the head of the patient should be held tight, not allowing its shaking; he should be asked to fix his gaze on (the tip of) his own nose. Then leaving half angula (1 cm) of space from the border of the black portion (cornea) and a quarter angula (0.5 cm) from the outer canthus,
holding the metal rod tight between the middle finger, index finger and the thumb, draw the natural aperture (pupil) to the sides, twisting from above and then puncture (push the less outside)
using the right hand for the left eye and the left hand for the other eye. When properly punctured (driven outside), there will be a sound produced, there will be no pain and slight flow of water.
After that the patient is made comfortable, the eyes filled with breast milk, then the areas of the eye scratched with the tip / edge of the metal rod,
अबाधमानः शनकैर्नासां प्रति नुदंस्ततः । उच्छिङ्घनाच्चापहरेद्दृष्टिमण्डलगं कफम् ॥१५॥
without causing pain, slowly pushing the dirt (mucous) in the direction of the nose (downward) and then remove the Kapha (dirty mucus) collected on the area of vision (surrounding the pupil).