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Astanga Hrudaya

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विध्येत्पालीं हितभुजः सञ्चार्याथ स्थवीयसी । वर्तिस्त्र्यहात्ततो रूढं वर्धयेत शनैः शनैः ॥ ३६ ॥

The lobe should be pierced while the child is on a wholesome diet. After a lapse of three days, a thicker wick or thread (varti) should be inserted into the passage, and once healed, the orifice should be widened gradually, bit by bit.

english translation

Chapter 1

Verse 37