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==== Verse 39 ====

==== Verse 39 ====

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

In the same method, the skilled physician should administer second, third or fourth ''niruha basti'' or till ''samyak nirudha'' and then stop.<ref>Sushruta, Sushruta Samhita, Chikitsa Samhita, 37/6-7, edited by Vaidya Jadavaji Trikamji Acharya, 2nd edition, Chaukhamba Sanskrit Sansthan, Varanasi, 1996</ref> 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.<ref>Dalhana,  Commentator. Sushruta Samhita, Sutrasthana, 38/3-6, edited by Vaidya Jadavaji Trikamji Acharya, 2nd edition, 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''.25

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,  Commentator. Sushruta Samhita, Sutrasthana, 38/7, edited by Vaidya Jadavaji Trikamji Acharya, 2nd edition, Chaukhamba Sanskrit Sansthan, Varanasi, 1996</ref>

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

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>

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

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>

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

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''.29

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>

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.30

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>

''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'' 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'' factors<ref>Charaka, Charaka samhita, Siddhi Sthana, 3/6, edited by Vaidya Jadavaji Trikamji Acharya, 2nd edition, 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