An English Translation of the Sushruta Samhita (Bhishagratna ed.)

of a Sneha (oleaginous substance). The whole should then be stirred and when the Sneha would be well mixed, a Prasrita measure of a medicinal Kalka, four Prasritas of a decoction, and two Prasritas of medicinal after-throws (powdered drugs thrown to or cast in a medicinal compound at the close of its decoction) should be added to it. In this way an enema solution should be made to measure twelve Prasritas in all and is hence called "Dv^-dasa-Prasrita". This should be regarded as the rule in respect of a full dose and the physician may reduce the numbers of Prasritas (if required). This kind of variation according to the age of the patient, in the quantity of each drug of a Niruha-Vasti which commences with the Saindhava salt and ends with the liquid {viz., Kashdya) has always been observed by the physician aspiring after success (in prescribing a VastiV ir.

Classification of Vastis according to
the range of their tlierapeutic applica-
tions : -Now we shall deal with the classifica-
tion of (Nirudha) enemas (according to the difference
in their therapeutic ranges) which, when applied with
due consideration of the aggravated Doshas (acting
as the exciting factors), will conquer many a
disease. 12.

A decoction should be prepared with one Pala of
each of Sampdka^ Ruvu, Varshdhhu, As^va-gandhd,
Nis'd'Chchhada (Sathi\ Pa7tcka-mula, Valdy Rdsnd,
Guduchi and Deva-ddru and Madana fruit eight (two
Palas) in number (boiled together and reduced to a
quarter part of the original quantity of water). After
that a paste (Kalka) composed of Mdgadhikd, Ambkoda,
(Mustd), Havushd, Misi (anisi), Saindhava^ Vatsdhva,
Priyangu, Ugrd (Vacha), Yashtydlwa, and Rasdnjana

Chap. XXXVIIL] CHIKITSA STHANAM. 635

being mixed with honey, etc.,* should be dissolved in
the preceding medicinal decoction and injected lukewarm
(into the bowels) in the manner of an Asthdpana-Vasti.
Pain in the back, the thighs and in the regions
of the sacrum (Trika\ stone, retention of stool, urine
and flatus, diarrhoea (Grahani), Haemorrhoids and
diseases due to the action of the deranged Vaiyu,
readily yield to the curative efficacy of such injections,
by which also, the blood, muscles and the strength are
improved. 13.

A decoction duly prepared with Guduchi, Triphald^
Rdsndy Das' a-7nula and Vald weighing one Pala -f* each,
and a pulverised compound consisting of Priyangu^
Rasdnjana, Saifidhava, S^ata-pushpd, Vachd^ Krishnd^
Yamdni, Kushtha^ Vilva fruit and treacle each weighing
an Aksha (two Tolds) and half a Pala of pulverised
Madafta fruit, should be injected into the bowels (in the
manner of an Asthdpana enema injection), stirred and
mixed with an adequate quantity of honey, oil, clarified
butter, milk, Sukta, Kdnjika, Mastu (curd-cream) and
cow's urine|. Strength, energy, vigour, complexion,
digestive capacity, verility and vital duration of the
user would be increased by its application, and all
derangements of the bodily V^yu would yield to its
curative efficacy. It is one of the best rejuvenating
agents. 14.

A decoction should be made by boiling together the drugs of the Kshudra-Pancha^mula group, Musta^

* Honey, Sneha, milk, K^njika, cow's urine, meat-juice, etc., should be taken.

+ Dallana takes Pala in the sense of meat ?fre?f (Mdmsam).

X The quantity of honey, oil, and clarified butter, should be as before, that of S'ukta, Kanjika, Mastu and urine half a Pala each, and that of milk two Palas. — Dallana.

tHE SUSliRUTA SAMHITA. [Chap. XXXVIII.

