Charak Samhita

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द्वादशव्यापदोबस्तेरसम्यग्योगसम्भवाः| आसामेकैकशोरूपंचिकित्सांचनिबोधत||६||

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:

english translation

dvAdazavyApadobasterasamyagyogasambhavAH| AsAmekaikazorUpaMcikitsAMcanibodhata||6||

hk transliteration by Sanscript

गुरुकोष्ठेऽनिलप्रायेरूक्षेवातोल्बणेऽपिवा| शीतोऽल्पलवणस्नेहद्रवमात्रोघनोऽपिवा||७||

[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.

english translation

gurukoSThe'nilaprAyerUkSevAtolbaNe'pivA| zIto'lpalavaNasnehadravamAtroghano'pivA||7||

hk transliteration by Sanscript

बस्तिःसङ्क्षोभ्यतंदोषंदुर्बलत्वादनिर्हरन्| करोतिगुरुकोष्ठत्वंवातमूत्रशकृद्ग्रहम्||८||

[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

english translation

bastiHsaGkSobhyataMdoSaMdurbalatvAdanirharan| karotigurukoSThatvaMvAtamUtrazakRdgraham||8||

hk transliteration by Sanscript

नाभिबस्तिरुजंदाहंहृल्लेपंश्वयथुंगुदे| कण्डूगण्डानिवैवर्ण्यमरुचिंवह्निमार्दवम्||९||

[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

english translation

nAbhibastirujaMdAhaMhRllepaMzvayathuMgude| kaNDUgaNDAnivaivarNyamaruciMvahnimArdavam||9||

hk transliteration by Sanscript

तत्रोष्णायाःप्रमथ्यायाःपानंस्वेदाःपृथग्विधाः| फलवर्त्योऽथवाकालंज्ञात्वाशस्तंविरेचनम्||१०||

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.

english translation

tatroSNAyAHpramathyAyAHpAnaMsvedAHpRthagvidhAH| phalavartyo'thavAkAlaMjJAtvAzastaMvirecanam||10||

hk transliteration by Sanscript