तिर्यग्वल्यावृतद्वारे बद्धे वाऽपि न गच्छति| नेत्रे तदृजु निष्कृष्य संशोध्य च प्रवेशयेत्||१२||
[Tiryak dosha (improper direction of insertion)] This occurs due to: 1. insertion of netra in improper direction where, the aperture gets obstructed by gudavali and 2. some material like thread knot occluding the aperture from inside. Here, the netra should be withdrawn, either re-inserted in proper direction or obstruction removed and re-inserted.
[Ullupta and kampita dosha (improper squeezing of basti putaka and trembling while administration )] If the squeezing of basti is interrupted in between (and re-done), that will cause obstruction to vata dosha and in turn vitiates it resulting in pain in chest and head along with weakness of thighs. Management should be done by administering basti comprising of dashamoola, shyama and gomutra.
Seka (pouring) and basti has to be dome with medicines having astringent and sweet taste and in cold state. [Ati dosha (excessive deep insertion)] Extensive deep insertion of netra into guda inflicts injury to gudavali and results in pain,