Randia dumetorum seeds induce vomiting for Kapha disorders, while Trivrt roots cause purgation. Luffa echinata substitutes for unavailable Randia. Specific preparations treat fever, cough, and poisoning. Kosataki addresses skin conditions. Kutaja seeds suit tender constitutions. Syamaruna Trivrt is safe for tender bodies, whereas Syama causes distress. Adjuvants vary by dosha to ensure efficacy and safety. The text outlines purgative preparations for diverse conditions, specifying ingredients like Trivṛt and Cassia fistula for various seasons and constitutions. It details processing methods for substances like Sudhā and dantī roots, noting exclusions for the weak. Potency relies on combining agents with matching or opposite actions, administered with specific substances chosen to please the patient. Improper emetic or purgative use aggravates doshas, requiring massage, sudation, and enemas. Small alpam auṣadham doses harm patients with massive accumulation or weak digestion, causing distension. Physicians must induce vomiting based on Pitta or Kapha dominance, then restore digestive fire. For Pitta-Kapha conditions, use dry, sweet, or bitter therapies, avoiding sharp medicines in hungry patients. Excessive purification drains life blood, necessitating diagnostic tests and continuous life-saving therapies until death. The text details five specific enema recipes targeting Vata, eye disorders, constipation, and vitality, alongside Madhutilika and Yapana Basti for urinary and pain relief.