It also provides relief in constipation due to kapha and vata, kushtha (chronic skin disorders), spleen disorders and udara-roga (generalized enlargement of abdomen) and especially useful in vaginal pain. Thus mishraka sneha is described
[Virechana in kapha gulma] Nilini-ghrita already described as laxative for the cure of vata gulma should be used in double the dose for virechana in the patient of kapha gulma.