The Compendium of Caraka 8.2.18

8.2.18

tatrābhuktabhaktasyānāvṛtamārgatvādūrdhvamativartate snehaḥ, navajvarapāṇḍurogakāmalāpramehiṇāṃ doṣānutkliśyodaraṃ janayet, arśasasyārśāṃsyabhiṣyandyādhmānaṃ kuryāt, arocakārtasyānnagṛddhiṃ punarhanyāt, mandāgnidurbalayormandataramagniṃ kuryāt, pratiśyāyaplīhādimatāṃ bhṛśamutkliṣṭadoṣāṇāṃ bhūya eva doṣaṃ vardhayet; tasmādete nānuvāsyāḥ//

Therein, in one who has not eaten food, the fat moves exceedingly upward because the passage is unobstructed; in those with acute fever, pāṇḍuroga, jaundice, and prameha, it would stir up the doṣas and cause abdominal enlargement; in one with hemorrhoids, it would cause excessive secretion in the hemorrhoids and produce tympanites; in one afflicted with anorexia, it would further destroy desire for food; in the weak with sluggish digestive fire, it would make the digestive fire even more sluggish; in those with catarrh, splenic disease, etc., whose doṣas are severely stirred up, it would increase the doṣa all the more; therefore, these are not to be given an anuvāsana enema.