Astanga Hrudaya

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इति राजानमापृच्छ्य शस्त्रं साध्ववचारयेत् । अक्रियायां ध्रुवो मृत्युः क्रियायां संशयो भवेत् ॥ ४४ ॥

resort to the use of the sharp instrument (surgical operation) appropriately, after obtaining permission from the king (or administrative authority), explaining that death is certain if the operation is not performed, whereas even if performed, there is a doubt regarding survival.

english translation

iti rAjAnamApRcchya zastraM sAdhvavacArayet । akriyAyAM dhruvo mRtyuH kriyAyAM saMzayo bhavet ॥ 44 ॥

hk transliteration by Sanscript