Changes

*Sour medicated ghee like ''changeri ghrita'' or ''shatpala ghrita'' (C.S. Chi. 5: 147-148 or (ten years) old ghee mixed with ''yavagu'' (thick gruel) and ''manda'' (thin gruel) should be given [113-116].

*Sour medicated ghee like ''changeri ghrita'' or ''shatpala ghrita'' (C.S. Chi. 5: 147-148 or (ten years) old ghee mixed with ''yavagu'' (thick gruel) and ''manda'' (thin gruel) should be given [113-116].

==== Picchā-basti and anuvāsana-basti ====

==== ''Piccha-basti'' and ''anuvasana-basti'' ====

वातश्लेष्मविबन्धेवाकफेवाऽतिस्रवत्यपि |  

वातश्लेष्मविबन्धेवाकफेवाऽतिस्रवत्यपि |  

शूलेप्रवाहिकायांवापिच्छाबस्तिंप्रयोजयेत् ||११७||  

शूलेप्रवाहिकायांवापिच्छाबस्तिंप्रयोजयेत् ||११७||  

पिप्पलीबिल्वकुष्ठानांशताह्वावचयोरपि |  

पिप्पलीबिल्वकुष्ठानांशताह्वावचयोरपि |  

कल्कैःसलवणैर्युक्तंपूर्वोक्तंसन्निधापयेत् ||११८||  

कल्कैःसलवणैर्युक्तंपूर्वोक्तंसन्निधापयेत् ||११८||  

प्रत्यागतेसुखंस्नातंकृताहारंदिनात्यये |  

प्रत्यागतेसुखंस्नातंकृताहारंदिनात्यये |  

बिल्वतैलेनमतिमान्सुखोष्णेनानुवासयेत् ||११९||  

बिल्वतैलेनमतिमान्सुखोष्णेनानुवासयेत् ||११९||  

वचान्तैरथवाकल्कैस्तैलंपक्त्वाऽनुवासयेत् |  

वचान्तैरथवाकल्कैस्तैलंपक्त्वाऽनुवासयेत् |  

बहुशःकफवातार्तस्तथासलभतेसुखम् ||१२०||

बहुशःकफवातार्तस्तथासलभतेसुखम् ||१२०||

vātaślēṣmavibandhē vā kaphē vā'tisravatyapi|  

vātaślēṣmavibandhē vā kaphē vā'tisravatyapi|  

śūlē pravāhikāyāṁ vā picchābastiṁ prayōjayēt||117||  

śūlē pravāhikāyāṁ vā picchābastiṁ prayōjayēt||117||  

pippalībilvakuṣṭhānāṁ śatāhvāvacayōrapi|  

pippalībilvakuṣṭhānāṁ śatāhvāvacayōrapi|  

kalkaiḥ salavaṇairyuktaṁ pūrvōktaṁ sannidhāpayēt||118||  

kalkaiḥ salavaṇairyuktaṁ pūrvōktaṁ sannidhāpayēt||118||  

pratyāgatē sukhaṁ snātaṁ kr̥tāhāraṁ dinātyayē|  

pratyāgatē sukhaṁ snātaṁ kr̥tāhāraṁ dinātyayē|  

bilvatailēna matimānsukhōṣṇēnānuvāsayēt||119||  

bilvatailēna matimānsukhōṣṇēnānuvāsayēt||119||  

vacāntairathavā kalkaistailaṁ paktvā'nuvāsayēt|  

vacāntairathavā kalkaistailaṁ paktvā'nuvāsayēt|  

bahuśaḥ kaphavātārtastathā sa labhatē sukham||120||

bahuśaḥ kaphavātārtastathā sa labhatē sukham||120||

vAtashleShmavibandhe vA kaphe vA~atisravatyapi|  

vAtashleShmavibandhe vA kaphe vA~atisravatyapi|  

shUle pravAhikAyAM vA picchAbastiM prayojayet||117||  

shUle pravAhikAyAM vA picchAbastiM prayojayet||117||  

pippalIbilvakuShThAnAM shatAhvAvacayorapi|  

pippalIbilvakuShThAnAM shatAhvAvacayorapi|  

kalkaiH salavaNairyuktaM pUrvoktaM sannidhApayet||118||  

kalkaiH salavaNairyuktaM pUrvoktaM sannidhApayet||118||  

pratyAgate sukhaM snAtaM kRutAhAraM dinAtyaye|  

pratyAgate sukhaM snAtaM kRutAhAraM dinAtyaye|  

bilvatailena matimAnsukhoShNenAnuvAsayet||119||  

bilvatailena matimAnsukhoShNenAnuvAsayet||119||  

vacAntairathavA kalkaistailaM paktvA~anuvAsayet|  

vacAntairathavA kalkaistailaM paktvA~anuvAsayet|  

bahushaH kaphavAtArtastathA sa labhate sukham||120||   

bahushaH kaphavAtArtastathA sa labhate sukham||120||  

For the cure of kaphaja and vataja-predominant atisara, the following therapy and recipes should be administered:

   

• If vata and kapha are obstructed in the mahāsrotas, if there is excessive evacuation of kapha (mucus) and if there is colic pain as well as dysentery, then picchā-basti (mucilaginous enema) should be administered.  

For the cure of ''kaphaja'' and ''vataja''-predominant ''atisara'', the following therapy and recipes should be administered:

• Picchā-basti should be prepared of the paste of pippali, bilva, kustha, shatahvā and vachā by adding salt.

*If ''vata'' and ''kapha'' are obstructed in the ''mahasrotas'', if there is excessive evacuation of ''kapha'' (mucus) and if there is colic pain as well as dysentery, then ''piccha-basti'' (mucilaginous enema) should be administered.  

• Patient feels comfortable after the ingredients of piccha-basti come out of the rectum and then patient should be advised to take bath followed by intake of food. Anuvāsana basti with lukewarm oil of bilva (C.S.Si 4: 4-7) should be given in the afternoon.The anuvāsana basti can also be given frequently with the oil cooked with the paste of pippali, bilva, kushtha, shatahvā and vachā [117-120].

*''Piccha-basti'' should be prepared of the paste of ''pippali, bilva, kustha, shatahva'' and ''vacha'' by adding salt.

*Patient feels comfortable after the ingredients of ''pichcha-basti'' come out of the rectum and then patient should be advised to take bath followed by intake of food. ''Anuvasana basti'' with lukewarm oil of ''bilva'' (C.S.Si 4: 4-7) should be given in the afternoon.The ''anuvasana basti'' can also be given frequently with the oil cooked with the paste of ''pippali, bilva, kushtha, shatahva'' and ''vacha'' [117-120].

==== Need for immediate control of vata ====

==== Need for immediate control of vata ====