Yava (Hordeum vulgare Linn), kulattha (Dolichos biflorus Linn.), kola (Zizyphus jujube Lam.) and both types of panchamula i.e. Dashamula (as described in shloka no.37) added with two adhakha (12 kg. 228 g.)
13 of water and reduced to one-fourth. To this decoction add bilva (Aegle marmelos Carr.) taila and lavana. This is to be given as niruha basti when it is warm. Patient is to be given assurance as well as avagahasveda (sudation therapy through tub-bath).
[Complication of parikartika (fissure in ano)] Etiology, clinical manifestation and management of parikartika basti complication: Parikartika (anal pain due to proctitis) manifested when the patients of mridu koshtha, alpa dosha are administered with niruha basti of qualities -ruksha, tikshna or in higher dose.
Clinical manifestations • Toda (pricking type of pain) over low-back, groins and urinary bladder. • Ruja (pain) over lower umbilical region • Lekhana effect of basti may result in constipation and bowel evacuation in little quantities