The Compendium of Caraka 3.7.18

3.7.18

pratyāgate ca paścime bastau pratyāśvastaṃ tadaharevobhayatobhāgaharaṃ saṃśodhanaṃ pāyayedyuktyā; tasya vidhirupadekṣyate---madanaphalapippalīkaṣāyasyārdhāñjalimātreṇa trivṛtkalkākṣamātramāloḍya pātumasmai prayacchet, tadasya doṣamubhayato nirharati sādhu; evameva kalpoktāni vamanavirecanāni pratisaṃsṛjya pāyayedenaṃ buddhyā sarvaviśeṣānavekṣamāṇo bhiṣak//

And when the last enema has returned and he has regained his strength, on that very day one should administer with proper judgment an eliminative therapy acting in both directions. Its procedure will be explained: stirring one akṣa-measure of the paste of trivṛt into half an añjali of the decoction of madanaphala and pippalī, he should give it to him to drink; that completely expels his dosha from both directions. In the very same way, combining emetics and purgatives taught in the Kalpasthāna, the physician, discerning all specific conditions with his intellect, should make him drink [it].