Astanga Hrudaya
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आवपेत निरूहाणामेष संयोजने विधिः। उत्तानो दत्तमात्रे तु निरूहे तन्मना भवेत्॥४६॥
This shall be the method of mixing the materials for decoction enema. After receiving the enema, the patient should lie with his face upward with a pillow under his head,
english translation
कृतोपधानः सञ्जातवेगश्चोत्कटकः सृजेत्। आगतौ परमः कालो मुहूर्तो मृत्यवे परम्॥४७॥
mentally intent of the enema; after getting the urge he should eliminate the faeces sitting on his heels. The maximum time for decoction enema material to come out is one Muhurta- 48 minutes, after that period it may be fatal;
english translation
तत्रानुलोमिकं स्नेहक्षारमूत्राम्लकल्पितम्। त्वरितं स्निग्धतीक्ष्णोष्णं बस्तिमन्यं प्रपीडयेत्॥४८॥
Hence another purgative enema prepared with fats, Alkalies, Urine of animals like the cow and sour substances and possessing unctuous, Penetrating and hot properties should be administered immediately; or a rectal suppository prepared from fruits should be made use of;
english translation
विदद्यात्फलवर्तिं वा स्वेदनोत्रासनादि च। स्वयमेव निवृत्ते तु द्वितीयो बस्तिरिष्यते॥४९॥
Sweating therapy and frightening should also be resorted to, to induce defecation. If the materials comes out on its own accord, then second,
english translation
तृतीयोऽपि चतुर्थोऽपि यावद्वा सुनिरूढता। विरिक्तवच्च योगादीन्विद्यात् योगे तु भोजयेत्॥५०॥
third or fourth enema can be given or as many as required till he developed symptoms of proper enema therapy. The symptoms of bouts of decoction enema therapy are similar to those of purgation therapy.
english translation