Nirudha-vastis charged with the decoctions of sweet (Kakolyadi) or Vayu-subduing (Bhadra-darvadi) drugs, should be applied in fever due to the derangement of the bodily Vayu, according to the nature and intensity of the specific deranged Dosha in the case and to the strength of the patient; in the alternative, Anuvasana Vasti should also be similarly applied. The decoction of the drugs of the Utpaladi group mixed with Chandana and Us'ira and sweetened with the addition of sugar should be similarly applied cold (as a Nirudha Vasti) in cases of Pittaja fever. A Vasti (in the manner of Nirudha) charged with a compound consisting of Amra-barks, etc., S'amkha (conch), Chandana, Utpala, Gavika, Rasanjana, Manjishtha, Mrina'la and Padma-kashtha pasted together and dissolved in milk saturated with sugar and honey should be passed through a piece of linen and then applied cold in a case of (Pittaja) fever marked by intolerable pain. The characteristic burning sensation due to fever may be relieved by applying Vasti charged with a decoction of the preceding drugs in the manner of an Anuvasana-vasti. A Nirudha Vasti charged with the decoction of the drugs of the Aragvadhadi group mixed with (the powders of) the drugs of the Pippaladi group and with honey should be applied in cases of Kaphaja fever and the decoction of the Kapha-subduing (Aragvadhadi) drugs should also be injected into the rectum in the manner of an Anuvasana Vasti. In cases of fever due to the aggravation of two or three Doshas, the Vastis (Nirudha and Anuvasana) to be applied should be charged with the decoction of the drugs rcspc:tively antidotal to the deranged Doshas involved in each case. 146 - 150.
* Dallana seems to read "Ma'kshikay and explains it as honey. "Madkvika" which generally means the wine made of honey, may however, also mean honey.
All the medicated lardacious substances with the exception of oil, which have been prescribed as being efficacious (in the use of Vastis) in diseases of the deranged Vayu, are equally applicable (in Anuvasana Vastis) in a case of fever due to the same cause. But all of them (including also oil) arc equally applicable to anointing, etc. Lubrication of the body with oil at the close of the acute stage i.e., on the thirteenth or fourteenth day of the attack would be attended with beneficial results in a case of Vata-s'leshma fever, where fomentations have utterly failed to relieve the distressing symptoms of the deranged Vayu. Clarified butter duly cooked with sweet and bitter drugs should be used (for the purpose of annointing) in Pittaja fever; while in Kaphaja fever, the Ghrita should be cooked with bitter and pungent drugs. In the cases of fever due to the concerted action of two or three Doshas, the Ghrita should be cooked with the drugs of two or more of the above groups according to the nature of the Doshas involved in each case. 151 - 152.
The presence of even a small residue of the deranged Pitta in the organism maintains the heat of the skin up to the fever-point, so the remedy consists in taking the expressed juice of sugar-cane, or sweet cordials or Sai-vats (sugar dissolved in water), and the diet in such a case should consist of cooked Sali and Shashti rice and milk. Fomentations and anointments should be employed in cases of Kaphaja and Vataja fevers. Draughts of clarified butter should be given in all forms of fever at the close of twelve days, for by that time the aggravated Doshas return to their respective Asayas (places in the system). The Dosha involved (in a case of fever) becomes aggravated by affecting, at the time of the remission of the fever, the other fundamental vital principles (Dhatus) of the body and thereby makes the patient weak and dejected at this time. 153 - 155.