Cakradatta (Cikitsasangraha) 69: Adhikāra 69

To one properly unctuated and fomented, in kapha [predominance] or in a combination [of doṣas] where kapha is severe, / having excited kapha on the previous day with fish, meat, sesame, and the like, one to be vomited on the morrow [should be treated]. .. 1 ..

Prepared according to the disease, combined with honey and rock salt, / having determined the alimentary tract, the dose of medicine consecrated with a mantra: .. 2 ..

“May Brahmā, Dakṣa, the Aśvins, Rudra, Indra, the Earth, the Moon, the Sun, Wind, Fire, / the sages, together with the multitude of medicinal herbs and the hosts of beings, protect you! .. 3 ..

Just as the rasāyana is for the sages, and ambrosia for the gods, / and nectar for the supreme Nāgas, so may this medicament be for you!” .. 4 ..

One should make him drink in the forenoon; having drunk, seated on a seat level with the knees, / with mind concentrated, when nausea and salivation have arisen, he should then vomit, .. 5 ..

using two fingers or a soft, untroublesome stalk. / One should drink [a potion] mixed with a paste of vāsā, indrayava, rock salt, and vacā, .. 6 ..

or decoction of yaṣṭīmadhu with honey; by that, one vomits well and thoroughly. / Having drunk in the forenoon [the potion] ground with rice water, he who vomits .. 7 ..

warm bark of phalinī, it removes artificial poison and disorders born of pitta and kapha. / Copper dust licked with honey induces emesis and removes the disorder of artificial poison. .. 8 ..

Having boiled āṭarūṣa, vacā, neem, paṭola, and bark of phalinī, / one should drink the water combined with madana fruit, which induces vomiting. .. 9 ..

Having placed a kuḍava measure of substance to be decocted in an āḍhaka measure of water, / when reduced to one quarter, one should administer it in emesis therapies. .. 10 ..

Combined with decoction of neem, bark of phalinī, gadamadhuka, madana, and rock salt, / mixed with honey, this emetic is always praised when the receptacle is filled with kapha. .. 11 ..

Madanaphala, jīmūtaka, ikṣvāku, kuṭaja, kṛtavedhana, / and dhāmārgava—these are to be employed in emesis in every way. .. 12 ..

He in whom kapha, then pitta, and then vāta come out in succession / is considered properly vomited, / when cleansing of the chest, flanks, head, and sensory channels / and lightness of the body are also observed. .. 13 ..

In improper vomiting: eruptions, rash, itching, / complete non-cleansing, and heaviness of the body. / In excessive vomiting, one should know: thirst, delusion, fainting, vitiation of vāta, sleep, / and excessive loss of strength. .. 14 ..

Then, in the evening or morning, feeling hungry, he should take thin gruel and the like. .. 15 ..

Thin gruel, thick rice-gruel, unseasoned and seasoned / soup, and meat juice—twice, thrice, or once / in succession, the purified body should partake of them, / purified by superior, middling, or inferior purification [respectively]. .. 16 ..

In inferior, middling, and superior emesis, the bouts desired are / four, six, and eight [respectively]; / in purgation, they are ten, or double or triple that; / and the measure is a prastha, or double, triple, or quadruple that. .. 17 ..

Emesis is desired to end in pitta; purgation is said to be half of purgation [in volume] / and to end in kapha. / Discarding two or three bouts containing faeces, / the volume should be measured in purgation, but in emesis [measured after excluding] what was drunk. .. 18 ..

In emesis and in purgation, and likewise in blood-letting, / the wise state that a prastha consists of thirteen and a half palas. .. 19 ..

In inadequate therapy, fasting or re-purification should be done. / One who has vomited excessively, having been smeared with clarified butter and immersed in cold water, .. 20 ..

the physician should treat with electuaries mixed with sugar and honey. / If emesis becomes excessively active, agreeable purgation should be performed. .. 21 ..

One should not cause a person suffering from timira to vomit, nor one with an abdominal lump, / nor one afflicted with anaemia or abdominal disease, / nor those who are obese, wounded, emaciated, lean, very elderly, / nor those afflicted with haemorrhoids, facial paralysis, or convulsions, .. 22 ..

nor in a dry state, in urinary disorders, in early pregnancy, / when severe bleeding is moving upwards, / nor a man whose alimentary tract is infested by worms, / nor when faeces are extremely obstructed. .. 23 ..

Even these should be vomited if distressed by indigestion or afflicted by poison, / and those with excessively aggravated kapha should be vomited with yaṣṭīmadhu water. .. 24 ..