Abdominal tumors, spleen diseases, and dropsy, and all diseases born of vāta, pitta, and kapha are destroyed by the power of basti.

This verse enumerates the therapeutic benefits of basti. Gulma refers to tumors or abdominal masses, plīha to spleen diseases, and udara to dropsy or abdominal distension with fluid retention.

Most significantly is the assertion that basti cures diseases of all three doṣas: vāta (air), pitta (fire), and kapha (water). This distinguishes it from other practices that typically balance only one or two humors. The colon is considered the principal seat of vāta in Āyurveda, so its cleansing has systemic effects.

Sakalāmayāḥ means “all diseases.” Although this is a strong statement, it reflects the āyurvedic understanding that the large intestine is central to overall health. The accumulation of toxins (āma) in the colon is considered the root of many pathologies, from arthritis to mental disorders.