Charaka Siddhisthana Chapter 7 - Basti Vyapat Siddhi

This article explains the 7th chapter of siddhisthana of Charaka samhita called 'Basti vyapat Siddhi Adhyaya'. In this chapter, complications of basti and their treatment, importance of Basti etc. have been explained.

Prologue
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athato bastivyapatsiddhim vyakhyasyamah||1||
iti ha smaha bhagavanatreyah||2||
Now we shall explore chapter on "Basti vyapat siddhi". Thus said Lord Atreya [1-2]

Topics discussed
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dhidhairyaudaryagambhiryaksamadamataponidhim| punarvasum sisyaganah papraccha vinayanvitah||3||
kah kati vyapado basteh kimsamutthanalaksanah| ka cikitsa iti prasnanchrutva tanabravidguruh||4||
Punarvasu, the veritable storehouse of wisdom, fortitude, large heartedness, profundity, forgiveness, self control and penance was asked with humility by the group of disciples about the following topics:
Which complications arise out of basti administration ?
What is the number of these complications?
What are their causes?
What are their signs and symptoms? and
What is the treatment of these complications?
Having heard these questions, the teacher said as follows [to be discussed in the subsequent verses]. [3-4]
Read: Basti Chikitsa: Benefits, Routes, Types, Indications, Equipment

Table of Contents

• Causes for Ayoga
• Effects for Ayoga
• Treatment for Ayoga

Complications of Improper Basti administration

Complications, Their Number and Etiology in General
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natiyogau klamadhmane hikka hrtpraptirurdhvata| pravahika sirongartih parikartah parisravah||5||
dvadasa vyapado basterasamyagyogasambhavah| asamekaikaso rupam cikitsam ca nibodhata||6||
Twelve complications arising out of the improper administration (Asamyak Yoga) of Basti or enema are as follows:
Ayoga (under action or absence of any action),
Atiyoga (overaction),
Klama (mental fatigue),
Adhmana (flatulence),
Hikka (hiccup),
Hrt Prapti (cardiac disorders),
Urdhvata (excessive upward movement),
Pravahika (gripping pain),
Siro arti (headache),
Anga arti (body ache),
Parikartika (sawing pain) and
Parisrava (excessive discharge)

Signs (including aetiology) and treatment of each one of them will be described thereafter which you may hear (addressed to Agnivesha) [5-6]

Ayoga

Etiology, signs and Treatment of Ayoga:
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gurukosthe'nilapraye rukse vatolbane'pi va| sito'lpalavanasnehadravamatro ghano'pi va||7||
bastih sanksobhya tam dosam durbalatvadanirharan| karoti gurukosthatvam vatamutrasakrdgraham||8||
nabhibastirujam daham hrllepam svayathum gude| kandugandani vaivarnyamarucim vahnimardavam||9||
tatrosnayah pramathyayah panam svedah prthagvidhah| phalavartyo'thava kalam jnatva sastam virecanam||10||
bilvamulatrivrddaruyavakolakulatthavan| suradimutravan bastih saprakpesyastamanayet||11||

Causes for Ayoga

The enema, while exciting the morbid matter does not help in their elimination because of its weak actions as a result of the following:
o Guru Koshta - If the patient is of costive bowel;
o Anila Praya - If the colon of the patient is dominated by vata
o Rooksha - If the body of the patient is un-unctuous, dry
o Vata Ulbana - If there is aggravation of vata in the body
o Sheeta - If the enema recipe is cold
o Alpa Lavana, Sneha Drava - If the recipe of enema contains less of salt, unctuous material and liquid
o Ghana - If the enema recipe is dense
o If the enema recipe is of small dose.

Effects for Ayoga

As a result of these factors, the patient suffers from the following;
o Guru Koshta - Heaviness in the gastro-intestinal tract
o Vata, Mutra, Shakrut Graha - Retention of flatus, urine and stool
o Nabhi, Basti Ruja, Pain in the umbilical region and urinary bladder
o Daha - Burning sensation
o Hrut Lepa (Hrullepa) - A feeling as if the heart is adhered with/enveloped by sticky material)
o Guda Shvayathu - Oedema in the rectum
o Kandu, Ganda - Itching and abscesses
o Vaivarnya - Discoloration of the skin
o Aruchi - Anorexia and
o Vahni Mandya - Decreased digestion strength

