देवदारुतिलानां वा कल्कमुष्णाम्बुना पिबेत्| अश्वत्थोदुम्बरप्लक्षकदम्बैर्वा शृतं पयः||६६||
The paste made of devadaru (Cedrus deodara) and tila (sesame) can be taken in hot water. Milk processed with the skin of ashwatha (Ficus bengalensis), udumbara (Ficus glomerata), plaksha (Ficus lacor) and kadamba (Anthocephalus kadamba) can be taken.
कषायमधुरं शीतं पिच्छाबस्तिमथापि वा| यष्टीमधुकसिद्धं वा स्नेहबस्तिं प्रदापयेत्||६७||
Pichchha basti can be done using madhura rasa (drugs with sweet taste) and cooling ingredients and sneha basti with oil processed with yashti madhu (Glycerrhiza glabra) can be done.
[Complication of paristrava (discharge) and its management] In the patients with excessively vitiated doshas, when only a small dose of medicine is given, the dosha get aggravated and discharged out in little quantity frequently.
This result in alpa shopha (swelling), kandu (itching), kushtam (skin diseases), gauravam (heaviness), agni naasham (destruction of digestive power), utklesham (nausea), staimityam ( feeling of body covered with wet cloths), aruchi (ageusia) and pandu (anemia). The entire spectrum is called parisravam.
स्नेहितं वा पुनस्तीक्ष्णं पाययेत् विरेचनम्| शुद्धे चूर्णासवारिष्टान् संस्कृतांश्च प्रदापयेत्||७०||
In this condition, the aggravated dosha must either be alleviated or removed out by emesis. Otherwise after oleation, potent virechana medicine can be given again for purification after which arishta (alcoholic medicated preparations) processed with drugs that enhance agni (digestive power) can be used.