The Sushruta Samhita — trans. Bhishagratna
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9.
Formula of the Niruha-vasti :— In the case of a healthy person (marked by an equilibrium of Vayu, Pitta and Kapha), the solution to be injected should be composed of four parts of the decoction of drugs* and one part (a fifth part of the entire compound) of the Sneha (any oleaginous substance). In any case marked by a preponderance of the deranged Vayu, the Sneha should measure a quarter part of the whole, one-sixth in a case of a preponderance of the deranged Pitta and an eighth part in a case of the deranged Kapha. In a case of aggravation of all the (three) Doshas, the Kalka should measure an eighth part (of the entire quantity of the medicinal solution to be injected), and the following drugs or articles,p. 633 viz.y salt, honey, cow's urine, Phala (Madana), milk, add group (Kdnjika, etc.) and extract of meat, in charging a Nirudha-Vasti should, as regards dosage^ be determined by a due consideration of the requirements in each case. When the Kalka, the Sneha, and the decoction would be well mixed together, the solution for injection should be considered to have been well prepared The application of such a solution would be supposed to produce the wished-for results. lO-A.
* Dallana means to say that of the whole compound weighing twelve Prasrita measures (twenty-four Palas), there should be four Prasrila weights (8 Palas) of the docoction, and so on.
The process of preparation :— An
Aksha measure (two ToUs) of Saindhava salt should be first mixed with the palms of the hand on a plate with two Prasrita (thirty-two Tolds) measures of honey, to which Sneha (oil, etc.) should be gradually added. When well dissolved, the pastes of (Madana) Phala should be added thereto. The drugs to be used as the Kalka in proportion to the prescribed parts should then be finely powdered and mixed with the preceding compound. The whole should then be well stirred in a deep vessel with a ladle (Khaja) * so as not to make it too thick, nor too thin. The compound thus prepared should be mixed with five Prasrita measures of the well-filtered drug decoction (prescribed in each case) and with cow's urine, meat-essence, milk and acid articles (Kdnjika, etc.) according to the nature of the Doshas involved in the case. 10.
10.
Dva-das^a Prasriti :— Now we shall describe the (recipe ani preparation of) Vastis (technically) called the "Dvai-das'a-Prasrita" (weighing twelve Prasritas). An Aksha measure (two Tolas) of Saindhava salt should be rubbed with two Prasritas (thirty-two ToUs) of honey to which should be added three Prasritas
* The hand would serve the purpose of a ladle bast in this case.
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of a Sneha (oleaginous substance). The whole should then be stirred and when the Sneha would be well mixed, a Prasrita measure of a medicinal Kalka, four Prasritas of a decoction, and two Prasritas of medicinal after-throws (powdered drugs thrown to or cast in a medicinal compound at the close of its decoction) should be added to it. In this way an enema solution should be made to measure twelve Prasritas in all and is hence called "Dv^-dasa-Prasrita". This should be regarded as the rule in respect of a full dose and the physician may reduce the numbers of Prasritas (if required). This kind of variation according to the age of the patient, in the quantity of each drug of a Niruha-Vasti which commences with the Saindhava salt and ends with the liquid {viz., Kashdya) has always been observed by the physician aspiring after success (in prescribing a VastiV ir.
Classification of Vastis according to the range of their tlierapeutic applications : -Now we shall deal with the classification of (Nirudha) enemas (according to the difference in their therapeutic ranges) which, when applied with due consideration of the aggravated Doshas (acting as the exciting factors), will conquer many a disease. 12.
A decoction should be prepared with one Pala of each of Sampdka^ Ruvu, Varshdhhu, As^va-gandhd, Nis'd'Chchhada (Sathi\ Pa7tcka-mula, Valdy Rdsnd, Guduchi and Deva-ddru and Madana fruit eight (two Palas) in number (boiled together and reduced to a quarter part of the original quantity of water). After that a paste (Kalka) composed of Mdgadhikd, Ambkoda, (Mustd), Havushd, Misi (anisi), Saindhava^ Vatsdhva, Priyangu, Ugrd (Vacha), Yashtydlwa, and Rasdnjana
Chap. XXXVIIL] CHIKITSA STHANAM. 635
After
that a paste (Kalka) composed of Mdgadhikd, Ambkoda,
(Mustd), Havushd, Misi (anisi), Saindhava^ Vatsdhva,
Priyangu, Ugrd (Vacha), Yashtydlwa, and Rasdnjana
Chap. XXXVIIL] CHIKITSA STHANAM. 635
being mixed with honey, etc.,* should be dissolved in the preceding medicinal decoction and injected lukewarm (into the bowels) in the manner of an Asthdpana-Vasti. Pain in the back, the thighs and in the regions of the sacrum (Trika\ stone, retention of stool, urine and flatus, diarrhoea (Grahani), Haemorrhoids and diseases due to the action of the deranged Vaiyu, readily yield to the curative efficacy of such injections, by which also, the blood, muscles and the strength are improved. 13.
A decoction duly prepared with Guduchi, Triphald^ Rdsndy Das' a-7nula and Vald weighing one Pala -f* each, and a pulverised compound consisting of Priyangu^ Rasdnjana, Saifidhava, S^ata-pushpd, Vachd^ Krishnd^ Yamdni, Kushtha^ Vilva fruit and treacle each weighing an Aksha (two Tolds) and half a Pala of pulverised Madafta fruit, should be injected into the bowels (in the manner of an Asthdpana enema injection), stirred and mixed with an adequate quantity of honey, oil, clarified butter, milk, Sukta, Kdnjika, Mastu (curd-cream) and cow's urine|. Strength, energy, vigour, complexion, digestive capacity, verility and vital duration of the user would be increased by its application, and all derangements of the bodily V^yu would yield to its curative efficacy. It is one of the best rejuvenating agents. 14.
A decoction should be made by boiling together the drugs of the Kshudra-Pancha^mula group, Musta^
* Honey, Sneha, milk, K^njika, cow's urine, meat-juice, etc., should be taken.
+ Dallana takes Pala in the sense of meat ?fre?f (Mdmsam).
X The quantity of honey, oil, and clarified butter, should be as before, that of S'ukta, Kanjika, Mastu and urine half a Pala each, and that of milk two Palas. — Dallana.
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tHE SUSliRUTA SAMHITA. [Chap. XXXVIII.