Charak Samhita

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तत्राजीर्ण्यतिस्निग्धपीतस्नेहानां दूष्योदरं मूर्च्छाश्वयथुर्वा स्यात्, उत्क्लिष्टदोषमन्दाग्न्योररोचकस्तीव्रः, यानक्लान्तस्य क्षोभव्यापन्नोबस्तिराशु देहं शोषयेत्, अतिदुर्बलक्षुत्तृष्णाश्रमार्तानां पूर्वोक्तोदोषः स्यात्, अतिकृशस्य कार्श्यं पुनर्जनयेत्,भुक्तभक्तपीतोदकयोरुत्क्लिश्योर्ध्वमधो वा वायुर्बस्तिमुत्क्षिप्य क्षिप्रं घोरान् विकाराञ्जनयेत्, वमितविरिक्तयोस्तु रूक्षं शरीरं निरूहःक्षतं क्षार इव दहेत्, कृतनस्तःकर्मणो विभ्रंशं भृशसंरुद्धस्रोतसः कुर्यात्, क्रुद्धभीतयोर्बस्तिरूर्ध्वमुपप्लवेत्, मत्तमूर्च्छितयो र्भृशंविचलितायां सञ्ज्ञायां चित्तोपघाताद् व्यापत् स्यात्, प्रसक्तच्छर्दिर्निष्ठीविकाश्वासकासहिक्कार्तानामूर्ध्वीभूतो वायुरूर्ध्वं बस्तिं नयेत्,बद्धच्छिद्रोदकोदराध्मानार्तानां भृशतरमाध्माप्य बस्तिः प्राणान् हिंस्यात्, अलसकविसूचिकामप्रजातामातिसारिणामामकृतो दोषःस्यात्, मधुमेहकुष्ठिनोर्व्याधेः पुनर्वृद्धिः; तस्मादेते नास्थाप्याः||१५||

[Adverse effects of asthapana basti administered in contra-indicated persons] Application of Asthapana-basti (non-unctuous enema) in the persons suffering from indigestion, over-uncted and just taken unctuous substances causes dushyodara (udara-roga caused by aggravation of all the three dosha), fainting or edema. In the cases having excited dosha and suppression of digestion power, it causes severe type of anorexia. In a person exhausted due to riding, the asthapana-basti disturbed by agitation dry up the body quickly leading to emaciation. In the persons who are excessively weak and suffering from excessive hunger, thirst and tiredness, basti causes the same harms as discussed for exhausted due to riding. In excessively emaciated person if asthapana-basti is applied, it increases the emaciation. In those who have just taken food and water, asthapana basti causes provocation of vata which divert the enema upwards or downwards leading to manifestation of severe diseases soon. In that undergone emesis or purgation, the niruha or asthapana-basti burns the body as alkali does the wound. In a person who has undergone the snuffing, it causes the untoward effects related to sense organs and further obstruction of the channels of circulation. In the person having anger and fear, the basti may go upwards and produce agitation. In the condition of narcosis and fainting, the basti causes further agitation and there may be complications due to mental injury. If asthapana basti is applied in the conditions of constant vomiting, excessive spitting, dyspnea, cough and hiccup, vata moving upwards can cause upward movement of basti. In the persons suffering from intestinal obstruction, intestinal perforation and ascites associated with tympanitis, asthapana basti further increase the distension and may lead to the death of the patient. In the persons suffering from alasaka, visuchika, premature delivery and amatisara, it causes the disorders due to ama (product of improper digestion). In diabetes mellitus and kushtha (obstinate skin diseases including leprosy), application of asthapana basti further increases these diseases. Therefore, asthapana basti should not be given to the above mentioned persons.

english translation

tatrAjIrNyatisnigdhapItasnehAnAM dUSyodaraM mUrcchAzvayathurvA syAt, utkliSTadoSamandAgnyorarocakastIvraH, yAnaklAntasya kSobhavyApannobastirAzu dehaM zoSayet, atidurbalakSuttRSNAzramArtAnAM pUrvoktodoSaH syAt, atikRzasya kArzyaM punarjanayet,bhuktabhaktapItodakayorutklizyordhvamadho vA vAyurbastimutkSipya kSipraM ghorAn vikArAJjanayet, vamitaviriktayostu rUkSaM zarIraM nirUhaHkSataM kSAra iva dahet, kRtanastaHkarmaNo vibhraMzaM bhRzasaMruddhasrotasaH kuryAt, kruddhabhItayorbastirUrdhvamupaplavet, mattamUrcchitayo rbhRzaMvicalitAyAM saJjJAyAM cittopaghAtAd vyApat syAt, prasaktacchardirniSThIvikAzvAsakAsahikkArtAnAmUrdhvIbhUto vAyurUrdhvaM bastiM nayet,baddhacchidrodakodarAdhmAnArtAnAM bhRzataramAdhmApya bastiH prANAn hiMsyAt, alasakavisUcikAmaprajAtAmAtisAriNAmAmakRto doSaHsyAt, madhumehakuSThinorvyAdheH punarvRddhiH; tasmAdete nAsthApyAH||15||

hk transliteration by Sanscript