Gulma (abdominal masses/tumors) and plīhā (splenic conditions) are serious pathologies that basti helps prevent or alleviate. The emphasis on jaṭharāgni (abdominal fire) reinforces the Ayurvedic connection.

The “practitioner” (sādhaka) is one who performs sādhanā — disciplined practice. Not merely a patient but an active participant in their own transformation.

“Supreme well-being” (paramaṃ sukham) includes physical comfort but points beyond, toward the state of ease that enables deep meditation.