There are ten moments that indicate the correct decision about the need for emptying: overflow, strength, nature, favorable indications - for example, if the intestines in which it is desirable to cause relaxation have not previously been relaxed, because repeating the relaxation is dangerous - appearance, age, season, characteristics climate of the country, human bowel habit, profession.
If these points are contraindicative, then evacuation is prohibited: the emptiness of the body, as well as the weakness of any of the three forces, certainly do not allow evacuation. However, sometimes we prefer to allow some weakening of strength than to allow harm from refusing to empty. This refers to the powers of sensation and movement, where there is hope that we can eliminate danger if it arises. This applies to all forces.
Dry and hot nature interferes with emptying. A cold and damp nature, due to the absence or weakness of warmth, also hinders it.
As for hot and humid nature, it is quite acceptable to have a bowel movement.
As for the external appearance of a person, if he is too thin or loose, then it is forbidden to perform a bowel movement, for fear of weakening the pneuma and strength. Therefore, when you are dealing with a weak and emaciated person, whose blood contains a lot of bile, you should treat with medicine without making a bowel movement, and feed him with such food that produces good blood, inclining his nature to cold and damp. In this way you will sometimes correct the nature of the patient’s juices, and sometimes you will increase her strength so much that she can already endure various types of evacuation. You should also not attempt to defecate a person who is accustomed to eating little if you find a way to avoid his defecation.
Excessive obesity also prevents emptying, because there is a danger that the cold will overpower, and there is a danger that the meat will pinch the vessels and close them during their emptying, as a result of which heat will be retained, or the excess will be forced into the insides.
Bad indications such as the body's readiness for indigestion and cramps also prevent bowel movements. Age that has not reached full maturity, and has also progressed to withering, prevents emptying.
Very hot and very cold times also prevent this. Very hot southern countries are also among the hindering moments, because most of the laxatives are hot, and the combination of two hot and attractive drugs becomes unbearable, and the strength weakens, the external heat attracts the bad juice outward, and the medicine attracts it inward, resulting in counteraction leading to the juice stopping in place.
Northern, very cold countries also impede emptying.
Little habit of emptying is also an obstacle.
Work associated with profuse sweating, such as service in a bathhouse, work as a loader, and in general all professions associated with hard work, prevent emptying.
You should know that with each bowel movement you need to keep one of the following five actions in mind:
- empty the body of what needed to be emptied. After evacuation, calm will undoubtedly come, unless it is followed by intestinal fatigue, or excitation of warmth, or one-day fever, or other inevitable diseases, such as ulceration of the intestines from laxatives and ulceration of the bladder from diuretics this means that the emptying had a benefit, but it is not felt however, often the circumstances that happened immediately disappear
- think about where to direct the emptying. For example, with nausea it is necessary to cleanse through vomiting, and with kulanja - with the help of laxatives
- selection of the organ to be opened from the side where the emptying is directed. For example, in case of liver disease, the right-hand basil is chosen rather than the right-handed kifal.
If a mistake is made in such cases, it often leads to dangerous consequences. It is necessary that the organ through which the evacuation is made should be inferior in dignity to the organ from which the evacuation is made, so that the bad juice secreted does not go to a more important organ. It is also necessary that the place of exit be natural, such as the urinary organs for emptying from the convex part of the liver and the intestines for emptying from the deep part of it.
Sometimes the organ through which the bowel movement is made is the very organ from which the bowel movement needs to be made. If, due to the fact that there is some kind of disease or some kind of illness in it, the passage of juices through it is dangerous, then it becomes necessary to direct these juices through another, more suitable organ.
Sometimes there is a danger of some kind of disease in this organ due to the predominance of excreted juices in it. For example, when juices are released from the eye through the throat, you should often be wary of a sore throat. In this case, you need to be careful. Human nature also does something of this kind and produces emptying in an unusual direction in order to protect a weak organ.
Often, when the nature produces emptying from a distant, opposite side, there is difficulty, for example, when the discharge occurs from the head to the anus, or to the leg, or foot, it is impossible to determine exactly whether the discharge comes from the whole brain or from one particular one. some of his ventricle
Take the emptying time into account. Galen said quite clearly that in protracted illnesses one must necessarily wait for maturation. And you already know what maturation means. Before emptying and after ripening, the patient should be given diluents to drink, such as an aqueous infusion of hyssop, thyme and the seeds of certain plants. As for acute diseases, it is also better to wait for them to ripen, especially if the bad juices are in a calm state. If they are in motion, then it is better to try to remove bad juices, because the harm from their movement is greater than the harm from emptying before ripening, especially when the juices are liquid, and especially when they are inside the vessels and did not penetrate the organs. If the juice is locked in one organ, then under no circumstances should it be moved until it ripens and acquires moderate thickness, as you already learned in your place. However, if we are not sure that the patient’s strength will remain until the time of maturation, then we will perform an emptying after carefully determining the liquid or thick state of the juices. If they turn out to be thick and compacted, like meat, then you must set them in motion only after liquefaction. The thickness of the juices is indicated by previous indigestion and nagging pain in the hypochondrium or the appearance of tumors in the viscera. In such cases, you also need to pay more attention to the condition of the ducts so that they do not become clogged. After all this, you can use a laxative even before the juices ripen
Determining the amount of what the body empties. This is achieved by observing the volume of bad juices, observing the strength of the patient and observing those readings that follow the evacuation.
