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Astanga Hrudaya

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यथादोषोदयं कुर्यात्सन्निपाते चिकित्सितम् । नवेऽर्बुदे त्वसंवृद्धे छेदिते प्रतिसारणम् ॥ ७७ ॥

In case of that caused by Sannipāta (aggravation of all three doshas together), treatment should be done according to the doshas that predominate in order of degree (yathā-doṣodaya). In Arbuda (tumor/mass) which is of recent onset and not greatly grown, it should be cut (excised) and the site rubbed (pratisāraṇa) with

english translation

Chapter 22

Verse 78