Susruta Samhita - Mandhata Global

6oo THE SUSHRUTA SAMHITA. [Chap. XXXVI.
Pichchhila-Vastis should be employed in such a case.
The application of a Vasti with a pipe of small
length or narrow calibre produces pain, and the injected
fluid dribbles out (without entering into the rectum),
thus occasioning all the maladies* which attend an
insufficient or abortive use of a Vastif. In the event
of the pipe being large and wide-calibred one, the
result would be that a large quantity of the fluid would
be at once injected into the bowels just as in a case of
Avapida-dosha (constant pressing). 2.
Disorders resulting from a defective
bladder :—The effects which result from the
use of a bladder (Vasti) too large or too thick are
identical with those which follow from an imperfect
fitting of its neck with the pipe. A (proportionately)
smaller efficacy is obtained from the use of a small
bladder capable (necessarily) of injecting a smaller
quantity of the medicinal fluid. An imperfectly fixed
bladder or the one with small pores therein produces
effects similar to those resulting from the use of a
cracked pipe. 3.
An injection made with considerable force by a
Vasti (Enema-syringe) enters the stomach (Am^isaya)
which being forced higher up by the up-coursing
V^yu in the organism is emitted through the mouth
and the nostrils, \ Under the circumstances, the
* These are strangury (Mutra-krichchhra), suppression of urine (Mutra-
ghata), etc.
t According to Dallam the remedy in this case would be that
applicable in a case of Mutraghdta, etc. ; but Jejjata holds that the
remedy lies in applying a Pichchhila Vasti as in the preceding case.
X An additional reading says that it causes vomiting, nausea,
epileptic fits and a burning sensation of the body. Viinda supports this
additional reading.