This article explains the 8th chapter of siddhisthana of Charaka samhita called 'Prasrita yogeeya Siddhi Adhyaya'. In this chapter, successful administration of enema with recipes having ingredients in prasrita unit etc. have been explained. 1 Prasrita is 2 pala = 96 g.

????? ?????????????? ??????? ??????????????||?||
??? ? ????? ????????????||?||
athatah prasrtayogiyam siddhim vyakhyasyamah||1||
iti ha smaha bhagavanatreyah||2||

Now we shall explore the chapter on the "Successful administration of enema with Recipes having ingredients in Prasrita unit". Thus, said Lord Atreya. [1-2]

Table of Contents

Dialogue

??????? ??????????? ???????? ????????? ??????| ?????? ??????????? ? ????????? ???????? ?????||?||
atheman sukumaranam niruhan snehanan mrdun| karmana viplutanam ca vaksyami prasrtaih prthak||3||

Hereafter, I (Lord Atreya) shall explain unctuous and mild recipes of Niruha-Basti (evacuative type of medicated enema), ingredients of which are to be taken in the unit quantity of Prasrta (two Palas) for persons of tender health and for those who are exhausted because of hard work. [3]

Niruha Recipe for Promotion of Complexion

???????????? ??????? ?????? ?????????????????| ???? ????? ?????????????? ??????????||?||
ksiraddvau prasrtau karyau madhutailaghrtattrayah| khajena mathito bastirvataghno balavarnakrt||4||
Read: Bala Varna Krit Basti: Enemas For Strength, Skin Glow, Weight

Two Prasritas of milk and three Prasritas of honey, oil and ghee (taken together) is stirred with a stirrer. Basti of this recipe eliminates Vata, and promotes strength as well as complexion. [4]
Read: Ayurvedic Remedies, Medicines for Skin Glow, Radiance

Asthapana Recipe for Vata

????? ???????????????????????????????????| ??????????????????????? ????????????? ? ???????||?||
ekaikah prasrtastailaprasannaksaudrasarpisam| bilvadimulakvathaddvau kaulatthaddvau sa vatanut||5||

Enema with the recipe containing one Prasrita each of oil, Prasanna (a type of alcohol), honey and ghee, and two Prasritas each of the decoctions of Bilva, etc., (Bilva, Shyonaka, Gambhari, Patala, Ganikarika, Salaparni, Prsniparni,Brhati, Kantakari and Goksura) as well as Kulattha cures Vata. [5]

Kashaya Basti Recipe for Vata

???????????? ???? ???? ?????? ???????????????| ????? ??????? ?????? ?????????????????||?||
pancamularasat panca dvau tailat ksaudrasarpisoh| ekaikah prasrto bastih snehaniyo'nilapahah||6||

Five Prasritas of the decoction of Panchamula (Bilva, Shyonaka, Gambhari, Patala and Ganikarika), two Prastas of Til oil and one Prasthas each of honey as well as ghee is used in Basti (enema) for oleation and cure for Vata diseases. [6]

Niruha Recipe for Promotion of Semen

?????????????? ????? ???????????????????| ??????? ?????????? ?????? ????????? ????||?||
saindhavardhaksa ekaikah ksaudratailapayoghrtat| prasrto hapusakarso niruhah sukrakrt param||7||

The recipe of Niruha containing half aksa (tola) rock-salt, one prasrta each of honey, till-oil, milk and ghee, and one karsa (tola) of Hapusa is excellent for the promotion of semen. [ 7]

PanchaTikta Niruha

????????????????????????????????????| ??????? ??????? ??? ?????? ????????????||?||
?????? ????????????? ????????????????????? |?|
patolanimbabhunimbarasnasaptacchadambhasah| catvarah prasrta eko ghrtat sarsapakalkitah||8||
niruhah pancatikto'yam mehabhisyandakusthanut |9|

Four Prasritas of the decoction of Patola, Nimba, Bhunimba, Rasna and Saptacchada and one Prasrta of ghee are added with the paste of Sarsapa. This recipe is called Pancha-Tikta Niruha. Administration of this Basti cures Meha (obstinate urinary disorders including diabetes), Abhisyanada (conjunctivitis) and Kustha (obstinate skin diseases including leprosy). [8-1/2 9]

