any turbidity in appearance or strong pungent smell. Foaming is observed when it is mixed with other contents. It ensures the fresh and qualitative aspect of cow urine. In absence of fresh cow urine, its extract (gomutraarka) is used after diluting it in 1:2 or 1:3 ratio with lukewarm water.</dd>
<dd>- Cow urine: It should not have any turbidity in appearance or strong pungent smell. Foaming is observed when it is mixed with other contents. It ensures the fresh and qualitative aspect of cow urine. In absence of fresh cow urine, its extract (gomutraarka) is used after diluting it in 1:2 or 1:3 ratio with lukewarm water.</dd>
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'''B) Administration of basti to the patient:'''
'''B) Administration of basti to the patient:'''
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<dd>- Vaitaranabasti should be administered at evening or in morning hours of day because during that time of a day pitta predominance is at its lower range or should say tikshnaguna effect is at its lowest peak </dd>
<dd>- Vaitaranabasti should be administered at evening or in morning hours of day because during that time of a day pitta predominance is at its lower range or should say tikshnaguna effect is at its lowest peak </dd>
<dd>- Per rectal examination should be done before administration to check any anorectal disease like pile mass, sentinel tag, inflammation, fissure etc.Vaitaranabastiis contraindicated in such conditions. </dd>
<dd>- Per rectal examination should be done before administration to check any anorectal disease like pile mass, sentinel tag, inflammation, fissure etc.Vaitaranabastiis contraindicated in such conditions. </dd>
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'''C) Clinical indications and contraindications of vaitaranabasti:'''
The classical references of indications include shoola,anaha,amavata.
Following table shows clinical conditions in which vaitaranabasti can be useful as well as contraindications.
{| class="wikitable"
! Classical References
! Current clinical correlations
|-
| Shoola (pain)
| Vatashonita -Kaphaanubandha,<br/>amavastha of Sandhivata.<br/>Rhematoid Arthritis, Osteoarthritis, Gout Arthritis, Ankylosing Spondylitis, Systemic Lupus Erythematous, Avascular Necrosis.
|-
| Anaha (flatulence)
| Vaitaranabastiis contraindicated in flatulence originated due to any space occupying lesion, Ileitis, Colitis, Pancreatitis, Hepatitis, Chronic Liver Disease, High Grade Fever, Crohn’s Disease, Ulcerative Colitis.
|-
| Amavata
| Rheumatoid Arthritis,Osteoarthritis,Gout Arthritis,Ankylosing Spondylitis, Systemic Lupus Erythematous,Intervertebral Disc Prolapse,GreevagataVata,JanugataVata,Katigraha,Katishoola,Frozen Shoulder.
|-
|}
Other contraindications:
* Anal diseases
* Skin diseases
* Blood disorders
* Pitta prakriti
</div>
== References ==
== References ==