Those unfit for enema therapy

Enemas must never be given to those suffering from indigestion, fear, grief, pandu, intoxication, fainting, loss of taste, giddiness, breathlessness, cough, kushtha, abdominal disease, thirst or haemorrhoids, to the very young, pregnant women, those with wasting (kshaya), prameha, emaciation, weak digestion or insanity, to those with a chest wound unless they have severe vata disease, and to those with loss of strength, drying, delirium, stiff limbs or heavy sleep.