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Susruta Samhita - Mandhata Global

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582 THE SUSHRUTA SAMHITA. [Chap. XXXIV.<br />

Sneha and Sveda after the lapse of ten days and should<br />

then be again cleansed with a further dose of a purgative*.<br />

Patients in whom purging can be induced only with<br />

the greatest difficulty should be first treated with<br />

Asthapana. Sneha should again be applied and a strong<br />

purgative should then be administered. 8.<br />

Ati-yOga (Over-drugging with purgatives, etc.):<br />

Women, merchants^ persons attending a king and<br />

pious Brdhmanas learned in the Vedas (S'rotriya) are<br />

often subjected to the necessity of repressing their<br />

natural urgings of the body towards micturition, etc.,<br />

out of a sense of delicacy, fear or greed. The V^yu in<br />

their systems remains consequently aggravated and<br />

accordingly purgatives fail to easily produce any effect<br />

in their organism. Hence their system should be clean-<br />

sed with purgatives preceded by Sveda (fomentations)<br />

and a copious application of Sneha. An over-dose of a<br />

purgative or a strong one administered to a person<br />

copiously treated with Sneha and Sveda or to one<br />

whose bowels are easily moved would exhibit the symp-<br />

toms of an over-dosage (Ati-yoga) of purgatives.<br />

Excessive emission of Pitta *,bile), loss of strength<br />

(Bala) and an aggravation and augmentation of the<br />

deranged Vd,yu follow from the over dosage ( Ati-yoga)<br />

of an emetic medicine. In such cases, the body of the<br />

patient should hi anointed with clarified butter and he<br />

should be bathed in cold water and made to take a<br />

lambativef with sugar and honey with a due consider-<br />

ation of the nature and intensity of the Doshas involved.<br />

An over-dose of a purgative may bring on excessive<br />

* Dallana says that the system of the patient, in this case, should be<br />

cleansed with an emetic or a purgative as the case may be.<br />

t A different reading says that the patient should be fomented with<br />

washings of rice mixed with honey.<br />

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