Astanga Hrudaya

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वस्त्रान्तरं ततः कृत्वा भिन्द्याद्गुल्मं प्रमाणवित् । विमार्गाजपदादर्शैर्यथालाभं प्रपीडयेत् ॥ ८६ ॥

Next, holding the tumor covered with cloth, it should be (excised), determining the size of the cut, pressing it either with vimarga, ajapada (both are instruments used by cobblers) or arso yantra (rectal speculum) whichever is available,

english translation

vastrAntaraM tataH kRtvA bhindyAdgulmaM pramANavit । vimArgAjapadAdarzairyathAlAbhaM prapIDayet ॥ 86 ॥

hk transliteration by Sanscript