Atiyoga, ayoga and mithyayoga are the mechanisims of manifestations of these complications. The clinical manifestation and the management of each condition will be explained to you:
[Complication of ayoga (insufficience effect)] (Etiology, clinical manifestation and management of basti complication-ayoga) When basti having following mentioned qualities administered in patients with conditions mentioned below (any one or in combinations) result in ayoga type of basti complication (insufficient effect or no effect). Basti dravya of less potency cannot eliminate doshas and the remnant vitiated doshas lead to ayoga.
[Condition of patient which can cause ayoga type of basti complication] • Guru kostha (hard bowel) • Ruksha sharira (excess dryness in body/dehydrated person) • Vata predominance
[Qualities of basti which can cause ayoga type of basticomplication] • Processed out of sheetaguna (cold potency) drugs • Insufficient quantity of lavana (salt) • Insufficient quantity of sneha (unctuous substance) • Insufficient quantity of drava (liquid media) • More thick or ghana form (excessively dense/more viscosity) Overall insufficient dose
Signs and symptoms of ayoga • Heaviness of abdomen • Abdominal distension • Retention of flatus • Anuria/dysuria • Constipation • Pain over naval and bladder region • Burning sensation • Heaviness in cardiac region (hrillepa) • Swelling of anal region/orifice • Itching • Skin discoloration on cheeks • Loss of taste • Loss of appetite The following is the management choices for ayoga: • Administration of lukewarm water processed with pramathya (pachana kashaya mentioned in Cha.Chi.19/19-22) • Different types of swedana (sudation therapy) • Phala varti (anal suppository) • Virechana (subject to suitability and season) • Administration of basti prepared as mentioned below relieves vibaddha (obstruction) caused due to the ayoga of basti.