Changes

==== Verse 39 ====

==== Verse 39 ====

In the same method, the skilled physician should administer 2nd, 3rd or 4th niruha basti or till samyak niroodha & then stop.23 Ďalhaņa while commenting has justified that, in kroora koshtha if improperly administered or if suniroodha lakshana not observed and dosha to be eliminated are present, in such condition 4thbasti should be used judiciously.24  

In the same method, the skilled physician should administer second, third or fourth ''niruha basti'' or till ''samyak nirudha'' and then stop.23 Dalhaņa while commenting has justified that, in ''krura koshtha'' if improperly administered or if ''sunirudha lakshana'' not observed and ''dosha'' to be eliminated are present, in such condition fourth ''basti'' should be used judiciously.24  

Some others opine that the utkleshana, shodhana and shamana basti should be formulated sequentially.26

Some other considered fourth ''basti'' is advocated for ''rakta''. Some other considered that the fourth ''basti'' with ''madhura'' and ''sheeta dravya'' for ''daha nirvapana''.25

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.27

The physicians regard that there is no more than three basti should be given because there is no 4th dosha to give basti.28

Vāgbhaţa another context in the same chapter told that after self returning (svayam nivritti) 2nd , 3rd or 4th basti should be given or till samyak nirudha  lakshaņa.29

Aruņadatta 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 niroodha lakshaņa are observed.30

Some others opine that the ''utkleshana, shodhana'' and ''shamana basti'' should be formulated sequentially.26

Vaidya Kasture referring to the Suśruta’s view told that, one should not administer more than 4 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 2nd, 3rd or 4th basti can be given after assessing the doshadi factors31 in following conditions-

So the above discussion may be concluded that the second, third or fourth ''basti'' can be given after assessing the ''doshadi'' factors31 in following conditions-

• After the self returning of 1st basti without any stimulation.

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

• If suniroodha lakshana are not observed  

*If ''sunirudha lakshana'' are not observed  

• If the dosha and mala are not eliminated in kroora koshtha patient

*If the ''dosha'' and ''mala'' are not eliminated in ''krura koshtha'' patient

=== References ===

=== References ===