Ashtangasamgraha 28.13

28.13

In one who has undergone nasal therapy, it would cause dislocation of the disease-process because the upper bodily channels are opened. / An unctuous enema, moreover, would cause aggravation of the doṣas. / In those with persistent vomiting and the like, vāta would carry the evacuating enema upward; / and so too an unctuous enema. / In one with haemorrhoids, because the passage is obstructed, the enema, not returning, would destroy life. / The unctuous substance, furthermore, by being channel-blocking to the haemorrhoids, would lead to abdominal distension. / In those [with conditions] starting from intestinal obstruction and ending with abdominal distension, death [occurs] due to even severer abdominal distension. / In those afflicted with sluggish digestion (alasaka) and the like, [harm occurs] due to āma-doṣa. / In those afflicted with anorexia and the like, there is an increase of their respective disease. / In a pregnant woman, the aforementioned fault occurs. / And as in the case of erysipelas (visarpa). / Especially, however, a poultice with black sesame, śatāvarī, blue water-lily, mūrvā, and punarnavā [is applied].