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|title=Bastivyapat Siddhi
 
|title=Bastivyapat Siddhi
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<big>'''[[Siddhi Sthana]] Chapter 7. Management of complications of therapeutic enema'''</big>
 
<big>'''[[Siddhi Sthana]] Chapter 7. Management of complications of therapeutic enema'''</big>
 
{{Infobox
 
{{Infobox
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|data5 = [[Sutra Sthana]], [[Nidana Sthana]], [[Vimana Sthana]],  [[Sharira Sthana]],  [[Indriya Sthana]], [[Chikitsa Sthana]], [[Kalpa Sthana]]
 
|data5 = [[Sutra Sthana]], [[Nidana Sthana]], [[Vimana Sthana]],  [[Sharira Sthana]],  [[Indriya Sthana]], [[Chikitsa Sthana]], [[Kalpa Sthana]]
 
|label6 = Translator and commentator
 
|label6 = Translator and commentator
|data6 = Prasad B.S.,Sajjan S., Giridhar V.
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|data6 = Prasad B.S., Sajjan S., Giridhar V.
 
|label7 = Reviewer  
 
|label7 = Reviewer  
 
|data7  = Panse A.  
 
|data7  = Panse A.  
 
|label8 = Editors
 
|label8 = Editors
|data8  = Thakar A. B., Mangalasseri P., Deole Y.S., Basisht G.
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|data8  = Thakar A. B., Mangalasseri P., [[Yogesh Deole|Deole Y.S.]], [[Gopal Basisht|Basisht G.]]
 
|label9 = Year of publication  
 
|label9 = Year of publication  
 
|data9 =  2020
 
|data9 =  2020
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<big>''' Abstract </big>'''
 
<big>''' Abstract </big>'''
<div style="text-align:justify;">
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<p style='text-align:justify;'>[[Bastivyapat Siddhi]] talks about various complications that may arise while administering ''niruha [[basti]]''. Complications of ''[[basti]]'' may arise either due to improper composition of ''[[basti]]'', faulty administration or specific clinical situation. There are twelve complications enlisted under ''niruha [[basti]]''. The twelve complications are: ''ayoga'' (insufficient or no effect), ''atiyoga'' (excess effect), ''klama'' (fatigue without exertion), ''adhmana'' (abdominal distension), ''hikka'' (hiccups), ''hritprapti'' (reaching the pericordium), ''urdhvata'' (''basti'' reaching oesophagus), ''pravahika'' (dysentery), ''shiroarti'' (headache), ''angarti'' (bodyache), ''parikartika'' (fissure-in-ano) and ''parisrava''  (discharge through anus). In this seventh chapter etiology, clinical features and management of these twelve ''vyapats'' (complications) are described in detail. </p>
[[Bastivyapat Siddhi]] talks about various complications that may arise while administering ''niruha [[basti]]''. Complications of ''[[basti]]'' may arise either due to improper composition of ''[[basti]]'', faulty administration or specific clinical situation. There are twelve complications enlisted under ''niruha [[basti]]''. The twelve complications are: ''ayoga'' (insufficient or no effect), ''atiyoga'' (excess effect), ''klama'' (fatigue without exertion), ''adhmana'' (abdominal distension), ''hikka'' (hiccups), ''hritprapti'' (reaching the pericordium), ''urdhvata'' (''basti'' reaching oesophagus), ''pravahika'' (dysentery), ''shiroarti'' (headache), ''angarti'' (bodyache), ''parikartika'' (fissure-in-ano) and ''parisrava''  (discharge through anus). In this seventh chapter etiology, clinical features and management of these twelve ''vyapats'' (complications) are described in detail.
      
'''Keywords''': ''Basti vyapat, ayoga, atiyoga, mithyayoga, klama, adhamana, hikka, hritprapti, urdhvata, pravahika, siroarti, angaarti, parikartika, parisrava'', complications of ''basti''.
 
'''Keywords''': ''Basti vyapat, ayoga, atiyoga, mithyayoga, klama, adhamana, hikka, hritprapti, urdhvata, pravahika, siroarti, angaarti, parikartika, parisrava'', complications of ''basti''.
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== Introduction ==
 
== Introduction ==
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==== Poor response due to quality of ''[[basti]] dravya'' ====
 
==== Poor response due to quality of ''[[basti]] dravya'' ====
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''Sheeta [[guna]]'' causes ''[[sthambhana]]. [[Sthambhana]]'' means stationary or movement less. In this context decreased intestinal motility is to be considered. Decreased intestinal motility may result in abdominal distension.
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''Sheeta [[guna]]'' causes ''[[stambhana]]. [[Stambhana]]'' means stationary or movement less. In this context decreased intestinal motility is to be considered. Decreased intestinal motility may result in abdominal distension.
    
*Sufficient quantity of ''lavana'' (salt – rock salt) is required to maintain optimum osmotic pressure so that ionic exchange takes place. If optimum osmolality is not attained the active ingredients which are supposed to be absorbed through osmotic pressure are not absorbed and thus desired efficacy may not be achieved.  
 
*Sufficient quantity of ''lavana'' (salt – rock salt) is required to maintain optimum osmotic pressure so that ionic exchange takes place. If optimum osmolality is not attained the active ingredients which are supposed to be absorbed through osmotic pressure are not absorbed and thus desired efficacy may not be achieved.  
*Sufficient quantity of ''sneha'' (unctuous part - oil/ghee) is also important. Lipids in the form of ''sneha'' facilitate lipid mediated transportation. Insufficient quantity of ''sneha'' minimizes the lipid mediated transportation and thus desired efficacy is not achieved. Further salt present in ''[[basti]]'' helps in micelle (smallest particle of lipid) formation of lipids and facilitates absorption of lipids.  
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*Sufficient quantity of ''sneha'' (unctuous part - oil/ghee) is also important. Lipids in the form of ''sneha'' facilitate lipid mediated transportation. Insufficient quantity of ''sneha'' minimizes the lipid mediated transportation and thus desired efficacy is not achieved. Further salt present in ''[[basti]]'' helps in micelle (smallest particle of lipid) formation of lipids and facilitates absorption of lipids.
    
==== Poor response due to patient condition ====
 
==== Poor response due to patient condition ====
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#Ibid.,ch.28, Gastrointestinal motility, p.478.
 
#Ibid.,ch.28, Gastrointestinal motility, p.478.
 
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===References===
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