Susruta Samhita - Mandhata Global

CH.\PTER XXXVIII.
Now. we shall discourse on the mode of applying
as well as on the treatment with a Nirudha-vastr
(Nlrudhopakrama-Chikitsitam). i.
The mode of preparing a Vasts ;—The
application of an Anuvasana-vasti (enema) should be
followed by that of one of the Asthapana class. The
body of the patient should be first anointed (with
a Sneha) and fomented. Previous to the application of a
vasti, the bowels and bladder should be relieved of all
(foecal) accumulations (flatus and urine). The clyster
(Vasti) should be applied at noon in a well-cleansed cham-
ber, devoid of any gust of wind, and the patient should
be laid on hi? left side on a spacious bed not furnished
with any pillows, but a little raised up there where his
buttocks would rest, and there should be attendants
at his feet. The patient should continue in a.
cheerful mood with his left thigh held in an out-
stretched posture and the right one flexed, and
should refrain from speaking to any body. The diges-
tion of the ingested food taken by the patient is
necessary (before the application of the Vasti). The
physician having placed the pipe of the enema (Vasti)
upon his left foot should firmly press its Karnika with
the first and the second toes of his right foot. One
half of the mouth of the Vasti should be kept con-
tracted by pressing it with the small and ring finger of his
left hand and the (other) half should be stretched with
the aid of his thumb, index and middle fingers, and thus
the medicinal solution should be poured into the bladder
(Vasti). The pipe should be held with the middle and
the index finger of the right hand. Care should be taken
not to let the medicinal solution overflow from the sur-