If any indication follows evacuation, the volume of evacuation performed must be reduced as much as required to eliminate this indication.
Know that emptying the bad juice and extracting it from its place is achieved in two ways: a by pulling it to the opposite distant place, b by pulling it to the opposite close place.
The best time to have a bowel movement is when there is no excessive congestion and movement of bad juices in the body. Suppose a man has a lot of blood flowing from the upper part of his mouth, and a woman is bleeding from her kidneys. Then we cannot help but perform a bowel movement through a nearby prototypical place. In the first case, the bad juice must be directed through the nose, causing nosebleeds and in the second case, we direct the bad juice into the uterus, excreting it with menstrual blood. If we want to pull the bad juice to a distant, opposite place, then in the first case we empty the blood in the vessels and in the place that is located in the lower part of the body in the second case, we also empty the vessels, but in the place that is located in the upper part of the body.
The farthest opposite place should not be on two sides, but should be on one side, then it will be the most distant side. For example, if the bad juice is in the upper part of the right side, then you do not need to pull it to the lower part of the left side, but you need to pull it to the lower part of the right side, which is more necessary, or to the upper part of the left side, if it is distant from the patient space as far as one shoulder from the other, but not as far as between both sides of the head. When the bad juice is on the right side of the head, it should be directed downwards and not to the left side.
When you want to pull the spoiled juice far away, first soothe the pain in this place so that it makes pulling out less difficult. Truly, pain attracts. If the juice resists when pulled out, then you should not use rough methods, because coercion often sets it in motion, liquefies it, and it does not pull back, but is quickly directed to the sore spot.
Sometimes it will be enough for you to just pull back the bad juice without emptying, because pulling alone also prevents the juice from flowing into the organ, although pulling does not remove the juice. With the help of just retraction, the goal is also achieved, without resorting to emptying, but only by limiting the direction of the bad juice to the opposite organ by means of strong bandaging, or with the help of blood-sucking cups and drugs that cause redness of the skin, in general, that which causes pain.
Of the bad juices, those found in vessels are the easiest to empty. As for those in organs and joints, it is difficult to remove them and empty the organ of them. When emptying, other things are inevitably expelled along with them. A person undergoing defecation should not hastily take food in large quantities and raw, for nature will attract it in an undigested form. If necessary, you should eat little by little, in portions, gradually, so that the food enters the body well digested.
Bleeding is emptying exclusively from those juices that equally contain a surplus. As for emptying from one juice, which has increased only in quantity, or only its quality has deteriorated, then it should not be bloodletting.
Any excessive stool usually causes fever.
If, after stopping the patient’s habitual relaxation with laxatives, any ailment occurs, then the resumption of this type of evacuation will mostly cure it. For example, if someone develops blockages as a result of the cessation of ear dirt or snot flowing from the nose, then when these phenomena resume, the blockages disappear.
Know that leaving a residue of bad juice that needed to be removed is less of a disaster than completely emptying it and bringing it to the point where the patient’s strength weakens For the most part, nature itself resolves this residue.
In the case when the juice that needs to be removed is one of those that must be removed, and the patient can tolerate it, then do not be afraid of excess and, if necessary, perform a bowel movement before losing consciousness.
If someone is very strong and has a lot of bad juices, then perform the emptying little by little. The same should be done if the bad juice is very stuck or strongly mixed with blood and it is not possible to remove it in one go, which occurs, for example, with inflammation of the sciatic nerve, with chronic pain in the joints, cancer, jaraba and chronic boils.
Know that the relaxation caused by laxatives is retracted from above and extracted from below, and this corresponds to both types of retraction, that is, in the opposite direction and in the corresponding direction. This is also suitable in cases where bad juices have already taken hold. If they are at the bottom, then the slack pulls them in the opposite direction and brings them out wherever they are. Vomiting, when pulled back and removed, does the opposite.
Bloodletting varies depending on the place where the blood is taken, as you already know.
Few people who consume good food and have good digestion need to defecate.
Residents of hot countries also have little need to defecate.