[Symptoms and treatment of impediment by stool] Obstruction to the passage of stool, urine and flatus, pain, heaviness, flatulence and cardiac spasm are symptoms from which a physician should come to know that basti is occluded due to stool. This occlusion can be removed by oleation, fomentation and phala-varti (medicated suppository) therapies.
niruha basti prepared with shyama, bilva etc. followed by anuvasana should be given appropriately. udavarta (reverse movement of vata) treatment principles should be followed.
अभुक्ते शून्यपायौ वा वेगात् स्नेहोऽतिपीडितः| धावत्यूर्ध्वं ततः कण्ठादूर्ध्वेभ्यः खेभ्य एत्यपि||३८||
[Ailments caused by administration of basti on empty stomach and their treatments] When anuvasana is given on empty stomach or on emptied bowel or if the enema fluid is injected with great force then it goes up speedily and comes out from the throat or through the orifices in the upper part of the body.
If the enema fluid starts coming out of throat, then the patient should be given stambhana therapies, pressure should be applied over his throat and should be given purgatives and antiemetic therapies.