The Compendium of Caraka 8.4: caturtho 'adhyāyaḥ/

Now we shall explain the success [in treating] complications of unctuous enemas.

Thus spoke the venerable Ātreya.

Learn of these unctuous enemas that eliminate vāta, pitta, and kapha,
and the complications of improper administrations along with their treatments:

Daśamūla, balā, rāsnā, aśvagandhā, punarnavā,
guḍūcī, eraṇḍa, bhūtīka, bhārgī, vṛṣaka, rohiṣa,

śatāvarī, sahacara, and kākanāsā, in portions of a pala;
barley, māṣa, linseed, kola, and horse gram, measured in prasṛtas,

having boiled in four droṇas of water, with that [decoction] remaining at one droṇa,
an āḍhaka of oil, an equal amount of milk, with the vitalising drugs measured in palas—

this unctuous enema removes all vāta disorders;
likewise the fat of marshland animals prepared with vitalising drugs.

Oil prepared with śatāhvā, barley, bilva, and sours, in [diseases of] wind;
and ghee heated with fire-heated rock salt dispels wind.

Jīvantī, madana, medā, śrāvaṇī, madhuka, balā,
śatāhvā, ṛṣabhaka, kṛṣṇā, kākanāsā, śatāvarī,

svaguptā, kṣīrakākolī, karkaṭākhyā, śaṭī, and vacā,
having ground, one should prepare oil and ghee in four times their quantity of milk.

This unctuous enema is nourishing, dispels vāta and pitta, increases strength, semen, and digestive fire,
and removes disorders of urine, semen, and menses.

According to availability, with candana and other [drugs] ground into paste, in four times as much milk,
ghee with a fourth part of oil prepared [as an unctuous enema] dispels pitta.

Saindhava salt, madana, kuṣṭha, śatāhvā, nicula, vacā,
hrīvera, madhuka, bhārgī, devadāru with kaṭphala,

nāgara, puṣkara, medā, cavikā, citraka, śaṭī,
viḍaṅga, ativiṣā, śyāmā, hareṇu, nīlinī, sthirā,

bilva, ajamodā, kṛṣṇā, dantī, and rāsnā one should grind;
[with these] castor oil or [sesame] oil should be prepared to dispel kapha diseases.

Hernia, udāvarta, gulma, hemorrhoids, spleen disease, urinary anomalies, vāta affecting the thighs,
abdominal distension, and gravel—it would destroy them all by means of unctuous enema.

Or with madana mixed with sours, or with the bilvādi group,
or with kapha-dispelling [drugs], the physician should formulate oil that eliminates kapha.

Viḍaṅga, eraṇḍa, rajanī, paṭola, triphalā, amṛtā,
jātī sprouts, nirguṇḍī, daśamūla, ākhuparṇikā,

nimba, pāṭhā, sahacara, śampāka, and karavīraka:
with a decoction of these one should thoroughly boil oil, along with these ground as paste:

Phala, bilva, trivṛt, kṛṣṇā, rāsnā, bhūnimba, dāru,
saptaparṇa, vacā, uśīra, dārvī, kuṣṭha, kaliṅgaka,

latā, gaurī, śatāhvā, agni, śaṭī, coraka, and pauṣkara.
That [oil] quickly drives away dermatoses, worms, urinary anomalies, hemorrhoids, grahaṇī disease,

impotence, irregular digestive fire, malas, and the three doṣas,
when administered through drinks, massages, and unctuous enemas.

For those emaciated, weak, and devoid of ojas due to disease, physical exercise, work, and traveling on foot,
and for one whose semen is diminished, the fat enema is exceedingly strength-giving.

It brings about supreme stability of the feet, calves, thighs, back, shoulders, and hips,
and produces offspring for childless women and men.

There are six complications of an unctuous enema that has been obstructed
by vāta, pitta, kapha, excessive food, or feces, and when administered on an empty stomach.

[If] cold or scanty when vāta is dominant, too hot in pitta, mild in kapha,
heavy after excessive eating, or weak in force when there is an accumulation of feces,

the administered fat, obstructed by these, does not discharge because of being overcome;
and when administered on an empty stomach, because of being unobstructed, it goes upward. Its signs are [now described]:

By body-aches, fever, distension, coldness, stiffness, pain in the thighs,
flank pain, and twisting sensations, the physician should recognize the fat as obstructed by vāta.

