The bladder should then be tied to the base of the nozzle, the air inside the bladder should be removed, and the bladder should be free from folds. Thereafter, varti (cotton plug) kept at the opening should be removed, and the opening should be covered with the middle part of the thumb.
तैलाक्तगात्रं कृतमूत्रविट्कं नातिक्षुधार्तं शयने मनुष्यम्| समेऽथवेषन्नतशीर्षके वा नात्युच्छ्रिते स्वास्तरणोपपन्ने||१७||
The patient whose body is anointed with oil, who has passed urine and stool, and who is not very hungry should be made to sleep over a well spread and not very high bed which is uniform in level or which is slightly low in level at the head.
The patient should lay comfortably on his left side. He should keep his body straight, and use his folded left hand as pillow. He should then flex his right leg, keeping the left leg straight.
The anus of the patient should be lubricated, and the lubricated nozzle should be inserted into it up to one fourth part from the top slowly and straight following the position of the vertebral column.
प्रपीड्य चैकग्रहणेन दत्तं नेत्रं शनैरेव ततोऽपकर्षेत्| तिर्यक् प्रणीते तु न याति धारा गुदे व्रणः स्याच्चलिते तु नेत्रे||२०||
The physician should not shake his hand, and quickly compress the bladder so that the content goes inside at one stretch. Thereafter, he should take out the nozzle slowly. [Sequels of wrong administration of nozzle] If the nozzle is obliquely inserted, then the fluid will not flow into the rectum. If the nozzle is shifted from one place to the other, then this may cause anal injury.