Astanga Hrudaya
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प्रविश्य क्षुभितो वायुः शूलतोदकरो भवेत्। तत्राभ्यङ्गो गुदे स्वेदो वातघ्नान्यशनानि च॥४६॥
such enema liquid if administered aggravates Vata and gives rise to pain and pricking sensation (in the rectum); the rectum should be bathed with oil and fomented, the person should be given foods which mitigate Vata.
english translation
pravizya kSubhito vAyuH zUlatodakaro bhavet। tatrAbhyaGgo gude svedo vAtaghnAnyazanAni ca॥46॥
hk transliteration by Sanscriptद्रुतं प्रणीते निष्कृष्टे सहसोत्क्षिप्त एव वा। स्यात् कटीगुदजङ्घोरुबस्तिस्तम्भार्तिभेदनम्॥४७॥
Enema administered very quickly, the nozzle pulled out suddenly, or the nozzle held sidewards and enema liquid pushed in these give rise to rigidity (loss of movement), pain cutting type of pain of the waist, rectum, calves, thighs and area of the urinary bladder.
english translation
drutaM praNIte niSkRSTe sahasotkSipta eva vA। syAt kaTIgudajaGghorubastistambhArtibhedanam॥47॥
hk transliteration by Sanscriptभोजनं तत्र वातघ्नं स्वेदाभ्यङ्गाः सवस्तयः । पीड्यमानेऽन्तरा मुक्ते गुदे प्रतिहतोऽनिलः॥४८॥
In this condition the treatments are foods which mitigate Vata, fomentation and anointing oil (to the rectum etc.) and administration of enema. Enema bag left unpressed (incompletely pressed) during the administration of enema, Vata getting obstructed in the rectum aggravated Vata produces pain in the chest and head and weakness of the thighs.
english translation
bhojanaM tatra vAtaghnaM svedAbhyaGgAH savastayaH । pIDyamAne'ntarA mukte gude pratihato'nilaH॥48॥
hk transliteration by Sanscriptउरःशिरोरुजं सादमूर्वोश्च जनयेद्बली। बस्तिः स्यात्तत्र बिल्वादिफलश्यामादिमूत्रवान्॥४९॥
In that condition administration of enema with the decoction of bilvadi Pancamula – Bilva – Aegle marmelos Agnimantha – Premna mucronata Shyonaka – Oroxylum indicum Patala – Stereospermum suaveolens Gambhari – Gmelina arborea, phala – Randia dumetorum, śyāmādi – Ipomoea petaloides etc. added with cow urine should be done.
english translation
uraHzirorujaM sAdamUrvozca janayedbalI। bastiH syAttatra bilvAdiphalazyAmAdimUtravAn॥49॥
hk transliteration by Sanscriptअतिप्रपीडितः कोष्ठे तिष्ठत्यायाति वा गलम्। तत्र बस्तिर्विरेकश्च गलपीडादि कर्म च॥५०॥
Enema bag pressed with great force and speed causes the enema liquid either to stay inside the abdomen or come out through the throat. The treatment therein are enemas and purgatives, pressing the throat and such other remedial measures.
english translation
atiprapIDitaH koSThe tiSThatyAyAti vA galam। tatra bastirvirekazca galapIDAdi karma ca॥50॥
hk transliteration by Sanscript