Astanga Hrudaya

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यन्त्रयित्वाऽर्शसमिव पश्येत्सम्यग्भगन्दरम् । अर्वाचीनं पराचीनमन्तर्मुखबहिर्मुखम् ॥ २४ ॥

the physician should then inspect the rectum by using the rectal speculum just like visualizing the piles, properly and note whether the fistula is nearer or farther, opening inside or opening outside.

english translation

yantrayitvA'rzasamiva pazyetsamyagbhagandaram । arvAcInaM parAcInamantarmukhabahirmukham ॥ 24 ॥

hk transliteration by Sanscript