The Compendium of Caraka 8.2.9

8.2.9

Therein, in the injured, excessive flow of blood would occur due to further wounding; in the depleted, exceedingly obese, emaciated, children, elderly, and weak, obstruction of vital breath [would occur] due to inability to endure the strength of medicine; likewise in the fatigued, thirsty, and hungry; in those worn out by constant heavy labor, travel, fasting, sexual intercourse, study, exercise, and anxiety, there would be danger of vāta, bleeding, laceration, or wound due to dryness; in the pregnant woman, serious disease would be incurred due to affliction of the fetus or premature abortion; in the delicate, excessive discharge of blood upwards or downwards [would occur] due to traction on the heart; in those with constricted bowels and those difficult to vomit, the stirred-up doṣas, due to excessive straining, produce internal erysipelas, stiffness, stupor, distraction, or death in the internal viscera; in one suffering from upward bleeding, [vomiting] would destroy the vital breath by thrusting upward the udāna [vāta] and cause excessive flow of blood; likewise in one vomiting incessantly; in those with upward vāta and those who have received an asthāpana enema or an anuvāsana enema, excessive upward movement of vāta [would occur]; in one suffering from heart disease, obstruction of the heart; in one with udāvarta, a more terrible udāvarta would occur that kills more swiftly; in those afflicted with suppression of urine and the like, appearance of sharper pain; in those afflicted with timira, extreme increase of timira; in those suffering from headache and the like, extreme increase of pain; therefore these are not to be vomited.