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Astanga Hrudaya

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उन्नम्य जिह्वामाकृष्टां बडिशेनाधिजिह्विकाम् । छेदयेन्मण्डलाग्रेण तीक्ष्णोष्णैर्घर्षणादि च ॥ ४५ ॥

The tongue should be held by the Badisha Yantra, lifted up and the extra growth of muscle cut off with the Mandalagra Sastra (lancet) site being rubbed with the paste of herbs which possess penetrating and hot properties.

english translation