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Here adhmana is presented as a vata disease of the abdomen: the colon gurgles, there is severe pain and the belly swells like a bag full of air.

An enema of very cold, weak or too little drug causes ayoga: it goes upward and does not come out, with severe bloating and pain, and a sharp enema with suitable purgation is given. A large…

For bloating after an enema, the principal enema of the enema science is given: a niruha that destroys vata, kindles the digestive fire and is chiefly cleansing.

If the purifying medicine brings out life-giving blood (jivadana), cooling treatment and cold, blood-stopping drugs are used. A dry purifier taken by someone with indigestion and much vata…

For adhmana caused by a dry purifier, the patient is oleated and thoroughly sweated and given suppositories (varti) made of various drugs and an excellent fire-kindling enema.

The complication in which a purifying medicine goes neither up nor down or acts too little; the text gives its causes, signs and stepwise management.

Here the text describes dūṣīviṣa, latent or weakened poison: how a poison loses strength and lingers in the body, how it is later roused, and the many disorders it then causes.

Diarrhoea, burning, thirst, fever, giddiness, intoxication, heat and drying are said not to arise without aggravated pitta.

The opening of chapter 19 treats poisoning as a danger to kings: who poisons, how a poisoner and poisoned food are recognised, and the signs of poison in food, drinks and personal articles.

Masurika (pox; called devi, mata or chechak in the commentary) is described as lentil-like eruptions of many colours and shapes, arising mainly from pitta, with dosha and blood types,…

A weak, small or very mild oil enema given to one whose body has not been prepared by sweating, purgation and the like does not come back; the oil stays in the belly and causes heaviness,…

Too little oil in an enema does nothing, and too much drug quickly brings on pravahika, treated as pravahika. A very cold drug provokes vata disorders such as retention and bloating, a very…

In a person whose bowel has not been cleansed by purgation and niruha, even a proper oil enema mixes with stool and does not come out, causing heaviness and colic in the colon, fatigue of…

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,…

When provoked, dūṣīviṣa causes vomiting, loss of appetite, thirst, fever, burning, breathlessness, cough, intermittent fever, swelling, insanity, diarrhoea and abdominal disease such as…

Eruptions that are saucer-shaped with a sunken mouth, have a central knob, are ringed like burns, hard, very red or black with wide mouths, with fever, diarrhoea and colic, or with…

If the placenta does not fall it is removed by hand, or a paste of kalihari (langali) is given to drink or applied to the soles, navel and abdomen, or the vaginal opening is fumigated with…

The case where the placenta (apara) does not come out after delivery. A footnote says it causes distension and bloating of the abdomen, and the text treats it by manual removal, kalihari…

Sarṣapaka poison is said to cause many vāta disorders, bloating, colic and eruptions.

Diarrhoea born of excessive grief that passes very bloody, very hot stool with bloating and colic, joined by complications such as thirst, swelling, fever, breathlessness and cough, with…

Poisoned food reaching the stomach (hṛdaya, explained as the āmāśaya) causes heavy salivation, fainting, burning, pain, vomiting, diarrhoea, dullness and bloating. Reaching the intestines…

Sarṣapaka poison causes many vāta disorders, bloating, colic and eruptions. The verse assigns yellow eyes, faeces and urine and a rigid, immovable neck to vatsanābha; the commentary runs…