The Compendium of Caraka 8.8: aṣṭamo 'adhyāyaḥ/

Now we shall explain the chapter on success with formulations measured in prasṛtas.

Thus spoke the venerable Ātreya:

Now I shall describe separately, in prasṛtas, these mild non-unctuous enemas that cause unction / for delicate persons and those unsettled by treatment.

Two prasṛtas of milk should be taken, and three of honey, oil, and ghee [combined]; / churned with a churning stick, the enema relieves wind and imparts strength and complexion.

One prasṛta each of oil, prasannā, honey, and ghee; / two of decoction of bilva and other roots, and two of kulattha; that relieves wind.

Five prasṛtas of the juice of pañcamūla, two of oil, and of honey and ghee / one prasṛta each; this enema is unctuating and wind-dispelling.

With half an akṣa of rock salt, one prasṛta each of honey, oil, milk, and ghee, / and a karṣa of hapuṣā, this non-unctuous enema is superior for producing semen.

Four prasṛtas of the decoction of paṭola, nimba, bhūnimba, rāsnā, and saptacchada, / and one of ghee, with mustard paste;

this pañcatikta non-unctuous enema destroys urinary anomalies, abhiṣyanda, and obstinate skin diseases. / From the decoction of viḍaṅga, triphalā, śigru fruits, mustā, and ākhuparṇī,

five prasṛtas [are taken], and one of oil; having churned them together / with a paste of viḍaṅga and pippalī, this non-unctuous enema destroys worms.

One prasṛta each of milk, sugar cane, sthirā, rāsnā, vidārī, honey, and ghee, / with paste of black pepper, this enema produces virility.

Four prasṛtas from oil, cow's urine, curd whey, and sour gruel, / with a paste of mustard, breaks constipation and abdominal distension.

Five prasṛtas from the juices of śvadaṃṣṭrā, aśmabhid, and eraṇḍa, and from oil, surā, and āsava, / along with yaṣṭyāhva, kauntī, māgadhikā, and sugar;

This paste, however, is an excellent enema in dysuria accompanied by abdominal distension. / These are nine non-unctuous enemas measured by prasṛtas, salted and lukewarm.

When [the patient] is dulled by a mild enema, another sharp enema is desired; / when emaciated by sharp ones, a sweet restoring enema is desired.

If burning in the rectum and the like occur in a person afflicted with vāta because of hot substances, / one should give a paste of trivṛt with grape juice to promote downward movement of the doṣas.

For that removes pitta, feces, and vāta, and overcomes burning and the like; / and once cleansed, he should drink cold gruel with sugar.

Or if he is excessively purged and his feces are exhausted, he should eat / kulmāṣas with black gram soup, and drink honey or surā.

If he passes [feces] with āma, corpse-smelling, with colicky pain, and has loss of appetite, / he should drink ghanā, ativiṣā, kuṣṭha, nata, dāru, and vacā.

When one passes excessively feces, vāta, blood, pitta, or kapha, / [which are] mature, an enema with substances belonging to their respective classes is the best remedy.

By combination of these six in pairs, thirty varieties arise; / together with the single ones, one should know thirty-six along with their complications.

One should know colicky pain, tenesmus, distension, cutting pain, anorexia, fever, / thirst, sensation of heat, burning, fainting, and so on as their complications.

Therein, when āma is present, there should be an internal draught with vyoṣa, sour, and salt; / a digestive is praised, for an enema is forbidden in the presence of āma.

In feces, an enema with vāta-alleviating and bowel-binding substances is praised; / in vāta, an unctuous enema with sweet, sour, and salty [substances] is recommended.

In blood, [an enema] with blood; in pitta, with astringent, sweet, and bitter substances; / when kapha is being purged, an enema with astringent, pungent, and bitter substances.

When āma is combined with feces or with vāyu, or vāyu is combined with feces, / there should be an internal draught with vyoṣa, sour, and salt.

When pitta or blood is combined with āma, or āma with those two, / the drink should be with vyoṣa, sweet, and bitter.

Likewise, when āma is combined with kapha, [the drink should be] astringent, vyoṣa, and bitter; / but when kapha is combined with āma, it should have vyoṣa, astringent, and salt.

When feces or pitta is combined with vāta, or vāta is combined with feces and pitta, / an excellent enema is sweet, sour, and astringent.

When feces and blood, pitta and feces, or blood and pitta are combined with one another, / the enema is astringent, sweet, and bitter.

When feces or pitta is combined with kapha, or kapha is combined with feces, pitta, and blood, / an excellent enema is vyoṣa, bitter, and astringent.

An enema with vyoṣa, bitter, and sour is used when kapha is combined with vāyu; / but it is sweet, vyoṣa, and bitter in blood stupified by kapha.

When vāta is combined with kapha, it should have vyoṣa, sour, and salt; / but in pitta [combined] with vāta, an enema of sweet, sour, and bitter is to be made.

In this very manner, one should devise combinations of three, four, and five [factors]; / and this methodology stated for diarrhea is remembered in all diseases as well.

When the six combine simultaneously, a digestive possessing the six tastes is used; / but when the five are free from āma, an enema of six tastes is prescribed.

Unripe fruits of udumbara, barks of jambū, āmra, and udumbara, / conch shell, resin of sarja, lac, and rasāñjana, one pala each—

having ground these, one should cook one prastha of ghee with twice as much milk; / this should be drunk according to strength in all diarrheas.

Gruels should be prepared boiled in water with kacchurā, dhātakī, bilva, samaṅgā, red śāli rice, / and masūra and leaf-buds of aśvattha;

and likewise with tender fruits of udumbara, kaṭvaṅga, samaṅgā, young shoots of plakṣa, / and masūra, flowers of dhātakī, and balā.

In decoctions of the sthirā group, or the balā group, or the sugar-cane group, / there should be gruels prepared separately along with masūra.

Gruels prepared with grains such as kacchurā-root, śāli rice, and others, / in curd, buttermilk, sour fermented gruel, milk, or in sugar cane juice,

served cold, with sugar and honey, destroy all diarrheas; / combined with ghee, black pepper, and cumin, sweet, salted, and wholesome.

And here are the verses:—

Unctuous, sour, salty, and sweet drink and lukewarm enema in vāta; / cold, bitter, astringent, and sweet in pitta and in blood;

bitter, hot, astringent, and pungent in kapha; astringent and vāta-relieving in feces; / a digestive drink in āma; and mucilaginous enemas and enemas with blood in blood.

Diarrhea has been described, as well as the mixed forms arising from combinations of two and more; / there, treatment must be carried out according to the predominance of the doṣas.

Here is a verse:—

Non-unctuous enemas measured in prasṛtas along with the treatment of complications, beneficial in diarrhea, / and meat-juice formulations, medicated ghees, and gruels have been spoken by the Teacher in the Success of Formulations Measured in Prasṛtas.

Thus ends the eighth chapter, named The Success of Formulations Measured in Prasṛtas, in the Siddhisthāna, in the treatise composed by Agniveśa, redacted by Caraka, and supplemented by Dṛḍhabala where incomplete. //8