That [fat obstructed by vāta] one should thoroughly expel by means of unctuous, sour, salty, and hot non-unctuous enemas
prepared with rāsnā, pītadru, oils, sauvīraka, surā, kola, kulattha, and barley,

along with urine and the pañcamūla;
and in the evening, after meals, one should administer an unctuous enema with those very two oils.

By burning sensation, redness, thirst, fainting, feeling of entering darkness, fever, and corruption,
one should know it to be obstructed by pitta; one should remove it with sweet and bitter enemas.

By drowsiness, fever with chills, laziness, excessive salivation, anorexia, heaviness,
fainting, and exhaustion, one should recognize the fat as obstructed by kapha.

With astringent, pungent, sharp, and hot enemas prepared with surā and urine,
combined with madana fruit and oil, and accompanied by sour [substances], one should expel it completely.

By vomiting, fainting, anorexia, exhaustion, colic, sleepiness, body-aches,
and signs of āma along with burning sensation, one should know it to be obstructed by overeating.

Digestives with decoctions and powders of pungents and salts,
mild purgation, and the measures prescribed for āma are beneficial in this case.

Knowing the fat to be obstructed by feces through retention of feces, urine, and flatus, pain, heaviness, distension, and cardiac distress,
one should expel it completely with oleation, fomentation, and suppositories,

with non-unctuous enemas along with unctuous enemas prepared with śyāmā, bilva, and the like,
and according to the rule that removes udāvarta.

[Administered] on an empty stomach or when the rectum is empty, the fat, pressed out with force,
rushes upward, and then from the throat it even comes out through the upper orifices.

Prepared with urine, śyāmā, and trivṛt, containing barley, kola, and kulattha,
a non-unctuous enema along with an unctuous enema prepared with oil boiled with those is desirable in this case.

When it comes out from the throat, its turning back is to be effected
by measures causing stiffness, holding of the throat, purgatives, and anti-emetics.

If the unctuous enema that has not come out causes no complication,
whether wholly or partly retained due to dryness, it should be neglected by the wise physician.

He who has eaten a moderate amount of food that is accompanied by unctuousness, liquid, warm, light, and wholesome,
should receive an unctuous enema every three days.

The prudent [physician] should give water prepared with coriander and ginger,
or just warm water alone, to one who has spent the night, in the early morning.

Warm water digests indigestion caused by unctuous substances, breaks down kapha,
and restores the natural downward movement of vāta in men.

In emesis, in purgation, and in non-unctuous enema along with unctuous enema,
therefore, warm water should be given for the pacification of vāta and kapha.

However, one whose constitution is dry, whose digestive fire is blazing, who exercises, who suffers from vāta diseases,
and those whose vāta has moved upward to the groin and pelvis, are suitable [for an unctuous enema] day after day.

For them, the fat quickly undergoes digestion, like water in sand;
whereas for others, the digestive fire digests the fat usually after three days.

One should not, however, administer unheated fat, for it would cause discharge in the rectum;
and one should leave a residue [in the bag], for vāta resides in the remainder.

And one should not give fat through both the rectum and throat without an interval;
moving simultaneously from both [ends], it would impair vāta and the digestive fire.

One should not resort excessively to just a single [type of enema], either unctuous enema or non-unctuous enema;
from unctuous enema comes nausea and destruction of digestive fire, and from non-unctuous enema comes danger from vāta.

Therefore, one who has had a non-unctuous enema should be oleated, and one who has had an unctuous enema should receive a non-unctuous enema;
thus, by the proper combination of oleation and purification, enema therapy dispels the three doṣas.

In those emaciated by labor, exercise, carrying loads, travel on foot, riding in vehicles, and women,
and in the weak and those afflicted with vāta, a mātrābasti is always approved.

For one who eats and acts as he pleases, it is free of complications at all times;
the mātrābasti is equal to a small dose of unctuous substance.

It is strengthening, easy to undergo, causes easy elimination of feces,
and the administration of a moderate dose of fat is nourishing and dispels vāta diseases.

Here are two verses:

The superior unctuous enemas have been described for the pacification of vāta and the others,
and their complications when administered by the ignorant, together with treatments;

the food to be eaten before an unctuous enema, those who are definitely eligible [daily], and those who are eligible every three days;
and the procedure for unctuous enema has been explained, as well as the procedure for mātrābasti.

Thus, in the Siddhisthāna of the treatise composed by Agniveśa, redacted by Caraka, and supplemented by Dṛḍhabala when unavailable, the fourth chapter entitled 'Success [in Treating] Complications of Unctuous Enemas' [is concluded].