Treatment for Ayoga

The above-mentioned ailments can be treated with the following therapies and measures:
o Intake of hot Pramathya (warm digestive decoctions which are described in the treatment of Atisara - vide Charaka Chikitsa 19:20-21)
o Administration of different types of fomentation therapy
o Administration of Phala-Varti (medicated suppository)
o Administration of purgation therapy in appropriate time and
o Administration of enema recipe prepared of the root of Bilva, Trivrt, Devadaru, Yava, Kola, Kulattha, Sura etc., (Sauviraka, Tusodaka, etc.) and cow's urine by adding the paste of drugs described earlier, (viz, Bala etc., described in Siddhi 3:13) [7-11]
Read: Niruha Basti (Kashaya Basti) Panchakarma Method, Uses, Side Effects

Ati Yoga

Etiology, signs and Treatment of AtiYoga
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snigdhasvinne'titiksnosno mrdukosthe'tiyujyate|tasya lingam cikitsa ca sodhanabhyam sama bhavet||12||
prsniparnim sthiram padmam kasmaryam madhukam balam| pistva draksam madhukam ca ksire tanduladhavane||13||
draksayah pakvalostasya prasade madhukasya ca| viniya saghrtam bastim dadyaddahe'tiyogaje [2] ||14||
Ati-Yoga (over-action) is caused by the administration of excessively sharp and hot recipes as enema to a person who is oleated and fomented, and who has a lax bowel. The signs and treatment are similar to those prescribed for the treatment of atiyoga (over action) of emetic and purgative therapies.
The recipe for Basti is prepared by adding the paste of Prsniparni, Sthira, Padma, Kasmarya, Madhuka, Bala, Draksa and Madhuka to milk, Tandulodaka (rice-water) and sita-Kasaya (cold infusion) of Draksa, baked earth and Madhuka.
This basti when administered with ghee cures Daha (burning sensation) caused by Ati-Yoga (over action) of Niruha. [12-14]

Klama

Etiology, signs and Treatment of Klama
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amasese niruhena mrduna dosa iritah|margam runaddhi vatasya hantyagnim murcchayatyapi||15||
klamam vidaham hrcchulam mohavestanagauravam|kuryat svedairviruksaistam pacanaiscapyupacaret||16||
pippalikattrnosiradarumurvasrtam jalam|pibet sauvarcalonmisram dipanam hrdvisodhanam||17||
vacanagarasatyela dadhimandena murcchitah|peyah prasannaya va syuraristenasavena va||18||
daru trikatukam pathyam palasam citrakam satim|pistva kustham ca mutrena pibet ksaramsca dipanan||19||
bastimasya vidadhyacca samutram dasamulikam|samutramathava vyaktalavanam madhutailikam||20||
If a mild recipe is used for NiruhaBasti, when there is residual Ama (product of improper digestion) in the gastrointestinal tract, then the Doshas (Pitta and Kapha along with Ama) excited by enema obstruct the channel of vata that causes perversion and suppression of the power of digestion, further aggravation of vata, mental fatigue, burning sensation, cardiac pain, stupefaction, cramps and heaviness.

Such a patient is treated by fomentation with un-unctuous (dry) ingredients, and Pachana (carminatives).
The patient should drink water boiled with Pippali, kattrna, Usira, Devadaru and Murva by adding sauvarcala salt which stimulates the power of digestion and cleanses the heart.
The powder of Vacha, Nagara, Shati and Ela is added with whey. This recipe is taken along with Prasanna, Arista or Asava (a type of alcoholic preparations).
The patient should take the paste of Devadaru, Sunthi, Pippali, Marica, Pathya, Palasa, Citraka, Sati and Kustha along with the cow's urine.
He may also take alkali preparations which are digestive stimulants (described in Charaka Chikitsa 15: 168:193)
He is given Basti prepared of Bilva, Shyonaka,Gambhari, Patala, Gani-Karika, Salaparni, Prsniparni, Brhati, Kantakari and Goksura along with cow's urine. [The enema recipe containing this Dashamula is described in siddhi 3:35-36]
Alternatively, he may also take Madhu Tailika Basti (to be described later in Siddhi 12:18:13) added with cow's urine and adequate quantity of salt. [15-20]

