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Astanga Hrudaya

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स्थिराश्चिपिटिकावन्तो रोहतीति तमादिशेत् । अथात्र शोफावस्थायां यथासन्नं विशोधनम् ॥ २३ ॥

static (hard, immovable) containing skin flakes should be understood as “healing”. In the stage of swelling itself, prefatory therapy in the nearest route (either emesis or purgation) should be administered;

english translation