Niruha Recipe for Helminthiasis

??????????????????????????????????????||?|| ??????? ???????? ???? ???????? ?????? ????|
?????????????????? ?????? ???????????||??||
vidangatriphalasigruphalamustakhuparnijat||9|| kasayat prasrtah panca tailadeko vimathya tan|
vidangapippalikalko niruhah kriminasanah||10||

Five Prasthas of the decoction of Vidanga, Haritaki, Bibhitaka, Amalaki, Sigru, Madanapala, Musta and Akhuparni (Danti) is added with one Prasrita of oil, and the paste of Vidanga and Pippali. The recipe is stirred (emulsified) and used for Niruha (evacuative) type of medicated enema which cures helminthiasis. [9 1/2 - 10]
Read: Krimighna Gana: Parasites Relieving Herbs: Review, Benefits, Formulations

Niruha Recipe for Virility

????????????????????????????????????????????| ????? ??????? ?????? ??????????? ??????????||??||
payasyeksusthirarasnavidariksaudrasarpisam| ekaikah prasrto bastih krsnakalko vrsatvakrt||11||

Basti with the recipe containing one Prasrita each (of the decoction) of Payasya, sugarcane [juice], Sthira, Rasna and Vidari, one Prasrita each of honey and ghee, and the paste of Krsna (Pippali) promotes virility (semen).[11]

Niruha Recipe for Bhedana

???????????????????????????????????????| ???????? ??????? ????????????????????????||??||
catvarastailagomutradadhimandamlakanjikat| prasrtah sarsapaih kalkairvitsanganahabhedanah||12||

Basti (enema) with four prasrta of til-oil, cow's urine, whey and sour conjee, added with the paste of sarsapa causes bhedana (disintegration) and elimination of arrested stool (vit -sanga) of a constipated patient. [12]

Niruha Recipe for Dysuria

????????????????????????????????? ?????????|???????? ???? ????????????????????????????||??||
????? ??????????????????? ?? ?????? ????????????|
svadamstrasmabhiderandarasattailat surasavat|prasrtah panca yastyahvakauntimagadhikasitah||13||
kalkah syanmutrakrcchre tu sanahe bastiruttamah|

The recipe containing five prasrta of decoction of Svadamstra, Ashmabheda and Eranda, till oil and Surasva (alcoholic preparation), and added with the paste of yastimadhu, Kaunti, Magadhika and sita is used for enema which is excellent for curing Mutrakrcchra (dysuria) and Anaha (constipation). [13 - 1/2 14]

??? ?????? ?????? ??????? ???????????||??||
ete salavanah kosna niruhah prasrtairnava||14||

Thus, nine recipes of Niruha with ingredients having the unit quantity described in the form of Prasrta, are elaborated above (in verse no. 4 - 1/2 14). These recipes, when warm are to be used along with salt. [14 1/2 ]
Read: Dysuria: Causes, Remedies, Tips, Diet, Ayurvedic Treatment

Administration of Repeated Basti

???????????????? ????????????? ????????????|??????????????????? ?????? ???????????????????? ||??||
mrdubastijadibhute tiksno'nyo bastirisyate|tiksnairvikarsite svadu pratyasthapanamisyate ||15||

If a mild enema (Niruha) gets stagnated, then another strong basti having sharp ingredients is to be administered.
If, because of strong enema, the patient becomes excessively depleted, then another Niruha or Asthapana basti containing sweet drugs (like Ghrta, etc.) is given to him. [15]

Recipe for burning sensation in Anus

??????????????????? ???????????????? ???| ?????????????? ????????????? ???????????????????||??||
????? ???????????????? ?????? ???????????????| ??????????? ??????????? ?????? ????????????||??||
vatopasrstasyosnaih syurgudadahadayo yadi| draksambuna trivrtkalkam dadyaddosanulomanam||16||
taddhi pittasakrdvatan hrtva dahadikanjayet| suddhascapi pibecchitam yavagum sarkarayutam||17||