Adhmana

Etiology, signs and Treatment of adhmana
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alpaviryo mahadose rukse krurasaye krtah|bastirdosavrto ruddhamargo rundhyat samiranam||21||
sa vimargo'nilah kuryadadhmanam marmapidanam|vidaham gurukosthasya muskavanksanavedanam||22||
runaddhi hrdayam sulairitascetasca dhavati|syamaphaladibhih kusthakrsnalavanasarsapaih||23||
dhumamasavacakinvaksaracurnagudaih krtam|karangusthanibham vartim yavamadhyam nidhapayet ||24||
abhyaktasvinnagatrasya tailaktam snehite gude|athava lavanagaradhumasiddharthakaih krtam||25||
bilvadina niruhah syat pilusarsapamutravan|saralamaradarubhyam siddham caivanuvasanam||26||

If enema of mild potency is given to a person who has excessively aggravated Doshas, whose body is un-unctuous and who has costive bowel, then it gets occluded by Doshas, and gets clogged in the channel thereby causing obstruction to the movement of vata. This vata then moves through a diverted path thereby causing exceedingly painful Adhmana (flatulence), Vidaha (burning sensation), Guru Kosthata (heaviness of the gastro- intestinal tract) and pain in the testicles as well as groins. It causes impediment in the functioning of the heart by causing cardiac pain, and moves about irregularly in different directions.

A varti (medicated suppository) of the size of thumb, and sharp of barley seed is prepared of Shyama, etc. (nine drugs viz Shyama, Trivrt, Chaturangula, Tilvaka, Mahavrksa, Saptala, sankhini, Danti and Dravanti-vide kalpa 1: 6),Phala etc., (six drugs, viz, Phala, Jimutaka, Iksvaku, Dhamargava, Kutaja and Salt, Sarsapa, powder of dhuma (kitchen soot), Masa, Vacha, Kinva (yeast) and Ksara (alkali) and jaggery.

Alternatively, this Varti (suppository) can be prepared by adding salt, kitchen soot and Siddharthaka (to Shyama, etc., and Phala etc. described above).
These suppositories may be smeared with oil and inserted into the lubricated anus of the patient who is precisely given massage and fomentation therapies.
The patient may be given Niruha with a recipe containing bilva etc., (vide verse no. 11) and added with pilu, sarsapa and cow's urine.
Oil cooked with Sarala and Devadaru may be used for giving anuvasana basti or unctuous types of enema to the patient. [21-26]
Read: Anuvasana Basti: Method, Benefits, Mode Of Action, Contra Indications

Hikka

Etiology, signs and Treatment of Hikka
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mrdukosthe'bale bastiratitiksno'tinirharan|kuryaddhikkam, hitam tasmai hikkaghnam brmhanam ca yat||27||
balasthiradikasmaryatriphalagudasaindhavaih|saprasannaranalamlaistailam paktva'nuvasayet||28||
krsnalavanayoraksam pibedusnambuna yutam |dhumaleharasaksirasvedascannam ca vatanut||29||

If a very strong recipe of Basti is administered to a person having laxed bowel and weakness, then it causes elimination of morbid matter in excess quantity as a result of which the patient suffers from Hikka (hiccup).
For this is given Anuvasana Basti or unctuous types of medicated enema with oil cooked by adding Bala, Sthira etc., Kasmarya, Haritaki, Bibhitaka, Amalaki, Guda, Saindhava, Prasanna and sour Aranala.
The patient may take one Aksha (12 g) of powder of Krishna (pippali) and rock-salt along with hot water.
He is given vata-alleviating dhuma (smoking therapy), linctus, meat-soup, medicated milk, fomentation therapy and suitable food. [27-29]

Hrit prapti

Aetiology, signs and treatment of Hrt-Prapti
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atitiksnah savato va na va samyak prapiditah| ghattayeddhrdayam bastistatra kasakusetkataih||30||
syat samlalavanaskandhakarirabadariphalaih| srtairbastirhitah siddham vataghnaiscanuvasanam||31||

If the enema recipe is of exceedingly strong nature, if the enema fluid is injected along with air, or if appropriate pressure is not applied over the receptacle of enema-fluid during administration, then this afflicts the heart.
In this case the decoction of Kasa, Kusa, Itkata, drugs belonging to Amla (sour) and Lavana (saline) Skanadha (group) Karira and fruit of Badari is used for enema (Niruha). The patient may also be given Anuvasana or an unctuous type of enema prepared with vata-alleviating drugs (like Dashamula). [30-31]

