Strīroga–Prasūti–Bāla Cikitsā, Viṣa-haraṇa, Rasāyana, Ṛtucaryā, Pañcakarma-saṅgraha
निरूहदाने ऽपि विधिरयमेवमुदीरितः / अर्धत्रिपट्पले मात्रा लघुमध्योत्तमः क्रमात्
nirūhadāne 'pi vidhirayamevamudīritaḥ / ardhatripaṭpale mātrā laghumadhyottamaḥ kramāt
నిరూహ (క్వాథ బస్తి) ఇవ్వడంలో కూడా ఇదే విధానం చెప్పబడింది. మోతాదు వరుసగా అర్ధ, మూడు, ఐదు పలాలు—లఘు, మధ్యమ, ఉత్తమ (తీవ్ర) స్థాయులకు అనుగుణం.
Lord Vishnu (in instruction to Garuda/Vinata-putra)
Concept: Mātrā-jñāna (knowledge of proper measure): strength of intervention must be proportionate.
Vedantic Theme: Moderation (mātrā) and appropriateness (yogyatā) as ethical intelligence in action.
Application: Apply the same basti procedure to nirūha; use graded doses—half, three, and five palas—corresponding to mild, medium, and strong administration, respectively.
Primary Rasa: shanta
Related Themes: Garuda Purana 1.172: basti-vidhi immediately preceding; nirūha continuation; dosage gradation (lghu/madhya/uttama)
Nirūha refers to a decoction-based enema therapy, and this verse states it follows the same general procedural rule previously described.
It assigns doses in palas—half-pala (mild), three-pala (medium), and five-pala (strong), given in that order.
It teaches graded dosing—starting from mild and increasing as appropriate; in contemporary settings, dosing and enemas must be individualized and supervised by qualified professionals.