A History of Indian Medical Literature v1.c24.49

v1.c24.49

The subjects are: treatment with enemas is advisable when vāta has increased or when vāta is the predominant one among increased doṣas (19.1ab);²⁵² the three types of basti: nirūha, anuvāsana and uttarabasti (19.1cd–2ab); indications (19.2cd–3)²⁵³ and contra-indications (19.4–6ab)²⁵⁴ for an āsthāpana (= nirūha) enema; indications (19.6cd–7a)²⁵⁵ and contra-indications (19.7b–9ab)²⁵⁶ for an anuvāsana enema; the materials for the nozzle (netra); its shape (19.9cd–10ab); its length, dependent on the age of the patient (19.10cd–12ab); the dimensions of its orifice (19.12cd–14ab); the two rings (karṇikā) on the nozzle (19.14cd–15c);²⁵⁷ the pouch (19.15d–17);²⁵⁸ the dosages required for various age groups (19.18–19);²⁵⁹ the quantity of fluid for an anuvāsana should be one-fourth of that for a nirūha (19.20ab);²⁶⁰ the procedure for an anuvāsana (19.20cd–35)²⁶¹ and a nirūha (19.36–38ab);²⁶² the preparation of the decoction for a nirūha (19.38cd–46ab);²⁶³ rules for the application (19.46cd–50c);²⁶⁴ after-treatment (19.50d–51ab);²⁶⁵ the treatment of complications (19.51cd–52); the signs of deficient, proper and excessive application of anuvāsana (19.53–54ab);²⁶⁶ various rules for the application of anuvāsana and nirūha (19.54cd–62); the courses of treatment with enemas known as karma-, kāla- and yogabasti (19.63–65ab);²⁶⁷ the advantages of combining anuvāsana and nirūha (19.65cd–67ab); the variety of anuvāsana called mātrā-basti (19.67cd–68a); the indications for mātrābasti (19.68b–69);²⁶⁸ uttarabasti (urethral and vaginal douche), suitable in diseases of the bladder and gynaecological disorders, should be resorted to after the application of two or three anuvāsanas (19.70); the requirements for the nozzle (19.71–72) and the liquid (19.73ab) for an uttarabasti used as a urethral douche; the procedure (19.73cd–76ab); three or four douches should be given;²⁶⁹ the after-treatment and diet are like those after anuvāsana (19.76cd–77ab);²⁷⁰ indications for a vaginal douche (19.77cd–78); the nozzle (19.79–80ab); the quantity of fluid (19.80cd); the procedure (19.81–82);²⁷¹ the interval between emesis and purgation, and that between purgation and nirūha should be a fortnight; anuvāsana should follow immediately upon nirūha, but the interval should be seven days after purgation (19.83); the general effect of enemas (19.84); the eminence of the treatment with enemas (19.85–87ab); phlebotomy has the same eminent position in diseases due to blood (19.87cd).