The Compendium of Bheḷa 8.8

The unctuous enema and the non-unctuous enema undergo two kinds of error: / either it is not retained when poorly administered, or when administered it fills excessively;

of those enemas gone wrong, there are ten complications. / I shall explain their signs and treatment in regular order.

Either it does not enter when administered into the rectum afflicted by diseases of vāta and the like, / or when blocked by feces, it is not pressed firmly;

or obstructed by hemorrhoids, [or] when the rectum is closed by śleṣman, / or equipped with a heavy apparatus, or when the nozzle is smeared with old ghee,

the enema does not enter the rectum, and when the bodily elements are confused. / One should call that inadequate action; learn from me excessive action:

Or when pitta is overcome by vāta or by śleṣman in one who consumes unwholesome foods, / and overcome by feces, and pushed too far,

the enema does not return downward in one who is frightened or agitated, / or blocked by hemorrhoids in the third rectal fold;

or in one who has been purged, vomited, or is distraught by liquor or grief, / the enema does not return downward or moves excessively upward.

From that disorder of the enema, dread complications arise: / loss of blood, thirst, vomiting, heart disease, and swelling,

colic, hemorrhoids, jaundice, dyspnea, and cutting pain. / Learn from me each of their symptoms and treatments individually.

If an enema is administered to a person of heavy bowels, dry, of abundant doshas, / un-unctuated, [and] afflicted with a severe disease,

or if it is too small, or dry, or composed of drugs of cold potency, / or devoid of salt and unctuous substance, or very thin or dense,

it also excites the doṣas of one whose abundant doshas are bound up. / Where the doṣas residing there slip away, severely oppressed,

into the pelvis, bones, thighs, and shanks, and likewise into the top of the foot and abdomen, / they flow out, and he develops ascites with colic,

colic in the bladder, udāvarta, dryness of the rectum, and fever, / spitting, cough, nausea, aversion to food, and discoloration.

For him, unctuated and fomented with saṅkara, prastara, and the like, / one should administer a sharp non-unctuous enema, unerring and unpreventable:

Bilva, agnimantha, śyonāka, kāśmarya, and pāṭalā, / rāsnā, balā, gokṣuraka, barley, kola, and kulattha—

having gathered all of this, one should cook it in a droṇa of water; / reduced to a fourth part, one should take that decoction down.

Along with a paste of mustard seeds, pīlu, and madana, / and a decoction of yavāsa, together with oil and salt,

and urines as available, one should properly prepare the non-unctuous enema. / As […]

There, with the sounds of musical instruments and sounds of auspiciousness, / one should perform rites of appeasement, proclamations of a blessed day, and circumambulation.

Placing it in an auspicious jar, one should administer the enema in proper measure. / By the grace of the gods, this enema has great virtues for those afflicted with facial paralysis;

it removes all diseases, is aphrodisiac, and removes pain in the injured and emaciated. / Those diseases that have been described as arising from vāta and pitta,

beginning with cough, burning sensation, and fever—it destroys them without doubt. / Combined with one-third honey, this indeed destroys wrinkles and grey hair;

it produces beauty and complexion in men, and increases strength and muscle. / Taking one hundred [palas] each of śatāvarī, sahacara,

rāsnā, gokṣuraka, and balā, one should cook them in one hundred droṇas of water; / reduced to one droṇa and strained, one should store it.

The meats of peafowl, rooster, and swan individually; / the muscle fats of buffalo, wild boar, and ram, each measuring a prastha;

a prastha of juice each of vidārī, āmalaka, and sugar cane; / there, two prasthas of oil and ghee, and milk should be eight times that amount.

One should cook it appropriately over a cow-dung fire with this paste: / tugākṣīrī and āmalakī, drākṣā, madhuka, and sandalwood,

madhūlikā, paṭola, and the leaf of the blue water-lily, / viśālā, lotus stalk, and fruits of kapikacchu,

dates, audanapākī, śītapākī, nidigdhikā, / lāmajjaka, tvac, patra, hvībera, mahāsahā,

jīvaka, ṛṣabhaka, medā, and one should also take pippalī. / When it is cooked, having cooled it, one should mix in a prastha of honey.

There one should make sounds of musical instruments and recite auspicious benedictions; / having raised it upon an elephant's shoulder, sheltered by a white umbrella,

covered with cloth, and one should utter cries of 'excellent!' on all sides. / Then on an auspicious day, one should administer this rejuvenative enema.

When this enema has been administered, a man may approach a hundred women; / no restriction is prescribed here regarding dalliance with women.

The enema is aphrodisiac, strength-giving, reliable, and prolongs lifespan; / one who uses it overcomes wrinkles, grey hair, and baldness.

It makes men who are eunuchs endowed with auspicious marks and virtues. / For those who are emaciated, injured, whose semen is lost, or afflicted with irregular fever,

and women with disorders of the reproductive tract or who are barren, this enema cures them. / One should obtain a prastha of express juice of guḍūcī squeezed by a press,

a prastha of the juice of śatāvarī, and likewise of sahacara; / and of vidārī, āmalaka, sugar cane, grape, and date,

one should make a prastha of juice each, two prasthas of oil and ghee, / and goat, buffalo, and cow milks in double measure.

And pounding these crushed and ground [drugs], one should cook them: / vadhūṭikā, uccaṭā, madhuka, and pippalī,

śṛṅgāṭaka, puṣkarikā, and the stalk of the blue water-lily, / jīvaka, ṛṣabhaka, medā, balā, and blue water-lilies,

tugākṣīrī, mahāmedā, and the filament of the white lotus; / here, of bull, ram, and cakora, of swan and rooster,

of pheasant, mattākṣa, osprey, crane, and peafowl / —the muscle fat and marrow of these creatures, along with the meat juice of ram—

and one should add one-third part of honey when it is properly cooked. / With the sounds of conches and kettle-drums, and drums and bāmuri sounds,

one should mount it on an elephant's shoulder accompanied by a white umbrella and flag. / One should worship the supreme god of the siddhas, attended by hosts of great sages,

the refuge of all beings, the bull-bannered [Śiva], / with blessings, auspicious prayers, praises, and deity worship.

