न याति बस्तिर्न सुखं निरेति दोषावृतोऽल्पो यदि वाऽल्पवीर्यः| प्राप्ते तु वर्चोनिलमूत्रवेगे वातेऽतिवृद्धेऽल्पबले गुदे वा||५६||
Factors responsible for inappropriate evacuation enema: • If the path is obstructed by dosha • If enema is administered in less amount • If the enema is of low potency Factors responsible for immediate evacuation of enema: • If there is sudden urge for voiding feces, flatus or urine • If there is excessive aggravation of vata
• If there is lack of strength in anal muscles to retain the enema • If the enema contains ingredients which are excessively hot and strong • If the person has laxed bowel. [Reason for failure of basti to cure curable diseases] If the vata gets occluded by meda (fats) and kapha then it gives rise to colic pain, numbness of the body and edema.
स्नेहं तु युञ्जन्नबुधस्तु तस्मै संवर्धयत्येव हि तान् विकारान्| रोगास्तथाऽन्येऽप्यवितर्क्यमाणाः परस्परेणावगृहीतमार्गाः||५८||
When an ignorant physician administers sneha then they actually get aggravated. Similarly, other dosha overlap each other in their pathway and get afflicted with tissue elements of different nature.
If not differentially diagnosed, these ailments do not get alleviated even though specific remedies are administered. When correct treatment is given but in low or excess doses,
in inappropriate time or in wrong manner then it fails to cure diseases. [Summary] To sum up, Lord Atreya the foremost among the sages described the successful administration of Panchakarma for the well being of the people in the form of answer to the twelve queries.