An English Translation of the Sushruta Samhita, Vol. II — trans. Kaviraj Kunja Lal Bhishagratna (1911)
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The translator’s English as printed (Kunja Lal Bhishagratna). The original-language text is not held; names are romanised as the translator printed them.
Symptoms of a satisfactory application of a Vasti :— A lightness of the body, experienced in consequence of the successive and satisfactory evacuations of stool,f Pitta (bilious matters), bowels. — Dallana. The perioi of a Matra has elsewhere been defined as that required to utter a short vowel. — Ed.
* See Chapter XXXIII, Para. 18, Chikitsita Sthanam.
+ Satisfactory urination should also be understood as one of the symptoms of the satisfactory applicition of a Nifuha-vasti. — £cL
630 THE SUSHRUTA SAMHITA. [Chap. XXXVIII.
Kapha (mucus) and Vayu (flatus) from the bowels, are the salient features of a satisfactory application of a Niruha-vasti (Su-nirudha). After the manifestation of the foregoing symptoms the patfent should be advised to bathe (in hot water) and to take meat-soup (Rasa), milk and pulse-soup (Yusha) in diseases due to the action of the deranged Vdyu, Pitta and Kapha respectively. The essence (Rasa) of the meat of any Jdngala animal may, however, be prescribed in all cases under the circumstances, since it would produce no harm. Only a quarter, a half or three-quarter part of the usual diet should be prescribed according to the digestive capacity of the patient, and the nature and intensity of the Doshas involved in each case. 6-B.
The subsequent treatment should consist in applying a Sneha-vasti (oleaginous enema) according tQ the nature and intensity of the underlying Doshas in each cise. A lightness of the body, sprightliness of the mind, amelioration or abatement of the disease, an emulsive condition of the organism, are the features which mark the satisfactory application of an Asthdpana as well as of an Anuvasana-vasti. 6-C.
The patient should be made to partake of his meal with meat-soup on the day of his being treated with a (Niruha) Vasti ; since there is an apprehension of the Vayu being greatly deranged and aggravated (by the application of the Vasti). He should then be treated with an AnuvAsana (Vasti) on the same day. Thereafter ths application of the Snsha-vasti should be regulated* with a regard to the state of the appetite and the intensity of the deranged Vdyu, and in theChap. XXXVIII.] CHIKITSA STHANAM. 63 1 event of the Koshtha (stomach) behig found to have been stuffed with food. 6
* A second application of the Sneha-vasti should be made, if necessary, on the 2nd, 3rd, or 5th day with a due regard to the symptoms mentioned in the text.
A fresh and stronger Nirudha injection (Vasti), composed of Yava-kshdra, cow's urine, Kdnjika and the S'odhana (purifying) drugs, should be applied (into the bowels) In the event of the previous one not passing out within a Muhurta, since a Nirudha injection (Vasti) long retained in the bowels by the enraged and aggravated Vayu causes Sula (colic), an aversion to food, fever and Anaha* (distension of the abdomen with suppression of stool and urine), or may ultimately have a fatal termination. 7.
The application of an Asthapana enema is forbidden after a meal as it may bring on an attack of Visuchika* (D. R.— Ama), or of vomiting, or may tend to aggravate the Doshas of the body. Hence an Asthapana-vasti (enema) should be applied only on an empty stomach. The Doshas (in the system) of a person lie in a free and potent state at the close of the process of digestion, and are easily and spontaneously eliminated from the system (by the application of the Asthapana-vasti), when the stomach (As'aya) is not further oppressed or stuffed with food. The digestive fire {fdthardgni) can not digest the food, if scattered or diffused by the application of an Asthapana-vasti (into the bowels). Hence it is that an Asthapana injection should be made on an empty stomach. The application of a Niruha-vasti (which is not applicable in all cases) should, however, be determined with a regard to the exigencies of the case, since the strength of the aggravated Doshas of the body abate with the evacua-
* Both Vrinda and Chakradatta read "A''topa''- (rumbling sounds in the intestines) in place of "J^MaAa."
632 THK SUSHRUTA SAMIIITA. [Chap. XXXVIII.
tions of the bowels (as well as with the elimination of all filthy matters from the system). 8.
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