The Sushruta Samhita — trans. Bhishagratna

would be as follows -.—Better use a Vasti of milder potency but nevt on of strong potency than what is necessary and this is recomnK especially in cases of delicate persons.— ^of.

p. 643

^asti (^enema) which should be lesorled to only in espect of kings or king-like personages as well as in aspect of women, old men, infants and persons of elicate constitutions for the purposes of eliminating the )oshas (accumulated in the organism j and of improving ae strength and complexion. The use of this remedy oes not entail any strict observance of continence r of any particular rules, diet, conduct, or conveyance 1 the part of the patient, nor is it attended with any Dssible complication though it is quite on a par with ly other kind of Vasti as regards its excellent and 'ghly beneficial therapeutic virtues. It may thus be Dplied at any time by an experienced physician in the lanner of a Nirudha- Vasti (enema) whenever the patient ishes to be treated therewith. Equal parts of honey, ;l and the decoction of castor roots, half a Pala of 'ata-pushpdy a quarter Pala of Sanidhava, and one itire Madana fruit should be mixed together by stirring" le whole with a ladle. The whole compound thus repared should be injected lukewarm into the rectum I the patient. This measure is called the Ma'dhuailika- Vasti. * 39- Yukta-ratha & Dosha- hara Vast is :— he Yukta-ratha Vasti consists in injecting a medicinal )lution surcharged with Vacha^ Madhuka (honey),f oil, leat-essence, Saindhava^ Pippali^ Madana fruit, and the scoction (of Eranda) into the bowels of a patient.

* The quantity of the fluid should be nine Prasritas in all cases of the aidllU-Tailika Vasti and such-like Vastis (enemas).— Z)a//a«a.

t Vacha, salt, Madana-phala, Pippali, each should be one Karsha ; ney and oil four Prasritas and two Karshas each, and the decoction of anda roots four Prasritas and two Karsha?. — Dallana.

In the text we find "Madhuka" which generally means Yashti-madhu. ;re, however, it should mean "Jioney". This is evident from Dallana's mmentary.

p. 644

A compound of Deva-ddru, Vara (Triphald), Rdsnd,
S'ata'pushpd, Vacha, honey, asafoetida and Saindhava
salt, used together as a Vasti, is called the Dosha-hara
Vasti. 40-41.

This is evident from Dallana's mmentary.

p. 644

A compound of Deva-ddru, Vara (Triphald), Rdsnd,
S'ata'pushpd, Vacha, honey, asafoetida and Saindhava
salt, used together as a Vasti, is called the Dosha-hara
Vasti. 40-41.

Siddha-Vasti :— This Vasti should be prepared with the decoction of Pancha-mula, mixed with oil, honey and a paste of S'atdhvd, Pippali and Saindhava salt. Similar Vastis consisting of a decoction of Yava, Kola and Kulattha, and mixed with a paste of Pippali, Saindhava, Yashti-madhu and honey may also be used. This kind of Vasti is called a Siddha- Vasti. 42-43.

IVIUStadika- Vasti :— A Pala measure of each of the following drugs, viz., Mustd, Pdthd, Amritd (Guduchi), Tiktd, Vald, Rdsnd, Punarnavd, Manjishthd, Aragvadha, Us'ira, Trdyamdnd, Gokshura as well as of those included within the group of minor (Svalpa) Pancha-mula, and eight Madana fruits should be boiled with an Adhaka measure of water down to its quarter part. The decoction thus prepared should again be boiled with the admixture of a Prastha measure of milk. The boiling should be continued till the watery part is completely evaporated and the milk alone is left behind. It should be then strained (through a piece of cloth). This (cooked) milk should be mixed with honey, clarified butter,* and the extract of meat of any Jdngala animal, each measuring a quarter of the (above-prepared milk) and a Karsha measure each of the following drugs, viz.y powdered S'atdhvd, Phalini (Priyangu\ Yashti-madhu, Vatsaka, Rasdnjana and Saindhava. The application of the above in the manner of a Vasti proves curative in Vdta-rakta, urinary complaints (Prameha), Edema, Haemorrhoids, Gulma, retentionChap. XXXVIII.J CHIKITSA STHANAM. 64$ of urine, Haemorrhage (Rakta-Pitta), Erysipelas, fever, and a looseness of the bowels. It acts as an aphrodisiac and vitalising tonic ; it also invigorates the eye-sight and is anti colic in its action. It is known as the Musta'di- Vasti and is the best of all the Asthapana enemas. 44.

* According to Dallana, however, a Pala measure of each of honey and clarified buUer should b^ added.

It acts as an aphrodisiac and vitalising tonic ; it also invigorates the eye-sight and is anti colic in its action. It is known as the Musta'di- Vasti and is the best of all the Asthapana enemas. 44.

A judicious physician may prepare, in the light of the principle laid down in connection with the preparation and application of Vastis in general, hundreds of different other kinds of Vastis (enemas) with a due consideration of the virtues of their respective ingredients i^drugs) and the nature of the disease under treatment. Applications of Vastis are forbidden during the continuance of an undigested meal in the stomach. Proper rules of diet and conduct should be observed, and day-sleep should not be indulged in, after being treated with a Vasti. 45-46.

The compound Ma'dhu-Tailika Vasti is so called from the facts of its being principally composed of Madhu (honey) and Taila (oil). The term Yukta-Ratha Vasti owes its nomenclature to the fact of its imposing no restriction as regards riding in cariiages (Rathas), or on horses and elephants after their application. The Siddha-Vasti derives its name from the uniform success (Siddhi) which attends its application in a large number of cases of bodily distempers and from its irresistible power in improving the strength and complexion of the body. Ma'dhu-Tailika Vastis are recommended to persons of easy and luxurious habits as well as in respect of those whose bowels can be easily moved, or who are in the habit of being daily treated with emulsive measures (Sneha-karma) and whose organisms are marked by scanty accumulations of the bodily Doshas. A Siddha-Vasti does not produce any distress or discomfort, since it is mild in potency and is appliedp. 646 in only three quarters of the usual dose (nine Prasritas only) and does not entail any strict observance of the regimen of diet and conduct (such as the previous administration of emetics and purgatives, etc.), and since it produces a satisfactory result by a single application. 47.

Thus ends the Thirty-eighth Chapter of the Chikitsita Sthanam in the
Sus'ruta Samhita which deals with Niruha-Vastis.

CHAPTER XXXIX.

Now we shall discourse on the treatment of distressing symptoms* which are manifested in a patient

(Aturopadrava-Chikitsitam). i.