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

impair the di^sitive capacity* and to bring on an aggravation of the deranged Kapha, while an excess of the second (^firuha•vast^) tends to aggravate the bodily Vayu. Hence an application of the Sneha-vasti should [be followed by one of the Niruha-vasti and vice versa, \^ order to avoid all apprehension of an aggravation of Pitta, Kapha and Vayu. Daily applications of a Snehavasti are not forbidden in respect of a person of parched or dry (Ruksha) and Vaya-predominating temperament, while in other instances they should be made on each fourth day, so that the digestive capacity might not be thereby imp lire i. The applicaion of a moderate quantity of Sneha with a Sneha-vasti is always beneficial to persons of parched or dry temperament. Similarly, an application of the Niruha vasti in a small quantity always proves beneficial to the persons who have been already treated with a Sneha (Vasti). 26.

Distresses from Sneha-vasti :— Now

we shall describe the distresses which are found to attend (an abuse or excess of) a Sneha vasti. Various kinds of distressing symptoms are produced by the application of a Sneha vasti of a mild or weak potency in the case of a patient whose stomach is filled with the aggravated Doshas so that the Snehi cannot flow back, being overwhelmed, as it would be, by the aggravated Doshas. 27. Specific Sy mptOmS : — An astringent taste in the mouth, yawning, shivering and Vishama-Jvara with the peculiar Vayuorigined distempers such as, pain (in the limbs) are the symptoms which mark the retention of the injected Sneha in the bowels over-whelmed

» Vrinda reads " ^'fTT. fWrf W^l?ri ^T " '" P'^c^ of ' ^TT^^- Wr<T^^"' "^^'^ means that ihe Piita and the Kapha would be aggravat ed by an excessive use of a Sneha-vasti. The next couplet in the text vvoull belter support Vrinda's reading. — Ed.

p. 620

by the action of the deianged Vayu. Fever, a burning sensation (of the body), thirst, perspiration, a pungent taste in the mouth and yellowness of the complexion, urine and the eyes are the features which are due to the retention of the injected Sneha in the bowels overwhelmed by the action of the deranged Pitta. Waterbrash, a sweet taste in the mouth, heaviness of the limbs, vomiting, difficult breathing, catarrhal fever (Sita-Jvara) and an aversion to food are the indications due to the retention of the injected Sneha in the bowels overpowered by the action of the deranged Kapha. In these cases, applications of (Sneha) Vastis and such other remedial measures as are soothing to the Dosha or Doshas (giving rise to the retention of the Sneha in the bowels) should be adopted wiih due regard to the nature and intensity of each. 28-29.

Cramps (Sula) and heaviness in the stomach (Amas'aya), suppression of the Vayu (flatus), affection of the heart, a bad taste in the mouth, difficult respiration, epileptic fits, vertigo and an aversion to food are the symptoms which attend a retention of the Sneha in the bowels owing to the pressure of food matter carried down into the abdomen of a person who has been so treated after a heavy meal, and they should be remedied first by fasting and then by appetising measures. 30.

A languid feeling in the limbs attended with a distension of the abdomen, colic (S'ula), difficult breathing and a sense of heaviness in the intestines mark the retention of the injected Sneha surcharged with the fcecal matter of a person previously uncleansed by proper remedies. The remedy in such cases consists in the application of Niruha-vastis as well as Snehavastis wiih the admixturL- (»f kecn-potencied drugs. 31.

Chap. XXXVII.] CHIKITSA STHANAM, 621

A scent of the Sneha in the mouth, cough, difficult breathing, an aversion to food and dullness of all senseorgans which become internally charged with a coating of oil and a glossy appearance of the skin (mouth — D. R.) mark an undesirably higher introduction of the Sneha injected into the system previously cleansed (with proper emetics and purgatives). Such a case should be treated as a case of Ati-pidita (over-pressure on the bladder of the) enema and with the applications of Asthapana-vastis as well. 32.

An inadequate quantity of Sneha of a mild or weak potency, injected cold with the help of an enema, is not retained in the system, if not duly fomented and cleansed before, but gives rise to scanty stools, cramps (Sula), heaviness and distention in the region of the intestines (Pakvas'aya) and (ultimate) suppression of stool, etc. Such cases should be speedily remedied by the application of an Asthapana as well as by that of an Anuvasana-vasti. '^i.