If the administration of hot Basti to a Vata afflicted person gives rise to burning sensation in the anus, and such other complications (like fainting and morbid thirst), then he is given Draksha decoction mixed with the paste of Trivrt which causes downward movement of Doshas. By causing elimination of bile, stool and flatus, this recipe cures daha (burning sensation), etc.
After the body is cleansed [of more morbid matter], the patient should take cold Yavagu (thick gruel) mixed with sugar. [16-17]

Treatment of Diminished Stool

??????????????? ?????? ??????????? ? ????????| ???????? ?????????? ????????????? ??????||??||
athava'tiviriktah syat ksinavitkah sa bhaksayet| masayusena kulmasan pibenmadhvathava suram||18||

Alternatively, if because of excessive purgation, the patient suffers from excessive loss of faecal matter, then he should eat Kulmasha (food containing half steamed barley) along with the soup of masha or he should drink honey or sura type of alcohol. [18]

Treatment of Six Types of Diarrhoea

???? ???? ????? ?????????????????| ? ???????????????????????? ??????||??||
????????????? ?????? ??? ?? ????????????| ?????, ???? ?????????????????? ???????? ??????????||??||
samam cet kunapam sulairupavisedarocaki| sa ghanativisakusthanatadaruvacah pibet||19||
sakrdvatamasrk pittam kapham va yo'tisaryate| pakvam, tatra svavargiyairbastih srestham bhisagjitam||20||

If the patient voids Ama, which has the smell of a dead body and which is associated with colic pain as well as anorexia, then he should drink the decoction of Ghana, Ativisha, Kustha, Nata, Devadaru and Vaca.
If the patient excessively voids stool, flatus, blood, pitta or kapha which are pakva (cooked), then enema prepared with groups of drugs appropriate to each of these morbidities is the best remedy. [19-20]
Read: 37 Ayurveda Home Remedies For Diarrhea And Dysentery

Number of diarrhoeas

?????????? ????????????? ???????????? ?????? ??| ?????? ?? ??????????????????? ???????????||??||
sannamesam dvisamsargat trimsadbheda bhavanti tu| kevalaih saha sattrimsadvidyat sopadravanapi||21||

The above mentioned six types of diarrhoea may get manifested in the form of the combination of two types thus making thirty more varieties of diarrhoea which are manifested along with their complications. [21]

Complications of diarrhoea

?????????????????????????????????????| ?????????????????????????????? ????????????????||??||
sulapravahikadhmanaparikartyarucijvaran| trsnosnadahamurcchadimscaisam vidyadupadravan||22||

Colic pain (sula), gripping pain (pravahika), flatulence (adhmana), sawing pain (parikartika), anorexia (aruci), fever (jvara), burning sensation (Daha), fainting (murccha), etc., are the complications of diarrhoea. [22]

Treatment of Diarrhoea with Ama

???????????????? ?????? ????????????????????| ????? ?????? ????????? ?? ????????????||??||
tatrame'ntarapanam syat vyosamlalavanairyutam| pacanam sasyate bastirame hi pratisidhyate||23||

If there is diarrhoea of ama type (containing mucus or uncooked product of digestion), then the recipe for pachana (carminative drugs described in the verse no. 19) along with Sunthi, Pippali, Maricha and sour as well as saline drugs is useful. Administration of enema in ama condition is prohibited. [23]
Read: Dysentery: Causes, Symptoms, Ayurvedic Treatment, Medicines

Treatment of diarrhoea

?????????????????????????????? ????? ??????|??|
vataghnairgrahivargiyairbastih sakrti sasyate|24|

Enema prepared with Vata alleviating and grahi (astringent group of drugs is useful if the diarrhoea is associated with profuse faecal matter. [1/2 24]

Treatment of diarrhoea with flatus

??????????????? ????? ??????????? ??????||??||
svadvamlalavanaih sastah snehabastih samirane||24||

If the diarrhoea is associated with the voiding of flatus, then, sneha or Anuvasana-Basti (unctuous enema) prepared of [fat cooked with] sweet, sour and saline drugs is useful. [24 1/2 ]