Urdhwa gamana

Aetiology, signs and treatment of urdhva-Gamana (Upward movement)
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vatamutrapurisanam datte vegannigrhnatah|ati va pidito bastirmukhenayati vegavan||32||
murcchavikaram tasyadau drstva sitambuna mukham| sincet parsvodaram cadhah pramrjyadvijayecca tam||33||
kesesvalambya cakase dhunuyattrasayecca tam| gokharasvagajaih simhai rajapresyaistathoragaih||34||
ulkabhirevamanyaisca bhitasyadhah pravartate| vastrapanigrahaih kantham rundhyanna mriyate yatha||35||
pranodananirodhaddhi prasiddhataramargavan | apanah pavano bastim tamasvevapakarsati||36||
tatah kramukakalkaksam payayetamlasamyutam| ausnyattaiksyat saratvacca bastim so'syanulomayet||37||
pakvasayasthite svinne niruho dasamulikah| yavakolakulatthaisca vidheyo mutrasadhitah||38||
bilvadipancamulena siddho bastirurahsthite| sirahsthe navanam dhumah pracchadyam sarsapaih sirah||39||

If after the administration of enema the patient suppresses the natural urges for voiding flatus, urine and stool, and if excessive pressure is applied over the Basti Putaka during the administration of this therapy, then because of forceful flow the enema fluid comes out through the oral cavity.

If on account of this there is fainting, the following remedial measures are undertaken:
o In the beginning the face of the patient is sprinkled with cold water.
o His sides of the chest and abdomen are squeezed downwards;
o He is fanned;
o He is pulled up to the mid-air by holding his hair, and shaken;
o He is frightened by means of infuriated bull, ass, horse, elephant, lion, and executions of the king, serpents, fire-works and such other fearful objects. Being terrified in this manner, the enema fluid will start flowing downwards.
o The throat of the patient is squeezed with the help of a piece of cloth or by hand, taking care not to asphyxiate the patient, which may otherwise lead to his death. By the obstruction to the path of prana and udana caused in the above said manner, the Apana vata becomes predominant in the passage, and instantaneously draws the fluid downwards to the normal course.
o Thereafter, one Aksa (12 g) of the paste of Kramuka (Puga phala) added with sour juice is given to the patient to drink, because of hot, sharp and mobile attributes, the recipe helps in the downward movement of the enema-fluid.
o If the enema fluid is located in the Pakvasaya (colon), then the patient is given fomentation therapy and thereafter, Niruha type of enema is given with a recipe containing Dashamula, Yava, Kola and Kulattha cooked by adding cow's urine;
o If the enema- fluid is located in the chest region, then Niruha Basti prepared by cooking Panacamula (Bilva, Shyonaka, Gambhari, patala and ganikarika) is administered and
o If the enema fluid gets located in the head (upper part of the body) then the patient is given Navana (inhalation therapy) and Dhuma (smoking therapy) after anointing his head with the mustard paste. [32-39]

Pravahika

Etiology, signs and Treatment of Pravahika (gripping Pain)
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snigdhasvinne mahadose bastirmrdvalpabhesajah|utklisyalpam hareddosam janayecca pravahikam||40||
sa bastipayusophena janghorusadanena va|niruddhamaruto janturabhiksnam sampravahate||41||
svedabhyanganniruhamsca sodhaniyanulomikan| vidadhyallanghayitva tu vrttim kuryadviriktavat||42||

If a mild recipe of enema is administered in a small dose to patient who is oleated and fomented, and whose body is afflicted with excessively aggravated Doshas, then after excitation this enema eliminates morbid material (Doshas) only in small quantity thereby causing Pravahika (dysentery).
The patient having obstructed vata passes stool frequently because of the inflation of the bladder (basti) and anus, and asthenia of calf region as well as thighs.
In such cases, after fasting, the patient is given fomentation, massage and Niruha type of enema with recipes containing drugs which are Shodaniya or purificatory (like Trivrt etc.), and Anulomaniya or inducing downward movement of vata (like milk, sugarcane juice) in nature. He should resort to regimens as prescribed for a person who has undergone purgation therapy. [40-42]

Shiro arti

Aetiology, signs and treatment of shirorti (headache)
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durbale krurakosthe ca tivradose tanurmrduh| sito'lpascavrto dosairbastistadvihato'nilah||43||
margairgatrani sandhavannurdhvam murdhni vihanyate| grivam manye ca grhnati sirah kantham bhinatti ca||44||
badhiryam karnanadam ca pinasam netravibhramam| kuryadabhyanjanam tailalavanena yathavidhi||45||
yunjyat pradhamanairnasyairdhumairasya virecayet| tiksnanulomikenatha snigdham bhukte'nuvasayet [6] ||46||

If the enema recipe which is thin, mild and cooling in nature is administered in a small dose to a patient who is weak, who has costive bowel and who is afflicted with exceedingly aggravated Doshas, then the enema fluid gets occluded by doshas. The vata, thus pressed, moves fast through the channels to different parts of the body, causes stiffness of the neck and temples and gets stuck up in the head and throat, causing deafness, tinnitus, coryza and agitation of the eyes.