Tri'phald^ Utpala^ Vdsaka, Sdrivd, Manjishthd,
Rdsnd^ Re?tu^ and Parushaka each weighing one Pala.
A compound of S'ringdtaka^ Atma-guptd, Gaja-pippali^
Kes'aray Aguru^ Chandana, Viddri^ Misi (anisi),
Manjishthd, S'ydmd, Indra-yava, Saindhava-salt,
Madana-Phala^ Yashti-madhu, Padma-kdshtha pasted
together, should be dissolved in the preceding decoc-
tion which should be mixed and stirred with milk,
honey and clarified butter and injected cold without the
addition of any acid substance, in the manner of an
Asthapana enema (Vasti). It should be applied in
liquid form. A burning sensation of the body,
menorrhoea (Asrig-dara), Haemorrhage, Pittaja-gulma,
Pittaja-fever, yield to the curative efficacy of such a
medicinal injection (Vasti). 1 5.

A decoction should be duly prepared with Lodhra^
Raktachandana, Manjishthdy Rdsnd, Anantd, Vald,
Riddhi, Sdrivd, Vrisha, Kds'^naryya, Medd, Madhuka
(Yashti-madhu), Padmaka, the drugs included in the
Sthir^di (minor Pancha-mula) and the Trtna-Pancha'
mula groups, each weighing three Karshas (six Tolds).
Then a paste composed oi Jivaka, Rishabhaka Kdkoli,
Kshira-Kdkoli, Riddhi, Yashti-madhu, Utpala, Prapaun-
darika, Jivanti, Medd, Renu (Parpataka), Parushaka,
Abhiru (S'atdvari), Misi, Saindhava, Vatsaka, Us'ira,
Padmaka, Kas'eru and sugar pasted together should be
mixed with the preceding decoction made into a fluid
solution with an adequate quantity of milk, honey, and
clarified butter and other fluid substances* other than

* Dallana recommands the use of raeat-juice (one Pala) and sugar-cane juice (two Palas) as the liquefacient agents in this preparation. It should also be noted that coldness and non-addition of any acid substances

are recommended as the injection is to be applied in cases of diseases due

to the derangement of Pitta*

Chap. XXXVIII.) CIIIKITSA STllANAM. 637

Strong acid ones (Kdnjika, etc.). It should then be
injected well cooled in the manner of an Asthdpana-
Vasti. It would undoubtedly prove curative in cases of
Gulma, menorrhcegia (Asrig-dara\ heart diseases,
Jaundice, Vishama jvara. Haemorrhage (Rakta-pitta),
dysentery, and other Pittaja ailments. 16.

A compound of Vald, Madana fruit, Sarshapa^
Saindhava^ Dcva-ddru, Kushtha^ Eld, Pippali, Vilva and
S'untki (weighing three Palas in all) pounded together
and mixed with the decoction of Bhadrdy Nimha,
Kulattha pulse, Arka, Kos'dtaki, Amrita, (Guduchi),
Dcva-ddru, Sdrivd, Vrihati, Pdthd, Murvd, Aragvadha
and Kutaja-%z^^% (weighing sixteen Palas in all) cooked
with water (one hundred and twenty-eight Palas) should
be injected in the manner of an Asthdpana-Vasti, with
the addition of an adequate quantity of mustard oil,
honey, alkali, cow's urine, sesamum oil and water (three
Palas). This would speedily conquer an attack of
Chlorosis (KdmaLi), Jaundice, Meha, obesity, impaired
digestion, aversion to food, goitre, slow poisoning,
(Gara visha\ elephantiasis, Udara, or of any disorders
due to the deranged Kapha. 17.

