Astanga Hrudaya

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तरुणो भेषजैः साध्यः प्रवृद्धश्छेदमर्हति । तस्य पूर्वेषु रूपेषु स्नेहादिक्रम इष्यते ॥ १७ ॥

It is manageable with herbs when it is of recent onset but when greatly developed, it requires surgical operation. In its premonitory stage, oleation and other therapies are needed.

english translation