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.;
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.;