Musta^ Saindhava, Deva-ddru, Pdthd, Pippali and
Indra-yava, pounded together, and made into
a paste with the admixture of the decoction
prepared with such drugs as Das'a-mula, Haridrd,
Vilva, Patola, Triphald, and Deva-ddru, should be
stirred and saturated with oil, Yava-kshdra and honey
and reduced to a soluble fluidity by adding (an adequate
quantity of) cow's urine, Madana-phala and Kdnjika.
The solution thus prepared should be injected (into the
rectum of the patient) in the manner of an Asth^pana
enema-injection and this would prove curative in cases
of Jaundice, deranged Kapha, alcoholism, lassitude,

' 638 THE SUSHRUTA SAMHITA. [Chap. XXXVIIl.

suppression of flatus (Vdyu) and of urine, in cases of
there being any rumbling sounds in the intestines
(Atopa), and Gulma and in diseases due to worms. 18.

Ma^ana-phala, Yashti-madhu, Vacha, Deva-ddru,
Sarshapa, Pippali-mula, Saindhava salt (Sindhuttha),
YamdniyMisi 2.nd Indra-yava should be pounded together
and made into a paste with the admixture of the decoc-
tion prepared with a Pala measure each of Vdsaka,
As^ma bheda, Varshdhhu, Dhdnya, Eranda-mula, Das'a-
mula, Vald, Murvd, Yava, Kola, Nis' a-chchhada (Sathi),
Kulattha, Vilva, and Bhu-nimha and dissolved in an
adequate quantity of honey and the expressed juice of
sugar-cane, milk, oil, clarified butter, meat-essence,
and the urine (of a cow) by stirring them together.
The solution thus prepared should be speedily injected
in the manner of an Asthdpana injection into the
rectum of a patient suffering from a disease marked
by the concerted action of two or more of the deranged
Doshas. Diseases such as Gridhrasi, S'arkara, Ashthild
Tuni and Gulma may be rapidly cured with this
injection (^Vasti). 19.

Madana fruit, Yashti-madhu, Mist {an'isi), Saindhava ^
Priyangu and Indra-yava pounded together and made
into a paste with the decoction of the drug'^, one Pala
each of Rdsnd, Aragvadha, Varshdbhu, Kaluka, Us'ira^
Mustaka, Trdyamdnd, Antrita (Guduchi), Raktd (Man-
jishthd), Pancha-mulay Vihhitaka and Vald should be
duly mixed with (an adequate quantity) of Rasdnjana,
extract of meat (Rasa\ honey, Sauvira and the
expressed juice of the Drdkshd. The solution thus pre-
pared should be injected lukewarm into the bowels of
the patient in the manner of an Asthdpana-Vasti. It
adds to the growth of flesh, creates fresh semen and
Ojas, improves the digestive capacity and the strength

Chap. XXXVIII.J CHIKITSA STHANAM. 639

of the body, imparts longevity and cures and conquers the following diseases, viz., Gulma, Menorrhagia, Erysipelas (Visarpa), Strangury, Kshata-kshaya, Vishama-jvara, Haemorrhoids, Diarrhoea (Grahani), Vdta-kundali, catching pain due to the incarceration of the V^yu in the regions of the thighs, knee-joints, head and bladder (Vasti), obstinate constipation of the bowels, (Uddvarta) and the other distempers of the bodily Vayu, Vata-rakta, Sarkard (gravels in the bladder), AshthilcL, cramp in the groins, Udara, aversion to food, Rakta-pitta (Haemorrhage), affections of the deranged Kapha, Insanity, Prameha, distension of the abdomen (Adhmdna), catching pain at the heart (Hrid-graha). 20. A Vasti composed of the decoction of the V^yu- subdulng drugs mixed with Trivrit*^ Saindhava and Kdnjika (or the expressed juice of acid fruits) should be applied lukewarm in cases due to the aggravation of the bodily Va'yu. Similarly, a Vasti composed of the decoctions of the drugs included within the Nyagrodhddi group mixed with sugar, clarified butter, powders of those included within the Kdkolyddi group should be applied in diseases due to the aggravation of the Pitta. A Vasti composed of the decoction of the drugs of the Ara^adhddi group saturated with the pulverised com- pound of those included within the Pippalyddi group, should be employed with (an adequate quantity of) cow's urine, added thereto in a case of the aggravation of Kapha. A Vasti composed of a copious quantity of the decoction of Kshira-Vrikshas mixed with (an adequate quantity of) the expressed juice of the sugar-cane, milk,

* According to Dallana, *'Trivrit" should be understood to mean the same as •• Traivrita" mentioned in the treatment of Maha-vata-vyadhJ (see Chapter V., Para. 25, Chikitsita Slhanam).

