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Astanga Hrudaya

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siva.sh/astanga-hrudaya/uttara-sthana/22/29

दन्तमांसान्युपकुशे स्विन्नान्युष्णाम्बुधारणैः । मण्डलाग्रेण शाकादिपत्रैर्वा बहुशो लिखेत् ॥ २९ ॥

In Upakuśa, the gums should be fomented by holding hot water in the mouth and then scraped many times either with Maṇḍalāgra Śastra (round-headed lancet/scalpel) or leaves of Śāka (tectona grandis) etc.;

english translation

Chapter 22

Verse 30