Charak Samhita

siva.sh/caraka-samhita/sharira-sthana/8/29

यस्याः पुनरुदावर्तविबन्धः स्यादष्टमे मासे न चानुवासनसाध्यं मन्येत ततस्तस्यास्तद्विकारप्रशमनमुपकल्पयेन्निरूहम्| उदावर्तो ह्युपेक्षितः सहसा सगर्भां [२] गर्भिणीं गर्भमथवाऽतिपातयेत्| तत्र वीरणशालिषष्टिककुशकाशेक्षुवालिकावेतसपरिव्याधमूलानां भूतीकानन्ताकाश्मर्यपरूषकमधुकमृद्वीकानां चपयसाऽर्धोदकेनोद्गमय्य रसं प्रियालबिभीतकमज्जतिलकल्कसम्प्रयुक्तमीषल्लवणमनत्युष्णं च निरूहं दद्यात्| व्यपगतविबन्धां चैनां सुखसलिलपरिषिक्ताङ्गीं स्थैर्यकरमविदाहिनमाहारं भुक्तवतीं सायं मधुरकसिद्धेन तैलेनानुवासयेत्| न्युब्जां त्वेनामास्थापनानुवासनाभ्यामुपचरेत् ||२९||

sanskrit

[Constipation during third trimester] In case the pregnant woman develops constipation due to udavarta (misperistalsis) in the eighth month and if it cannot be treated with unctuous enema, then the physician should treat her with non-unctuous enema that may relieve her condition. If the disorder of misperistalsis is neglected, it may abruptly turn fatal for both the mother and the fetus or for the fetus alone. In such conditions, a decoction prepared with the roots of virana (Veriveriazizanoides Nash), shali (Oryzasativa Linn), sashtika (a variety of Oryza species), kusha (Desmostachya bipinnata Staf), kasha (Saccharum spontaneum Linn.), ikshuvalika (Asteracanthalongifolia Nees), vetasa (Salixcaprea Linn.), parivyadha (type of Vetasa, Salix species) bhutika (Trachyspermumammi Sprague), ananta (Hemidesmus indicusR. B.), kashmarya (Gmelinaarborea Linn.), parushaka (Grewiaasiatica Linn.), madhuka (Glycyrrhizaglabra Linn) and mridwika (Vitisvinifera Linn.), prepared with milk and mixed with half that volume of water containing paste of priyala (Buchananialanzan Spreng), bibhitakamajja (the seed pulp of Terminaliabelerica Roxb.), tila (Sesamumindicum Linn.) and salt (Saindhava – rock salt) should be used for non-unctuous enema. Once the constipation is relieved, she should be sprinkled with lukewarm water and then given food having stabilizing properties and which will not cause any burning sensation. In the evening, she should be treated with unctuous enema of oil prepared with sweet drugs. The enema should be administered to her in a bent-down position (fetal, knee-to-the-chest position).

english translation

yasyAH punarudAvartavibandhaH syAdaSTame mAse na cAnuvAsanasAdhyaM manyeta tatastasyAstadvikAraprazamanamupakalpayennirUham| udAvarto hyupekSitaH sahasA sagarbhAM [2] garbhiNIM garbhamathavA'tipAtayet| tatra vIraNazAliSaSTikakuzakAzekSuvAlikAvetasaparivyAdhamUlAnAM bhUtIkAnantAkAzmaryaparUSakamadhukamRdvIkAnAM capayasA'rdhodakenodgamayya rasaM priyAlabibhItakamajjatilakalkasamprayuktamISallavaNamanatyuSNaM ca nirUhaM dadyAt| vyapagatavibandhAM cainAM sukhasalilapariSiktAGgIM sthairyakaramavidAhinamAhAraM bhuktavatIM sAyaM madhurakasiddhena tailenAnuvAsayet| nyubjAM tvenAmAsthApanAnuvAsanAbhyAmupacaret ||29||