Treatment of Diarrhoea with Blood, Pitta, Kapha

????? ??????, ?????? ?? ??????????????????| ????????? ??? ?????? ???????????????||??||
rakte raktena, pitte tu kasayasvadutiktakaih| saryamane kaphe bastih kasayakatutiktakaih||25||

If the diarrhoea is associated with the voiding of blood then enema of blood is useful.
If there is diarrhoea with the voiding of Pitta, then enema prepared with astringent, sweet and bitter drugs is useful.
If there is diarrhoea associated with the voiding of kapha, then enema prepared of astringent, pungent and bitter drugs is useful. [25]

Treatment of diarrhoea caused by two Factors

????? ?????? ?????? ??? ?????????????| ????????????????? ?????? ????????????????????||??||
??????????????? ????? ???????? ?? ????| ???????????????? ???? ????????????????????||??||
??????? ?????????? ?????????????????| ???? ?? ??? ????????????????????||??||
????? ???? ?????? ?? ??????????????? ????????| ????????????? ?????? ???????? ????????????||??||
????????????? ?????????? ????????????| ???????????????????? ?????????????????||??||
???? ???? ?????? ?? ??? ????????????????| ??????????????? ?????? ???????? ????????????||??||
???????????????????????????? ???????? ?????? ???| ?????????????????? ????? ??????????????||??||
?????? ?????????? ????????????? ?????| ???????????? ?????? ?? ?????? ?????????????????||??||
sakrta vayuna va"me tena varcasyathanile| samsrste'ntarapanam syad vyosamlalavanairyutam||26||
pittename'srja va'pi tayoramena va punah| samsrstayorbhavet panam savyosasvadutiktakam||27||
tatha"me kaphasamsrste kasayavyosatiktakam| amena tu kaphe vyosakasayalavanairyutam||28||
vatena visi pitte va vitpittabhyam tatha'nile| madhuramlakasayah syat samsrste bastiruttamah||29||
sakrcchonitayoh pittasakrto raktapittayoh| bastiranyonyasamsarge kasayasvadutiktakah||30||
kaphena visi pitte va kaphe vitpittasonitaih| vyosatiktakasayah syat samsrste bastiruttamah||31||
syadbastirvyosatiktamlah samsrste vayuna kaphe| madhuravyosatiktastu rakte kaphavimurcchite||32||
marute kaphasamsrste vyosamlalavano bhavet| bastirvatena pitte tu karyah svadvamlatiktakah||33||

Pachana (carminative recipe) added with Sunthi, Pippali, Maricha, sour ingredients and salt is given, if the diarrhoea is caused by the combination of two factors as follows:
o More of Ama and less of faecal matter
o More of Ama and less of flatus
o More of faecal matter less of Ama and
o More of flatus and less of Ama

Pachana (carminative recipe) added with Sunthi, Pippali, Maricha, and Sweet as well as bitter drugs are given if the diarrhoea is caused by the two factors as follows:
Less of Pitta and more of Ama
Less of blood and more of ama
Less of Ama and more of Pitta and
Less of Ama and more of Blood
Pachana (carminative recipe) added with astringent drugs, Sunthi, Pippali, Maricha and bitter drugs is given to the patient if the diarrhoea is caused by two factors viz., more of Ama and less of Kapha.
Pachana(carminative recipe) added with Sunthi, Pippali and Maricha, and astringent drugs as well as salt is given to the patient if the diarrhoea is caused by two factors, viz., less of Ama and more of Kapha.

Enema-recipe containing sweet, sour and astringent drugs is useful if the diarrhoea is caused by two factors as follows:
o Less of Vata and more of faecal matter an
o Less of Vata and more of Pitta
o More of Vata and less of faecal matter and
o More of Vata and less of pitta

Enema recipe containing astringent, sweet and bitter drugs is given if the diarrhoea is caused by two factors as follows:
o Less of faecal matter and less of blood
o More of blood and less of faecal matter
o More of Pitta and less of faecal matter
o More of faecal matter and less of Pitta:
o More of blood and less of less of Pitta and
More of pitta and less of blood

