Ashtangasamgraha 5.27

5.27

cayakāṣṭhāmupāruhya kurvate te hyupekṣitāḥ |

prāyaśaḥ sucireṇāpi bheṣajadveṣiṇogadān ||

pittāttālugale dāhaḥ śoṣa uktāvasūyanam ||

kalkaiḥ kaṭvaṅgadārvītvagvatsakatvakdalairghṛtam ||

samūtrairbastibhistīkṣṇairāsthāpyaḥ kṣiprameva saḥ ||

pūrvadvāre sthitaṃ divyaṃ vajramindrājñayā śubham ||

Reaching the peak of accumulation, when neglected they mostly produce / diseases that resist remedies, even after a very long time.
From pitta, burning in the palate and throat, dryness, and censure of whatever is said.
Ghee [prepared] with pastes of kaṭvaṅga, tree-turmeric bark, and leaves of kuṭaja bark.
He should be quickly given a non-unctuous enema with sharp enemas containing urine.
The divine, auspicious thunderbolt positioned at the eastern gate by Indra's command: