Susruta Samhita - Mandhata Global

Chap. XXXVI. J CHIKITSA STHANAM. 60I
patient should be immediately pressed by th3 neck
and (his body) shaken. Strong purgatives and errhines
should be administered, and sprinkling him with cold
water should be prescribed. If a Vasti be applied with
lesser force, the medicinal fluid of the Vasti cannot
reach the intestines (Pakvas'aya) and (consequently fails
to produce the desired effect Hence it should be duly
pressed. If it be pressed at intervals, the wind (V^yu)
in the abdomen becomes enraged, and gives rise to
tympanites (AdhmanaJ ai\d excruciating pain therein.
The medicinal treatment in such a case should be the ap
plications of proper Vastis in consideration of the nature
of the aggravated Doshas involved therein If the pipe
be retained for an (unnecessarily) long time in the
rectum during the application of a Vasti, it tends to
increase the pain, and bring about an aggravation of the
disease. This should be remedied by a second appli-
cation of the Vasti charged with proper antidotal solutions
sufficient to cope with the intensity of the disease. 4.
The use of an insufficiently cooked Sneha (in a
Vasti) leaves a slimy sticky deposit on the inner
lining of the rectum accompanied by a local swelling
which should be remedied by the application of a
Sams'odhana-vasti and the exhibition of purgatives.*
The application of a Vasti of either kind (Asthapana
and Anuvasana) charged with a deficient or inadequate
quantity of a medicinal solution, proves abortive in all
instances; whereas diarrhoea (Atisdra), fatigue and Anaha
(distension of the abdomen with the retention of stool,
urine, etc.) result from the application of one charged
with an excessive quantity of the fluid. The applica-
tion of a Vasti charged with an extremely warm or
* Gayaflasa reals and recommeads that the purgatives to be used in
such a case should be devoid of any oleaginous substances (Sneha).
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