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Charak Samhita

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वातसङ्गगुदस्तम्भशूलैः क्षरति चाल्पशः। तीक्ष्णं बस्तिं विरेकं वा सोऽर्हो लङ्घितपाचितः॥८९॥

Here highly potent basti or virechana, need to be given. First he must observe fast or take light food (langhana), then give pachana (digestive medicine ).

english translation

Chapter 6

Verse 90