The patient is given following therapies:
o Massage with oil mixed with salt in appropriate manner
o Elimination of Doshas by Pradhamana nasya (inhalation therapy given by blowing drugs into the nostrils) and vairechanika dhuma (dosha purging smoking therapy)
o Enema prepared with drugs which are Tikshna (sharp) and Anulomika (causing downward movement of vata) is given after food to the patient who has been oleated [43-46]
Read: Mode Of Action Of Basti Panchakarma Treatment

Anga arti

Aetiology, signs and treatment of Angarti (Pain in Limbs)
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snehasvedairanapadya gurustiksno'timatraya| yasya bastih prayujyeta so'timatram pravartayet||47||
srutesu tasya dosesu nirudhasyatimatrasah| stabdhodavrtakosthasya vayuh sampratihanyate||48||
vilomanasamudbhuto rujatyangani dehinah| gatravestananistodabhedasphuranajrmbhanaih ||49||
tam tailalavanabhyaktam secayedusnavarina| erandapatraniskvathaih prastaraiscopapadayet||50||
yavan kulatthan kolani pancamule tathobhaye| jaladhakadvaye paktva padasesena tena ca||51||
kuryat sabilvatailosnalavanena niruhanam| tam nirudham samasvastam dronyam samavagahayet||52||
tato bhuktavatastasya karayedanuvasanam| yastimadhukatailena bilvatailena va bhisak ||53||

If without oleation and fermentation therapies, the patient is given enema, ingredients of which are Guru (heavy) and Tikshna (sharp) in large doses, and then there will be excessive elimination.
When the Dosha is eliminated in excessive quantity by Niruha Basti, then because of stiffness and occlusion in the gastro-intestinal tract vata gets impeded. By its upward movement, it causes pain in the limbs of a person in the form of cramps, pricking pain, breaking pain, throbbing pain and Jrmbhana (stretc.hing pain).

To this patient, a massage with oil added with salt is given, and his body is sprinkled with warm water. He is given fomentation with the decoction of the leaves of Eranda and Prastara type of fomentation (vide Sutra 14: 47: 48)
Yava, Kulattha, Kola and both the type of Panacamula (Dashamoola), is added with two adhakas (512 tolas) of water, and boiled till one fourth of the liquid remains. To this decoction, warm Bilva Taila and salt is added. This recipe may be used for NiruhaBasti. Thereafter, the patient is comforted and given a tub bath.
After he has taken food, the physician should be given anuvasana or unctuous types of enema with Yastimadhu Taila or Bilva Taila. [47-53]

Parikartika

Aetiology, Signs and Treatment of Parikartika (Sawing Pain)
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mrdukosthalpadosasya ruksastiksno'timatravan| bastirdosannirasyasu janayet parikartikam||54||
trikavanksanabastinam todam nabheradho rujam| vibandho'lpalpamutthanambastinirlekhanadbhavet||55||
svadusitausadhaistatra paya iksvadibhih srtam| yastyahvatilakalkabhyam bastih syat ksirabhojinah||56||
sasarjarasayastyahvajinginikardamanjanam| viniya dugdhe bastih syat vyaktamlamrdubhojinah||57||
If enema with dry (un-unctuous) and sharp ingredients is given to a patient who has laxed bowel and who has less of aggravated Doshas, then it immediately eliminates Doshas to cause partikartika (sawing pain), pricking pain in the lumbar region, groins and the region of urinary bladder and pain in the lower abdomen below the umbilical region. Because of the scraping effect of enema, the patient suffers from constipation and frequent voiding of stool in small quantities.
Milk is boiled by adding sweet and cooling ingredients like sugarcane, etc. To this medicated milk, the paste of Yastimadhu and Tila is added. Enema is given with this recipe keeping the patient on a milk diet.
Milk is added with Sarjarasa, Yastimadhu, Jingini, Kardama (mud) and Anjana (solid extract of Daruharidra). This recipe is added with sour juice and used as enema for the patient who is on a soft diet. [54-57]

