The Compendium of Bheḷa 8.7

Wise men state that fruit alone is best among non-unctuous enemas; / among them, physicians declare madana fruit to be the best.

Some praise jīmūtaka, and likewise dhāmārgava; / some say kṛtavedha, and others mention kuṭaja.

All these doctrines, when considered individually, are censured; / a combination of medicines is praised in non-unctuous enemas.

We shall explain in proper order non-unctuous enemas destroying vāta, pitta, and kapha, / according to rule, and those beneficial in sannipāta.

The two pañcamūlīs, jujube fruits, spikenard, and dry radish, / two palas of each, one should boil in a droṇa of water.

One should take down the decoction when reduced to an eighth part; / and one should add these medicines ground into a paste:

nikuñcikā, kharapuṣpā, long pepper, rock salt, sweet flag, / seeds of cucumber and urvāru, dill, and carom,

costus, tagara, and liquorice; / it is stated to be combined with milk, with decoction, and with cow urine.

A non-unctuous enema with oil will destroy vāta diseases. / Trichosanthes leaves and roots, neem, and asparagus,

trāyamāṇā, balā, rāsnā, bṛhatī, kaṇṭakārī, / guḍūcī, triphalā, śyāmā, sāribā, and the bark of bamboo—

each in portions of two palas, one should prepare according to the former method. / Liquorice, the fruit of bamboo, dill, durālabhā,

mahāsahā, and aṃśumatī, one should make into a paste separately. / Then with milk, decoction, ghee, and honey,

mixed according to procedure and thoroughly churned, a non-unctuous enema destroys pitta. / Daśamūlī, the two kinds of karañja, croton root, and citraka,

ekāṣṭhīlā, aśvagandhā, triphalā, and deodar, / pūtika, rauhiṣa, convolvulus, mūrvā, and rājatṛṇa—

the knower of all procedures should boil these, five palas each, / and should boil them well combined with downward-purging and upward-purging substances.

Combined with urine and oil, this excellent non-unctuous enema destroys śleṣman. / Aśvagandhā, balā, rāsnā, śvadaṃṣṭrā, together with punarnavā,

Trichosanthes, the two pañcamūlīs, bhārṅgī, convolvulus, asparagus, / guḍūcī, triphalā, horse-radish tree, and fruits of the karṇikā,

uśīra, turmeric leaves, pūtika, and kattṛṇa: / each of these five palas, the physician should cut into pieces.

It should be boiled in a droṇa of water until one-eighth part remains. / Liquorice, dill, rock salt, mustard seeds, jaggery,

hapuṣā, ajamodā, and fruits of madana, / sweet flag, seeds of aśoka, long pepper, and costus:

these medicines are to be ground into a paste separately. / Combined with milk and oil, accompanied by ghee and urine,

churned with a churning stick and filtered, that non-unctuous enema is praised / with one, two, or three [measures], or according to excessive measure,

or slightly less or more, having discerned the strength or weakness of the disease. / One should administer it: for those of twenty years, according to the measure of a prastha;

then for those of twelve years, one should administer half a prastha; / and here for those of six years, one should administer a kuḍava of decoction,

combined with salt and oil, as well as with milk and honey. / The physician should make the decoction enema with two handfuls of unctuous substance;

in a moderate [patient] he should make it a handful, and half a handful in a smaller one. / One should prepare the decoction neither too cold nor too hot:

vāyu is aggravated by coldness, whereas [if] too hot, it burns the rectum. / When overly dense and excessively coagulated, it stupefies along with the doṣa,

a rush of intoxication occurs, and a complication arises for him. / Or if the decoction administered to him is thin,

it carries off little doṣa and does not cleanse the rectum, / and it produces cutting pain, colic, and tenesmus.

Given excessively sweet, [when] scorched it obstructs the belly; / [it produces] sprue syndrome, bleeding piles, anaemia, and fistula-in-ano.

Excessively sharp, however, poorly administered, it quickly returns; / it does not remove the doṣas, and produces fever and fainting.

A person who is feverish, suffering a burning sensation, and fainting / one should treat with milk enemas that are cold and combined with sweet [drugs].

If a saline non-unctuous enema in his belly produces / a paittika ailment, in that case an evacuating enema should be prepared with sweet [drugs].

If a sweet non-unctuous enema aggravates śleṣman, / one should evacuate him with pungent and astringent [drugs]. If vāta

is excessively aggravated, in that case the evacuating enema should be destructive of vāta. / Therefore, salt-accompanied substances and sweet ones

the physician should give, not cold; likewise he should discriminate hot ones: / in pitta the non-unctuous enema should be cold, but in kapha and vāta, hot.

When śleṣman or vāta is predominant, the non-unctuous enema should be hot. / Having ground the fruit of madana, one should boil it with clear oil;

physicians praise that fruit oil in a non-unctuous enema. / And this non-unctuous enema of fruit oil, combined with cow urine,

one should make a saline non-unctuous enema, excellent for breaking up abdominal distension with constipation. / Or one should boil wood-apple and castor fruit measuring two prasthas;

sour and with salt, it should be boiled until one-eighth part remains. / In that decoction, one should mix pīlu [fruits] to be ground into a paste.

Combined with fruit oil, an enema that breaks up abdominal distension with constipation is to be given. / This also breaks up all upward movements of vāyu, swellings, and abdominal lumps;

moreover, this enema destroys flatulence and upward movement of vāyu. / [...], bṛhatī, kaṇṭakārī,

sandalwood, padmaka, and the stalk and flower of the silk-cotton tree: / one should add thereto a kuḍava of crushed barley grains.

The physician should boil all that together in eight times as much water; / adding ghee, honey, and mucilage according to ability,

the wise praise this slimy enema in case of dysentery. / After that, sixteenths, and two palas of punarnavā,

one should boil the pañcamūlī along with barley in a cauldron. / And the well-pressed fresh juice of crushed upodakā,

combined with that decoction, one should mix along with ghee; / and combined with honey, the enema thick with barley,

known as the slimy enema, [is used] in colic and in dysentery. / Tender leaf of śiṃśupā, sprout of karbudāra,

ground together with prepared, crushed barley, combined with ghee, / and joined with honey and milk, that enema thick with barley,

destroys dysentery and vāta-colic in one weakened by chest-injury. / These non-unctuous enemas have been explained as destroying all diseases; / in disorders that are complicated, the physician should administer them. / Thus spoke the venerable Ātreya. / Thus the seventh chapter in Bheḷa. / / Eighth Chapter / / Now we shall explain the successful management of the ten complications of non-unctuous and unctuous enemas, thus spoke the venerable Ātreya.