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दोषान् उत्क्लेश्य निर्हर्तुमशक्तं जनयेद्गदान् । विभ्रंशं श्वयथुं हिध्मां तमसो दर्शनं तृषम् ॥ ६ ॥
it excites or agitates the morbid doshas (utkleśya) but fails to expel them from the body (nirhartum-aśaktam), thereby generating various diseases. These include vibhraṃśa (loss of sensory/mental function or apathy), swelling/edema (śwayathu), hiccup (hidhmā), temporary blindness/fainting (tamaso darśanam), and excessive thirst (tṛṣā).
english translation
पिण्डिकोद्वेष्टनं कण्डूमूर्वोः सादं विवर्णताम् । स्निग्धस्विन्नस्य वाऽत्यल्पं दीप्ताग्नेर्जीर्णमौषधम् ॥ ७ ॥
It also causes cramps in the calf muscles (piṇḍikodveṣṭanam), itching (kaṇḍū), weakness/fatigue in the thighs (ūrvoḥ sādaṃ), and discoloration (vavarṇatā). Similarly, if a very small quantity of medicine is given to someone who has undergone oleation and sudation, but it gets digested quickly due to a strong digestive fire (dīptāgneḥ),
english translation
शीतैर्वा स्तब्धमामे वा समुत्क्लेश्याहरन् मलान् । तानेव जनयेद्रोगान् अयोगः सर्व एव सः ॥ ८ ॥
or if the medicine becomes inactivated/suppressed by cold factors or due to the presence of āma (undigested toxins), it merely agitates the wastes (malas) without expelling them. This produces the exact same set of diseases mentioned above. All of this constitutes ayoga (inadequate or deficient administration of purification therapy).
english translation
तं तैललवणाभ्यक्तं स्विन्नं प्रस्तरसङ्करैः । निरूढः जाङ्गलरसैर्भोजयित्वाऽनुवासयेत् ॥ ९ ॥
Such a patient should be anointed with oil mixed with salt (taila-lavaṇa-abhyakta) and subjected to sudation therapy using the prastara (bed of stones/leaves) and saṅkara (bolus) methods. He should then be administered a decoction enema (nirūha), fed with food along with the meat soup of wild animals (jāṅgala-rasa), and subsequently given an oil enema (anuvāsana).
english translation
फलमागधिकादारुसिद्धतैलेन मात्रया । स्निग्धं वातहरैः स्नेहैः पुनस्तीक्ष्णेन शोधयेत् ॥ १० ॥
This oil enema should be administered in the proper dose using oil processed with phala (Madana-phala / Randia dumetorum), māgadhikā (Pippalī), and dāru (Devadāru / alternative: Dāruharidrā). After he is properly lubricated (snigdha) with these Vata-mitigating fats, he should once again be purified (śodhayet) using strong cleansing herbs.
english translation