Management • Basti prepared out of milk processed with drugs having madhura & sita properties for example ikshurasa (sugar cane juice); and by adding paste of yastimadhu (Glycyrrhiza glabra Linn.) & tila (Sesamum indicum Linn.) is to be administered.
• Patient is to be kept on milk diet. • Administer basti prepared with milk by adding sarjarasa (Vateria indica Linn.), yastimadhu (Glycyrrhiza glabra Linn.), jingini (Lannea grandis Engi.), kardama (Nelumbium speciosum Willd.), anjana (Extract of Berberis asiatica - Roxb. ex DC). The patient is to be kept on mridubhojana (soft diet) with amla rasa ( little sour in taste).
पित्तरोगेऽम्ल उष्णो वा तीक्ष्णो वा लवणोऽथवा| बस्तिर्लिखति पायुं तु क्षिणोति विदहत्यपि||५८||
[Complication of paristrava (oozing through anus)] [Etiology, clinical manifestation and management of parisrava (rectal oozing), a basti complication] In a patient of pitta roga (pitta dominant disorders), if basti having any of the qualities of amla (sour), ushna (hot potency), tikshna (sharply acting), lavana(salt) is administered, the basti dravya causes lekhana (irritates and injures) of payu (anus) resulting in injury and even vidaha (burning sensation).
स विदग्धः स्रवत्यस्रं पित्तं चानेकवर्णवत्| सार्यते बहुवेगेन मोहं गच्छति चासकृत्||५९||
This leads to rakta (blood) and pitta oozes in different colors. Frequent/forced excretion will be followed by moha (unconsciousness) and asakrit (feeling of continuous defecation).
Management • Basti made with –paste of ardra shalmali vrinta (leaf stalk/petioles of Bombax malabaricum DC) and goat milk, then heat it. Along with ghee basti is to be given when it is cold.