Rejuvenatives succeed [with these rites], and otherwise they turn out opposite. / One should administer that unctuous substance as an excellent rejuvenative enema.

Then the physician should not restrict him in food and recreational activities. / Women with disordered vaginal tracts, barren women, and those with blood-gulma,

or she who gives birth to dead offspring, and those who have lost their menstrual blood; / men who have lost semen, are wounded or emaciated, or afflicted with irregular fever,

wasted of muscle and blood, or afflicted with wrinkles and grey hair / —it quickly pacifies those diseases, increasing lifespan and muscle.

This is the best rejuvenative for men, equal to nectar. / And whatever procedures for rejuvenatives have been taught,

those cooked a hundred or a thousand times should be prepared if means allow. / Madhuka, rock salt, kuṣṭha, śatapuṣpā, hareṇu,

madana fruits, rāsnā, bhārṅgī, […] / pepper […]

One should boil well-pounded veśavāra minced meat of peacock or cock / together with daśamūlī in a droṇa of water.

And one should give half a prastha of that strained broth, / along with two handfuls each of muscle fat, oil, ghee, and honey.

One should then add a karṣa of hapuṣā, śatapuṣpā, and mustā / ground into a paste, [and administer] a pleasant enema with salt.

It suppresses vāta disorders in the feet, ankles, thighs, shanks, / sacrum, groins, urinary bladder, penis, and testicles.

One should apply the same preparation / for deer, partridges, burrowing animals, wetland animals, and birds.

Equal parts of honey and oil, and hot water equal to them, / two karṣas of śatapuṣpā, and a karṣa of the best salt (rock salt) —

this enema is rejuvenative, digestive-stimulating, and nourishing, / producing strength and complexion, aphrodisiac, sustaining (yāpana), and free from complications.

For those suffering from phantom tumors, upward movement of vāyu, abdominal distension, obstinate urinary diseases, and intestinal parasites, / and those who constantly have hard stools, this enema is considered beneficial.

Ghee, honey, and oil: their measure should be equal; / they should be given with the previously mentioned paste. That enema creates strength and complexion.

When a doṣa has entered the bladder or the penis, in treatment of incompatibility with enemas, / in paittika dysuria, and in pitta diseases, it is excellent.

Ghee and honey are equal, and meat broth equal to both; / and an akṣa-measure of mustā: that enema is prepared like the previous formulation.

When the ankles, thighs, knees, and back are stiffened all over, / in kapha disorders and tingling in the feet, the enema is considered soothing.

It quickly relieves colic in the bladder, testicles, and penis, / and removes pain in the sacrum, knees, thighs, back, and the like.

Because of mildness, either the enemas do not return or they cause agitation; / a non-unctuous enema with sharp [drugs] should be performed to quickly make [the fluid] return.

Because sustaining enemas are mild, some physicians, fearful of complication, / administer them with a decoction of digestive-stimulating [drugs].

Thus, in the case of complication with others or with non-unctuous enemas, / enemas prescribed according to rule indeed bring comfort when used at the proper time.

Those that are deficient or excessive become vitiated; therefore, one should employ the formulation [correctly]. / For those who constantly indulge in women, who are depleted, and who have scanty semen,

there is likewise this procedure which increases semen and strength. / I shall describe enemas that allow indulgence at will and increase semen:

The broth of crabs combined with sugar and whey, / containing ghee and black salt, is considered the most aphrodisiac enema.

Aphrodisiac enemas should be prepared according to this method / with swans, crane-birds, quails, francolin partridges, krauñca cranes, and peacocks.

Milk boiled with cock meat, mixed with honey, / and sparrow egg fluid, as well as fowl egg fluid,

combined with ghee and honey, and mixed with sugar and rock salt — / this enema is considered aphrodisiac, increasing muscle and semen,

by virtue of which a man can approach a hundred or sixty women. / This enthusiasm for complexion and strength is seen even in an old man.

With timiṅgila fish, sea monster (makara), pāṭhīna fish, crocodile, or fish, / or with tortoise or gavial, one should prepare milk like that of a porpoise.

The testicles of a boar and a he-goat, and the testicles of a bull, / and sparrows and crabs, one should cook with milk.

One should then mix that non-unctuous decoction with goat semen, / and add uccaṭā and ikṣuraka ground into a paste.

Combined with ghee and honey, administered with sugar / and slightly salted, this enema can make [a man] visit even hundreds of women.

This provides semen and strength for those who sport with women and live with many in a harem; / it is the best, an unequalled enema for amorous pleasure.

Milk boiled with ātmaguptā seeds, uccaṭā, and ikṣuraka / should be used in food or as an after-drink for aphrodisiac purposes.

The rejuvenative enemas that were previously taught by me / should be employed, prepared according to rule, with these meat extracts:

mongoose, boar, rhinoceros, and also goat, ox, and buffalo; / krauñca cranes, kāraṇḍava ducks, krauñcas, ruddy geese, and herons.

Collecting a non-unctuous enema decoction of these, one should employ it well as available: / milk, jackfruit seeds, kapikacchū fruits,

uccaṭā, ikṣuraka seeds, madhuka, crown of palm (tālamastaka), / pippalī, śāribā, grapes, dates, and madana fruits,

jīvaka, ṛṣabhaka, medā, and seed of the blue lotus — / prepared with this paste-core, mixed with sparrow egg fluid, / combined with sugar and honey […]