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Susruta Samhita - Mandhata Global

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628 TlIK SUSIIRUTA SAMIilTA<br />

[Chap. XXXVIII.<br />

face of the pipe, nor to admit of even a bubble of air into<br />

the bladder (of the enema), nor to produce its over-con-<br />

traction nor dilatation during the process (of pouring the<br />

medicine). The bladder filled with the proper quan-<br />

tity of medicinal solution should then be held in the<br />

left hand, and washed with the right hand. It should<br />

then be firmly tied (at the neck) just over the (surface<br />

of the) medicinal solution with ligatures of two or three<br />

rounds of thread. 2- A.<br />

The mode of applying a Vasti :—The<br />

Vasti should then be held up on the palm of the right<br />

hand, its pipe gripped with the middle and index fingers<br />

of the left hand, and the orifice closed with the thumb of<br />

the same hand. The neck of the pipe should be previous-<br />

ly lubricated with clarified butter, and gently introduced<br />

into the rectum of the patient up to its Kar?nkd<br />

(protuberance) along the line of spinal column and<br />

with its mouth upturned. The patient should be asked<br />

to take the same with care. 2.<br />

IVIetrical Text :—The physician should then<br />

hold the enema (Vasti) with his left hand and press<br />

its bladder with his right. The injection (of the medicinal<br />

solution contained in the enema) should be made<br />

at once, neither too slowly nor too hurriedly, 3.<br />

The pipe should then be withdrawn and removed,<br />

and the patient should be asked to remain in the same<br />

position for a period sufficient to utter thirty Matras*<br />

* According to Agnives'a the lime necessary for the tips of the fitigers<br />

to fall down upon the right thighs, i.e., the time required for a twinkling<br />

of the eye (Nimesha) is called a MatrsC- Paras'ara says that the time<br />

necessary to close and open the eye-lids (Nimesha and Unmesha) once,<br />

while throwing the arm around the right thigh is called a Malra. He<br />

has prescribed one hundred such Matras in respect of a patient of<br />

constipiled bo.vels, and thirty-seven in respect of a patient of lax

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