Powder of hiṅgu – Ferula asafoetida, kaṭphala – Myrica nagi, kāsīsa – ferrous sulphate, svarjikā – svarjikam, kuṣṭha – Saussurea lappa and vellajam – Embelia ribes releives the pain quickly, if tied in cloth and held together by the teeth
गण्डूषं ग्राहयेत्तैलमेभिरेव च साधितम् । क्वाथैर्वा युक्तमेरण्डद्विव्याघ्रीभूकदम्बजैः ॥ २२ ॥
Gandusha (holding liquid in the mouth) may be done either with the oil cooked with the same herbs or with the oil mixed with decoction of eraṇḍa – Ricinus communis, dvivyāghrī – the two vyaghri: Brihati -Solanum Indicum and Kantakari – Solanum xanthocarpum and bhūkadambajaiḥ – Sphaeranthus indicus.
क्रियायोगैर्बहुविधैरित्यशान्तरुजं भृशम् । दृढमप्युद्धरेद्दन्तं पूर्वं मूलाद्विमोक्षितम् ॥ २३ ॥
In spite of different kinds of therapies, if the pain does not subside, the tooth should be removed, though firm, after first loosening/separating it from its root,
सन्दंशकेन लघुना दन्तनिर्घातनेन वा । तैलं सयष्ट्याह्वरजो गण्डूषो मधु वा ततः ॥ २४ ॥
either by a small Sandaṃśa Yantra (forceps) or a Dantanirghātana Yantra (tooth extractor); then oil added with powder of yaṣṭyāhva (Glycyrrhiza glabra) or honey should be held in the mouth (gargled).
Then the oil should be processed with ten times milk using vidārī – Pueraria tuberosa, yaṣṭyāhva – Glycyrrhiza glabra, śṛṅgāṭaka – Trapa bispinosa, and kaseru – Scirpus grossus, and used as nasal drops.