Ashtangasamgraha 28.14

28.14

ya evāsthāpyāsta evānuvāsyāḥ |

rūksātidīptāgrayaḥ kevalānilārtāśca viśeṣeṇa |

ete paramanuvāsa nenāpyāyyante |

mūlasekena vṛkṣavat |

ya evānāsthāpyāsta evānanuvāsyāḥ |

tathā nirannanavajvarapāṇḍurogakāmalāpramehapratiśyāyaplīhakaphodarāḍhyavātavarcobhedārtapītaviṣagarapittakaphābhiṣyandagurukoṣṭhātisthūlaślīpadagalagaṇḍāpacīkrimiṇakoṣṭhāḥ |

tatrātisnigdhādīnāṃ yathāsvamuktāḥ pṛthagdoṣāḥ |

api ca ||

purāṇasarpisnigdhaṃ vā vāmayet |

svedaḥ piṇḍena rūkṣeṇa |

śigrunimbairaṇḍakvāthena vā nāḍīsvedaḥ ||

Only those who are fit for an evacuating enema are fit for an unctuous enema. / Particularly those who are dry, those with excessively blazing digestive fires, and those afflicted purely with vāta. / These are supremely nourished by an unctuous enema, / as a tree is by watering its roots. / Only those who are unfit for an evacuating enema are unfit for an unctuous enema. / Likewise, those who have not eaten; those with fresh fever, anaemia, jaundice, urinary disorders, catarrh, splenic disease, abdominal swelling due to kapha, thigh stiffness (ūrustambha/āḍhyavāta), diarrhea; those who have drunk poison or synthetic poison; those with channel-blocking of pitta or kapha; those with a heavy alimentary tract; those who are excessively obese; those with elephantiasis, cervical lymphadenitis, scrofula; and those with worms in the alimentary tract. / Among them, the specific faults of those who are excessively unctuous and the rest have been described individually. / Furthermore: / Or one should induce emesis in him after oleating him with aged ghee; / sudation [is done] with a dry bolus; / or tube-sudation with a decoction of śigru, nimba, and castor.