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गुदे प्रणिहितः स्नेहो वेगाद्धावत्यनावृतः। ऊर्ध्वं कायं ततः कण्ठादूर्ध्वेभ्यः खेभ्य एत्यपि॥४१॥
the oil not getting enveloped, starts moving upward in the body quickly and comes out of the channels above the throat.
english translation
मूत्रश्यामात्रिवृत्सिद्धो यवकोलकुलत्थवान्। तत्सिद्धतैलो देयः स्यान्निरूहः सानुवासनः॥४२॥
Then, decoction enema and oil enema both prepared with śyāmā – Ipomoea petaloides, trivṛt – Operculina turpethum, yava – Hordeum vulgare, kola – Ziziphus jujuba, kulatthavān – Dolichos biflorus and added with cow urine, oil prepared from the same should be administered;
english translation
कण्ठादागच्छतः स्तम्भकण्ठग्रहविरेचनैः। छर्दिघ्नीभिः क्रियाभिश्च तस्य कुर्यान्निबर्हणम्॥४३॥
If it is coming out of the throat, it should be stopped by withholding (stopping) the breath, pressing the throat, use of purgative and treatments which cure vomiting should be administered to expel out the fat in downward direction.
english translation
नापक्वं प्रणयेत्स्नेहं गुदं स ह्युपलिम्पति। ततः कुर्यात्सरुङ्मोहकण्डूशोफान्, क्रियाऽत्र च॥४४॥
Uncooked fat should not be used for retention enema / oil enema. It adheres to the interior of the rectum and produces pain, delusion, itching and swelling. The treatment for this is
english translation
तीक्ष्णो बस्तिस्तथा तैलमर्कपत्ररसे शृतम्। अनुच्छ्वास्य तु बद्धे वा दत्ते निःशेष एव वा॥४५॥
administration of strong decoction enema and fat enema with oil boiled with juice of leaves Calotropis procera. Oil enema administered when the person is not taking expiration or when he is keeping his mouth closed or when the enema liquid is pushed in completely without retaining any residue (in the bag)
english translation