Ashtangasamgraha 27.6

27.6

Those who should not be subjected to emesis, however, are: a pregnant woman, a delicate person, one preoccupied with other duties, an unctuous-depleted person, one whose diet consists mostly of dry food, one with excessively kindled digestive fire, one constantly exhausted from carrying loads, walking, or physical exertion, one who is chest-injured, an emaciated person, an excessively obese person, an emaciated person, an old person, a child, a weak person, one afflicted with fatigue, fear, grief, anger, intoxication, fainting, hunger, or thirst, one engaged in fasting, sexual intercourse, physical exercise, study, or anxiety, one with persistent vomiting, one with upward bleeding disorder, one suffering from upward vāta, one who has received an evacuating enema, one who has received an unctuous enema, one with an obstructed abdomen, one who vomits with difficulty, one afflicted with heart disease, upward movement of vāta, urinary retention, abdominal swelling, splenic enlargement, abdominal disease, prostate enlargement, hemorrhoids, impairment of voice, cataracts, dizziness, vāta disorders, facial paralysis, convulsive disorders, or pain in the eyes, head, temples, ears, or flanks, and one with parasites in the abdomen who has not received an evacuating enema.

[They may be subjected to emesis, however,] in cases of undigested toxins, artificial poisons, incompatible food, and food poisoning, because these act rapidly.

In that regard: in a pregnant woman, due to harm to the fetus and miscarriage of an unformed fetus, severe disease would arise.

In a delicate person, because of strain on the heart, blood would flow upward or downward.

In one preoccupied with other duties, the medicine does not take effect;

or, taking effect with difficulty, it would produce the faults of inadequate evacuation.

In an unctuous-depleted person, vāta produces stiffness of the limbs.

In one whose diet consists mostly of dry food, because the body is exhausted by vāta, loss of strength would ensue.

Likewise, in one with excessively kindled digestive fire, due to the power of the digestive fire, and in those constantly exhausted by carrying loads, walking, physical work, or vehicles, due to exertion, excessive bleeding occurs in the chest-injured person from further tearing of the wound.

In emaciated and similar persons, because of intolerance to the strength of the medicine, obstruction of the strength of the body and danger of internal trauma occur.

In persistent vomiting and upward bleeding disorder, the udāna [vāta], throwing upward, would snatch away the vital breaths and cause excessive discharge of blood.

In those with upward vāta and those who have received an evacuating or unctuous enema, excessive upward movement of vāta occurs.

In one with an obstructed abdomen or one who vomits with difficulty, due to excessive straining, the doṣas agitated within the abdomen cause erysipelas, stiffness, torpor, confusion, or death.

In a patient with heart disease, obstruction of the heart occurs.

In those afflicted with upward movement of vāta and the like, and those with facial paralysis and the like, their respective illnesses worsen or death occurs.

In one with a parasite-infested abdomen, because the parasites were not previously eliminated below by an evacuating enema and because of their excessive abundance, they do not emerge completely, and by severely pulling on the heart, excessive vomiting would occur.

/ The entire head feels as if it were whirling, and as if coming loose from its joints;