Ashtangasamgraha 27.9

27.9

Those who should not be purged, on the other hand, are: one with acute fever, diarrhea, downward bleeding disorder, an ulcerated rectum, one who has fasted, one who has stayed awake at night, one who has received an evacuating enema, one with weak digestive fire, one suffering from consumption or alcoholism, one with abdominal distension, one bearing a foreign body, one who is traumatized, one excessively oleated, one who is unctuous-depleted, and one with a hard bowel. Among them: in one with acute fever, one should not eliminate the unmatured doṣas;

and it would only provoke vāta.

In one with diarrhea and one with downward bleeding disorder, it would kill by excessive discharge.

In one with an ulcerated rectum, it causes obstruction of the vital breaths in the rectum; in one afflicted with consumption, because the bodily tissues are depleted, [life] depends on the strength of the feces;

in the absence of that, destruction of the body would result.

In one suffering from alcoholism, vāta in a body depleted by liquor causes obstruction of the vital breaths.

In one with abdominal distension, vāta accumulated in the colon, spreading out, would suddenly cause more severe distension or death.

In those bearing a foreign body and the traumatized, vāta resting in the wound would destroy life.

In one who is excessively oleated, excessive purgation would occur.

In one with a hard bowel, the doṣas, stirred up by the medicine but not flowing out, would produce heart pain, splitting pain in the joints, abdominal obstruction, vomiting, fainting, and exhaustion, and would destroy the vital breaths.

In the pregnant woman and the rest, the previously mentioned faults would occur.

/ It becomes aggravated after a fortnight or a month, or it subsides entirely on its own; / but if excessively aggravated, it would destroy the sight or the hearing.