hk transliteration

siva.sh/caraka-samhita/sharira-sthana/8/29

यस्याः पुनरुदावर्तविबन्धः स्यादष्टमे मासे न चानुवासनसाध्यं मन्येत ततस्तस्यास्तद्विकारप्रशमनमुपकल्पयेन्निरूहम्| उदावर्तो ह्युपेक्षितः सहसा सगर्भां [२] गर्भिणीं गर्भमथवाऽतिपातयेत्| तत्र वीरणशालिषष्टिककुशकाशेक्षुवालिकावेतसपरिव्याधमूलानां भूतीकानन्ताकाश्मर्यपरूषकमधुकमृद्वीकानां चपयसाऽर्धोदकेनोद्गमय्य रसं प्रियालबिभीतकमज्जतिलकल्कसम्प्रयुक्तमीषल्लवणमनत्युष्णं च निरूहं दद्यात्| व्यपगतविबन्धां चैनां सुखसलिलपरिषिक्ताङ्गीं स्थैर्यकरमविदाहिनमाहारं भुक्तवतीं सायं मधुरकसिद्धेन तैलेनानुवासयेत्| न्युब्जां त्वेनामास्थापनानुवासनाभ्यामुपचरेत् ||२९||

sanskrit

[Constipation during third trimester] In case the pregnant woman develops constipation due to udavarta (misperistalsis) in the eighth month and if it cannot be treated with unctuous enema, then the physician should treat her with non-unctuous enema that may relieve her condition. If the disorder of misperistalsis is neglected, it may abruptly turn fatal for both the mother and the fetus or for the fetus alone. In such conditions, a decoction prepared with the roots of virana (Veriveriazizanoides Nash), shali (Oryzasativa Linn), sashtika (a variety of Oryza species), kusha (Desmostachya bipinnata Staf), kasha (Saccharum spontaneum Linn.), ikshuvalika (Asteracanthalongifolia Nees), vetasa (Salixcaprea Linn.), parivyadha (type of Vetasa, Salix species) bhutika (Trachyspermumammi Sprague), ananta (Hemidesmus indicusR. B.), kashmarya (Gmelinaarborea Linn.), parushaka (Grewiaasiatica Linn.), madhuka (Glycyrrhizaglabra Linn) and mridwika (Vitisvinifera Linn.), prepared with milk and mixed with half that volume of water containing paste of priyala (Buchananialanzan Spreng), bibhitakamajja (the seed pulp of Terminaliabelerica Roxb.), tila (Sesamumindicum Linn.) and salt (Saindhava – rock salt) should be used for non-unctuous enema. Once the constipation is relieved, she should be sprinkled with lukewarm water and then given food having stabilizing properties and which will not cause any burning sensation. In the evening, she should be treated with unctuous enema of oil prepared with sweet drugs. The enema should be administered to her in a bent-down position (fetal, knee-to-the-chest position).

english translation

yasyAH punarudAvartavibandhaH syAdaSTame mAse na cAnuvAsanasAdhyaM manyeta tatastasyAstadvikAraprazamanamupakalpayennirUham| udAvarto hyupekSitaH sahasA sagarbhAM [2] garbhiNIM garbhamathavA'tipAtayet| tatra vIraNazAliSaSTikakuzakAzekSuvAlikAvetasaparivyAdhamUlAnAM bhUtIkAnantAkAzmaryaparUSakamadhukamRdvIkAnAM capayasA'rdhodakenodgamayya rasaM priyAlabibhItakamajjatilakalkasamprayuktamISallavaNamanatyuSNaM ca nirUhaM dadyAt| vyapagatavibandhAM cainAM sukhasalilapariSiktAGgIM sthairyakaramavidAhinamAhAraM bhuktavatIM sAyaM madhurakasiddhena tailenAnuvAsayet| nyubjAM tvenAmAsthApanAnuvAsanAbhyAmupacaret ||29||

hk transliteration