Astanga Hrudaya

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अर्शोभ्यो जलजाशस्त्रसूचीकूर्चैः पुनः पुनः । शीतोष्णस्निग्धरूक्षैर्हि न व्याधिरुपशाम्यति ॥ २९ ॥

again and again by the use of either leeches, knife or brush of needles. When the blood is vitiated, the disease (piles) does not get relieved by treatments such as cold and hot, unctuous and dry treatments.

english translation

arzobhyo jalajAzastrasUcIkUrcaiH punaH punaH । zItoSNasnigdharUkSairhi na vyAdhirupazAmyati ॥ 29 ॥

hk transliteration by Sanscript