Parisrava

Aetiology, Signs and Treatment of Parisrava (Anal Exudation)
????????????? ????? ?? ???????? ?? ????????|???????????? ????? ?? ???????? ?????????||??||
? ??????? ??????????? ?????? ????????????|??????? ???????????? ?????? ???????||??||
??????????????????????? ???????????? ??? ?????|??????? ?????? ???? ?????????? ??????????||??||
???????????????? ????? ???????? ?|???????????????? ????????? ? ??????||??||
???? ????? ?????????? ????? ?????????????? ??| ??????????????????? ?????? ????? ?????????||??||
pittaroge'mla usno va tiksno va lavano'thava|bastirlikhati payum tu ksinoti vidahatyapi||58||
sa vidagdhah sravatyasram pittam canekavarnavat|saryate bahuvegenamoham gacchati casakrt||59||
ardrasalmalivrntaistu ksunnairajam payah srtam|sarpisa yojitam sitam bastimasmai pradapayet||60||
vatadipallavesvesa kalpo yavatilesu ca|suvarcalopodikayoh karbudare ca sasyate||61||
gude sekah pradehasca sitah syurmadhurasca ye| raktapittatisaraghni kriya catra prasasyate||62||

If a patient suffering from Paittika diseases is given enema with ingredients which are sour, hot, sharp or saline, then this causes seeping of the anus resulting in ulceration and burning sensation. From this inflamed anus there is exudation of blood and Pitta having variegated colour. Because of forceful exudation the patient faints frequently.
To this patient, cold enema of goat's milk boiled by adding pounded green stalks of Salmali, and added with ghee is given.
This enema may also be prepared with the following recipes:
Leaves of vata, etc.:
Yava and Tila
Sauvarcala (Sunisannaka) and Upodika and
Karbudara (Kancanara)
The anal region of the patient is sprinkled or anointed with drugs which are cooling and sweet. Therapies prescribed for Raktapitta (vide Chikitsa 3) atisara (vide Chikitsa 19) are useful in this condition. [ 58-62]

Drugs for mild and strong enema

??????????? ?????????????????????????????| ??????????? ????????? ??????????????????? ???||??||
tiksnatvam mutrapilvagnilavanaksarasarsapaih| praptakalam vidhatavyam ksiradyairmardavam tatha||63||
When required, the recipe of enema can be made strong by adding ingredients like cow's urine, Pilu (a fruit of Uttarapatha), Agni (Citraka), salt, Alkalies and mustard seed. By adding milk, etc., the enema recipe can be made milder in action when required. [63]

Importance of Basti

????????????????? ?????? ???????? ??????| ??????? ???????????? ?????????? ????????||??||
apadatalamurdhasthan dosan pakvasaye sthitah| viryena bastiradatte khastho'rko bhurasaniva||64||
Basti (medicated enema) lodged in the colon, by its potency, draws [and eliminates] morbid Doshas located in the entire body - extending right from the toes to the head, just like the sun situated in the sky absorbs all the moisture (lit. juice) from the earth. [64]

Elimination of Morbid Matter Excluding Nutrients

?????? ???????????????????????????? ????? ???| ????????????????????????????? ??????????????||??||
yadvat kusumbhasammisrattoyadragam haret patah| tadvaddravikrtaddehanniruho nirharenmalan||65||
Just like a piece of cloth soaked in the water mixed with the powder of Kusumbha (a vegetable dye) sucks up only the colour (the colour pigments), the Niruha (evacuative) type of medicated enema eliminates only the morbid material (faeces, doshas) from the body of a person in whom the morbid material has been liquefied following proper administration of oleation and fomentation therapies. [65]

???? ??????-
??????? ??????? ???????? ?????? ????????????| ???????? ????????????? ???? ??????????????????????????||??||
tatra slokah-
ityeta vyapadah prokta basteh sakrtibhesajah| buddhva kartsnyena tan bastinniyunjannaparadhyati||66||
To sum up: - Thus, the complications of Basti along with their signs and treatment are described. The physician administering Basti (medicated enema) after comprehension of this therapy does not commit any error. [66]

??????????????? ??????? ????????????????????????? ?????????????? ???????????? ??????????????????????? ?????????????||?||
ityagnivesakrte tantre carakapratisamskrte'prapte drdhabalasampurite siddhisthane bastivyapatsiddhirnama saptamo'dhyayah||7||
Thus, ends the seventh chapter of Siddhi- Sthana dealing with "the SuccessfulTreatment of Complications of Basti therapy" in Agnivesha's work as redacted by Charaka, and because of its non availability, supplemented by Drdhabala.

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