Ashtangasamgraha 28.30

28.30

pūrvameva tu vaidyo varttyā supihitāgracchidraṃ netraṃ bhājanasyopari kṛtvā dakṣiṇapādāṅguṣṭhāṅgulībhyāṃ karṇikāyā upariṣṭānniṣpīḍyāvibandhāya śatāhvāsaindhavacūrṇāvacūrṇitaṃ prageva netrasparśāt pūrvavadābhimantritaṃ yathārhaṃ yathārhauṣadhāvipakva sukhoṣṇaṃ bastau snehamāsicyāvalīkocchvāsaṃ nissāritavātabudbudamauṣadhānte sūtreṇa dvistrirvā bastimukhamāveṣṭya dakṣiṇapāṇau netramuparidhāya tiṣṭhet |

tato ghṛtābhyakte pāyau vāmahastapradeśinyābhyaktapraveśapradeśamapanītavartyuttānavāmahastāṅguṣṭhodarapihitāgraṃ madhyamāpradeśinyupagṛhītakarṇikamṛjvanupṛṣṭhavaṃśamanusukhamekamanā lāghavena niṣkampamadrutamavilambitaṃ netramākarṇikaṃ praveśayet |

āturo 'pi tadanulomayannavalambeta |

tataśca vaidyo bastimukhaṃ dakṣiṇahastāṅguṣṭhapradośinībhyāmamuñcannetramacālayan hastadvayenottānenaikagrahaṇenaivānilādhiṣṭhānabhūtaṃ kiñcidavaśeṣayan śanaiśśanairavegamanupīḍayet |

anyathā hi vyāpado bhavanti |

tāḥ sasādhanāḥ siddhiṣu vakṣyante ||

kiñcit kālaṃ sthitaṃ coṣṇodakāmlakāñjikānyataradhautaṃ viḍaṅgavyoṣalākṣāgāradhūmamanohvālavacārasāñjanaharidrādvayairālimpet |

tilamaṣyā vā snuhīkṣīrayuktayā |

madhukotpalatilairaṇḍamārkavapatrairvā |

śigrumūlakasarṣapabījairvā gomūtrapiṣṭaiḥ |

vālakāmalakanāgaramūlakasarṣapabījairvā kṣīrapiṣṭaiḥ |

śirīṣatvagyaṣṭīmadhukābhyāṃ vā |

purāṇapiṇyākakukkuṭapurīṣābhyāṃ vā ||

Earlier, the physician, having placed the nozzle over a vessel with its front opening well plugged with a wick, pressing above the ring with the big toe and toes of his right foot so that there is no obstruction, sprinkled with powder of dill and rock salt, recited over with mantras beforehand as previously before touching the nozzle, having poured into the enema-bladder the unctuous substance appropriately cooked with suitable medicines, lukewarm, free of folds and breaths, with air bubbles expelled, wrapping the mouth of the bladder twice or thrice with thread at the end of the medicine, should stand placing the nozzle upon his right hand. / Then, into the anus anointed with ghee, the area of entry having been anointed with the forefinger of the left left hand, the wick having been removed, the tip covered with the palm-side of the thumb of the upturned left hand, the ring held by the middle and index fingers, straight along the backbone, comfortably, with single-mindedness, with lightness, steadily, neither quickly nor slowly, he should insert the nozzle up to the ring. / The patient too should relax, letting it go down. / And then, not releasing the mouth of the bladder with the thumb and forefinger of his right hand and not moving the nozzle, with both hands upturned in a single grip, leaving a little bit remaining as the seat of wind, he should squeeze it gradually without haste. / For otherwise complications arise; / they, along with their remedies, will be explained in the Successful Treatments [section]. / Having remained for a short time, washed with one of warm water or sour gruel, one should smear it with viḍaṅga, the three pungents, lac, soot from the house, realgar, cedar, rāsnā, añjana, and the two turmerics; / or with sesame soot combined with snuhī latex; / or with madhuka, blue water lily, sesame, castor, and eclipta leaves; / or with drumstick, radish, and mustard seeds ground with cow's urine; / or with vālaka, āmalaka, dry ginger, radish, and mustard seeds ground with milk; / or with siris bark and liquorice; / or with aged oil cake and chicken dung.