A History of Indian Medical Literature v1.c24.47

v1.c24.47

The subjects dealt with are: emesis is indicated in disorders caused by kapha singly or by combinations with a predominance of kapha; disorders by pitta alone or by combinations with a predominance of pitta should preferably be treated by purgation (18.1);²³² indications for emesis (18.2–3ab);²³³ contra-indications (18.3cd–6);²³⁴ patients regarded to be unfit for a whole series of treatments (18.7); indications (18.8–10c)²³⁵ and contra-indications for purgation²³⁶ (18.10d–11); the procedure for emesis (18.12–23c);²³⁷ signs indicating deficient, proper and excessive emesis (18.23d–26);²³⁸ after-treatment (18.27–28);²³⁹ the regimen called peyādikrama²⁴⁰ and its results (18.29–30);²⁴¹ the minimum, intermediate and maximum number of bouts of vomiting during treatment is four, six and eight respectively; these numbers, when applied to voiding during a treatment with purgatives, are ten, twenty and thirty; the corresponding amounts of voided matter consist of one, two and four prastha (18.31;²⁴² the limits of emesis and purgation (18.32);²⁴³ the procedure for purgation, which is dependent on the type of digestive system (mṛdu- or krūrakoṣṭha)²⁴⁴ of the patient (18.33–38ab);²⁴⁵ signs indicating deficient, proper and excessive purgation (18.38cd–42ab);²⁴⁶ after-treatment (18.42cd–47ab);²⁴⁷ emesis eliminates immature (apakva) doṣas, purgation doṣas which are subject to maturation (pacyamāna) (18.47cd–48ab);²⁴⁸ rules for special groups of patients (8.48cd–57ab);²⁴⁹ oleation and sudation are indicated in the interval between emesis and purgation, between purgation and the application of an anuvāsana enema, etc., and at the end of such a series of treatments (18.57cd–58ab); oleation and sudation should always precede purificatory treatment (i.e., emesis and purgation) (18.58cd–59);²⁵⁰ the general benefits of purificatory treatment (18.60).²⁵¹