The Compendium of Caraka 6.26.16

6.26.16

teṣāṃ vighāte tu bhiṣagvidadhyāt svabhyaktasusvinnatanornirūham/
ūrdhvānulomauṣadhamūtratailakṣārāmlavātaghnayutaṃ sutīkṣṇam//

When these fail, the physician should administer a non-unctuous enema to the well-anointed and well-fomented body, / very sharp, containing upward- and downward-evacuating drugs, urine, oil, alkali, sours, and vāta-dispelling substances.