640 THE SUSHRUTA SAMHITA. [Chap. XXXVIII.

sugar, and clarified butter should be applied in a cold
state in cases marked by a vitiated condition of the
blood of the system. 21 — 24.

^odhana (corrective) Vastis :— The

drugs of the S'odhana group 'possessed of corrective
therapeutic properties) should be pounded together and
mixed with an admixture of their own decoction. The
solution thus formed should be mixed with Saindhava
and Sneha and stirred with ladle. It should then be
injected into the bowels of the patient. This is called
the S'odhana-Vasti*. 25.

Lekhana- Vast! : —The powders of the drugs
of the UsJiakddi group should be mixed with the
decoction of Triphald and with cow's urine, honey and
Yava-kshdra. The whole solution should be applied as
a Vasti and is called the Lekhana- Vasti. 26.

Vrimhana-Vasti :— A paste composed of

the drugs of the Madhurai^-kVQ>\y^^\) group mixed with
the decoction of the drugs possessed of tonic and
constructive properties (Vrimhana drugs) should be
injected into the bowels with clarified butter and the
extract of meat added thereto. It is called the
Vrimhana-Vasti. 27.

Vaji-karana- Vasti :— The seeds of the

Atmaguptd should be pounded and mixed with the decoc- tion of (the roots of) the Uchchatd together with (the con- tents of) the egg of a sparrow (Chataka) and an adequate quantity of milk, clarified butter and sugar. The solution should be injected into the bowels in the manner of a Vasti and is called the VaLJi-karana- Vasti (aphro- disiac). 28.

* According to Dallana, four Pala weights of\honey, one Pala of milk, one Pala and a half of cow's urine, and four Pala and a half of Kanjika, should be added to this solution.

Chap. XXXVIII.] cilIKITSA STHANAM. 64I

Pichchhila-Vasti :— Milk cooked with

Viddri* Ainivati, S'clu, S'dhnali and the tender sprouts
of D/ianvana should be used as a Vasti with the blood
and honey (added to it) ;t it is called the Pichchhila-
Vasti. The fresh blood of a buffalo, hog, sheep, or of
a cat, or the contents of a newly laid (hen's) eggj may
be used for the purpose. 29-30.

Gr^Chi-Vasti :— A paste of the drugs of the
Ambashthddi group, dissolved in a decoction of those of
the Priyangvddi group and mixed with honey and
clarified butter, may be used as a Vasti and is called
the Gr^i- Vasti. 31.

Sneha-Vasti :— A Sneha-Vasti should be
prepared by duly cooking the drugs of one or two of the
above groups with a Sneha. 32.

Sterile women should be treated with a Vasti con-
sisting of the S'ata-pAka-Val4-Taila or the Traivrita-
Ghrita (as described before)§ after being cleansed
(S'odhaiia) in due succession. 33.

Strong enemas (possessed of keen medicinal potency) should be employed in respect of extremely strong

* Both Vrinda and Chakrapdni read •• Vadaii " in place of " Vid^ri", and their annotators mean to say that the tender sprouts of all trees, viz.^ Vadari, etc., should be used.

t Vrinda does not recommend the addition of honey ; he reads "^^(fl*. ^." (<-^M ^bc Vasti should be in a cold state), in place of "^*t^^dl!". ^"^ '' 's evident from the reading of Dallana's commentary, as quoted by S'rikantha Datta, that honey should be added.