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Astanga Hrudaya

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एर्वारुबीजप्रतिमं वृद्धायामसिराततम् । अग्रं निविष्टं जिह्वाया बडीशाद्यवलम्बितम् ॥ ४७ ॥

When it appears similar to ervāru (cucumber) seeds, has enlarged, is devoid of prominent blood vessels, and is situated near the back/root of the tongue, it should be supported/held using a Baḍiśa (hook/forceps) or similar instrument,

english translation