Enema recipe containing Sunthi, Pippali and Maricha and bitter as well as astringent drugs is very useful if the diarrhoea is caused by two factors as follows:
o Less of kapha and more of faecal matter
o Less of kapha and more of Pitta
o More of kapha and less of faecal matter
o More of kapha and less of Pitta and
o More of Kapha and less of blood
Enema- recipe containing Sunthi, Pippali and Maricha, and bitter as well as sour drugs is useful if the diarrhoea is caused by two factors, viz., more of Kapha and less of Vata.
Enema recipe containing Sunthi, Pippali and Maricha and sweet as well as bitter drugs is useful if the diarrhoea is caused by two factors, viz., more blood and less of kapha.
Enema recipe containing sweet, sour and bitter drugs is given if the diarrhoea is caused by two factors, viz., less of Vata and more of Pitta. [26-33]

Treatment of diarrhoea caused by more than two factors

????????????????????????? ??????????|
?????????????????????? ????????????? ??????||??||
tricatuhpancasamsarganevameva vikalpayet|
yuktiscaisatisarokta sarvarogesvapi smrta||34||

When the diarrhoea is caused by the combination of three, four or five factors, the corresponding therapeutic measures are combined and administered.
The methodology of selecting treatment entered above with reference to diarrhoea is applicable to all the diseases. [34]

Treatment of diarrhoea caused by all six factors

?????? ?????? ?????? ??????? ????? ????? | ????????? ?? ???????? ?????? ????????? ???||??||
yugapat sadrasam sannam samsarge pacanam bhavet | niramanam tu pancanam bastih sadrasiko matah||35||

When all the six morbid factors are combined to cause diarrhoea then a recipe of Pachana (carminative) consisting of drugs of all the six tastes is given. When five out of the six morbid factors (excluding Ama) are combined to cause diarrhoea, then basti (enema) having ingredients of all the six tastes is given.

Medicated Ghee for diarrhoea

?????????????? ??????????????????????| ????? ??????? ??????? ?????? ? ?????????||??||
???????? ??? ??????? ??????? ??????????????? ?????| ????????? ??????? ???????????????||??||
udumbarasalatuni jambvamrodumbaratvacah| sankham sarjarasam laksam kardamam ca palamsikam||36||
pistva taih sarpisah prastham ksiradvigunitam pacet| atisaresu sarvesu peyametadyathabalam||37||

One Pala each of Udumbara-Salatu (unripe fruits cut into slices and dried), barks of Jambu, Amra as well as Sankha (conch-shell), Sarjarasa, Laksha and Kardama are made into a paste. Along with this paste, one Prastha of ghee is cooked by adding double the quantity of milk. In accordance with the strength of the patient, this medicated ghee is given as a potion for all the type of diarrhoea. [36-37]

Medicated gruels for Diarrhoea

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???????????????????????????????????? | ?????????????????????? ??? ?????||??||
??????????? ???????????????????????? ??| ???????? ????????? ??????? ????? ????? ?????||??||
???????????????????????????????????| ???????????????????????????????????? ??||??||
????? ???????????????? ????????????????| ??????????????????? ????? ????? ?????||??||
kacchuradhatakibilvasamangaraktasalibhih| masurasvatthasungaisca yavaguh syajjale srtaih||38||
balodumbarakatvangasamangaplaksapallavaih | masuradhatakipuspabalabhisca tatha bhavet||39||
sthiradinam baladinamiksvadinamathapi va| kvathesu samasuranam yavagvah syuh prthak prthak||40||
kacchuramulasalyaditandulairupasadhitah| dadhitakraranalamlaksiresviksurase'pi va||41||
sitah sasarkaraksaudrah sarvatisaranasanah| sasarpirmaricajajyo madhura lavanah sivah||42||

