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Astanga Hrudaya

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छेदयेन्मण्डलाग्रेण नात्यग्रे न च मूलतः । छेदेऽत्यसृक्क्षयान्मृत्युर्हीने व्याधिर्विवर्धते ॥ ४८ ॥

and excised with the Maṇḍalāgra Śastra (round-headed lancet/scalpel), neither too far towards the tip nor too close to the root. In case of deep cutting, death might occur from severe loss of blood; if cut inadequately, the disease increases (worsens).

english translation