An English Translation of the Sushruta Samhita, Vol. II — trans. Kaviraj Kunja Lal Bhishagratna (1911)

Chap. XXXVI.] CHIKITSA STHANAM. 60$

The distress known as Parisrava attended with loss of strength, and bodily lassitude results from the application of a Vasti charged with solutions of extremely strong, acid and saline substances. Pitta begins to secrete at this stage, and produces a consequent burning sensation in the anus. Applications of a Pichchhila-vasti as well as a Vasti of clarified butter churned from mz/^ should be the remedy in these cases. 1 1.

The distress known as Pravahika or the passing of bloody stools or painful motions, attended with colic i^Sula) and a burning sensation, is the effect of an excessively strong As'thapana or Anuvdsana Vasti. This disorder should be remedied by the application of a Pichchhila-vasti, a diet of boiled rice saturated with milk and with injections into the bowels, in the manner of an Anuvasana Vasti, of a medicated Sneha (oil or clarified butter) cooked with the drugs of the Mad/iura group, 12.

The distress known as Hridayopasarana, accompanied with such symptoms as, aching pains in the limbs, epilepsy, delirium, heaviness of the body and all other discomforts peculiar to the action of the deranged Vayu, originates from the application of a Niruhavasti charged with extremely parching solutions as well as from those of an Anuvasana-vasti in the complicated diseases of the deranged bodily V^yu. The remedy in these cases consists in applying the Sodhana Vasti charged with solutions efficacious in subduing the actions of all the Doshas of the body. 13.

A breaking pain in the joints and the limbs, numbness ( Anga-graha), yawning, shivering and lassitude are the symptoms which follow the applications of a Vasti inadequately charged, or charged with medicinal solutions which are either too mild or too Ruksha (dry)

6o5 THE SUSIIRUTA SAMHITA. [Chap. XXXVI.

in their potency, or applied in the case of a patient having Iain in a-iy of the objectionable postures at the time of the application, or possessed of a dry or Vdyupredominating temperament. The remedy in these cases should consist in applying Sveda, anointments and appropriate Vastis. 14.

Symptoms which are known as Atiyoga, following applications of Vastis charged with an inordinate quantity of medicinal fluid or with extremely hot or strong solutions as well as the application of Vastis after an excessive application of Sveda (fomentation) and in slight derangements of the bodily Doshas should be treated identically as in cases laid down in connection with an Atiyoga (excessive use) of purgatives. 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 JivddAna (haemorrhage of the bowels) in connection with an excessive use of purgatives should be employed in the case of similar symptoms (Jivada'na) following the excessive use of a Vasti. Application* of Pichchhila-vasti charged with blood are likewise recommended in these cases. 16.

The foregoing nine kinds of distressing symptoms (Vyaipat) 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 symptMTis 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. 6o7

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

Thus ends the Thirty-sixth Chapter of the Chikilsita Sthanam in the Sus'rula Samhita 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 vastt (Anuvasanottara-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 oillessi iti con-;iderntion 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.

Now we shall describe (the process of preparing) the several medicated oils in due order with reference to the different Doshas which should ba 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.