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Astanga Hrudaya

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जिह्वां खादति निःसञ्ज्ञो दन्तान् कटकटाययन् । न गच्छेद्विभ्रमं तत्र वामयेदाशु तं भिषक् ॥ १८ ॥

The patient bites his own tongue, loses consciousness (niḥsañjña), and grinds his teeth (dantān kaṭakaṭāyayan). Encountering this, the physician should not panic or become confused, but should immediately induce therapeutic vomiting (vamaṇa).

english translation