व्रणान् सुदुःखशोध्यांश्च शोधयेत्क्षारकर्मणा । स्रवन्तोऽश्मरीजा मूत्रं ये चान्ये रक्तवाहिनः ॥५०॥
and ulcers that are exceedingly difficult to purify or cleanse (vraṇān su-duḥkha-śodhyāṃś ca) should be cleansed and treated using Kṣāra karma (application of alkaline cautery) (śodhayet kṣāra-karmaṇā). Ulcers arising due to renal calculi/urinary stones (aśmarījāḥ) that exude urine (sravanto mūtraṃ), and other ulcers that bleed/exude blood (ye ca anye raktavāhinaḥ);
व्रणान् सुदुःखशोध्यांश्च शोधयेत्क्षारकर्मणा । स्रवन्तोऽश्मरीजा मूत्रं ये चान्ये रक्तवाहिनः ॥५०॥
and ulcers that are exceedingly difficult to purify or cleanse (vraṇān su-duḥkha-śodhyāṃś ca) should be cleansed and treated using Kṣāra karma (application of alkaline cautery) (śodhayet kṣāra-karmaṇā). Ulcers arising due to renal calculi/urinary stones (aśmarījāḥ) that exude urine (sravanto mūtraṃ), and other ulcers that bleed/exude blood (ye ca anye raktavāhinaḥ);