604 THE SUSHRUTA SAMHITA. [Chap. XXXVI.
Ayoga :— Cramps or colic pains (S'ula) in the
intestines, and heaviness and distension of the abdomen
result from the application of a Vasti charged with a
medicinal solution either cold, inadequate in quantity,
or deficient in its therapeutic virtues. All these symp-
toms are included within the term Ayoga or deficient
application of a Vasti which should be remedied by a
strong Vasti and a strong purgative. 8.
Distension of the abdomen and consequently an excruciating pain (Sula in the regions of the sides, back, waist and the heart result from the applications of a Vasti to a person who has taken a second meal before the digestion of a previous one, or in the event of the presence of a large accumulation of Doshas (in his bodyy, If the Vasti be applied in a tepid state and in a large quantity just after a heavy meal, the results would be the same. Similar results would follow injections of cold medicinal solutions in large doses saturated with only a small quantity of salt and Sneha (oil or clarified butter as well as from those in a person with a large accumulation of foecal matter (in his bowels . The remedy in all these cases should consist in the application of a Vasti charged with stronger medicinal solutions as well as of an Anuvdsana- vasti. 9.
The Pitta and the Vayu of the body are conjointly
aggravated by the application of a Vasti charged with
extremely parching, hot and saline solutions which give
rise to the distress, known as Parikartika, attended v, ith
a sort of cutting pain in the pelvis and about the anus
and the region of the umbilicus. Applications of the
Pichchhila-vasti of a medicated Sneha cooked with the
drugs of the Madhura group should be the remedies in
these cases 10,
Chap. XXXVI.] CHIKITSA STHANAM. 60$
The distress known as Parisratva attended with loss of strength, and bodily lassitude results from the appli- cation 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 mt/k should be the remedy in these cases, ii.
The distress known as Pravahikai 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 Anuvdsana Vasti, of a medicated Sneha
(oil or clarified .butter) cooked with the drugs of the
Mad/iura group, 12.
The distress known as Hridayopasarana, accom-
panied 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
Vdyu, originates from the application of a Niruha-
vasti charged with extremely parching solutions as
well as from those of an An uvdsana- 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 SUSllRUTA SAMHITA. [Chap. XXXVI.
in their potency, or applied in the case of a patient having
lain in aay of the objectionable postures at the time
of the application, or possessed of a dry or Vdyu-
predominating 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 pur-
gatives. 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) follow-
ing the excessive use of a Vasti. Applications of
Pichchhila-vasti charged with blood are likewise recom-
mended 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 inju-
dicious application of a Sneha-vasti. All the dis-
tresses (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 tempera- ment 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 Sneha- vasti (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 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^ Yashti-
madhu, Vacha, Vilva and Chitraka should be pounded
together, made into a paste and duly cooked with oil (of
Chap. XXXVII.J CHIKITSA STHANAM. 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 haem-
orrhoids, 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 (Aragva-
dha), Pdthdjivaka, Jivanti, Bhdrgi, Chandana, Katphala,
Sarald (white Trivrit), Aguru, Vilva, Vdlaka, As'va-
gandhd, 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, Chatur-
angula (Aragvadha), Chavya, Ajamodd, Kdkoli, the two
kinds of Medd, Deva-ddru, Jivaka, Rishavaka, Varshd-
bhu, Ajagandhd, S'atdhva, Harenu, Asva-gandhd, Man-
jishthd 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 effi-
cacious in the disorders of the deranged Vayu. In-
jected into the bowels in the manner of (an Anuvasana-
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 diges-
tion 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, Ndga- vald, 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.
Sixth Sneha X—Yashti-madhu, JJs'ira, Kds'm-
arya, Katuka, Utpala^ Chandana, S'ydmd,* Padma-
Kdshtha. Jimuta, Indra-yava, Ativishd and Vdld (in equal
parts) should be pasted together and cooked with an ade-
quate quantity of clarified butter and oil, the oil weighing
a fourth part of the whole quantity of Sneha to which
should be added a quantity of milk weighing eight times
as much as the Sneha (oil and clarified butter added
together) with a decoction of the drugs of the Nyagro-
dhddi group. This (medicated Ghrita), used as a Vasti
proves efficacious in cases of Asrig-dara (menorrhagia),
erysipelas (Visarpa), Vdta-Rakta, abscess (Vidradhi),
fever, burning sensations in the body and all other dis-
orders due to the action of the deranged Pitta. 8.
Seventh Sneha :— A paste of Mrindla,
Utpala, S'dluka, the two kinds of Sdrivd, (Ananta-mula
and Syamalat^), Ndga-kes'ara, the two kinds of
Chandana (red and white), Bhu-nimba, Padma-vija,
Kas'eruka, Patola, Katiika^ Raktd (Manjishtha\ Gundrd^
Parpataka and Vdsaka (weighing one seer in all) should
be cooked with (sixteen seers of) the decoction of
Trina-mula\ with (four seers of) oil and with milk
twice as much as the oil. A variety of Pittaja diseases
yields to the curative efficacy of this medicated oil,
used as a Vasti, or as errhines, drink unguent. 9,
Eig'hth Sneha :— A paste composed of Tri- phald, Ativishd^ Murvd^ Trivrit, Chitrakay Vdsaka^
* Dallana explains " S'y^ma " as *' Priyangu " and " Jimuta " as "Mustaka."
t Dallana explains "Trina-mula" as "Trina-pancha-mula" for which see Ch. XXXVIII, Sutra-Sthanam.
6l2 THE SUSHRUTA SAMHITA. tChap. XXXVII.
Nimba, Aragvadha, Shad-granthd (Vacha), Sapta-parna,
the two kinds of Haridrd, (Haridrd and Daru-haridrd),
Guduchi, Indra-sura, (Indra-varuni), Pippali, Kushtha,
Sarshapa and Ndgara in equal parts (weighing one seer
in all), should be cooked with an adequate quantity
(four seers) of oil and (sixteen seers of) the decoction of
the drugs of the Surasddi group. Obesity, a feeling of
physical languor, itches, etc., as well as diseases due
to the deranged condition of Kapha, readily yield
to the use of this (medicated oil) employed as a medi-
cinal snuff (Nasya), a gargle (Gandusha), a drink, or
anointment, or as a Vasti. lo.
Ninth Sneha : — A paste (weighing one seer in
all) composed of Pdthd, Ajamoda, S' drmgashtd, Pippali,
Gaja-pippali, S'unthi, Sarald (D. R.— Saptald). Aguru,
Kaliya, Bhdrgi, Chavya, Deva-ddru, Maricha, Eld,
Haritaki, Katuka, Pippali-mula, Katphala pounded
together and mixed with a decoction of the Valli * and
the Kantaka each weighing twice as much as the weight
of the oil, should be cooked with an adequate quantity
of sesamum or castor oil (weighing four seers). All
kinds of diseases due to a deranged condition of the
bodily Kapha readily yield to the use of this (medicated)
oil when employed in the manner of an Anuv^sana
enema (Vasti). ii.
Tenth Sneha :— A pasted compound of
Vidanga, Udichya, Saindhava salt, S'athi, Pushkara,
Chitraka, Katphala, Ativishd, Bhdrgi, Vacha, Kushtha,
Deva-ddru, Medd, Madana, Yashti-madhu, S'ydmd -f",
