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Astanga Hrudaya

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पित्तास्रे पित्तरक्तघ्नः कफघ्नश्च कफे विधिः । लिखेच्छाकादिपत्रैश्च पिटिकाः कठिनाः स्थिराः ॥ ७६ ॥

In those caused by Pitta and Asra (blood), treatments which mitigate Pitta and Rakta (blood) should be done; in those caused by Kapha, treatments which mitigate Kapha are required. The eruptions (piṭikā) which are hard and static should be scraped with (rough) leaves of trees like Śāka (tectona grandis), etc.

english translation