The Sushruta Samhita — trans. Bhishagratna

The use of a Pichchhila vasti in a cold state is also recommended, as it would give the patient much relief. 15.

Measures and remedies mentioned in respect of Jivdd^na (haemorrhage of the bowels) in connection with an excessive use of purgatives should be employed in the case of similar symptoms (Jivaida'na) following the excessive use of a Vasti. Applications of Pichchhila-vasti charged with blood are likewise recommended in these cases. 16.

The foregoing nine kinds of distressing symptoms (Vya^pat) resulting from an injudicious application of a Niruha- vasti are also found to result from the injudicious application of a Sneha-vasti. All the distresses (of the injudicious applications of a Vasti) with their symptoms and the course of medical treatment to be adopted (in each case) have thus been described. A discrete and experienced physician should so act as not to induce these distresses (Vyapat) in connection with the applications of a Vasti. 17-18.

ap. XXXVI.] CHIKITSA STHANAM. 6oJ

A purgative should be given after the lapse of a fortnight from the date of the exhibition of an emetic drug. An Asthdpanavasti should be applied a week after the date of purging. An Anuv^sana-vasti should also be applied on the very same day. 19.

Thus ends the Thirty-sixth Chapter of the Chikitsita Sth^nam in the Sus'ruta Samhitd which treats of the medical treatment of the diseases consequent on the injudicious applications of a Vasti.

CHAPTER XXXVIT.

Now we shall discourse on the treatment of an Anuvdsana vasti and an Uttara vasti (AtlUVasatl-- ottara-Vasti-Chikitsita). i.

Metrical Texts:— An Anuvasana-vasti should be applied to a patient fit to be treated therewith, seven days after the administration of a purgative and after he has regained his strength and taken his meal of rice. Three-quarter-parts of the medicinal solution enjoined to be used in connection with a Niruha-vasti (dry or oilless) ia consideration of the age and temperament of the patient form the (full) dose of a Sneha vasti An enema (Vasti) should be applied after the emission of stool, flatus and urine from the system, since they resist the penetration of the Sneha into the bowels. A Snehavasti (emulsive or oleaginous enema) should not be applied to a person whose organism has not been previously cleansed (by an appropriate emetic and purgative). The potency of the Sneha would be able to easily infiltrate into a system previously cleansed in the manner before indicated. 2.

The potency of the Sneha would be able to easily infiltrate into a system previously cleansed in the manner before indicated. 2.

Now we shall describe (the process of preparing) the several medicated oils in due order with reference to the different Doshas which should be used as drink and errhines and in charging a Sneha-vasti and which have the power of destroying a variety of diseases (if so used). 3-A.

First Tal la S — Drugs such as S athi, Pushkara, Krishndt Madana, Deva-ddru, S'atdhvd^ Kushtha^ Yashtimadhu, Vacha, Vilva and Chitraka should be pounded together, made into a paste and duly cooked with oil (ofp. 609 four times their combined (weight) and milk weighing twice and water, four times as much as the oil. The use of this medicated oil as a Vasti-measure proves curative in pacifying the incarcerated YAyu and in cases of haemorrhoids, lienteric diarrhoea (Grahani), tympanites with retention of stool aud urine, Vishama-jvara and the affections of Vayu (nervous disorders) in the waist (lumbago), the thighs (sciatica), the back and the abdomen. 3.

Seco nd Tai la: — VacM, Pushkara, Kushtha^ Eld, Madana, Deva-ddru, Saindkava, Kdkoli, Kshira-Kdkoli, Yashti-madhu, Medd, Mahdmedd, Narddhipa (Aragvadha), Pdthdjivaka, Jivanti, Bhdrgi, Chandana, Katphala, Sarald (white Trivrit), Aguru, Vilva, Vdlaka, As'vagandhd, Chitraka, Vriddhi, Vidanga, Amgvadha, S'ydmd Trivrit, Pippali and Riddhi should be pasted together and cooked with the proper quantity of oil, milk and the decoction of the drugs of the (major) Pancha-mula group. Anuvdsana-vastis of this kind are highly efficacious in cases of Gulma, tympanites with suppressed stool and urine, impaired digestion, haemorrhoids, lienteric diarrhoea (Grahani), retentions of urine and diseases due to the action of the deranged Vdyu. 4.

Third Taila X^Chitrakd, Ativishd, Pdthd, Danti, Vilva, Vacha, Amisha {Guggulu), Sarald (white Trivrit), Ams'umati (Sdlaparni), Rdsnd, Nilini, Chaturangula (Aragvadha), Chavya, Ajamodd, Kdkoli, the two kinds of Medd, Deva-ddru, Jivaka, Rishavaka, Varshdbhu, Ajagandhd, S'atdhva, Harenu, Asva-gandhd, Manjishthd S'athi, Pushkara and Taskara (Choraka) should be pasted together and cooked with the proper quantity of milk and oil. The oil thus prepared is highly efficacious in the disorders of the deranged Vayu. Injected into the bowels in the manner of (an Anuvasana-

p. 77

6lO THE SUSHRUTA SAMHITA. [Chap. XXXVII.

The oil thus prepared is highly efficacious in the disorders of the deranged Vayu. Injected into the bowels in the manner of (an Anuvasana-

p. 77

6lO THE SUSHRUTA SAMHITA. [Chap. XXXVII.

vasti), it speedily cures Gridhrasi (sciatica), lameness, haunch-back, Adhya vata, urinary diseases, obstinate constipation of the bowels (Uda-varta), impaired digestion and weakness of the body. 5.

Fourth Taila:— A decoction of the drugs Bhuiika, Eranda^ Varshdbhu, Rdsnd, Vdsaka, Rohisha, the drugs of the Das'a-mula group, Sahd (Mudga-parni), Bhdrgi, Shad-granthi (Vacha), Deva-ddru^ Vald, Ndgavald, Murvd, As'va-gandhd, the two Amritd (Guduchi and Haritaki), Sahdchara, Vari (Satd-vari), S'unthi^ Kdka-ndsd^ Viddri Yava^ Mdsha^ Atasi, Kola and Kuldttha should be cooked in an adequate quantity of oil with (a Kalka of) the drugs of the Jivaniya group and a quantity of milk weighing four times as much as the oil. The oil, if employed in the manner of a Vasti, would prove beneficial in cases of diseases due to the action of the deranged Vdyu localised in the regions of the thighs, legs, coxcy (Trika), sides (Pdrsva), balls of the shoulders (Amsa) and in the hands, the head and Manyd (nerves of the neck). 6.

Fifth Taila (with clarified butter) :— The drugs

Jivanti, Ativald, Medd, the two kinds of Kdkoli, Jivaka,

Rishavaka^ Ativishd^ Krishnd^ Kdka-ndsd, Vacha^

Deva-ddru, Rdsnd^ Madana, Yashti-madku, Sarald (white

Trivrit), S'atdvari, Chandana, Svayam-guptd with an

adequate quantity of oil and clarified butter (in equal parts) with a quantity of milk weighing eight times as much as the combined weight of the oil and clarified butter. This oil should be employed in the manner of an Anuvasana- vasti in cases of Gulma and retentions of stool and urine with a distension of the abdomen.

It conquers the deranged Vdyu and Pitta of the body, acts as an invigorating and constructive tonic, improves digestion, increases strength and creates fresh

Chap. XXXVII ] CHIKITSA STHANAM. 6X1

semen. Used as an errhine or as a drink it tends to alleviate ail affections confined to the regions above the clavicles. 7.