कफेन विशि पित्ते वा कफे विट्पित्तशोणितैः| व्योषतिक्तकषायः स्यात् संसृष्टे बस्तिरुत्तमः||३१||
[Treatment of atisara (diarrhea) mixed with kapa-rakta-pitta-shakrita] In case of similar associations of kapha with stool or pitta; or of stool or pitta or rakta with kapha, a basti with trikatu, bitter and kashaya ingredients is to be recommended.
[Treatment of atisara (diarrhea) mixed with vata-kapha-shakrita and rakta-kapha] In atisara where kapha is associated with vata, basti with trikatu, bitter and sour ingredients, and if rakta is associated with kapha then with sweet, trikatu and bitter is recommended.
[Treatment of atisara (diarrhea) mixed with kapha- vata -shakrita and vata-pitta] If vata is accompanied by kapha, a basti with trikatu, sour and salty ingredients; and when pitta is associated with vata, basti with sweet, sour and bitter substances is to be administered.
[Treatment for conditions due to samsarga (combination of dosha)] Similarly a plan may be designed in cases of morbid combinations of three, four or five components. This planning for atisara is applicable in all disease conditions.
In atisara, if all six pathological components are simultaneously involved, a pachana (causing or promoting digestion or transformation) medicine containing the drugs of all six tastes is useful, while in nirama (without ama) condition, where other five are involved a basti consisting of all six rasas (tastes) is indicated.