Ashtangasamgraha 28.12

28.12

anāsthāpyāstvatisnigdhotkliṣṭadoṣakṣatoraskātikṛśā nirannāḥ kṛtavamanavirecananasyaprasaktacchardiniṣṭhīvikākāsaśvāsahikkārśobaddhacchidradakāderādhmānālasakaviṣūcikāmātīsārārocakālpāgnigudaśophakuṣṭhamadhumehārtāḥ |

garbhiṇī cāpravṛttāṣṭamamāsā |

tatrātisnigdhotkliṣṭadoṣayordoṣānukleśyodaraṃ mūrcchāṃ śvayathuṃ vā nirūho janayet |

kṣatoraskasyātikṛśasya ca kṣobhamāpannaḥ śarīramāśu pīḍayet |

anirannasya vakṣyate |

kṛtavamanavirekayostu riktaṃ dehaṃ kṣataṃ kṣāra iva dahet |

snehabastistu sadyo 'gnimavasādya śleṣmāmayāya syāt ||

añjanādivargaśṛtaṃ kṣīramāsthāpanam ||

Those who should not be given an evacuating enema, however, are: those who are excessively unctuous; those whose doṣas are aggravated; those with chest injury; the severely emaciated; those who have not eaten; those who have undergone emesis, purgation, or nasal therapy; those afflicted with persistent vomiting, spitting, cough, dyspnoea, hiccough, haemorrhoids, intestinal obstruction, intestinal perforation, ascites, abdominal distension, sluggish digestion (alasaka), cholera-like disease (viṣūcikā), acute diarrhoea with undigested material, anorexia, weakened digestive fire, anal swelling, cutaneous affections, or diabetes mellitus (madhumeha); / and a pregnant woman before she has entered the eighth month. / Among them, in one who is excessively unctuous or whose doṣas are aggravated, an evacuating enema would disturb the doṣas and produce abdominal swelling, fainting, or swelling. / In one with a chest injury and one who is severely emaciated, [the enema], having agitated [the body], would quickly harm the body. / The case of one who has not eaten will be explained [later]. / In those who have undergone emesis or purgation, it would burn the empty body like caustic alkali on a wound. / An unctuous enema, on the other hand, immediately depresses the digestive fire and leads to diseases of śleṣman. / Milk boiled with the Añjanādi group [is used as] an evacuating enema.