न बृंहणीयान् विदधीत बस्तीन् विशोधनीयेषु गदेषु वैद्यः| कुष्ठप्रमेहादिषु मेदुरेषु नरेषु ये चापि विशोधनीयाः||३६||
[Contra-indications of unctuous enema] In diseases that are indicated for purification, kushtha (obstinate skin diseases), prameha (obstinate urinary diseases), sthaulya (obesity) etc. nourishing type of enema should not be given.
क्षीणक्षतानां न विशोधनीयान्न शोषिणां नो भृशदुर्बलानाम्| न मूर्च्छितानां न विशोधितानां येषां च दोषेषु निबद्धमायुः||३७||
[Contra-indications of decoction type of enema] Evacuating type of enema should not be given to the patients suffering from weakness, severely wounded, emaciation, extreme debility, fainting, to those who have already undergone the process of purification, and to those whose life is dependent upon the holding up of dosha (morbid matter).
शाखागताः कोष्ठगताश्च रोगा मर्मोर्ध्वसर्वावयवाङ्गजाश्च| ये सन्ति तेषां न हि कश्चिदन्यो वायोः परं जन्मनि हेतुरस्ति||३८||
Importance of basti therapy]None other than vata is responsible for all diseases origination in shakha (peripheral tissues), koshtha (visceral organs), marma (vital points of the body), urdhva (upper part of body), sarvavaya (covering entire body) and anga (individual parts of the body).
विण्मूत्रपित्तादिमलाशयानां विक्षेपसङ्घातकरः स यस्मात्| तस्यातिवृद्धस्य शमाय नान्यद्बस्तिं विना भेषजमस्ति किञ्चित्||३९||
Vata is responsible for separation and combination of stool, urine, pitta etc. including other excreta and tissue elements. When it gets highly aggravated there is no remedy other than basti for its alleviation.
Therefore, basti is considered by physicians to be the half of entire therapeutics. Some physicians even consider it as whole of the therapeutics. [Mode of action of basti] The therapy that while moving in umbilical region, lumbar region,