Kadara should be removed with a knife without leaving any residue and then the site is burnt with hot fat. Ruddhaguda should be treated in the same manner as treating Niruddamani (chapter 34).
चिप्यं शुद्ध्या जितोष्माणं साधयेच्छस्त्रकर्मणा । दुष्टं कुनखमप्येवं चरणावलसे पुनः ॥ १२ ॥
Chipya is treated by winning over Pitta through purificatory therapies and then by surgery. Even the dosha afflicted Kunakha should be treated in the same manner. In Alasa, the foot should be
धान्याम्लसिक्तौ कासीसपटोलीरोचनातिलैः । सनिम्बपत्रैरालिम्पेत् दहेत्तु तिलकालकान् ॥ १३ ॥
washed with fermented rice wash and applied with the paste of kāsīsa – ferrous sulphate, paṭolī – Trichosanthes dioica, rocanā – bezoar, tilaiḥ – Sesamum indicum and leaves of Azadirachta indica. Tilkalaka
मषांश्च सूर्यकान्तेन क्षारेण यदि वाऽग्निना । तद्वदुत्कृत्य शस्त्रेण चर्मकीलजतूमणी ॥ १४ ॥
Mashaka should be burnt either by Suryakanta (convex lens), caustic alkali or fire. Charmakila and Jatumani should be pulled up with instruments and treated in the same way (cauterized).
लाञ्छनादित्रये कुर्याद्यथासन्नं सिराव्यधम् । लेपयेत्क्षीरपिष्टैश्च क्षीरिवृक्षत्वगङ्कुरैः ॥ १५ ॥
In the three diseases commencing with Lanchana (Lanchana, Vyanga, Nilika), the nearest vein should be cut, the bark and sprouts of trees having milky- sap made paste with milk should be applied.