Deficient action (ayoga) and its treatment

In a dry person not prepared by oleation and sweating, a dry, weak or very small dose goes neither up nor down (ayoga); it stirs the doshas and causes bloating, seizure of the heart, thirst, burning and fainting, so he is oleated and made to vomit, or oleated and purged; after poor emesis the stirred doshas cause swelling, fever, boils, itching, kushtha, weak fire and stabbing pains. If a purgative does not act, hot water is drunk and the back, flanks and abdomen are warmed with heated palms; if little comes and the medicine digests, a strong patient with much of the day left gets a fresh dose, and if purgation still fails, daily oleation, sweating and asthapana and anuvasana enemas precede a further purgation.