Procedure for giving the enema

The patient lies on his left side on a cot as high as the knee; the physician tells him to draw up the right leg and slowly insert the ghee-smeared nozzle with the right hand into the ghee-smeared anus. The bag is then pressed steadily, without moving, in line with the spine; when the fluid is finished the nozzle is quickly withdrawn and the patient squats (for one muhurta) so that the medicine comes out. A footnote warns that if a niruha enema has not come out within one muhurta (two ghatikas) the patient may die.