Following recipes of Yavagu (thick gruel) are useful for the patient suffering from diarrhoea:
A decoction is prepared of kacchura (Kapikacchu), Dhataki, Bilva, Samanga, red variety of Sali rice, masura and roots of asvattha by boiling with water. (The procedure prescribed for Sadanga Paniya is to be followed in this connection- vide commentary on Charaka: Chikitsa 3: 145). Yavagu (thick gruel) is prepared with this decoction.
Similarly, Yavagu may be prepared with the decoction of unripe Udumbara (made into slices), Katvanga (aralu), Samanga, leaves of Plaksa, Masura, Dhataki-flower and Bala
Yavagu may be prepared with the decoction of the drugs of Sthiradi-group along with Masura
Yavagu may be prepared with the decoction of drugs of Baladi- group along with Masura
Yavagu may be prepared with the decoction of drugs of Iksvadi group along with Masura and
Yavagu may be prepared with the root of Kacchura (Kapikacchu) and rice of Sali, etc., and added with curd, butter-milk, and sour Kanji, milk and sugarcane juice. Intake of this gruel, when cold and added with sugar and honey, cures all the types of diarrhoea.
The above-mentioned gruels are auspicious (for curing diarrhoea) when added with ghee, Maricha, ajaji, sweet ingredients and salt. [38- 42]

?????? ????? ???????-
??????????????????? ???? ???????? ?????? ??????| ???? ?????????? ????? ?????? ? ????? ?||??||
????????????????????????? ????????? ????????????| ???????? ???? ???????????????? ?????||??||
??????? ??????????? ?????? ????????????????????? ?| ?????????????????????????????? ??????||??||
bhavanti catra slokah-
snigdhamlalavanamadhuram panam bastisca marute kosnah| sitam tiktakasayam madhuram pitte ca rakte ca||43||
tiktosnakasayakatuslesmani sangrahi vatanucchakrti| pacanamame panam picchasrgbastayo rakte||44||
atisaram pratyuktam misram dvandvadiyogajesvapi ca| tatrodrekavisesaddosesupakramah karyah||45||

Thus, it is said:
In diarrhoea caused by Vata, the patient should drink Pachana (carminative recipe), and use lukewarm basti (enema) containing unctuous, sour, saline and sweet ingredients.
In diarrhoea caused by Pitta and Rakta (vitiated Blood), the patient is given Pachana (carminative recipe) containing cooling, bitter, astringent and sweet ingredients.
In diarrhoea caused by vitiated faecal matter, the patient should take recipes (in the form of enema, etc.) which causes constipation and which alleviates or Vata.
In diarrhoea caused by Ama (uncooked product of digestion), the patient should drink Pachana (carminative recipe).
In diarrhoea caused by vitiated blood, the patient is given Piccha-basti (medicated enema containing mucilaginous material) and enema of blood.
In this way, various methods of treating diarrhoea are described.
If the diarrhoea is caused by more than one factor, then the respective therapies are given in a combined form.
Among these combined factors, the principle of treatment is followed to correct the predominant ones first. [43-45]

??????????-
???????????????????????????????????????????????| ?????????????????????????????????????????||??||
tatraslokah-
prasrtikahsavyapatkriyaniruhastatha'tisarahitah| rasakalpaghrtayavagvascoktagurunaprasrtasiddhau||46||

To sum up:
In this chapter "One the successful Treatment with Recipes Described with Prasrta as the Unit Quantity of its Ingredients" the Teacher has described the following topics:
Recipes of Niruha- basti ingredients of which are described in the unit quantity of Prasrta (vide verse nos. 4-14)
Complications arising out of mild recipe for enema etc. and their treatment (vide verse no 15-180)
Recipes for Niruha basti, and those containing ingredients of different attests for the treatment of diarrhoea (vide verse nos. 19-35)
Recipe of medicated ghee for the treatment of diarrhoea (vide verse nos. 36-37).
Recipes of medicated gruel for the treatment of diarrhoea (vide verse nos. 38-42) [46]

??????????????? ??????? ????????????????????????? ?????????????? ???????????? ????????????????????????????????????||?||
ityagnivesakrte tantre carakapratisamskrte'prapte
drdhabalasampurite siddhisthane prasrtayogiyasiddhirnamastamo'dhyayah||8||

Thus, ends the eight chapter of Siddhi-section dealing with the "Success in Treatment with Recipes Ingredient of which are Described in the Unit Quantity of Prasrta" in Agnivesha's work as redacted by Charaka, and because of its non-availability, supplemented by Drdhabala.

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